|
Oncology tum unknown origin
|
$5,906.40 |
$5,906.40 |
$5,906.40 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$986.70
|
|
Oncoprotein dcp
|
$189.00 |
$189.00 |
$189.00 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$3.12 |
$3.12 |
$8.40 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$26,875.94 |
$26,875.94 |
$28,016.27 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$12,420.54 |
$12,420.54 |
$17,679.72 |
$4,992.00
|
|
Open periprosthetic breast capsule 19370
|
$25,125.62 |
$25,125.62 |
$25,125.62 |
$4,520.16
|
|
Open thrombectomy of av fistula without revision 36831
|
$13,843.87 |
$13,843.87 |
$13,843.87 |
$6,366.08
|
|
Opn mpltj hpglsl nstm ary pg
|
$94,117.84 |
$94,117.84 |
$124,402.51 |
$36,076.18
|
|
Opn tx orbit fx periorbital
|
$47,161.43 |
$47,161.43 |
$47,161.43 |
$6,966.64
|
|
Opn tx orbit fx without impl 21406
|
$47,161.43 |
$47,161.43 |
$47,161.43 |
$6,430.79
|
|
Opn tx orbit periorbtl implt
|
$45,792.61 |
$45,792.61 |
$45,792.61 |
$6,547.81
|
|
Optx acromclv dislc aqt/chrn
|
$29,785.19 |
$29,785.19 |
$29,785.19 |
$6,721.67
|
|
Optx clavicular fx w/int fix
|
$27,832.18 |
$27,832.18 |
$31,580.35 |
$9,013.88
|
|
Optx crpl fx oth/thn scph ea
|
$17,688.76 |
$17,688.76 |
$17,688.76 |
$3,953.60
|
|
Optx medial ankle fx
|
$13,658.59 |
$13,658.59 |
$13,658.59 |
$7,807.24
|
|
Optx prox humrl fx w/int fix
|
$33,956.99 |
$33,956.99 |
$49,516.13 |
$13,938.00
|
|
Optx ulnar shft fx int fixj
|
$34,882.45 |
$34,882.45 |
$34,882.45 |
$8,453.60
|
|
Oral aprepitant
|
$984.48 |
$984.48 |
$984.48 |
$410.20
|
|
Orchiopexy ingun/scrot appr
|
$17,920.44 |
$17,920.44 |
$17,920.44 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$172.20 |
$172.20 |
$172.20 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$64.80 |
$64.80 |
$67.68 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$894.08 |
$894.08 |
$894.08 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$941.56 |
$941.56 |
$941.56 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,466.94 |
$1,466.94 |
$1,466.94 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,761.15 |
$2,761.15 |
$2,761.15 |
$1,288.00
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$883.07 |
$883.07 |
$883.07 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,047.38 |
$1,047.38 |
$1,047.38 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$344.32 |
$344.32 |
$344.32 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$883.07 |
$883.07 |
$883.07 |
$231.00
|
|
Orthopantogram
|
$540.00 |
$540.00 |
$540.00 |
$241.50
|
|
Orthopedic shoe add rub insl
|
$104.75 |
$104.75 |
$104.75 |
$70.40
|
|
Ortho shoe add leather insol
|
$104.75 |
$104.75 |
$104.75 |
$63.22
|
|
Ortho shoe add march bar
|
$150.28 |
$150.28 |
$150.28 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$1,978.89 |
$1,978.89 |
$1,978.89 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,135.43 |
$2,135.43 |
$2,135.43 |
$718.40
|
|
O shoe add horseshoe toe tap
|
$81.94 |
$81.94 |
$81.94 |
$49.45
|
|
O shoe add instep extension
|
$305.38 |
$305.38 |
$305.38 |
$201.67
|
|
O shoe add instep velcro clo
|
$232.38 |
$232.38 |
$232.38 |
$140.22
|
|
O shoe add standard toe tap
|
$32.03 |
$32.03 |
$32.03 |
$19.38
|
|
O shoe convert to sof counte
|
$191.41 |
$191.41 |
$191.41 |
$115.53
|
|
Osmolality blood
|
$37.20 |
$37.20 |
$37.20 |
$67.60
|
|
Osmolality urine
|
$37.20 |
$37.20 |
$37.20 |
$65.00
|
|
Outrigger
|
$187.48 |
$187.48 |
$187.48 |
$123.81
|
|
Outrigger bil with vert extens
|
$627.56 |
$627.56 |
$627.56 |
$378.67
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$7.50 |
$7.50 |
$108.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$99,143.32 |
$99,143.32 |
$99,143.32 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$363.66 |
