|
Occupational Therapy Evaluation (moderate complexity)
|
$675.65 |
$675.65 |
$675.65 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$24,979.54 |
$24,979.54 |
$24,979.54 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$50.59 |
$50.59 |
$50.59 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$24,805.75 |
$24,805.75 |
$24,805.75 |
|
|
Off/op cnsltj new/est low 30
|
$414.00 |
$414.00 |
$414.00 |
|
|
Off/op cnsltj new/est mod 40
|
$591.20 |
$591.20 |
$591.20 |
|
|
Off/op consltj new/est hi 55
|
$718.85 |
$718.85 |
$718.85 |
|
|
Off/op consltj new/est sf 20
|
$328.65 |
$328.65 |
$328.65 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$495.00 |
$495.00 |
$495.00 |
|
|
Olanzapine 10 mg intramuscular solution
|
$360.76 |
$360.76 |
$360.76 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$10,163.50 |
$10,163.50 |
$10,163.50 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.87 |
$2.87 |
$2.87 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$64.01 |
$64.01 |
$64.01 |
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$644.70 |
$644.70 |
$644.70 |
|
|
Ophthalmic mitomycin
|
$1,810.30 |
$1,810.30 |
$1,810.30 |
|
|
Oral aprepitant
|
$842.40 |
$842.40 |
$842.40 |
|
|
Oral methotrexate (xatmep)
|
$3,861.62 |
$3,861.62 |
$3,861.62 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$4,165.60 |
$4,165.60 |
$4,165.60 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$502.95 |
$502.95 |
$502.95 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$600.60 |
$600.60 |
$600.60 |
|
|
Ortho hnd without jnt w/fit&adj
|
$368.40 |
$368.40 |
$368.40 |
|
|
Orthopantogram
|
$534.95 |
$534.95 |
$534.95 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$573.20 |
$573.20 |
$573.20 |
|
|
Oscillation chest wall mechanical per session
|
$230.85 |
$230.85 |
$230.85 |
|
|
Osmolality blood
|
$83.70 |
$83.70 |
$83.70 |
|
|
Osmolality urine
|
$86.35 |
$86.35 |
$86.35 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$127.60 |
$127.60 |
$127.60 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$160.25 |
$160.25 |
$160.25 |
|
|
Osteopath manip tx/9-10 body region98929
|
$190.75 |
$190.75 |
$190.75 |
|
|
Oth resp proc, group
|
$171.25 |
$171.25 |
$171.25 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$124.35 |
$124.35 |
$124.35 |
|
|
Ot re-evaluation patient/family
|
$405.05 |
$405.05 |
$405.05 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$72.25 |
$72.25 |
$72.25 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$74.80 |
$74.80 |
$74.80 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1,188.96 |
$1,188.96 |
$1,188.96 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$977.23 |
$977.23 |
$977.23 |
|
|
Oxytocin 10 unit/ml injection solution
|
$10.42 |
$10.42 |
$10.42 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$725.80 |
$725.80 |
$725.80 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,670.05 |
$5,670.05 |
$5,670.05 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$12,807.90 |
$12,807.90 |
$12,807.90 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,502.20 |
$1,502.20 |
$1,502.20 |
|
|
Palonosetron hcl
|
$183.23 |
$183.23 |
$183.23 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$576.44 |
$576.44 |
$576.44 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$26,004.45 |
$26,004.45 |
$26,004.45 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$40.35 |
$40.35 |
$40.35 |
|
|
Papaverin hcl injection
|
$274.76 |
$274.76 |
$274.76 |
|
|
Parathormone (pth) intact
|
$740.90 |
$740.90 |
$740.90 |
|
|
Parathyrd planar w/spect&ct
|
$1,228.40 |
$1,228.40 |
$1,228.40 |
|
|
Parathyroid planar imaging
|
$1,421.95 |
$1,421.95 |
$1,421.95 |
|
|
Parathyroid planar img w/tomo spect
