|
Olanzapine 10 mg intramuscular solution
|
$158.05 |
$158.05 |
$158.05 |
$109.58
|
|
Olanzapine long-acting inj
|
$1,168.49 |
$1,168.49 |
$1,168.49 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,910.01 |
$3,910.01 |
$3,910.01 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$109.02 |
$109.02 |
$109.02 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.34 |
$6.34 |
$6.34 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$9,349.15 |
$9,349.15 |
$9,349.15 |
$4,992.00
|
|
Open thrombectomy of av fistula without revision 36831
|
$13,477.60 |
$13,477.60 |
$13,477.60 |
$6,366.08
|
|
Ophthalmic mitomycin
|
$374.68 |
$374.68 |
$374.68 |
$775.44
|
|
Opn ax/subcla art expos
|
$4,132.70 |
$4,132.70 |
$4,132.70 |
$1,269.60
|
|
Opn fem art expos cndt crtj 34714
|
$4,573.00 |
$4,573.00 |
$4,573.00 |
$2,041.65
|
|
Optx acromclv dislc aqt/chrn
|
$17,545.70 |
$17,545.70 |
$17,545.70 |
$6,721.67
|
|
Oral aprepitant
|
$705.34 |
$705.34 |
$705.34 |
$410.20
|
|
Oral busulfan
|
$800.81 |
$800.81 |
$800.81 |
$176.80
|
|
Oral everolimus
|
$1,816.66 |
$1,816.66 |
$1,816.66 |
$33.34
|
|
Oral hiv-1/hiv-2 screen
|
$48.45 |
$48.45 |
$48.45 |
$38.58
|
|
Oral methotrexate (xatmep)
|
$2,554.66 |
$2,554.66 |
$2,554.66 |
$4,371.50
|
|
Oral netupitant, palonosetro
|
$1,831.85 |
$1,831.85 |
$1,831.85 |
$1,120.66
|
|
Oritavancin 1,200 mg intravenous solution
|
$5,452.13 |
$5,452.13 |
$5,452.13 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$3,082.73 |
$3,082.73 |
$3,082.73 |
$3,082.73
|
|
Oropharyngeal biopsy 42800
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$24.74 |
$24.74 |
$24.74 |
$50.63
|
|
Ortho elbow w/lock w/ft&adj
|
$178.90 |
$178.90 |
$178.90 |
$536.90
|
|
Orthopantogram
|
$406.30 |
$406.30 |
$406.30 |
$241.50
|
|
Orthovisc inj per dose
|
$496.06 |
$496.06 |
$496.06 |
$537.58
|
|
Osmolality blood
|
$28.05 |
$28.05 |
$28.05 |
$67.60
|
|
Osmolality urine
|
$28.05 |
$28.05 |
$28.05 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$252.45 |
$252.45 |
$252.45 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$252.45 |
$252.45 |
$252.45 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$252.45 |
$252.45 |
$252.45 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$128.35 |
$128.35 |
$128.35 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$116.45 |
$116.45 |
$116.45 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$68.00 |
$68.00 |
$68.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$175.10 |
$175.10 |
$175.10 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.55 |
$87.55 |
$87.55 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$51.00 |
$51.00 |
$51.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$52.70 |
$52.70 |
$52.70 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$72.25 |
$72.25 |
$72.25 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$79.90 |
$79.90 |
$79.90 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$80.75 |
$80.75 |
$80.75 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$125.80 |
$125.80 |
$125.80 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,269.84 |
$1,269.84 |
$1,269.84 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$109.57 |
$109.57 |
$109.57 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$256.41 |
$256.41 |
$256.41 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,228.58 |
$4,228.58 |
$4,228.58 |
$3,435.42
|
|
Palifermin injection
|
$3,197.08 |
$3,197.08 |
$3,197.08 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$9,469.64 |
$9,469.64 |
$9,469.64 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$9,121.62 |
$9,121.62 |
$9,121.62 |
$5,569.20
|
|
Palonosetron hcl
|
$66.68 |
$66.68 |
$66.68 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$176.75 |
$176.75 |
$176.75 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$19,256.24 |
$19,256.24 |
$19,256.24 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.86 |
$21.86 |
$21.86 |
$29.31
|
|
Papaverin hcl injection
|
$76.06 |
$76.06 |
$76.06 |
$77.05
|
|
Parathormone (pth) intact
|
$166.60 |
$166.60 |
$166.60 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,350.60
|
|
Paricalcitol
|
$77.08 |
$77.08 |
$77.08 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$491.30 |
$491.30 |
$491.30 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8,160.00 |
$8,160.00 |
$8,160.00 |
$4,921.76
|
|
Passy muir valve metal trach
|
$64.17 |
$64.17 |
$64.17 |
$275.75
|
|
Pdgfra gene
|
$1,220.60 |
$1,220.60 |
$1,220.60 |
$717.23
|
|
Pegaspargase injection
|
$72,929.88 |
$72,929.88 |
$72,929.88 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,024.77 |
$17,024.77 |
$17,024.77 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,012.00 |
$4,012.00 |
$4,012.00 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,267.00 |
$4,267.00 |
$4,267.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,540.30 |
$5,540.30 |
$5,540.30 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$81,534.67 |
$81,534.67 |
$81,534.67 |
$49,135.11
|
|
Pegunigalsidase alfa-iwxj
|
$4,525.78 |
$4,525.78 |
$4,525.78 |
$2,146.13
|
|
Pelvic CT scan (with and without contrast)
|
$1,899.75 |
$1,899.75 |
$1,899.75 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,478.15 |
$1,478.15 |
$1,478.15 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,703.45 |
$3,703.45 |
$3,703.45 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$602.65 |
$602.65 |
$602.65 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$519.35 |
$519.35 |
$519.35 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,991.84 |
$15,991.84 |
$15,991.84 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,760.29 |
$10,760.29 |
$10,760.29 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$649.01 |
$649.01 |
$649.01 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$982.94 |
$982.94 |
$982.94 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$159.95 |
$159.95 |
$159.95 |
$101.34
|
|
Penicillin g procaine inj
|
$240.63 |
$240.63 |
$240.63 |
$147.96
|
|
Penile injection
|
$692.75 |
$692.75 |
$692.75 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$13,382.73 |
$13,382.73 |
$13,382.73 |
$18,764.94
|
|
Penile vascular study
|
$442.00 |
$442.00 |
$442.00 |
$576.40
|
|
Pentamidine non-comp unit
|
$446.85 |
$446.85 |
$446.85 |
$294.39
|
|
Pentobarbital sodium inj
|
$1,294.35 |
$1,294.35 |
$1,294.35 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,018.81 |
$3,018.81 |
$3,018.81 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$25,246.70 |
$25,246.70 |
$25,246.70 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$12,427.85 |
$12,427.85 |
$12,427.85 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$43,006.60 |
$43,006.60 |
$43,006.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$12,427.85 |
$12,427.85 |
$12,427.85 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$26,980.70 |
$26,980.70 |
$26,980.70 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$23,919.85 |
$23,919.85 |
$23,919.85 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$43,006.60 |
$43,006.60 |
$43,006.60 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$12,427.85 |
$12,427.85 |
$12,427.85 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$26,980.70 |
$26,980.70 |
$26,980.70 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$14,150.80 |
$14,150.80 |
$14,150.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$14,150.80 |
$14,150.80 |
$14,150.80 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$987.49 |
$987.49 |
$987.49 |
$321.71
|