|
Oropharyngeal biopsy 42800
|
$1,366.00 |
$1,888.50 |
$9,240.74 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$247.00 |
$247.00 |
$247.00 |
|
|
Ortho dvc repair per 15 min
|
$53.50 |
$53.50 |
$1,410.75 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$151.50 |
$151.50 |
$1,485.68 |
|
|
Ortho elbow w/lock w/ft&adj
|
$223.00 |
$1,095.50 |
$31,397.00 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$6,597.17 |
$6,597.17 |
$6,597.17 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$368.00 |
$368.00 |
$430.50 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$254.50 |
$267.50 |
$1,393.38 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$305.00 |
$305.00 |
$1,652.65 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$543.29 |
$543.29 |
$543.29 |
|
|
Ortho hnd without jnt w/fit&adj
|
$275.00 |
$275.00 |
$1,393.38 |
|
|
Orthopantogram
|
$69.00 |
$69.00 |
$371.50 |
|
|
Orthopedic shoe add rub insl
|
$165.28 |
$165.28 |
$165.28 |
|
|
Ortho shoe add leather insol
|
$165.28 |
$165.28 |
$165.28 |
|
|
Ortho shoe add march bar
|
$237.13 |
$237.13 |
$237.13 |
|
|
Orthosis lso rigd frm hyperex
|
$543.00 |
$1,026.00 |
$3,122.46 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$414.50 |
$736.50 |
$1,832.72 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$466.00 |
$466.00 |
$5,102.15 |
|
|
Oscillation chest wall mechanical per session
|
$141.60 |
$141.60 |
$317.00 |
|
|
O shoe add horseshoe toe tap
|
$129.29 |
$129.29 |
$129.29 |
|
|
O shoe add instep extension
|
$204.00 |
$204.00 |
$481.85 |
|
|
O shoe add instep velcro clo
|
$366.67 |
$366.67 |
$366.67 |
|
|
O shoe add standard toe tap
|
$50.54 |
$50.54 |
$50.54 |
|
|
O shoe convert to sof counte
|
$302.03 |
$302.03 |
$302.03 |
|
|
Osmolality blood
|
$47.00 |
$90.60 |
$284.00 |
|
|
Osmolality urine
|
$41.50 |
$79.00 |
$307.00 |
|
|
Ostectomy complete 1st metatarsal head 28111
|
$14,314.70 |
$14,314.70 |
$14,314.70 |
|
|
Osteochondral knee allograft
|
$103,337.54 |
$103,337.54 |
$103,337.54 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$64.50 |
$89.00 |
$89.00 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$64.50 |
$89.00 |
$89.00 |
|
|
Osteopath manip tx/9-10 body region98929
|
$64.50 |
$89.00 |
$89.00 |
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$44,767.39 |
$44,767.39 |
$44,767.39 |
|
|
Ost pch drain w bar & filter
|
$39.00 |
$39.00 |
$39.00 |
|
|
Ost pch for bar w flange/flt
|
$18.00 |
$18.00 |
$18.00 |
|
|
Ost skn barr extnd >4 sq
|
$45.00 |
$45.00 |
$45.00 |
|
|
Oth resp proc, group
|
$69.50 |
$145.00 |
$243.50 |
|
|
Oth resp proc, indiv
|
$77.50 |
$77.50 |
$97.20 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$41.00 |
$73.00 |
$193.50 |
|
|
Otolaryngo binocular microscopy 92504
|
$11.50 |
$16.50 |
$16.50 |
|
|
Ot re-evaluation patient/family
|
$48.50 |
$138.00 |
$205.00 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$11.00 |
$38.50 |
$121.20 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$21.00 |
$70.00 |
$181.00 |
|
|
Outrigger
|
$295.82 |
$295.82 |
$295.82 |
|
|
Outrigger bil with vert extens
|
$990.22 |
$990.22 |
$990.22 |
|
|
Ovulation tests
|
$30.50 |
$33.50 |
$34.00 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.01 |
$0.01 |
$324.00 |
|
|
Oxytocin 10 unit/ml injection solution
|
$107.83 |
$186.00 |
$247.00 |
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$15,141.00 |
$18,635.00 |
$156,436.50 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$150.89 |
$150.89 |
$172.71 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,868.70 |
$7,868.70 |
$9,006.34 |
|
|
Palingen or palingen xplus
|
$36,428.70 |
