|
Osmolality urine
|
$15.75 |
$90.35 |
$104.65 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$68.25 |
$68.25 |
$68.25 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$72.80 |
$72.80 |
$72.80 |
|
|
Osteopath manip tx/9-10 body region98929
|
$80.60 |
$80.60 |
$80.60 |
|
|
Ot evaluation high complexity patient/family
|
$105.30 |
$503.75 |
$782.60 |
|
|
Ot evaluation low complexity patient/family
|
$105.30 |
$475.80 |
$728.00 |
|
|
Ot evaluation moderate complexity patient/family
|
$105.30 |
$489.45 |
$752.05 |
|
|
Other immunoelectrophoresis
|
$126.75 |
$147.55 |
$152.75 |
|
|
Oth resp proc, group
|
$74.10 |
$81.90 |
$159.25 |
|
|
Oth resp proc, indiv
|
$53.95 |
$59.80 |
$89.70 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$61.75 |
$79.95 |
$105.95 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$61.75 |
$76.70 |
$121.55 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$72.80 |
$89.05 |
$126.75 |
|
|
Ot re-evaluation patient/family
|
$74.75 |
$365.30 |
$614.25 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$80.60 |
$83.85 |
$137.15 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$22.10 |
$24.05 |
$92.95 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$56.55 |
$85.80 |
$127.40 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$68.90 |
$94.25 |
$127.40 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$42.90 |
$86.45 |
$132.60 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$74.75 |
$81.25 |
$123.50 |
|
|
Ovarian cystectomy 58925
|
$27,635.03 |
$27,635.03 |
$27,635.03 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$68.31 |
$68.31 |
$68.31 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$94.90 |
$94.90 |
$163.93 |
|
|
Oxytocin 10 unit/ml injection solution
|
$7.15 |
$14.58 |
$63.47 |
|
|
P-32 sod phosphate ther per mci
|
$665.60 |
$665.60 |
$665.60 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$35.75 |
$148.28 |
$163.06 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,575.40 |
$3,448.39 |
$4,187.95 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,688.30 |
$7,126.88 |
$8,908.60 |
|
|
Palonosetron hcl
|
$54.40 |
$54.40 |
$162.50 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$121.81 |
$158.35 |
$319.18 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,372.33 |
$16,576.27 |
$19,889.31 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.15 |
$9.07 |
$16.50 |
|
|
Papaverin hcl injection
|
$125.16 |
$125.16 |
$134.58 |
|
|
Parathormone (pth) intact
|
$70.85 |
$170.95 |
$268.45 |
|
|
Parathyroid autotransplantation 60512
|
$21,737.98 |
$21,737.98 |
$21,737.98 |
|
|
Parathyroid planar imaging
|
$48.00 |
$815.75 |
$1,042.60 |
|
|
Parathyroid planar img w/tomo spect
|
$1,153.10 |
$1,445.60 |
$1,794.65 |
|
|
Paricalcitol
|
$45.79 |
$45.79 |
$49.24 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$60.75 |
$60.75 |
$60.75 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,517.04 |
$4,517.04 |
$8,026.44 |
|
|
Partial removal of eye fluid
|
$11,817.75 |
$11,817.75 |
$11,817.75 |
|
|
Partial removal of eye fluid
|
$8,148.64 |
$8,148.64 |
$8,148.64 |
|
|
Partial removal of nose
|
$19,557.60 |
$19,557.60 |
$19,557.60 |
|
|
Partial removal of pharynx 42890
|
$8,519.23 |
$8,519.23 |
$8,519.23 |
|
|
Partial removal of thyroid
|
$18,875.97 |
$18,875.97 |
$21,661.84 |
|
|
Partial removal of tongue
|
$11,554.23 |
$11,554.23 |
$11,554.23 |
|
|
Partial removal of vaginal wall 57106
|
$16,412.17 |
$16,412.17 |
$16,412.17 |
|
|
Partial thyroid excision
|
$10,461.20 |
$10,461.20 |
$10,461.20 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4.55 |
$4.55 |
$4.55 |
|
|
Passy muir valve metal trach
|
$165.75 |
$165.75 |
