|
Osmolality blood
|
$116.76 |
$116.76 |
$116.76 |
$67.60
|
|
Osmolality urine
|
$43.68 |
$43.68 |
$43.68 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$101.22 |
$101.22 |
$101.22 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$91.98 |
$91.98 |
$91.98 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$101.22 |
$101.22 |
$101.22 |
$263.50
|
|
Oth resp proc, group
|
$67.62 |
$67.62 |
$67.62 |
$123.05
|
|
Oth resp proc, indiv
|
$106.26 |
$106.26 |
$106.26 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$55.02 |
$55.02 |
$55.02 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$57.54 |
$57.54 |
$57.54 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$59.22 |
$59.22 |
$59.22 |
$105.00
|
|
Ot re-evaluation patient/family
|
$63.42 |
$63.42 |
$63.42 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$57.12 |
$57.12 |
$57.12 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$69.30 |
$69.30 |
$69.30 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$69.30 |
$69.30 |
$69.30 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$56.70 |
$56.70 |
$56.70 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$48.30 |
$48.30 |
$48.30 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$52.50 |
$52.50 |
$52.50 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$211.26 |
$211.26 |
$211.26 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$5,306.96 |
$5,306.96 |
$5,306.96 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$103.70 |
$103.70 |
$103.70 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$200.76 |
$200.76 |
$200.76 |
$290.64
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$17,640.00 |
$17,640.00 |
$17,640.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$248.33 |
$248.33 |
$248.33 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,034.76 |
$3,034.76 |
$3,034.76 |
$3,435.42
|
|
Palifermin injection
|
$5,926.16 |
$5,926.16 |
$5,926.16 |
$5,464.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,907.72 |
$6,907.72 |
$6,907.72 |
$5,569.20
|
|
Palonosetron hcl
|
$43.57 |
$43.57 |
$43.57 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$120.02 |
$120.02 |
$120.02 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$14,683.79 |
$14,683.79 |
$14,683.79 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$41.79 |
$41.79 |
$41.79 |
$29.31
|
|
Papaverin hcl injection
|
$79.50 |
$79.50 |
$79.50 |
$77.05
|
|
Parathormone (pth) intact
|
$210.84 |
$210.84 |
$210.84 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$276.78 |
$276.78 |
$276.78 |
$1,574.40
|
|
Parathyroid planar imaging
|
$754.74 |
$754.74 |
$754.74 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$503.58 |
$503.58 |
$503.58 |
$1,350.60
|
|
Paricalcitol
|
$41.79 |
$41.79 |
$41.79 |
$47.15
|
|
Partial removal finger bone
|
$1,054.20 |
$1,054.20 |
$1,054.20 |
$2,049.27
|
|
Partial removal foot fascia
|
$1,322.58 |
$1,322.58 |
$1,322.58 |
$3,762.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,661.41 |
$3,661.41 |
$3,661.41 |
$4,921.76
|
|
Passy muir valve metal trach
|
$30.92 |
$30.92 |
$30.92 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$7.54 |
$7.54 |
$7.54 |
$5.73
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,392.84 |
$9,392.84 |
$9,392.84 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$6,673.95 |
$6,673.95 |
$6,673.95 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,239.78 |
$3,239.78 |
$3,239.78 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$3,067.98 |
$3,067.98 |
$3,067.98 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$47,464.20 |
$47,464.20 |
$47,464.20 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,280.58 |
$1,280.58 |
$1,280.58 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,051.68 |
$1,051.68 |
$1,051.68 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$847.98 |
$847.98 |
$847.98 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,687.98 |
$1,687.98 |
$1,687.98 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,620.78 |
$1,620.78 |
$1,620.78 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,435.14 |
$1,435.14 |
$1,435.14 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$471.66 |
$471.66 |
$471.66 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$231.42 |
$231.42 |
$231.42 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$12,385.22 |
$12,385.22 |
$12,385.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,765.24 |
$7,765.24 |
$7,765.24 |
$7,089.13
|
|
Pemivibart infusion
|
$321.30 |
$321.30 |
$321.30 |
$533.10
|
|
Peng benzathine/procaine inj
|
$466.91 |
$466.91 |
$466.91 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,320.35 |
$1,320.35 |
$1,320.35 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$105.63 |
$105.63 |
$105.63 |
$101.34
|
|
Penicillin g procaine inj
|
$149.20 |
$149.20 |
$149.20 |
$147.96
|
|
Penile injection
|
$182.28 |
$182.28 |
$182.28 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$4,196.56 |
$4,196.56 |
$4,196.56 |
$18,764.94
|
|
Penile vascular study
|
$279.30 |
$279.30 |
$279.30 |
$576.40
|
|
Pentobarbital sodium inj
|
$3,538.40 |
$3,538.40 |
$3,538.40 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$4,883.32 |
$4,883.32 |
$4,883.32 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$4,576.32 |
$4,576.32 |
$4,576.32 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$10,505.88 |
$10,505.88 |
$10,505.88 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$11,429.46 |
$11,429.46 |
$11,429.46 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$8,543.22 |
$8,543.22 |
$8,543.22 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$11,544.96 |
$11,544.96 |
$11,544.96 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$8,543.22 |
$8,543.22 |
$8,543.22 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$11,544.96 |
$11,544.96 |
$11,544.96 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$8,543.22 |
$8,543.22 |
$8,543.22 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$11,544.96 |
$11,544.96 |
$11,544.96 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$3,935.82 |
$3,935.82 |
$3,935.82 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,819.46 |
$2,819.46 |
$2,819.46 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$168.00 |
$168.00 |
$168.00 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,222.62 |
$1,222.62 |
$1,222.62 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$843.36 |
$843.36 |
$843.36 |
$2,251.20
|
|
Peripheral vascular rehab
|
$45.78 |
$45.78 |
$45.78 |
$132.50
|
|
Peri-proc device eval icd
|
$27.72 |
$27.72 |
$27.72 |
$192.40
|
|
Peri-proc device eval pm
|
$27.72 |
$27.72 |
$27.72 |
$159.90
|
|
Peritoneogram rs&i
|
$647.22 |
$647.22 |
$647.22 |
$695.89
|
|
Perit-vens shunt pat tst
|
$530.04 |
$530.04 |
$530.04 |
$758.37
|
|
Perq art m-thrombect &/nfs
|
$6,747.30 |
$6,747.30 |
$6,747.30 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$4,521.30 |
$4,521.30 |
$4,521.30 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$2,914.38 |
$2,914.38 |
$2,914.38 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$1,126.44 |
$1,126.44 |
$1,126.44 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$3,819.06 |
$3,819.06 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$3,819.06 |
$3,819.06 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$3,819.06 |
$3,819.06 |
$3,819.06 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$227.22 |
$227.22 |
$227.22 |
$625.93
|
|
Perq transcath closure each
|
$6,151.74 |
$6,151.74 |
$6,151.74 |
$9,204.00
|
|
Perq transcath closure pda
|
$5,830.44 |
$5,830.44 |
$5,830.44 |
$18,408.00
|
|
Perq transcath cls aortic
|
$12,304.32 |
$12,304.32 |
$12,304.32 |
$22,633.26
|
|
Perq transcath cls mitral
|
$17,236.38 |
$17,236.38 |
$17,236.38 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$17,236.38 |
$17,236.38 |
$17,236.38 |
$8,605.90
|
|
Pertussis ag if
|
$251.58 |
$251.58 |
$251.58 |
$69.05
|
|
Pertuzumab 30 mg/ml desensitization
|
$14,272.91 |
$14,272.91 |
$14,272.91 |
$13,666.00
|