|
Ophthalmic mitomycin
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$775.44
|
|
Opn ax/subcla art expos
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$1,269.60
|
|
Opn impltj nea perph nerve
|
$21,058.20 |
$21,058.20 |
$21,058.20 |
$14,685.79
|
|
Opn impltj nea sacral nerve
|
$33,802.34 |
$40,887.32 |
$60,306.47 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$90,710.17 |
$90,710.17 |
$101,185.86 |
$36,076.18
|
|
Optx acrclv dslc aq/chrn grf
|
$49,230.53 |
$49,230.53 |
$49,230.53 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$40,128.61 |
$40,128.61 |
$40,128.61 |
$6,721.67
|
|
Optx carpl scphd fx int fixj
|
$30,765.62 |
$30,765.62 |
$32,715.68 |
$7,390.40
|
|
Optx clavicular fx w/int fix
|
$32,173.58 |
$37,865.18 |
$40,128.61 |
$8,846.46
|
|
Optx complicated mndblr fx
|
$34,601.86 |
$34,601.86 |
$34,601.86 |
$6,839.00
|
|
Optx crpl fx oth/thn scph ea
|
$19,231.86 |
$19,231.86 |
$19,231.86 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$42,182.87 |
$42,182.87 |
$42,182.87 |
$7,157.53
|
|
Optx medial ankle fx
|
$40,416.72 |
$40,416.72 |
$40,416.72 |
$7,807.24
|
|
Optx mndblr fx wo ntrdntl
|
$22,028.26 |
$22,028.26 |
$22,028.26 |
$6,547.81
|
|
Optx post ankle fx
|
$38,938.87 |
$38,938.87 |
$38,938.87 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$42,889.09 |
$43,771.16 |
$55,678.21 |
$13,931.12
|
|
Optx rdl shft fx&cltx rad/ul
|
$49,082.34 |
$49,082.34 |
$49,082.34 |
$7,386.73
|
|
Optx ulnar shft fx int fixj
|
$20,018.61 |
$20,018.61 |
$20,114.45 |
$8,453.60
|
|
Oral aprepitant
|
$263.88 |
$263.88 |
$748.86 |
$410.20
|
|
Organic acids total quant ea spec
|
$114.60 |
$144.00 |
$144.00 |
$149.40
|
|
Oritavancin 1,200 mg intravenous solution
|
$22,414.92 |
$22,414.92 |
$22,414.92 |
$11,017.26
|
|
Oropharyngeal biopsy 42800
|
$12,417.06 |
$12,417.06 |
$12,417.06 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$65.52 |
$65.52 |
$70.44 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$590.45 |
$590.45 |
$590.45 |
$41.29
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$621.81 |
$621.81 |
$621.81 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$1,466.94 |
$1,466.94 |
$1,466.94 |
$550.50
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,761.15 |
$2,761.15 |
$2,761.15 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$457.80 |
$457.80 |
$457.80 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$583.18 |
$583.18 |
$583.18 |
$242.20
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$691.69 |
$691.69 |
$691.69 |
$315.01
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$227.39 |
$227.39 |
$227.39 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$583.18 |
$583.18 |
$583.18 |
$225.00
|
|
Orthopedic shoe add rub insl
|
$69.17 |
$69.17 |
$69.17 |
$70.40
|
|
Ortho shoe add leather insol
|
$69.17 |
$69.17 |
$69.17 |
$63.22
|
|
Ortho shoe add march bar
|
$99.25 |
$99.25 |
$99.25 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$1,306.86 |
$1,306.86 |
$1,306.86 |
$837.25
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$767.06 |
$767.06 |
$767.06 |
$461.28
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,135.43 |
$2,135.43 |
$2,135.43 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$426.00 |
$426.00 |
$426.00 |
$196.70
|
|
O shoe add horseshoe toe tap
|
$54.11 |
$54.11 |
$54.11 |
$49.45
|
|
O shoe add instep extension
|
$201.67 |
$201.67 |
$201.67 |
$184.24
|
|
O shoe add instep velcro clo
|
$153.46 |
$153.46 |
$153.46 |
$140.22
|
|
O shoe add standard toe tap
|
$21.15 |
$21.15 |
$21.15 |
$19.38
|
|
O shoe convert to sof counte
|
$126.41 |
$126.41 |
$126.41 |
$115.53
|
|
Osmolality blood
|
$90.00 |
$90.00 |
$90.00 |
$67.60
|
|
Osmolality urine
|
$64.20 |
$64.20 |
$64.20 |
$65.50
|
|
Osteochondral knee allograft
|
$97,095.35 |
$97,095.35 |
$97,095.35 |
$8,260.40
|
|
Ot evaluation high complexity patient/family
|
$213.00 |
$213.00 |
$213.00 |
$292.00
|
|
Ot evaluation low complexity patient/family
|
$191.40 |
$191.40 |
$191.40 |
$228.58
|
|
Ot evaluation moderate complexity patient/family