$36,428.70 |
$36,428.70 |
|
|
Palonosetron hcl
|
$90.00 |
$90.00 |
$4,503.00 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$785.00 |
$785.00 |
$785.00 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$9,022.02 |
$9,022.02 |
$10,326.41 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$38.48 |
$247.00 |
$247.00 |
|
|
Papaverin hcl injection
|
$172.06 |
$172.06 |
$192.56 |
|
|
Parathormone (pth) intact
|
$242.00 |
$335.00 |
$1,145.00 |
|
|
Parathyrd planar w/spect&ct
|
$1,016.00 |
$1,334.50 |
$2,168.00 |
|
|
Parathyroid planar imaging
|
$490.00 |
$1,126.00 |
$5,892.00 |
|
|
Parathyroid planar img w/tomo spect
|
$805.00 |
$1,505.50 |
$2,076.60 |
|
|
Paricalcitol
|
$45.00 |
$45.00 |
$247.00 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$118.00 |
$238.20 |
$1,965.50 |
|
|
Part hymenectomy/revi hymenal ring 56700
|
$2,421.00 |
$3,287.00 |
$3,287.00 |
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$16,708.38 |
$16,708.38 |
$16,708.38 |
|
|
Partial removal finger bone
|
$952.20 |
$1,706.00 |
$2,358.50 |
|
|
Partial removal foot fascia
|
$2,281.50 |
$3,154.50 |
$12,682.31 |
|
|
Partial removal of eye fluid
|
$1,554.00 |
$2,302.50 |
$2,302.50 |
|
|
Partial removal of eye fluid
|
$1,554.00 |
$2,302.50 |
$2,302.50 |
|
|
Partial removal of fibula
|
$8,229.86 |
$8,229.86 |
$8,229.86 |
|
|
Partial removal of foot bone
|
$24,363.26 |
$24,363.26 |
$24,363.26 |
|
|
Partial removal of thyroid
|
$37,810.99 |
$37,810.99 |
$37,810.99 |
|
|
Partial removal of toe
|
$9,883.58 |
$9,883.58 |
$9,883.58 |
|
|
Partial removal of tongue
|
$16,545.35 |
$16,545.35 |
$16,545.35 |
|
|
Partial thyroid excision
|
$39,909.82 |
$39,909.82 |
$39,909.82 |
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4.55 |
$7.00 |
$27,462.60 |
|
|
Part removal of metatarsal
|
$120,160.69 |
$120,160.69 |
$120,160.69 |
|
|
Part removal of metatarsal 28112
|
$26,778.23 |
$26,778.23 |
$26,778.23 |
|
|
Passy muir valve metal trach
|
$169.00 |
$452.00 |
$2,517.34 |
|
|
Patten bottom
|
$1,809.27 |
$1,809.27 |
$1,809.27 |
|
|
Pdgfra gene
|
$303.00 |
$306.50 |
$486.00 |
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$129.29 |
$129.29 |
$129.29 |
|
|
Pdt dstr prmlg les phys/qhp
|
$338.50 |
$468.00 |
$468.00 |
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$12,435.67 |
$12,435.67 |
$12,435.67 |
|
|
Ped home apnea mntr att only
|
$107.50 |
$133.00 |
$133.00 |
|
|
Ped home apnea mntr dl&alys
|
$144.50 |
$178.50 |
$178.50 |
|
|
Pedicle enel/ntroral 15576
|
$1,036.00 |
$1,406.50 |
$1,406.50 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$26,955.56 |
$29,116.00 |
$30,806.35 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$17,535.00 |
$17,535.00 |
$20,040.00 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,767.51 |
$10,020.01 |
$15,967.00 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$10,500.01 |
$10,500.01 |
$12,000.01 |
|
|
Pelv band/spread bar thigh c
|
$2,676.16 |
$2,676.16 |
$2,676.16 |
|
|
Pelvic control band & belt b
|
$1,776.41 |
$1,776.41 |
$1,776.41 |
|
|
Pelvic control band & belt u
|
$1,308.92 |
$1,308.92 |
$1,308.92 |
|
|
Pelvic control hip heavy dut
|
$1,413.32 |
$1,413.32 |
$1,413.32 |
|
|
Pelvic control pelvic sling
|
$2,453.33 |
$2,453.33 |
$2,453.33 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,101.00 |
$1,918.80 |
$8,985.00 |
|
|
Pelvic CT scan (with contrast)
|
$781.50 |
$1,533.00 |
$6,749.00 |
|
|
Pelvic CT scan (without contrast)
|
$675.50 |
$1,446.50 |
$6,527.00 |
|
|
Pelvic & hip control thigh c
|
$6,002.52 |
$6,002.52 |
$6,002.52 |
|
|
Pelvic MRI (with and without contrast)
|
$1,525.00 |
$2,071.80 |
$7,157.00 |
|
