|
Olanzapine 10 mg intramuscular solution
|
$20.55 |
$20.55 |
$22.33 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$651.42 |
$651.42 |
$708.06 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$5.05 |
$5.05 |
$5.48 |
$22.62
|
|
Open thrombectomy of av fistula without revision 36831
|
$3,072.80 |
$3,072.80 |
$3,607.50 |
$6,366.08
|
|
Ophthalmic mitomycin
|
$24.71 |
$24.71 |
$26.85 |
$775.44
|
|
Organic acids total quant ea spec
|
$118.00 |
$118.00 |
$118.00 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$459.07 |
$459.07 |
$498.99 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$3.12 |
$3.12 |
$3.39 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$135.00 |
$135.00 |
$135.00 |
$195.00
|
|
Osmolality blood
|
$40.02 |
$40.02 |
$134.00 |
$67.60
|
|
Osmolality urine
|
$39.10 |
$39.10 |
$53.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$105.80 |
$105.80 |
$121.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$70.84 |
$70.84 |
$91.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$87.86 |
$87.86 |
$101.00 |
$263.50
|
|
Oth resp proc, group
|
$55.00 |
$55.00 |
$55.00 |
$123.05
|
|
Oth resp proc, indiv
|
$82.50 |
$82.50 |
$82.50 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$44.50 |
$44.50 |
$55.66 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$46.00 |
$46.00 |
$49.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$51.06 |
$51.06 |
$61.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$80.96 |
$80.96 |
$81.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$54.00 |
$54.00 |
$54.28 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$62.56 |
$62.56 |
$71.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$62.56 |
$62.56 |
$71.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$56.12 |
$56.12 |
$58.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$47.38 |
$47.38 |
$53.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$46.00 |
$46.00 |
$46.92 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$46.28 |
$46.28 |
$50.30 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$9.84 |
$9.84 |
$10.70 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$1.52 |
$1.52 |
$1.65 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$19,320.00 |
$19,320.00 |
$19,320.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.42 |
$1.42 |
$1.54 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$664.76 |
$664.76 |
$722.56 |
$3,435.42
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,996.04 |
$2,996.04 |
$3,256.56 |
$5,569.20
|
|
Palonosetron hcl
|
$1.91 |
$1.91 |
$2.08 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$23.00 |
$23.00 |
$24.99 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$160.83 |
$160.83 |
$174.81 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$2.14 |
$2.14 |
$2.32 |
$29.31
|
|
Papaverin hcl injection
|
$8.71 |
$8.71 |
$9.47 |
$77.05
|
|
Parathormone (pth) intact
|
$66.24 |
$66.24 |
$239.50 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$605.50 |
$605.50 |
$605.50 |
$1,574.40
|
|
Parathyroid planar imaging
|
$260.82 |
$260.82 |
$781.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$709.00 |
$709.00 |
$709.00 |
$1,350.60
|
|
Paricalcitol
|
$4.40 |
$4.40 |
$4.78 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$147.00 |
$147.00 |
$147.00 |
$245.00
|
|
Partial removal finger bone
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$2,049.27
|
|
Partial removal foot fascia
|
$1,574.50 |
$1,574.50 |
$1,574.50 |
$3,762.00
|
|
Partial removal of toe
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$3,674.58
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,010.11 |
$4,010.11 |
$4,358.82 |
$4,921.76
|
|
Passy muir valve metal trach
|
$33.86 |
$33.86 |
$36.80 |
$275.75
|
|
Ped home apnea mntr dl&alys
|
$1,668.50 |
$1,668.50 |
$1,668.50 |
$296.92
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$3,429.14 |
$3,429.14 |
$3,727.32 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,436.53 |
$2,436.53 |
$2,648.40 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,182.78 |
$1,182.78 |
$1,285.63 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,120.06 |
$1,120.06 |
$1,217.45 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$10,396.92 |
$10,396.92 |
$11,301.00 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,128.84 |
$1,128.84 |
$1,565.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$621.92 |
$621.92 |
$1,285.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$927.36 |
$927.36 |
$1,036.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,017.50 |
$2,017.50 |
$2,017.50 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,936.50 |
$1,936.50 |
$1,936.50 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,714.50 |
$1,714.50 |
$1,714.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$177.10 |
$177.10 |
$240.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$82.80 |
$82.80 |
$112.50 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$678.24 |
$678.24 |
$737.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,700.96 |
$1,700.96 |
$1,848.87 |
$7,089.13
|
|
Pemivibart infusion
|
$331.66 |
$331.66 |
$360.50 |
$533.10
|
|
Peng benzathine/procaine inj
|
$51.14 |
$51.14 |
$55.59 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$81.49 |
$81.49 |
$88.57 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$23.14 |
$23.14 |
$25.15 |
$101.34
|
|
Penile injection
|
$219.00 |
$219.00 |
$219.00 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$4,596.23 |
$4,596.23 |
$4,995.90 |
$18,764.94
|
|
Pentobarbital sodium inj
|
$15.13 |
$15.13 |
$16.44 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$1,069.68 |
$1,069.68 |
$1,162.70 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$4,972.00 |
$4,972.00 |
$5,282.64 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$3,632.16 |
$3,632.16 |
$3,632.16 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$8,545.88 |
$8,545.88 |
$8,545.88 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$8,545.88 |
$8,545.88 |
$8,545.88 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$8,011.82 |
$8,011.82 |
$8,011.82 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$5,982.30 |
$5,982.30 |
$5,982.30 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$15,703.02 |
$15,703.02 |
$15,703.02 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$8,011.82 |
$8,011.82 |
$8,011.82 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$11,964.14 |
$11,964.14 |
$11,964.14 |
$16,258.50
|
|
Percut ablate liver rf
|
$3,035.50 |
$3,035.50 |
$3,035.50 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$18.40 |
$18.40 |
$20.00 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$372.50 |
$372.50 |
$961.40 |
$2,251.20
|
|
Peripheral vascular rehab
|
$109.48 |
$109.48 |
$220.00 |
$132.50
|
|
Peri-proc device eval icd
|
$31.50 |
$31.50 |
$116.84 |
$192.40
|
|
Peri-proc device eval pm
|
$113.50 |
$113.50 |
$118.22 |
$159.90
|
|
Peritoneogram rs&i
|
$817.00 |
$817.00 |
$817.00 |
$695.89
|
|
Perq art m-thrombect &/nfs
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$4,991.92 |
$4,991.92 |
$4,991.92 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$860.50 |
$860.50 |
$860.50 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,909.00 |
$2,909.00 |
$2,909.00 |
$6,904.15
|
|
Perq transcath closure each
|
$290.26 |
$290.26 |
$290.26 |
$9,204.00
|
|
Perq transcath closure pda
|
$16,347.94 |
$16,347.94 |
$16,347.94 |
$18,408.00
|
|
Perq transcath cls aortic
|
$6,801.10 |
$6,801.10 |
$6,801.10 |
$22,633.26
|
|
Perq transcath cls mitral
|
$19,055.96 |
$19,055.96 |
$19,055.96 |
$23,617.60
|