|
Orthopantogram
|
$170.30 |
$170.30 |
$170.30 |
$219.22
|
|
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
|
$364.00 |
$364.00 |
$364.00 |
$221.34
|
|
Osmolality blood
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Osmolality urine
|
$66.95 |
$66.95 |
$66.95 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$288.60 |
$288.60 |
$288.60 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$261.30 |
$261.30 |
$261.30 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$274.30 |
$274.30 |
$274.30 |
$270.58
|
|
Oth resp proc, group
|
$346.45 |
$346.45 |
$346.45 |
$154.00
|
|
Oth resp proc, indiv
|
$79.30 |
$79.30 |
$79.30 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$107.90 |
$107.90 |
$107.90 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$139.75 |
$139.75 |
$139.75 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$128.70 |
$128.70 |
$128.70 |
$107.32
|
|
Ot re-evaluation patient/family
|
$169.65 |
$169.65 |
$169.65 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$123.50 |
$123.50 |
$123.50 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$85.80 |
$85.80 |
$85.80 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$85.80 |
$85.80 |
$85.80 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$125.45 |
$125.45 |
$125.45 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$107.25 |
$107.25 |
$107.25 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$113.10 |
$113.10 |
$113.10 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.46 |
$0.46 |
$0.46 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$22.30 |
$22.30 |
$22.30 |
$45.86
|
|
P-32 sod phosphate ther per mci
|
$0.03 |
$0.03 |
$0.03 |
$436.00
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$12,512.06 |
$12,512.06 |
$12,512.06 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$71.24 |
$71.24 |
$71.24 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,183.38 |
$2,183.38 |
$2,183.38 |
$4,014.63
|
|
Palb2 gene known famil vrnt
|
$1,136.20 |
$1,136.20 |
$1,136.20 |
$398.20
|
|
Paliperidone 117 mg/0.75 ml inj
|
$7,412.44 |
$7,412.44 |
$7,412.44 |
$6,493.54
|
|
Palonosetron hcl
|
$44.36 |
$44.36 |
$44.36 |
$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)
|
$437.24 |
$437.24 |
$437.24 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$27.16 |
$27.16 |
$27.16 |
$44.25
|
|
Papaverin hcl injection
|
$74.16 |
$74.16 |
$74.16 |
$76.40
|
|
Parathormone (pth) intact
|
$126.75 |
$126.75 |
$126.75 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$2,323.10 |
$2,323.10 |
$2,323.10 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,849.25 |
$1,849.25 |
$1,849.25 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,323.10 |
$2,323.10 |
$2,323.10 |
$1,398.75
|
|
Paricalcitol
|
$33.44 |
$33.44 |
$33.44 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$351.00 |
$351.00 |
$351.00 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5.05 |
$5.05 |
$5.05 |
$4,418.62
|
|
Part removal of metatarsal
|
$2,601.95 |
$2,601.95 |
$2,601.95 |
$2,942.23
|
|
Passy muir valve metal trach
|
$146.43 |
$146.43 |
$146.43 |
$241.20
|
|
Pdgfra gene
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$659.20
|
|
Pegaspargase injection
|
$55,154.39 |
$55,154.39 |
$55,154.39 |
$29,285.00
|
|
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
|
$59.58 |
$59.58 |
$59.58 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,726.56 |
$5,726.56 |
$5,726.56 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$392.94 |
$392.94 |
$392.94 |
$5,908.68
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$626.78 |
$626.78 |
$626.78 |
$1,194.98
|
|
Pegloticase 8 mg/ml intravenous solution
|
$10,584.86 |
$10,584.86 |
$10,584.86 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$1,182.35 |
$1,182.35 |
$1,182.35 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,019.85 |
$1,019.85 |
$1,019.85 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,323.40 |
$1,323.40 |
$1,323.40 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$225.55 |
$225.55 |
$225.55 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$183.30 |
$183.30 |
$183.30 |
$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
|
$3.61 |
$3.61 |
$3.61 |
$4,181.29
|
|
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
|
$967.85 |
$967.85 |
$967.85 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$19,920.67 |
$19,920.67 |
$19,920.67 |
$19,235.57
|
|
Penile vascular study
|
$889.85 |
$889.85 |
$889.85 |
$561.00
|
|
Penile vascular study
|
$494.00 |
$494.00 |
$494.00 |
$460.20
|
|
Pentobarbital sodium inj
|
$117.87 |
$117.87 |
$117.87 |
$167.64
|
|
Perc cryo ablate renal tum
|
$18,868.20 |
$18,868.20 |
$18,868.20 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$7,319.65 |
$7,319.65 |
$7,319.65 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$17,221.75 |
$17,221.75 |
$17,221.75 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$4,805.45 |
$4,805.45 |
$4,805.45 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$11,185.85 |
$11,185.85 |
$11,185.85 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$10,259.60 |
$10,259.60 |
$10,259.60 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$12,982.45 |
$12,982.45 |
$12,982.45 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$4,700.15 |
$4,700.15 |
$4,700.15 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$10,559.25 |
$10,559.25 |
$10,559.25 |
$14,070.70
|
|
Perc rf ablate renal tumor
|
$18,288.40 |
$18,288.40 |
$18,288.40 |
$6,949.48
|
|
Percut ablate liver rf
|
$10,940.80 |
$10,940.80 |
$10,940.80 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$489.38 |
$489.38 |
$489.38 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$12,012.00 |
$12,012.00 |
$12,012.00 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$8,718.45 |
$8,718.45 |
$8,718.45 |
$2,573.60
|
|
Peripheral vascular rehab
|
$115.05 |
$115.05 |
$115.05 |
$128.69
|
|
Peri-proc device eval icd
|
$184.60 |
$184.60 |
$184.60 |
$220.35
|
|
Peri-proc device eval pm
|
$139.10 |
$139.10 |
$139.10 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$9,750.65 |
$9,750.65 |
$9,750.65 |
$5,625.74
|
|
Peritoneogram rs&i
|
$744.25 |
$744.25 |
$744.25 |
$648.84
|
|
Perit-vens shunt pat tst
|
$724.75 |
$724.75 |
$724.75 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$49,355.80 |
$49,355.80 |
$49,355.80 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$27,888.25 |
$27,888.25 |
$27,888.25 |
$12,032.67
|
|
Perq dev breast 1st strtctc
|
$871.00 |
$871.00 |
$871.00 |
$1,548.60
|
|
Perq nl/pl lithotrp smpl<2cm
|
$17,179.50 |
$17,179.50 |
$17,179.50 |
$8,748.48
|
|
Perq p-art revsc 1 abnor bi
|
$20,666.10 |
$20,666.10 |
$20,666.10 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$17,221.75 |
$17,221.75 |
$17,221.75 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$17,436.90 |
$17,436.90 |
$17,436.90 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$14,530.75 |
$14,530.75 |
$14,530.75 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$8,816.60 |
$8,816.60 |
$8,816.60 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$18,063.50 |
$18,063.50 |
$18,063.50 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$20,725.25 |
$20,725.25 |
$20,725.25 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$21,676.20 |
$21,676.20 |
$21,676.20 |
$7,082.99
|