|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,109.04 |
$4,109.04 |
$4,109.04 |
$4,781.43
|
|
Oncology prostate prob score
|
$865.80 |
$865.80 |
$865.80 |
$865.80
|
|
Onco (ovar) five proteins
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$986.70
|
|
Ondansetron 8 mg disintegrating tablet
|
$9.60 |
$9.60 |
$9.60 |
$8.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$12,456.12 |
$12,456.12 |
$12,456.12 |
$4,531.42
|
|
Open periprosthetic breast capsule 19370
|
$31,250.30 |
$31,250.30 |
$31,250.30 |
$4,520.16
|
|
Opn impltj nea sacral nerve
|
$63,005.85 |
$63,005.85 |
$63,005.85 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$97,122.85 |
$97,122.85 |
$97,122.85 |
$36,076.18
|
|
Optx carpl scphd fx int fixj
|
$16,553.89 |
$16,553.89 |
$16,553.89 |
$7,390.40
|
|
Optx clavicular fx w/int fix
|
$26,232.15 |
$26,232.15 |
$26,232.15 |
$8,819.16
|
|
Optx scapular fx w/int fixj
|
$21,729.49 |
$21,729.49 |
$21,729.49 |
$7,907.11
|
|
Optx ulnar shft fx int fixj
|
$13,114.82 |
$13,114.82 |
$13,114.82 |
$8,453.60
|
|
Organic acids total quant ea spec
|
$114.00 |
$114.00 |
$114.00 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.66 |
$63.66 |
$63.66 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$670.30 |
$670.30 |
$670.30 |
$44.80
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$705.90 |
$705.90 |
$705.90 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,665.33 |
$1,665.33 |
$1,665.33 |
$504.00
|
|
Ortho ewhf rigd without jnt cstm w
|
$3,134.57 |
$3,134.57 |
$3,134.57 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,292.40 |
$1,292.40 |
$1,292.40 |
$714.59
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$662.05 |
$662.05 |
$662.05 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$785.24 |
$785.24 |
$785.24 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$258.14 |
$258.14 |
$258.14 |
$162.99
|
|
Ortho hnd without jnt w/fit&adj
|
$662.05 |
$662.05 |
$662.05 |
$225.00
|
|
Orthopedic shoe add rub insl
|
$78.53 |
$78.53 |
$78.53 |
$70.18
|
|
Ortho shoe add leather insol
|
$78.53 |
$78.53 |
$78.53 |
$69.17
|
|
Ortho shoe add march bar
|
$112.67 |
$112.67 |
$112.67 |
$99.25
|
|
Orthosis lso rigd frm hyperex
|
$1,483.60 |
$1,483.60 |
$1,483.60 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$870.80 |
$870.80 |
$870.80 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,424.23 |
$2,424.23 |
$2,424.23 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$332.40 |
$332.40 |
$332.40 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$61.43 |
$61.43 |
$61.43 |
$54.11
|
|
O shoe add instep extension
|
$228.95 |
$228.95 |
$228.95 |
$201.67
|
|
O shoe add instep velcro clo
|
$174.22 |
$174.22 |
$174.22 |
$153.46
|
|
O shoe add standard toe tap
|
$24.01 |
$24.01 |
$24.01 |
$21.15
|
|
O shoe convert to sof counte
|
$143.50 |
$143.50 |
$143.50 |
$126.41
|
|
Osmolality blood
|
$85.20 |
$85.20 |
$85.20 |
$69.55
|
|
Osmolality urine
|
$85.20 |
$85.20 |
$85.20 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$470.40 |
$470.40 |
$470.40 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$347.40 |
$347.40 |
$347.40 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$408.60 |
$408.60 |
$408.60 |
$263.50
|
|
Other immunoelectrophoresis
|
$105.00 |
$105.00 |
$105.00 |
$107.52
|
|
Oth resp proc, group
|
$296.40 |
$296.40 |
$296.40 |
$127.40
|
|
Oth resp proc, indiv
|
$84.00 |
$84.00 |
$84.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$120.00 |
$120.00 |
$120.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$174.60 |
$174.60 |
$174.60 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$121.80 |
$121.80 |
$121.80 |
$105.00
|
|
Ot re-evaluation patient/family
|
$277.20 |
$277.20 |
$277.20 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$132.60 |
$132.60 |
