|
Oral aprepitant
|
$91.24 |
$91.24 |
$91.24 |
|
|
Oral busulfan
|
$232.30 |
$232.30 |
$232.30 |
|
|
Orchiectomy partial
|
$23,952.63 |
$23,952.63 |
$23,952.63 |
|
|
Orchiopexy ingun/scrot appr
|
$7,204.24 |
$7,204.24 |
$7,204.24 |
|
|
Organic acids total quant ea spec
|
$117.00 |
$147.17 |
$621.40 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$18,248.52 |
$18,248.52 |
$18,248.52 |
|
|
Oritavancin 400 mg intravenous solution
|
$1,212.12 |
$1,212.12 |
$3,186.36 |
|
|
Oropharyngeal biopsy 42800
|
$9,638.87 |
$9,638.87 |
$9,638.87 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$12.47 |
$68.24 |
$117.00 |
|
|
Ortho elbow w/lock w/ft&adj
|
$511.55 |
$511.55 |
$536.90 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$782.70 |
$782.70 |
$782.70 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.00 |
$13.00 |
$13.65 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$14.95 |
$14.95 |
$14.95 |
|
|
Orthopantogram
|
$237.90 |
$288.60 |
$366.00 |
|
|
Orthosis lso rigd frm hyperex
|
$656.50 |
$813.61 |
$813.61 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$65.65 |
$92.95 |
$101.40 |
|
|
Oscillation chest wall mechanical per session
|
$81.25 |
$110.08 |
$148.85 |
|
|
Osmolality blood
|
$30.00 |
$53.56 |
$79.30 |
|
|
Osmolality urine
|
$30.00 |
$39.22 |
$76.05 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$47.82 |
$47.82 |
$47.82 |
|
|
Ot evaluation high complexity patient/family
|
$74.56 |
$491.40 |
$899.00 |
|
|
Ot evaluation low complexity patient/family
|
$74.56 |
$436.80 |
$821.00 |
|
|
Ot evaluation moderate complexity patient/family
|
$74.56 |
$464.10 |
$865.00 |
|
|
Other immunoelectrophoresis
|
$26.00 |
$137.80 |
$204.75 |
|
|
Oth resp proc, group
|
$53.95 |
$61.88 |
$145.60 |
|
|
Oth resp proc, indiv
|
$20.54 |
$67.60 |
$107.90 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$95.55 |
$105.95 |
$174.20 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$34.50 |
$94.25 |
$258.70 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$33.95 |
$85.15 |
$249.60 |
|
|
Ot re-evaluation patient/family
|
$38.30 |
$416.65 |
$805.00 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$34.50 |
$57.20 |
$169.65 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.00 |
$27.30 |
$83.85 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$81.90 |
$89.05 |
$135.00 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$33.02 |
$75.40 |
$213.85 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$31.17 |
$89.05 |
$250.25 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$42.55 |
$58.50 |
$192.40 |
|
|
Ovarian cystectomy 58925
|
$12,669.47 |
$12,669.47 |
$12,669.47 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$26.95 |
$26.95 |
$72.53 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$33.86 |
$33.86 |
$1,971.84 |
|
|
Oxytocin 10 unit/ml injection solution
|
$11.00 |
$58.28 |
$109.36 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.05 |
$1.05 |
$397.40 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$38.81 |
$38.81 |
$5,897.25 |
|
|
Pad repl cerv collr univ adult
|
$2,356.90 |
$2,356.90 |
$2,946.45 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,118.68 |
$1,118.68 |
$6,493.54 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,633.27 |
$1,633.27 |
$1,633.27 |
|
|
Palonosetron hcl
|
$87.75 |
$372.41 |
$874.90 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.62 |
$647.48 |
$647.48 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$187.16 |
$187.16 |
$27,831.21 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.44 |
$8.29 |
$19.89 |
|
|
Papaverin hcl injection
|
$39.86 |
$39.86 |
