|
Observation per hour
|
$293.00 |
$293.00 |
$293.00 |
$80.73
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$25,628.70 |
$25,628.70 |
$25,628.70 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$4.70 |
$4.70 |
$4.70 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$8,585.08 |
$8,585.08 |
$8,585.08 |
$12,080.43
|
|
Off/op cnsltj new/est low 30
|
$64.50 |
$64.50 |
$64.50 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$65.50 |
$65.50 |
$65.50 |
$268.20
|
|
Off/op consltj new/est hi 55
|
$89.00 |
$89.00 |
$89.00 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$51.50 |
$51.50 |
$51.50 |
$133.80
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,701.82 |
$1,701.82 |
$1,701.82 |
$1,195.75
|
|
Olanzapine 10 mg intramuscular solution
|
$24.26 |
$24.26 |
$24.26 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,800.44 |
$1,800.44 |
$1,800.44 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$46.60 |
$46.60 |
$46.60 |
$9.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.10 |
$8.10 |
$8.10 |
$22.62
|
|
Oral aprepitant
|
$517.55 |
$517.55 |
$517.55 |
$410.20
|
|
Oritavancin 400 mg intravenous solution
|
$1,403.16 |
$1,403.16 |
$1,403.16 |
$3,354.72
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$29.02 |
$29.02 |
$29.02 |
$50.63
|
|
Orthovisc inj per dose
|
$250.80 |
$250.80 |
$250.80 |
$537.58
|
|
Osmolality blood
|
$34.00 |
$34.00 |
$34.00 |
$71.40
|
|
Osmolality urine
|
$34.00 |
$34.00 |
$34.00 |
$66.50
|
|
Ot evaluation high complexity patient/family
|
$181.00 |
$181.00 |
$181.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$181.00 |
$181.00 |
$181.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$181.00 |
$181.00 |
$181.00 |
$263.50
|
|
Oth resp proc, group
|
$46.50 |
$46.50 |
$46.50 |
$126.26
|
|
Oth resp proc, indiv
|
$45.00 |
$45.00 |
$45.00 |
$81.79
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$86.50 |
$86.50 |
$86.50 |
$99.00
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$104.50 |
$104.50 |
$104.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$69.50 |
$69.50 |
$69.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$132.50 |
$132.50 |
$132.50 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$90.50 |
$90.50 |
$90.50 |
$100.75
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$56.00 |
$56.00 |
$56.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$56.00 |
$56.00 |
$56.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$69.50 |
$69.50 |
$69.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$83.00 |
$83.00 |
$83.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$76.50 |
$76.50 |
$76.50 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$10.70 |
$10.70 |
$10.70 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$140.98 |
$140.98 |
$140.98 |
$366.36
|
|
Oxytocin 10 unit/ml injection solution
|
$1.81 |
$1.81 |
$1.81 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$67.96 |
$67.96 |
$67.96 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,407.50 |
$1,407.50 |
$1,407.50 |
$3,420.45
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,276.76 |
$4,276.76 |
$4,276.76 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,469.30 |
$4,469.30 |
$4,469.30 |
$5,569.20
|
|
Palonosetron hcl
|
$33.54 |
$33.54 |
$33.54 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$17.16 |
$17.16 |
$17.16 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$8,657.09 |
$8,657.09 |
$8,657.09 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$9.32 |
$9.32 |
$9.32 |
$27.71
|
|
Papaverin hcl injection
|
$31.68 |
$31.68 |
$31.68 |
$76.40
|
|
Parathormone (pth) intact
|
$162.00 |
$162.00 |
$162.00 |
$206.18
|
|
Parathyroid planar imaging
|
$776.50 |
$776.50 |
$776.50 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$983.50 |
$983.50 |
$983.50 |
$1,350.60
|
|
Paricalcitol
|
$18.64 |