$363.66 |
$605.16 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,394.70 |
$7,394.70 |
$8,058.36 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$89.40 |
$89.40 |
$89.40 |
$192.01
|
|
Palb2 gene full gene seq
|
$1,704.60 |
$1,704.60 |
$1,704.60 |
$672.50
|
|
Palingen or palingen xplus
|
$23,087.08 |
$23,087.08 |
$23,087.08 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$9,154.80 |
$9,154.80 |
$9,315.36 |
$6,238.82
|
|
Palonosetron hcl
|
$256.50 |
$256.50 |
$261.00 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$245.16 |
$245.16 |
$256.02 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$33,914.10 |
$33,914.10 |
$36,957.66 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$16.20 |
$16.20 |
$16.20 |
$29.31
|
|
Papaverin hcl injection
|
$111.84 |
$111.84 |
$116.82 |
$77.05
|
|
Parathormone (pth) intact
|
$69.60 |
$69.60 |
$69.60 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$910.80 |
$910.80 |
$910.80 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$33,625.20 |
$33,625.20 |
$33,625.20 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$347.40 |
$347.40 |
$347.40 |
$245.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$13,362.42 |
$13,362.42 |
$13,362.42 |
$4,914.00
|
|
Partial removal foot fascia
|
$6,377.04 |
$6,377.04 |
$6,377.04 |
$3,762.00
|
|
Partial removal of thyroid
|
$24,667.57 |
$24,667.57 |
$29,529.44 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$17,404.72 |
$17,404.72 |
$17,404.72 |
$4,921.76
|
|
Part removal of metatarsal
|
$7,942.38 |
$7,942.38 |
$7,942.38 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$8,159.40 |
$8,159.40 |
$8,159.40 |
$3,839.54
|
|
Passy muir valve metal trach
|
$1,595.39 |
$1,595.39 |
$1,595.39 |
$275.75
|
|
Patten bottom
|
$1,146.65 |
$1,146.65 |
$1,146.65 |
$672.73
|
|
Pca3/klk3 antigen
|
$298.20 |
$298.20 |
$298.20 |
$510.40
|
|
Pdgfra gene
|
$873.00 |
$873.00 |
$873.00 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$81.94 |
$81.94 |
$81.94 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$32,924.34 |
$32,924.34 |
$33,501.96 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$20,135.28 |
$20,135.28 |
$20,488.56 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$21,417.78 |
$21,417.78 |
$21,793.50 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$10,708.92 |
$10,708.92 |
$10,896.78 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$12,825.06 |
$12,825.06 |
$13,050.06 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$92,229.00 |
$92,229.00 |
$92,229.00 |
$49,135.11
|
|
Pelv band/spread bar thigh c
|
$1,696.04 |
$1,696.04 |
$1,696.04 |
$802.87
|
|
Pelvic control band & belt b
|
$1,125.82 |
$1,125.82 |
$1,125.82 |
$566.16
|
|
Pelvic control band & belt u
|
$829.55 |
$829.55 |
$829.55 |
$500.58
|
|
Pelvic control hip heavy dut
|
$895.71 |
$895.71 |
$895.71 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,554.82 |
$1,554.82 |
$1,554.82 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$2,512.27 |
$2,512.27 |
$2,512.27 |
$2,512.27
|
|
Pelv & thor control gluteal
|
$495.80 |
$495.80 |
$495.80 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$28,153.44 |
$28,153.44 |
$30,679.98 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,123.86 |
$4,123.86 |
$18,921.24 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,893.18 |
$1,893.18 |
$1,926.42 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$274.80 |
$274.80 |
$286.98 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$47,128.96 |
$47,128.96 |
$47,128.96 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$814.98 |
$814.98 |
$814.98 |
$453.61
|
|
Pentamidine non-comp unit
|
$901.26 |
$901.26 |
$941.28 |
$294.39
|