|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$702.03 |
$702.03 |
$702.03 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$385.00
|
|
Observation per hour
|
$657.15 |
$657.15 |
$657.15 |
$82.55
|
|
Obstetrics panel
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Obtaining screen pap smear
|
$63.70 |
$63.70 |
$63.70 |
$38.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$477.10 |
$477.10 |
$477.10 |
$356.59
|
|
Occupational Therapy Evaluation (high complexity)
|
$438.10 |
$438.10 |
$438.10 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$438.10 |
$438.10 |
$438.10 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$438.10 |
$438.10 |
$438.10 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$4,829.99 |
$4,829.99 |
$4,829.99 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$309.04 |
$309.04 |
$309.04 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,175.39 |
$16,175.39 |
$16,175.39 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$376.51 |
$376.51 |
$376.51 |
$2,224.00
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,595.01 |
$4,595.01 |
$4,595.01 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$871.20
|
|
Onco (ovar) five proteins
|
$4,022.85 |
$4,022.85 |
$4,022.85 |
$986.70
|
|
Oncoprotein dcp
|
$288.60 |
$288.60 |
$288.60 |
$171.25
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$22.62
|
|
Ophthalmic biometry
|
$385.45 |
$385.45 |
$385.45 |
$182.95
|
|
Oph Ultrasound dx quan a-scan only
|
$477.10 |
$477.10 |
$477.10 |
$273.00
|
|
Opn fem art expos cndt crtj 34714
|
$12,129.00 |
$12,129.00 |
$12,129.00 |
$2,041.65
|
|
Opn impltj nea sacral nerve
|
$11,861.85 |
$11,861.85 |
$11,861.85 |
$7,766.27
|
|
Oral aprepitant
|
$413.91 |
$413.91 |
$413.91 |
$410.20
|
|
Oral busulfan
|
$468.56 |
$468.56 |
$468.56 |
$176.80
|
|
Oral everolimus
|
$51.32 |
$51.32 |
$51.32 |
$30.30
|
|
Organic acids total quant ea spec
|
$105.95 |
$105.95 |
$105.95 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$13,112.70 |
$13,112.70 |
$13,112.70 |
$11,017.26
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$18.25 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$206.05 |
$206.05 |
$206.05 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$423.15 |
$423.15 |
$423.15 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$173.86 |
$173.86 |
$173.86 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$193.05 |
$193.05 |
$193.05 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$229.45 |
$229.45 |
$229.45 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$73.45 |
$73.45 |
$73.45 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$97.50 |
$97.50 |
$97.50 |
$229.45
|
|
Orthopantogram
|
$395.20 |
$395.20 |
$395.20 |
$241.50
|
|
Orthovisc inj per dose
|
$559.26 |
$559.26 |
$559.26 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$393.71 |
$393.71 |
$393.71 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$201.50 |
$201.50 |
$201.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$608.40 |
$608.40 |
$608.40 |
$196.70
|
|
Osmolality blood
|
$29.90 |
$29.90 |
$29.90 |
$69.55
|
|
Osmolality urine
|
$30.55 |
$30.55 |
$30.55 |
$65.50
|
|
Osteopath manip tx/5-6 body region 98927
|
$49.40 |
$49.40 |
$49.40 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$49.40 |
$49.40 |
$49.40 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$49.40 |
$49.40 |
$49.40 |
$89.00
|
|
Oth resp proc, group
|
$102.05 |
$102.05 |
$102.05 |
$126.00
|
|
Oth resp proc, indiv
|
$63.70 |
$63.70 |
$63.70 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$208.00 |
$208.00 |
$208.00 |
$98.40
|
|
Ot re-evaluation patient/family
|
$248.95 |
$248.95 |
$248.95 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$94.81
|
|
Ovarian cystectomy 58925
|
$14,760.20 |
$14,760.20 |
$14,760.20 |
$5,841.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$273.31 |
$273.31 |
$273.31 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$14.98 |
$14.98 |
$14.98 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.24 |
$6.24 |
$6.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,113.58 |
$5,113.58 |
$5,113.58 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,568.01 |
$5,568.01 |
$5,568.01 |
$6,238.82
|
|
Palonosetron hcl
|
$46.80 |
$46.80 |
$46.80 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.90 |
$131.90 |
$131.90 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,130.48 |
$1,130.48 |
$1,130.48 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$28.90
|
|
Papaverin hcl injection
|
$48.46 |
$48.46 |
$48.46 |
$78.75
|
|
Parathormone (pth) intact
|
$185.25 |
$185.25 |
$185.25 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,350.60
|
|
Paricalcitol
|
$35.45 |
$35.45 |
$35.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$387.40 |
$387.40 |
$387.40 |
$245.67
|
|
Partial hysterectomy
|
$2,612.35 |
$2,612.35 |
$2,612.35 |
$1,993.68
|
|
Partial removal foot fascia
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,821.05
|
|
Passy muir valve metal trach
|
$39.98 |
$39.98 |
$39.98 |
$275.75
|
|
Pathogen reduced plasma sing
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$344.50
|
|
Patient recorded spirometry
|
$930.80 |
$930.80 |
$930.80 |
$338.52
|
|
Pdgfra gene
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$717.23
|
|
Pegaspargase injection
|
$17,150.98 |
$17,150.98 |
$17,150.98 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,030.16 |
$25,030.16 |
$25,030.16 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$15,307.50 |
$15,307.50 |
$15,307.50 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,282.50 |
$16,282.50 |
$16,282.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$71,938.60 |
$71,938.60 |
$71,938.60 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$1,057.04 |
$1,057.04 |
$1,057.04 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,333.20
|
|
Pelvic MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$477.10 |
$477.10 |
$477.10 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$477.10 |
$477.10 |
$477.10 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$4,692.22 |
$4,692.22 |
$4,692.22 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,522.83 |
$2,522.83 |
$2,522.83 |
$7,089.13
|
|
Pemivibart infusion
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.45 |
$284.45 |
$284.45 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$548.46 |
$548.46 |
$548.46 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$30.97 |
$30.97 |
$30.97 |
$97.85
|