$132.60 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$121.80 |
$121.80 |
$121.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$121.80 |
$121.80 |
$121.80 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$101.40 |
$101.40 |
$101.40 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$101.40 |
$101.40 |
$101.40 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$108.60 |
$108.60 |
$108.60 |
$93.60
|
|
Outrigger
|
$140.56 |
$140.56 |
$140.56 |
$123.81
|
|
Outrigger bil with vert extens
|
$470.49 |
$470.49 |
$470.49 |
$414.44
|
|
Oxaliplatin 5 mg/ml desensitization
|
$111.12 |
$111.12 |
$111.12 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$81.60 |
$81.60 |
$81.60 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$74,329.04 |
$74,329.04 |
$74,329.04 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$92.64 |
$92.64 |
$92.64 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,389.42 |
$4,389.42 |
$4,389.42 |
$3,420.45
|
|
Palingen or palingen xplus
|
$17,308.69 |
$17,308.69 |
$17,308.69 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,978.92 |
$4,978.92 |
$4,978.92 |
$6,272.41
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$90.00 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$152.94 |
$152.94 |
$152.94 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$20,131.08 |
$20,131.08 |
$20,131.08 |
$13,318.60
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$20.76 |
$20.76 |
$20.76 |
$27.16
|
|
Papaverin hcl injection
|
$84.48 |
$84.48 |
$84.48 |
$76.40
|
|
Parathormone (pth) intact
|
$239.40 |
$239.40 |
$239.40 |
$201.50
|
|
Parathyroid planar imaging
|
$433.20 |
$433.20 |
$433.20 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,345.00
|
|
Paricalcitol
|
$61.86 |
$61.86 |
$61.86 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$597.00 |
$597.00 |
$597.00 |
$242.88
|
|
Part hymenectomy/revi hymenal ring 56700
|
$9,359.64 |
$9,359.64 |
$9,359.64 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$11,504.58 |
$11,504.58 |
$11,504.58 |
$4,810.50
|
|
Partial removal of rib
|
$11,442.42 |
$11,442.42 |
$11,442.42 |
$5,376.00
|
|
Partial removal of thyroid
|
$24,709.10 |
$24,709.10 |
$24,709.10 |
$6,376.26
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$13,048.55 |
$13,048.55 |
$13,048.55 |
$4,706.31
|
|
Passy muir valve metal trach
|
$1,196.09 |
$1,196.09 |
$1,196.09 |
$275.75
|
|
Patten bottom
|
$859.66 |
$859.66 |
$859.66 |
$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
|
$61.43 |
$61.43 |
$61.43 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,906.22 |
$17,906.22 |
$17,906.22 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,648.28 |
$11,648.28 |
$11,648.28 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,824.14 |
$5,824.14 |
$5,824.14 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$85,773.00 |
$85,773.00 |
$85,773.00 |
$49,585.09
|
|
Pelv band/spread bar thigh c
|
$1,271.55 |
$1,271.55 |
$1,271.55 |
$802.87
|
|
Pelvic control band & belt b
|
$844.04 |
$844.04 |
$844.04 |
$743.50
|
|
Pelvic control band & belt u
|
$621.92 |
$621.92 |
$621.92 |
$547.83
|
|
Pelvic control hip heavy dut
|
$671.53 |
$671.53 |
$671.53 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,165.67 |
$1,165.67 |
$1,165.67 |
$1,026.80
|
|
Pelvic CT scan (with and without contrast)
|
$1,471.80 |
$1,471.80 |
$1,471.80 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,360.40 |
$2,360.40 |
$2,360.40 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$2,852.03 |
$2,852.03 |
$2,852.03 |
$2,512.27
|
|
Pelvic Ultrasound (complete)
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$1,181.40 |
$1,181.40 |
$1,181.40 |
$430.00
|
|
Pelv & thor control gluteal
|
$371.71 |
$371.71 |
$371.71 |
$327.43
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,711.56 |
$16,711.56 |
$16,711.56 |
$12,385.22
|