$181.15 |
|
|
Parathormone (pth) intact
|
$120.90 |
$142.00 |
$219.70 |
|
|
Parathyrd planar w/spect&ct
|
$1,732.90 |
$1,732.90 |
$1,732.90 |
|
|
Parathyroid autotransplantation 60512
|
$273.00 |
$273.00 |
$11,028.41 |
|
|
Parathyroid planar imaging
|
$402.84 |
$1,052.35 |
$1,758.00 |
|
|
Parathyroid planar img w/tomo spect
|
$1,374.75 |
$1,374.75 |
$1,859.00 |
|
|
Paricalcitol
|
$41.14 |
$41.14 |
$43.74 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$182.78 |
$182.78 |
$182.78 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$5,133.37 |
$5,133.37 |
$5,133.37 |
|
|
Partial hysterectomy
|
$11,597.12 |
$11,597.12 |
$11,597.12 |
|
|
Partial removal finger bone
|
$767.01 |
$767.01 |
$4,734.60 |
|
|
Partial removal of thyroid
|
$11,380.49 |
$11,380.49 |
$11,380.49 |
|
|
Partial removal of vaginal wall 57106
|
$6,969.31 |
$6,969.31 |
$6,969.31 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.45 |
$1,048.08 |
$1,048.08 |
|
|
Passy muir valve metal trach
|
$160.47 |
$160.47 |
$185.25 |
|
|
Pdgfra gene
|
$510.25 |
$542.10 |
$878.00 |
|
|
Pegaspargase injection
|
$3,604.91 |
$3,604.91 |
$102,889.29 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,103.94 |
$18,772.62 |
$20,900.18 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,460.13 |
$10,460.13 |
$12,781.77 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,126.37 |
$11,126.37 |
$13,595.89 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,563.19 |
$6,105.94 |
$6,797.95 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$6,662.51 |
$6,662.51 |
$8,141.26 |
|
|
Pelvic CT scan (with and without contrast)
|
$813.08 |
$1,676.35 |
$3,442.00 |
|
|
Pelvic CT scan (with contrast)
|
$971.25 |
$1,400.75 |
$2,956.00 |
|
|
Pelvic CT scan (without contrast)
|
$943.69 |
$971.10 |
$2,519.00 |
|
|
Pelvic MRI (with and without contrast)
|
$1,192.60 |
$2,783.95 |
$4,850.00 |
|
|
Pelvic MRI (with contrast)
|
$842.49 |
$842.49 |
$3,952.00 |
|
|
Pelvic MRI (without contrast)
|
$889.67 |
$1,929.85 |
$3,558.00 |
|
|
Pelvic Ultrasound (complete)
|
$363.35 |
$485.35 |
$1,086.80 |
|
|
Pelvic Ultrasound (limited)
|
$298.35 |
$301.27 |
$479.70 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$98.35 |
$98.35 |
$22,450.56 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$122.56 |
$122.56 |
$2,932.58 |
|
|
Peng benzathine/procaine inj
|
$108.11 |
$108.11 |
$1,063.52 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$47.66 |
$887.89 |
$989.48 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$53.28 |
$53.28 |
$218.72 |
|
|
Penicillin g procaine inj
|
$16.56 |
$16.56 |
$16.56 |
|
|
Penile injection
|
$222.46 |
$222.46 |
$222.46 |
|
|
Penile rear tip xtnd 0.5cm
|
$16,884.40 |
$16,884.40 |
$16,884.40 |
|
|
Penile vascular study
|
$319.22 |
$319.22 |
$991.90 |
|
|
Penile vascular study
|
$381.55 |
$381.55 |
$381.55 |
|
|
Penis plastic surgery
|
$10,526.96 |
$10,526.96 |
$10,526.96 |
|
|
Pentamidine 300 mg solution for injection
|
$730.06 |
$730.06 |
$730.06 |
|
|
Pentamidine non-comp unit
|
$159.27 |
$159.27 |
$159.27 |
|
|
Pentobarbital sodium inj
|
$64.60 |
$64.60 |
$64.60 |
|
|
Pentostatin 10 mg intravenous solution
|
$1,838.79 |
$1,838.79 |
$11,194.10 |
|
|
Perc cryo ablate renal tum
|
$6,297.20 |
$14,222.62 |
$17,052.10 |
|
|
Perc d-e cor revasc chro add
|
$10,784.80 |
$12,467.24 |
$12,941.50 |
|
|
Perc d-e cor revasc chro sin
|
$12,467.24 |
$12,467.24 |
$20,873.45 |
|
|
Perc d-e cor revasc t cabg b
|
$12,467.24 |
$12,467.24 |
$15,753.40 |
|
|
Perc d-e cor revasc t cabg s
|
$12,467.24 |
$12,467.24 |
$24,226.15 |
|
|
Perc d-e cor stent ather br
|
$12,467.24 |
$12,467.24 |
$17,375.15 |
|