$18.64 |
$18.64 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$228.00 |
$228.00 |
$228.00 |
$245.89
|
|
Passy muir valve metal trach
|
$288.88 |
$288.88 |
$288.88 |
$275.75
|
|
Pegaspargase injection
|
$24,181.80 |
$24,181.80 |
$24,181.80 |
$39,225.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$5,394.35 |
$5,394.35 |
$5,394.35 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$2,611.74 |
$2,611.74 |
$2,611.74 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,165.80 |
$2,165.80 |
$2,165.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,070.26 |
$2,070.26 |
$2,070.26 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,707.60 |
$2,707.60 |
$2,707.60 |
$4,028.25
|
|
Peg interferon alfa-2a/180
|
$1,348.60 |
$1,348.60 |
$1,348.60 |
$3,342.99
|
|
Pegloticase 8 mg/ml intravenous solution
|
$36,348.73 |
$36,348.73 |
$36,348.73 |
$49,585.09
|
|
Pelvic CT scan (with and without contrast)
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$658.50 |
$658.50 |
$658.50 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$2,458.50 |
$2,458.50 |
$2,458.50 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$504.00 |
$504.00 |
$504.00 |
$662.40
|
|
Pelvic Ultrasound (limited)
|
$478.00 |
$478.00 |
$478.00 |
$435.13
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,369.28 |
$7,369.28 |
$7,369.28 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$89.18 |
$89.18 |
$89.18 |
$6,582.76
|
|
Peng benzathine/procaine inj
|
$368.05 |
$368.05 |
$368.05 |
$397.04
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$844.28 |
$844.28 |
$844.28 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$15.60 |
$15.60 |
$15.60 |
$97.85
|
|
Penile injection
|
$185.00 |
$185.00 |
$185.00 |
$418.86
|
|
Pentamidine non-comp unit
|
$115.46 |
$115.46 |
$115.46 |
$294.39
|
|
Pentobarbital sodium inj
|
$1,708.85 |
$1,708.85 |
$1,708.85 |
$2,047.85
|
|
Pentostatin 10 mg intravenous solution
|
$3,079.54 |
$3,079.54 |
$3,079.54 |
$5,181.67
|
|
Perc d-e cor revasc t cabg s
|
$16,270.00 |
$16,270.00 |
$16,270.00 |
$16,047.20
|
|
Perc drug-el cor stent bran
|
$18,554.50 |
$18,554.50 |
$18,554.50 |
$11,974.50
|
|
Perc drug-el cor stent sing
|
$16,270.00 |
$16,270.00 |
$16,270.00 |
$16,270.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$78.12 |
$78.12 |
$78.12 |
$335.79
|
|
Pericardiocentesis wwo imaging
|
$5,356.50 |
$5,356.50 |
$5,356.50 |
$2,300.48
|
|
Peripheral vascular rehab
|
$65.00 |
$65.00 |
$65.00 |
$132.50
|
|
Perphenazine 4mg oral
|
$0.65 |
$0.65 |
$0.65 |
$2.58
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,919.17 |
$7,919.17 |
$7,919.17 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$17,312.44 |
$17,312.44 |
$17,312.44 |
$25,200.44
|
|
Pet CT skull-mid thgh initial
|
$3,417.50 |
$3,417.50 |
$3,417.50 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,417.50 |
$3,417.50 |
$3,417.50 |
$4,854.75
|
|
Pfc sigma fem post aug sz3 8mm
|
$140,000.00 |
$140,000.00 |
$140,000.00 |
$35,919.52
|
|
Ph body fluid
|
$25.00 |
$25.00 |
$25.00 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$92.02 |
$92.02 |
$92.02 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$60.50 |
$60.50 |
$60.50 |
$104.80
|
|
Phentolaine mesylate inj
|
$702.46 |
$702.46 |
$702.46 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$1.50 |
$1.50 |
$1.50 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$4.57 |
$4.57 |
$4.57 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$44.50 |
$44.50 |
$44.50 |
$113.00
|
|
Phlebotomy therapeutic
|
$228.00 |
$228.00 |
$228.00 |
$234.00
|
|
Phosphorus
|
$25.00 |
$25.00 |
$25.00 |
$50.56
|
|
Phosphorus 24 hour urine
|
$72.50 |
$72.50 |
$72.50 |
$42.25
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$44.48 |
$44.48 |
$44.48 |
$86.00
|
|
Pin caspar distraction 12mm
|
$24,360.00 |
$24,360.00 |
$24,360.00 |
$11,672.88
|