|
Observation direct referral from physician office for admission
|
$354.25 |
$354.25 |
$354.25 |
$411.10
|
|
Observation per hour
|
$79.95 |
$79.95 |
$79.95 |
$79.30
|
|
Obstetrics panel
|
$107.90 |
$107.90 |
$107.90 |
$204.80
|
|
Ob Ultrasound nuchal meas 1 gest
|
$678.60 |
$678.60 |
$678.60 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$563.55 |
$563.55 |
$563.55 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$55,706.88 |
$55,706.88 |
$55,706.88 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$39.10 |
$39.10 |
$39.10 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$21,711.85 |
$21,711.85 |
$21,711.85 |
$14,506.60
|
|
Olanzapine 10 mg intramuscular solution
|
$61.04 |
$61.04 |
$61.04 |
$122.78
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,797.94 |
$4,797.94 |
$4,797.94 |
$4,797.94
|
|
Oncoprotein dcp
|
$390.00 |
$390.00 |
$390.00 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$22.78 |
$22.78 |
$22.78 |
$34.32
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$3,614.00 |
$3,614.00 |
$3,614.00 |
$2,180.80
|
|
Opn impltj crnl nrv nea&pg
|
$69,213.30 |
$69,213.30 |
$69,213.30 |
$33,303.98
|
|
Oral aprepitant
|
$58.24 |
$58.24 |
$58.24 |
$374.43
|
|
Oral everolimus
|
$33.34 |
$33.34 |
$33.34 |
$33.34
|
|
Organic acids total quant ea spec
|
$585.00 |
$585.00 |
$585.00 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$3,513.35 |
$3,513.35 |
$3,513.35 |
$3,513.35
|
|
Oropharyngeal biopsy 42800
|
$1,420.25 |
$1,420.25 |
$1,420.25 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$66.01 |
$66.01 |
$66.01 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$563.04 |
$563.04 |
$563.04 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$973.68 |
$973.68 |
$973.68 |
$717.62
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,495.75 |
$2,495.75 |
$2,495.75 |
$782.70
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,458.18 |
$1,458.18 |
$1,458.18 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$526.44 |
$526.44 |
$526.44 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$656.22 |
$656.22 |
$656.22 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$526.44 |
$526.44 |
$526.44 |
$240.24
|
|
Orthopantogram
|
$254.80 |
$254.80 |
$254.80 |
$219.22
|
|
Orthosis lso rigd frm hyperex
|
$867.86 |
$867.86 |
$867.86 |
$920.03
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$692.82 |
$692.82 |
$692.82 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,931.38 |
$1,931.38 |
$1,931.38 |
$532.80
|
|
Oscillation chest wall mechanical per session
|
$223.60 |
$223.60 |
$223.60 |
$221.34
|
|
Osmolality blood
|
$54.60 |
$54.60 |
$54.60 |
$67.60
|
|
Osmolality urine
|
$53.30 |
$53.30 |
$53.30 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$267.80 |
$267.80 |
$267.80 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$241.15 |
$241.15 |
$241.15 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$254.80 |
$254.80 |
$254.80 |
$270.58
|
|
Oth resp proc, group
|
$244.40 |
$244.40 |
$244.40 |
$154.00
|
|
Oth resp proc, indiv
|
$104.65 |
$104.65 |
$104.65 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$109.85 |
$109.85 |
$109.85 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$118.30 |
$118.30 |
$118.30 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$118.95 |
$118.95 |
$118.95 |
$107.32
|
|
Ot re-evaluation patient/family
|
$157.30 |
$157.30 |
$157.30 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$113.75 |
$113.75 |
$113.75 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.95 |
$79.95 |
$79.95 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$79.95 |
$79.95 |
$79.95 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$115.70 |
$115.70 |
$115.70 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$100.10 |
$100.10 |
$100.10 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$105.30 |
$105.30 |
$105.30 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$153.63 |
$153.63 |
$153.63 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$21.97 |
$21.97 |
$21.97 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$147.03 |
$147.03 |
$147.03 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,172.10 |
$2,172.10 |
$2,172.10 |
$4,014.63
|
|
Palb2 gene known famil vrnt
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$398.20
|
|
Paliperidone 117 mg/0.75 ml inj
|
$11,107.72 |
$11,107.72 |
$11,107.72 |
$6,493.54
|
|
Palonosetron hcl
|
$27.14 |
$27.14 |
$27.14 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$105.98 |
$105.98 |
$105.98 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$19,146.17 |
$19,146.17 |
$19,146.17 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$24.83 |
$24.83 |
$24.83 |
$44.25
|
|
Parathormone (pth) intact
|
$155.35 |
$155.35 |
$155.35 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$3,054.35 |
$3,054.35 |
$3,054.35 |
$1,574.40
|
|
Parathyroid planar imaging
|
$2,431.65 |
$2,431.65 |
$2,431.65 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$159.25 |
$159.25 |
$159.25 |
$270.00
|
|
Part removal of metatarsal
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$2,942.23
|
|
Passy muir valve metal trach
|
$149.75 |
$149.75 |
$149.75 |
$241.20
|
|
Pdgfra gene
|
$1,865.50 |
$1,865.50 |
$1,865.50 |
$659.20
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$17.30 |
$17.30 |
$17.30 |
$14.70
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,005.45 |
$10,005.45 |
$10,005.45 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,495.20 |
$5,495.20 |
$5,495.20 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,726.56 |
$5,726.56 |
$5,726.56 |
$8,382.81
|
|
Pelvic CT scan (with and without contrast)
|
$1,838.85 |
$1,838.85 |
$1,838.85 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,772.55 |
$1,772.55 |
$1,772.55 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,845.70 |
$2,845.70 |
$2,845.70 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,598.70 |
$2,598.70 |
$2,598.70 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,351.70 |
$2,351.70 |
$2,351.70 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$621.40 |
$621.40 |
$621.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$488.15 |
$488.15 |
$488.15 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,273.24 |
$16,273.24 |
$16,273.24 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$180.15 |
$180.15 |
$180.15 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$754.13 |
$754.13 |
$754.13 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,133.70 |
$1,133.70 |
$1,133.70 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.50 |
$53.50 |
$53.50 |
$100.50
|
|
Penile injection
|
$741.00 |
$741.00 |
$741.00 |
$418.00
|
|
Penile vascular study
|
$854.75 |
$854.75 |
$854.75 |
$561.00
|
|
Penile vascular study
|
$560.95 |
$560.95 |
$560.95 |
$460.20
|
|
Pentobarbital sodium inj
|
$360.10 |
$360.10 |
$360.10 |
$167.64
|
|
Perc cryo ablate renal tum
|
$8,057.40 |
$8,057.40 |
$8,057.40 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$6,866.60 |
$6,866.60 |
$6,866.60 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$16,153.80 |
$16,153.80 |
$16,153.80 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$4,507.75 |
$4,507.75 |
$4,507.75 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$10,492.30 |
$10,492.30 |
$10,492.30 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$9,623.90 |
$9,623.90 |
$9,623.90 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$12,178.40 |
$12,178.40 |
$12,178.40 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$4,408.30 |
$4,408.30 |
$4,408.30 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$9,905.35 |
$9,905.35 |
$9,905.35 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$13,999.70 |
$13,999.70 |
$13,999.70 |
$6,949.48
|
|
Percut ablate liver rf
|
$5,135.00 |
$5,135.00 |
$5,135.00 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$370.40 |
$370.40 |
$370.40 |
$321.71
|