|
Opn fem art expos cndt crtj 34714
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,041.65
|
|
Opn impltj crnl nrv nea&pg
|
$121,737.14 |
$121,737.14 |
$121,737.14 |
$35,498.40
|
|
Opn impltj nea sacral nerve
|
$58,451.15 |
$58,451.15 |
$58,451.15 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$106,285.84 |
$106,285.84 |
$106,285.84 |
$36,076.18
|
|
Optx clavicular fx w/int fix
|
$57,628.94 |
$57,628.94 |
$57,628.94 |
$8,819.16
|
|
Optx medial ankle fx
|
$27,476.54 |
$27,476.54 |
$27,476.54 |
$7,807.24
|
|
Oral everolimus
|
$88.50 |
$88.50 |
$88.50 |
$33.34
|
|
Orchiopexy ingun/scrot appr
|
$19,246.68 |
$19,246.68 |
$19,246.68 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$130.80 |
$130.80 |
$130.80 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$4,492.38 |
$4,492.38 |
$4,492.38 |
$3,186.36
|
|
Oropharyngeal biopsy 42800
|
$18,190.26 |
$18,190.26 |
$18,190.26 |
$1,869.53
|
|
Ortho dvc repair per 15 min
|
$2,173.87 |
$2,173.87 |
$2,173.87 |
$44.80
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$2,289.32 |
$2,289.32 |
$2,289.32 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$4,405.11 |
$4,405.11 |
$4,405.11 |
$504.00
|
|
Ortho ewhf rigd without jnt cstm w
|
$4,720.61 |
$4,720.61 |
$4,720.61 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$133.20 |
$133.20 |
$133.20 |
$714.59
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$2,147.10 |
$2,147.10 |
$2,147.10 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$2,546.61 |
$2,546.61 |
$2,546.61 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$837.18 |
$837.18 |
$837.18 |
$162.99
|
|
Ortho hnd without jnt w/fit&adj
|
$2,147.10 |
$2,147.10 |
$2,147.10 |
$225.00
|
|
Orthopantogram
|
$447.60 |
$447.60 |
$447.60 |
$237.43
|
|
Orthopedic shoe add rub insl
|
$270.33 |
$270.33 |
$270.33 |
$70.18
|
|
Ortho shoe add leather insol
|
$270.33 |
$270.33 |
$270.33 |
$69.17
|
|
Ortho shoe add march bar
|
$387.86 |
$387.86 |
$387.86 |
$99.25
|
|
Orthosis lso rigd frm hyperex
|
$4,811.48 |
$4,811.48 |
$4,811.48 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$2,824.09 |
$2,824.09 |
$2,824.09 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$6,412.55 |
$6,412.55 |
$6,412.55 |
$645.00
|
|
O shoe add horseshoe toe tap
|
$211.46 |
$211.46 |
$211.46 |
$54.11
|
|
O shoe add instep extension
|
$742.49 |
$742.49 |
$742.49 |
$201.67
|
|
O shoe add instep velcro clo
|
$565.01 |
$565.01 |
$565.01 |
$153.46
|
|
O shoe add standard toe tap
|
$92.62 |
$92.62 |
$92.62 |
$21.15
|
|
O shoe convert to sof counte
|
$494.00 |
$494.00 |
$494.00 |
$126.41
|
|
Osmolality blood
|
$85.20 |
$85.20 |
$85.20 |
$69.55
|
|
Osmolality urine
|
$90.60 |
$90.60 |
$90.60 |
$65.65
|
|
Outrigger
|
$483.85 |
$483.85 |
$483.85 |
$123.81
|
|
Outrigger bil with vert extens
|
$1,525.86 |
$1,525.86 |
$1,525.86 |
$414.44
|
|
Oxaliplatin 5 mg/ml desensitization
|
$99.78 |
$99.78 |
$99.78 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$234.00 |
$234.00 |
$234.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$50,658.48 |
$50,658.48 |
$50,658.48 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$120.90 |
$120.90 |
$120.90 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,304.44 |
$6,304.44 |
$6,304.44 |
$3,420.45
|
|
Palingen or palingen xplus
|
$20,538.82 |
$20,538.82 |
$20,538.82 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$0.06 |
$0.06 |
$0.06 |
$6,272.41
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$90.00 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$377.58 |
$377.58 |
$377.58 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,228.50 |
$7,228.50 |
$7,228.50 |
$13,318.60
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$70.20 |
$70.20 |
$70.20 |
$27.16
|
|
Papaverin hcl injection
|
$242.28 |
$242.28 |
$242.28 |
$76.40
|
|
Parathormone (pth) intact
|
$294.60 |
$294.60 |
$294.60 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$1,555.00
|
|