|
$180.60 |
$180.60 |
$180.60 |
$257.50
|
|
Other immunoelectrophoresis
|
$33.60 |
$42.60 |
$42.60 |
$107.52
|
|
Oth resp proc, group
|
$274.80 |
$274.80 |
$274.80 |
$122.84
|
|
Oth resp proc, indiv
|
$109.20 |
$109.20 |
$109.20 |
$81.73
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$81.00 |
$85.20 |
$85.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$67.80 |
$71.40 |
$71.40 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$66.60 |
$66.60 |
$66.60 |
$104.80
|
|
Ot re-evaluation patient/family
|
$88.80 |
$88.80 |
$88.80 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$55.80 |
$55.80 |
$55.80 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$113.40 |
$113.40 |
$113.40 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$113.40 |
$113.40 |
$113.40 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$63.60 |
$63.60 |
$63.60 |
$97.44
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$66.00 |
$66.00 |
$66.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$84.60 |
$84.60 |
$84.60 |
$93.60
|
|
Outrigger
|
$123.81 |
$123.81 |
$123.81 |
$123.81
|
|
Outrigger bil with vert extens
|
$414.44 |
$414.44 |
$414.44 |
$378.67
|
|
Oxaliplatin 5 mg/ml desensitization
|
$255.00 |
$255.00 |
$255.00 |
$347.26
|
|
Oxytocin 10 unit/ml injection solution
|
$6.00 |
$90.24 |
$119.58 |
$49.12
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$65,474.29 |
$65,474.29 |
$65,474.29 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$154.56 |
$363.66 |
$367.92 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$8,058.36 |
$8,058.36 |
$8,058.36 |
$3,420.45
|
|
Palb2 gene full gene seq
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$649.44
|
|
Palingen or palingen xplus
|
$15,246.72 |
$15,246.72 |
$15,246.72 |
$656.01
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$90.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$135.54 |
$145.62 |
$169.14 |
$128.31
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$36,957.66 |
$36,957.66 |
$36,957.66 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.58 |
$20.58 |
$22.98 |
$29.31
|
|
Papaverin hcl injection
|
$78.78 |
$78.78 |
$93.48 |
$76.06
|
|
Parathormone (pth) intact
|
$280.80 |
$280.80 |
$280.80 |
$200.80
|
|
Parathyrd planar w/spect&ct
|
$962.40 |
$962.40 |
$962.40 |
$1,591.94
|
|
Parathyroid planar imaging
|
$496.20 |
$496.20 |
$496.20 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$962.40 |
$962.40 |
$962.40 |
$1,345.00
|
|
Parial mast w/lymph removal 19302
|
$29,035.68 |
$29,035.68 |
$29,035.68 |
$5,509.55
|
|
Paricalcitol
|
$27.36 |
$27.36 |
$68.40 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$285.60 |
$285.60 |
$285.60 |
$249.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$15,665.64 |
$15,665.64 |
$17,789.54 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$15,995.40 |
$42,049.53 |
$73,311.59 |
$4,914.00
|
|
Partial removal finger bone
|
$16,481.22 |
$16,481.22 |
$16,481.22 |
$2,021.04
|
|
Partial removal foot fascia
|
$13,370.22 |
$13,370.22 |
$13,370.22 |
$3,786.00
|
|
Partial removal of thyroid
|
$24,767.34 |
$26,411.82 |
$32,782.76 |
$6,376.26
|
|
Partial removal of thyroid
|
$33,461.20 |
$33,461.20 |
$33,461.20 |
$5,741.00
|
|
Partial thyroid excision
|
$35,440.61 |
$35,440.61 |
$35,494.40 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$11,494.09 |
$11,494.09 |
$11,494.09 |
$4,921.76
|
|
Part removal of metatarsal
|
$18,989.29 |
$18,989.29 |
$23,909.70 |
$3,795.71
|
|
Part removal of metatarsal 28112
|
$55,145.90 |
$55,145.90 |
$55,145.90 |
$3,839.54
|
|
Passy muir valve metal trach
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$275.75
|
|
Path clin consltj sf 5-20
|
$133.80 |
$133.80 |
$133.80 |
$88.35
|
|
Patten bottom
|
$757.24 |
$757.24 |
$757.24 |
$672.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$54.11 |
$54.11 |
$54.11 |
$49.45
|
|
Pegaspargase injection
|
$138,366.18 |
$138,366.18 |
$138,366.18 |
$39,225.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$27,725.76 |
$27,725.76 |
$27,725.76 |
$11,216.31
|