$240.50 |
|
|
Patient recorded spirometry
|
$47.25 |
$47.25 |
$47.25 |
|
|
Pdgfra gene
|
$474.50 |
$475.15 |
$852.15 |
|
|
Pdt dstr prmlg les phys/qhp
|
$199.55 |
$199.55 |
$199.55 |
|
|
Pegaspargase injection
|
$61,317.29 |
$61,317.29 |
$61,317.29 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,515.08 |
$12,556.80 |
$15,643.86 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$8,929.38 |
$8,929.38 |
$9,567.19 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,168.39 |
$10,176.56 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,070.63 |
$4,084.20 |
$5,088.28 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,687.51 |
$5,687.51 |
$6,093.76 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$72,318.27 |
$72,318.27 |
$72,318.27 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,080.95 |
$1,964.95 |
$2,460.25 |
|
|
Pelvic CT scan (with contrast)
|
$984.75 |
$1,625.65 |
$2,078.05 |
|
|
Pelvic CT scan (without contrast)
|
$208.50 |
$1,492.40 |
$1,769.30 |
|
|
Pelvic MRI (with and without contrast)
|
$1,561.95 |
$2,603.25 |
$3,313.05 |
|
|
Pelvic MRI (with contrast)
|
$1,450.15 |
$2,239.25 |
$2,579.85 |
|
|
Pelvic MRI (without contrast)
|
$1,337.70 |
$1,929.85 |
$2,912.00 |
|
|
Pelvic Ultrasound (complete)
|
$41.25 |
$619.45 |
$902.20 |
|
|
Pelvic Ultrasound (limited)
|
$35.25 |
$359.45 |
$573.95 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$9,978.80 |
$13,368.94 |
$16,040.52 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$251.55 |
$373.42 |
$1,734.56 |
|
|
Peng benzathine/procaine inj
|
$122.25 |
$122.25 |
$734.82 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$416.21 |
$857.55 |
$2,703.48 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$13.67 |
$38.45 |
$153.79 |
|
|
Penile injection
|
$199.55 |
$199.55 |
$577.85 |
|
|
Pentamidine 300 mg solution for injection
|
$504.43 |
$504.43 |
$504.43 |
|
|
Pentobarbital sodium inj
|
$268.64 |
$268.64 |
$292.11 |
|
|
Pentostatin 10 mg intravenous solution
|
$6,659.13 |
$6,659.13 |
$6,659.13 |
|
|
Perc cryo ablate renal tum
|
$17,194.09 |
$17,194.09 |
$42,229.42 |
|
|
Perc d-e cor revasc chro add
|
$22,577.75 |
$22,577.75 |
$22,577.75 |
|
|
Perc d-e cor revasc chro sin
|
$13,415.35 |
$13,415.35 |
$21,434.40 |
|
|
Perc d-e cor revasc t cabg b
|
$14,504.75 |
$14,504.75 |
$14,504.75 |
|
|
Perc d-e cor revasc t cabg s
|
$16,123.25 |
$16,123.25 |
$20,140.90 |
|
|
Perc d-e cor stent ather br
|
$34,823.10 |
$34,823.10 |
$34,823.10 |
|
|
Perc d-e cor stent ather s
|
$20,140.90 |
$20,140.90 |
$26,330.20 |
|
|
Perc drug-el cor stent bran
|
$11,431.55 |
$11,431.55 |
$11,431.55 |
|
|
Perc drug-el cor stent sing
|
$14,504.75 |
$14,504.75 |
$20,974.20 |
|
|
Perc rf ablate renal tumor
|
$10,435.10 |
$10,435.10 |
$44,569.87 |
|
|
Percut ablate liver rf
|
$16,901.28 |
$16,901.28 |
$16,901.28 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,133.45 |
$1,218.76 |
$1,584.39 |
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,571.70 |
$1,571.70 |
$1,571.70 |
|
|
Pericardiocentesis wwo imaging
|
$1,626.30 |
$1,626.30 |
$1,626.30 |
|
|
Perineoplasty rpr per nonob
|
$10,164.26 |
$10,164.26 |
$10,164.26 |
|
|
Peripheral vascular rehab
|
$108.55 |
$118.30 |
$147.55 |
|
|
Peri-proc device eval icd
|
$271.05 |
$271.05 |
$271.05 |
|
|
Peri-proc device eval pm
|
$243.10 |
$243.10 |
$243.10 |
|
|
Peritoneogram rs&i
|
$871.00 |
$871.00 |
$871.00 |
|
|
Perit-vens shunt pat tst
|
$809.25 |
$809.25 |
$809.25 |
|
|
Perq art m-thrombect &/nfs
|
$2,549.30 |
$2,549.30 |
$2,549.30 |
|
|
Perq clsr tcat l atr apndge
|
$8,238.10 |
$8,238.10 |
$8,238.10 |
|
|
Perq dev breast 1st mr guide
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
|