Parathyroid planar imaging
|
$829.80 |
$829.80 |
$829.80 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$966.60 |
$966.60 |
$966.60 |
$1,345.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$465.60 |
$465.60 |
$465.60 |
$242.88
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$41,558.02 |
$41,558.02 |
$41,558.02 |
$4,810.50
|
|
Partial removal foot fascia
|
$48,801.94 |
$48,801.94 |
$48,801.94 |
$3,762.00
|
|
Partial removal of pharynx 42890
|
$56,023.54 |
$56,023.54 |
$56,023.54 |
$6,465.11
|
|
Partial removal of thyroid
|
$54,392.84 |
$54,392.84 |
$54,392.84 |
$6,376.26
|
|
Partial removal of tibia
|
$51,191.05 |
$51,191.05 |
$51,191.05 |
$4,108.80
|
|
Partial thyroid excision
|
$48,256.76 |
$48,256.76 |
$48,256.76 |
$6,311.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$15,483.65 |
$15,483.65 |
$15,483.65 |
$4,706.31
|
|
Part removal of metatarsal
|
$18,249.00 |
$18,249.00 |
$18,249.00 |
$3,795.71
|
|
Passy muir valve metal trach
|
$3,879.04 |
$3,879.04 |
$3,879.04 |
$275.75
|
|
Patten bottom
|
$2,787.96 |
$2,787.96 |
$2,787.96 |
$757.24
|
|
Pca3/klk3 antigen
|
$873.00 |
$873.00 |
$873.00 |
$510.40
|
|
Pdgfra gene
|
$873.00 |
$873.00 |
$873.00 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$211.46 |
$211.46 |
$211.46 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$24,837.66 |
$24,837.66 |
$24,837.66 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,157.28 |
$16,157.28 |
$16,157.28 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,078.64 |
$8,078.64 |
$8,078.64 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,675.06 |
$9,675.06 |
$9,675.06 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$118,975.38 |
$118,975.38 |
$118,975.38 |
$49,585.09
|
|
Pelv band/spread bar thigh c
|
$4,123.77 |
$4,123.77 |
$4,123.77 |
$802.87
|
|
Pelvic control band & belt b
|
$2,737.33 |
$2,737.33 |
$2,737.33 |
$743.50
|
|
Pelvic control band & belt u
|
$2,016.96 |
$2,016.96 |
$2,016.96 |
$547.83
|
|
Pelvic control hip heavy dut
|
$2,177.83 |
$2,177.83 |
$2,177.83 |
$591.53
|
|
Pelvic control pelvic sling
|
$3,780.40 |
$3,780.40 |
$3,780.40 |
$1,026.80
|
|
Pelvic CT scan (with and without contrast)
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$7,544.17 |
$7,544.17 |
$7,544.17 |
$2,512.27
|
|
Pelv & thor control gluteal
|
$1,205.48 |
$1,205.48 |
$1,205.48 |
$327.43
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$24,002.58 |
$24,002.58 |
$24,002.58 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16,131.60 |
$16,131.60 |
$16,131.60 |
$6,202.54
|
|
Peng benzathine/procaine inj
|
$940.92 |
$940.92 |
$940.92 |
$338.23
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,428.24 |
$1,428.24 |
$1,428.24 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$595.32 |
$595.32 |
$595.32 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$27,216.58 |
$27,216.58 |
$27,216.58 |
$18,349.50
|
|
Pentamidine 300 mg solution for injection
|
$1,952.64 |
$1,952.64 |
$1,952.64 |
$453.61
|
|
Pentamidine non-comp unit
|
$1,952.64 |
$1,952.64 |
$1,952.64 |
$279.76
|
|
Pentostatin 10 mg intravenous solution
|
$11,775.66 |
$11,775.66 |
$11,775.66 |
$5,181.67
|
|
Percut ablate liver rf
|
$7,169.40 |
$7,169.40 |
$7,169.40 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$546.84 |
$546.84 |
$546.84 |
$335.79
|
|
Pericardiocentesis wwo imaging
|
$3,114.00 |
$3,114.00 |
$3,114.00 |
$2,341.50
|
|
Peritoneogram rs&i
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$689.15
|
|
Perit-vens shunt pat tst
|
$723.00 |
$723.00 |
$723.00 |
$724.75
|
|
Permanent tear duct plug
|
$1,111.09 |
$1,111.09 |
$1,111.09 |
$262.41
|
|
Peroneal straps pair pre ots
|
$158.03 |
$158.03 |
$158.03 |
$40.44
|
|
Perq dev breast 1st mr guide
|
$2,305.20 |
$2,305.20 |
$2,305.20 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$6,269.40 |
$6,269.40 |
$6,269.40 |
$1,456.00
|
|
Perq nl/pl lithotrp cplx>2cm
|
$59,091.34 |
$59,091.34 |
$59,091.34 |
$10,114.58
|