|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$275,814.13 |
$275,814.13 |
$275,814.13 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$17,250.45 |
$17,250.45 |
$17,250.45 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$523.50 |
$523.50 |
$523.50 |
$385.00
|
|
Observation per hour
|
$1.58 |
$1.58 |
$1.58 |
$82.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$178.93 |
$178.93 |
$178.93 |
$356.59
|
|
Ob Ultrasound nuchal meas add-on
|
$113.50 |
$113.50 |
$113.50 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$359.10 |
$359.10 |
$359.10 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$180.38 |
$180.38 |
$180.38 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$270.58 |
$270.58 |
$270.58 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$41,294.43 |
$41,294.43 |
$41,294.43 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$305.25 |
$305.25 |
$305.25 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$12,666.00 |
$12,666.00 |
$12,666.00 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$151.05 |
$151.05 |
$151.05 |
$37.50
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,146.45 |
$1,146.45 |
$1,146.45 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$229.98 |
$229.98 |
$229.98 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$151.98 |
$151.98 |
$151.98 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$5,677.00 |
$5,677.00 |
$5,677.00 |
$4,595.01
|
|
Oncoprotein dcp
|
$175.25 |
$175.25 |
$175.25 |
$171.25
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$68.68 |
$68.68 |
$68.68 |
$22.62
|
|
Oocyte identification
|
$491.93 |
$491.93 |
$491.93 |
$401.60
|
|
Ophthalmic mitomycin
|
$897.50 |
$897.50 |
$897.50 |
$775.44
|
|
Opioids & opiate analogs 3/4
|
$91.38 |
$91.38 |
$91.38 |
$24.00
|
|
Opn fem art expos cndt crtj 34714
|
$2,041.65 |
$2,041.65 |
$2,041.65 |
$2,041.65
|
|
Optx radial shaft fracture
|
$4,173.10 |
$4,173.10 |
$4,173.10 |
$5,419.00
|
|
Oral aprepitant
|
$3,056.50 |
$3,056.50 |
$3,056.50 |
$410.20
|
|
Oral busulfan
|
$1,088.35 |
$1,088.35 |
$1,088.35 |
$176.80
|
|
Oral everolimus
|
$3,577.93 |
$3,577.93 |
$3,577.93 |
$30.30
|
|
Organic acids total quant ea spec
|
$591.45 |
$591.45 |
$591.45 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$6,438.60 |
$6,438.60 |
$6,438.60 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$1,869.53 |
$1,869.53 |
$1,869.53 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$43.23 |
$43.23 |
$43.23 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$158.00 |
$158.00 |
$158.00 |
$279.81
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$163.50 |
$163.50 |
$163.50 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$150.00 |
$150.00 |
$150.00 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$175.50 |
$175.50 |
$175.50 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$150.00 |
$150.00 |
$150.00 |
$229.45
|
|
Orthopantogram
|
$237.43 |
$237.43 |
$237.43 |
$241.50
|
|
Orthovisc inj per dose
|
$211.75 |
$211.75 |
$211.75 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$182.50 |
$182.50 |
$182.50 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$244.50 |
$244.50 |
$244.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$105.78 |
$105.78 |
$105.78 |
$196.70
|
|
Osmolality blood
|
$79.73 |
$79.73 |
$79.73 |
$69.55
|
|
Osmolality urine
|
$62.10 |
$62.10 |
$62.10 |
$65.50
|
|
Osteopath manip tx/7-8 body region 98928
|
$60.00 |
$60.00 |
$60.00 |
$83.27
|
|
Oth resp proc, group
|
$91.60 |
$91.60 |
$91.60 |
$126.00
|
|
Oth resp proc, indiv
|
$74.13 |
$74.13 |
$74.13 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$73.18 |
$73.18 |
$73.18 |
$98.40
|
|
Ot re-evaluation patient/family
|
$115.80 |
$115.80 |
$115.80 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$86.65 |
$86.65 |
$86.65 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$86.65 |
$86.65 |
$86.65 |
$94.81
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$287.50 |
$287.50 |
$287.50 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$399.45 |
$399.45 |
$399.45 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$162.28 |
$162.28 |
$162.28 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$294.00 |
$294.00 |
$294.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,946.55 |
$2,946.55 |
$2,946.55 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,785.70 |
$6,785.70 |
$6,785.70 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,875.85 |
$6,875.85 |
$6,875.85 |
$5,569.20
|
|
Palonosetron hcl
|
$325.00 |
$325.00 |
$325.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$98.05 |
$98.05 |
$98.05 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$14,082.00 |
$14,082.00 |
$14,082.00 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$26.08 |
$26.08 |
$26.08 |
$28.90
|
|
Papaverin hcl injection
|
$116.60 |
$116.60 |
$116.60 |
$78.75
|
|
Parathormone (pth) intact
|
$206.18 |
$206.18 |
$206.18 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$998.30 |
$998.30 |
$998.30 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,041.95 |
$1,041.95 |
$1,041.95 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$1,350.60
|
|
Paricalcitol
|
$57.63 |
$57.63 |
$57.63 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$172.38 |
$172.38 |
$172.38 |
$245.67
|
|
Partial removal finger bone
|
$2,134.33 |
$2,134.33 |
$2,134.33 |
$2,134.33
|
|
Partial removal of toe
|
$2,134.33 |
$2,134.33 |
$2,134.33 |
$3,674.58
|
|
Passy muir valve metal trach
|
$220.00 |
$220.00 |
$220.00 |
$275.75
|
|
Pdgfra gene
|
$717.23 |
$717.23 |
$717.23 |
$717.23
|
|
Pegaspargase injection
|
$37,227.78 |
$37,227.78 |
$37,227.78 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$8,991.90 |
$8,991.90 |
$8,991.90 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,977.08 |
$3,977.08 |
$3,977.08 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,513.10 |
$3,513.10 |
$3,513.10 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,329.65 |
$3,329.65 |
$3,329.65 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,067.80 |
$4,067.80 |
$4,067.80 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$49,707.63 |
$49,707.63 |
$49,707.63 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$4,354.40 |
$4,354.40 |
$4,354.40 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$2,101.63 |
$2,101.63 |
$2,101.63 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,608.98 |
$1,608.98 |
$1,608.98 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,389.68 |
$1,389.68 |
$1,389.68 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$2,648.58 |
$2,648.58 |
$2,648.58 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,235.95 |
$2,235.95 |
$2,235.95 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,699.03 |
$1,699.03 |
$1,699.03 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$643.80 |
$643.80 |
$643.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$99.35 |
$99.35 |
$99.35 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$200.95 |
$200.95 |
$200.95 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$246.43 |
$246.43 |
$246.43 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,589.18 |
$11,589.18 |
$11,589.18 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,520.10 |
$1,520.10 |
$1,520.10 |
$7,089.13
|
|
Pemivibart infusion
|
$603.65 |
$603.65 |
$603.65 |
$533.10
|
|
Peng benzathine/procaine inj
|
$561.85 |
$561.85 |
$561.85 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,150.25 |
$1,150.25 |
$1,150.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$65.48 |
$65.48 |
$65.48 |
$97.85
|
|
Penicillin g procaine inj
|
$179.43 |
$179.43 |
$179.43 |
$149.20
|
|
Penile injection
|
$173.13 |
$173.13 |
$173.13 |
$418.86
|
|
Penile vascular study
|
$606.55 |
$606.55 |
$606.55 |
$561.00
|
|
Pentamidine non-comp unit
|
$385.73 |
$385.73 |
$385.73 |
$294.39
|