|
Opn fem art expos cndt crtj 34714
|
$7,947.20 |
$7,947.20 |
$7,947.20 |
$2,041.65
|
|
Oral aprepitant
|
$389.06 |
$389.06 |
$389.06 |
$410.20
|
|
Oritavancin 400 mg intravenous solution
|
$1,522.61 |
$1,522.61 |
$1,522.61 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$35.02 |
$35.02 |
$35.02 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$373.60 |
$373.60 |
$373.60 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$688.24 |
$688.24 |
$688.24 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$866.40 |
$866.40 |
$866.40 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$349.60 |
$349.60 |
$349.60 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$415.20 |
$415.20 |
$415.20 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$136.80 |
$136.80 |
$136.80 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$349.60 |
$349.60 |
$349.60 |
$229.45
|
|
Orthopantogram
|
$156.00 |
$156.00 |
$156.00 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$406.77 |
$406.77 |
$406.77 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$469.60 |
$469.60 |
$469.60 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$175.20 |
$175.20 |
$175.20 |
$196.30
|
|
Oth resp proc, group
|
$90.40 |
$90.40 |
$90.40 |
$126.00
|
|
Oth resp proc, indiv
|
$100.00 |
$100.00 |
$100.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$130.40 |
$130.40 |
$130.40 |
$97.80
|
|
Ot re-evaluation patient/family
|
$184.00 |
$184.00 |
$184.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$95.20 |
$95.20 |
$95.20 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$97.60 |
$97.60 |
$97.60 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$100.90 |
$100.90 |
$100.90 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$389.76 |
$389.76 |
$389.76 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$102.14 |
$102.14 |
$102.14 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$328.36 |
$328.36 |
$328.36 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,521.41 |
$1,521.41 |
$1,521.41 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,434.31 |
$3,434.31 |
$3,434.31 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,074.65 |
$4,074.65 |
$4,074.65 |
$5,580.28
|
|
Palonosetron hcl
|
$136.00 |
$136.00 |
$136.00 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$65.92 |
$65.92 |
$65.92 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$4,925.31 |
$4,925.31 |
$4,925.31 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$27.72 |
$27.72 |
$27.72 |
$28.90
|
|
Papaverin hcl injection
|
$68.88 |
$68.88 |
$68.88 |
$78.75
|
|
Parathyroid planar imaging
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,558.40 |
$1,558.40 |
$1,558.40 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$324.80 |
$324.80 |
$324.80 |
$245.67
|
|
Partial removal finger bone
|
$2,958.40 |
$2,958.40 |
$2,958.40 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$32.48 |
$32.48 |
$32.48 |
$4,921.76
|
|
Passy muir valve metal trach
|
$323.52 |
$323.52 |
$323.52 |
$275.75
|
|
Pcv21 vaccine im
|
$384.24 |
$384.24 |
$384.24 |
$410.26
|
|
Pegaspargase injection
|
$19,601.39 |
$19,601.39 |
$19,601.39 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,920.86 |
$5,920.86 |
$5,920.86 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$2,635.41 |
$2,635.41 |
$2,635.41 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,412.03 |
$4,412.03 |
$4,412.03 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$5,097.60 |
$5,097.60 |
$5,097.60 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,732.51 |
$2,732.51 |
$2,732.51 |
$4,133.25
|
|
Peg interferon alfa-2a/180
|
$4,983.81 |
$4,983.81 |
$4,983.81 |
$2,672.20
|
|
Pegloticase 8 mg/ml intravenous solution
|
$29,491.21 |
$29,491.21 |
$29,491.21 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,065.60 |
$2,065.60 |
$2,065.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,599.20 |
$1,599.20 |
$1,599.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,496.00 |
$3,496.00 |
$3,496.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,519.20 |
$2,519.20 |
$2,519.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,403.20 |
$2,403.20 |
$2,403.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$575.20 |
$575.20 |
$575.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$454.40 |
$454.40 |
$454.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$193.60 |
$193.60 |
$193.60 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$249.60 |
$249.60 |
$249.60 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,717.04 |
$5,717.04 |
$5,717.04 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,379.44 |
$3,379.44 |
$3,379.44 |
$7,089.13
|
|
Pemivibart infusion
|
$783.20 |
$783.20 |
$783.20 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$879.08 |
$879.08 |
$879.08 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$69.36 |
$69.36 |
$69.36 |
$97.85
|
|
Penile injection
|
$464.00 |
$464.00 |
$464.00 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$24,631.20 |
$24,631.20 |
$24,631.20 |
$18,764.94
|
|
Penile vascular study
|
$681.60 |
$681.60 |
$681.60 |
$561.00
|
|
Pentamidine non-comp unit
|
$132.68 |
$132.68 |
$132.68 |
$294.39
|
|
Pentobarbital sodium inj
|
$1,801.08 |
$1,801.08 |
$1,801.08 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$2,248.84 |
$2,248.84 |
$2,248.84 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$11,820.00 |
$11,820.00 |
$11,820.00 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$11,352.00 |
$11,352.00 |
$11,352.00 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$25,545.60 |
$25,545.60 |
$25,545.60 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$11,352.00 |
$11,352.00 |
$11,352.00 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$22,618.40 |
$22,618.40 |
$22,618.40 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$3,020.80 |
$3,020.80 |
$3,020.80 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$28,672.00 |
$28,672.00 |
$28,672.00 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$11,564.80 |
$11,564.80 |
$11,564.80 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$21,514.40 |
$21,514.40 |
$21,514.40 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$9,046.40 |
$9,046.40 |
$9,046.40 |
$7,243.60
|
|
Percut ablate liver rf
|
$8,880.80 |
$8,880.80 |
$8,880.80 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$273.00 |
$273.00 |
$273.00 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$136.80 |
$136.80 |
$136.80 |
$132.50
|
|
Peri-proc device eval icd
|
$99.20 |
$99.20 |
$99.20 |
$192.40
|
|
Peri-proc device eval pm
|
$88.80 |
$88.80 |
$88.80 |
$156.00
|
|
Peritoneogram rs&i
|
$852.80 |
$852.80 |
$852.80 |
$698.50
|
|
Perit-vens shunt pat tst
|
$789.60 |
$789.60 |
$789.60 |
$752.49
|
|
Permanent tear duct plug
|
$360.00 |
$360.00 |
$360.00 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$11,601.60 |
$11,601.60 |
$11,601.60 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$15,883.20 |
$15,883.20 |
$15,883.20 |
$9,309.08
|
|
Perq dev breast 1st mr guide
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$2,087.20 |
$2,087.20 |
$2,087.20 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$10,037.60 |
$10,037.60 |
$10,037.60 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,869.60 |
$8,869.60 |
$8,869.60 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$10,216.80 |
$10,216.80 |
$10,216.80 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$745.60 |
$745.60 |
$745.60 |
$625.93
|
|
Perq transcath closure pda
|
$28,416.80 |
$28,416.80 |
$28,416.80 |
$18,408.00
|
|
Perq transcath septal reduxn
|
$19,856.00 |
$19,856.00 |
$19,856.00 |
$8,999.20
|