|
$1,228.40 |
$1,228.40 |
$1,228.40 |
|
|
Paricalcitol
|
$154.22 |
$154.22 |
$154.22 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$280.05 |
$280.05 |
$280.05 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$537.10 |
$537.10 |
$537.10 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$5,816.50 |
$5,816.50 |
$5,816.50 |
|
|
Partial removal of toe
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
|
|
Part removal of metatarsal
|
$657.25 |
$657.25 |
$657.25 |
|
|
Part removal of metatarsal
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
|
|
Part removal of metatarsal 28112
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
|
|
Passy muir valve metal trach
|
$200.00 |
$200.00 |
$200.00 |
|
|
Patient recorded spirometry
|
$510.95 |
$510.95 |
$510.95 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$23,031.00 |
$23,031.00 |
$23,031.00 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$14,084.90 |
$14,084.90 |
$14,084.90 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$14,982.00 |
$14,982.00 |
$14,982.00 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,491.00 |
$7,491.00 |
$7,491.00 |
|
|
Pelvic CT scan (with and without contrast)
|
$3,125.30 |
$3,125.30 |
$3,125.30 |
|
|
Pelvic CT scan (with contrast)
|
$2,871.10 |
$2,871.10 |
$2,871.10 |
|
|
Pelvic CT scan (without contrast)
|
$2,576.15 |
$2,576.15 |
$2,576.15 |
|
|
Pelvic MRI (with and without contrast)
|
$8,602.30 |
$8,602.30 |
$8,602.30 |
|
|
Pelvic MRI (with contrast)
|
$4,655.10 |
$4,655.10 |
$4,655.10 |
|
|
Pelvic MRI (without contrast)
|
$3,883.20 |
$3,883.20 |
$3,883.20 |
|
|
Pelvic Ultrasound (complete)
|
$817.05 |
$817.05 |
$817.05 |
|
|
Pelvic Ultrasound (limited)
|
$673.85 |
$673.85 |
$673.85 |
|
|
Pelvis X-ray (1 to 2 views)
|
$379.30 |
$379.30 |
$379.30 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$440.40 |
$440.40 |
$440.40 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$21,164.00 |
$21,164.00 |
$21,164.00 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,840.49 |
$7,840.49 |
$7,840.49 |
|
|
Pemivibart infusion
|
$1,173.85 |
$1,173.85 |
$1,173.85 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$4,375.56 |
$4,375.56 |
$4,375.56 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$517.93 |
$517.93 |
$517.93 |
|
|
Penile injection
|
$723.25 |
$723.25 |
$723.25 |
|
|
Penile rear tip xtnd 0.5cm
|
$12,466.27 |
$12,466.27 |
$12,466.27 |
|
|
Pentobarbital sodium inj
|
$5,069.35 |
$5,069.35 |
$5,069.35 |
|
|
Pentostatin 10 mg intravenous solution
|
$6,713.18 |
$6,713.18 |
$6,713.18 |
|
|
Perc cryo ablate renal tum
|
$7,021.90 |
$7,021.90 |
$7,021.90 |
|
|
Perc d-e cor revasc chro add
|
$5,423.85 |
$5,423.85 |
$5,423.85 |
|
|
Perc d-e cor revasc chro sin
|
$14,686.65 |
$14,686.65 |
$14,686.65 |
|
|
Perc d-e cor revasc t cabg b
|
$3,415.45 |
$3,415.45 |
$3,415.45 |
|
|
Perc d-e cor revasc t cabg s
|
$16,085.60 |
$16,085.60 |
$16,085.60 |
|
|
Perc d-e cor stent ather br
|
$5,423.85 |
$5,423.85 |
$5,423.85 |
|
|
Perc d-e cor stent ather s
|
$9,355.05 |
$9,355.05 |
$9,355.05 |
|
|
Perc drug-el cor stent bran
|
$3,415.45 |
$3,415.45 |
$3,415.45 |
|
|
Perc drug-el cor stent sing
|
$16,317.90 |
$16,317.90 |
$16,317.90 |
|
|
Perc rf ablate renal tumor
|
$7,021.90 |
$7,021.90 |
$7,021.90 |
|
|
Percut ablate liver rf
|
$9,794.80 |
$9,794.80 |
$9,794.80 |
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,861.91 |
$1,861.91 |
$1,861.91 |
|
|
Pericardiocentesis wwo imaging
|
$3,106.10 |
$3,106.10 |
$3,106.10 |
|
|
Peripheral vascular rehab
|
$140.00 |
$140.00 |
$140.00 |
|
|
Peri-proc device eval icd
|
$276.25 |
$276.25 |
$276.25 |
|
|
Peri-proc device eval pm
|
$248.40 |
$248.40 |
$248.40 |
|