|
Nuclear Stress Test (Heart)
|
$4,138.95 |
$4,138.95 |
$4,138.95 |
$3,804.45
|
|
Nushield 1 square cm
|
$485.85 |
$485.85 |
$485.85 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$16,318.83 |
$16,318.83 |
$16,318.83 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$384.00 |
$384.00 |
$384.00 |
$392.45
|
|
Observation per hour
|
$75.00 |
$75.00 |
$75.00 |
$79.95
|
|
Obstetrics panel
|
$988.35 |
$988.35 |
$988.35 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$983.82 |
$983.82 |
$983.82 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,839.60 |
$6,839.60 |
$6,839.60 |
$12,151.03
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,194.68 |
$1,194.68 |
$1,194.68 |
$1,810.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,574.18 |
$1,574.18 |
$1,574.18 |
$1,195.75
|
|
Olanzapine 10 mg intramuscular solution
|
$117.61 |
$117.61 |
$117.61 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,742.21 |
$2,742.21 |
$2,742.21 |
$4,781.43
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$22.62
|
|
Ophthalmic mitomycin
|
$775.44 |
$775.44 |
$775.44 |
$775.44
|
|
Oral aprepitant
|
$286.55 |
$286.55 |
$286.55 |
$410.20
|
|
Oral busulfan
|
$29.52 |
$29.52 |
$29.52 |
$176.80
|
|
Oral everolimus
|
$720.08 |
$720.08 |
$720.08 |
$33.34
|
|
Organic acids total quant ea spec
|
$295.20 |
$295.20 |
$295.20 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$2,298.41 |
$2,298.41 |
$2,298.41 |
$3,186.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.63 |
$50.63 |
$50.63 |
$50.63
|
|
Ortho elbow w/lock w/ft&adj
|
$169.72 |
$169.72 |
$169.72 |
$504.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,097.19 |
$1,097.19 |
$1,097.19 |
$714.59
|
|
Orthosis lso rigd frm hyperex
|
$873.43 |
$873.43 |
$873.43 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$609.50 |
$609.50 |
$609.50 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$155.55 |
$155.55 |
$155.55 |
$195.00
|
|
Osmolality blood
|
$188.70 |
$188.70 |
$188.70 |
$69.55
|
|
Osmolality urine
|
$188.70 |
$188.70 |
$188.70 |
$65.65
|
|
Ostomy clamp, replacement
|
$2.79 |
$2.79 |
$2.79 |
$4.66
|
|
Ostomy irrigation set
|
$41.58 |
$41.58 |
$41.58 |
$41.58
|
|
Ost pch drain for barrier fl
|
$11.45 |
$11.45 |
$11.45 |
$11.45
|
|
Ost pch drain w bar & filter
|
$2.92 |
$2.92 |
$2.92 |
$7.80
|
|
Ost skn barr extnd >4 sq
|
$1.01 |
$1.01 |
$1.01 |
$2.78
|
|
Ost urine pch w b/bltin conv
|
$2.90 |
$2.90 |
$2.90 |
$2.90
|
|
Ot evaluation high complexity patient/family
|
$508.20 |
$508.20 |
$508.20 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$508.20 |
$508.20 |
$508.20 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$508.20 |
$508.20 |
$508.20 |
$263.50
|
|
Oth resp proc, group
|
$79.95 |
$79.95 |
$79.95 |
$127.40
|
|
Oth resp proc, indiv
|
$76.80 |
$76.80 |
$76.80 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$134.70 |
$134.70 |
$134.70 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$128.10 |
$128.10 |
$128.10 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$508.20 |
$508.20 |
$508.20 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$117.45 |
$117.45 |
$117.45 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$123.90 |
$123.90 |
$123.90 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$123.90 |
$123.90 |
$123.90 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$123.90 |
$123.90 |
$123.90 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$113.70 |
$113.70 |
$113.70 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$111.60 |
$111.60 |
$111.60 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.52 |
$76.52 |
$76.52 |
$79.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$432.00 |
$432.00 |
$432.00 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$94.05 |
$94.05 |
$94.05 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$216.00 |
$216.00 |
$216.00 |
$216.00
|
|
Pad repl cerv collr univ adult
|
$192.01 |
$192.01 |
$192.01 |
$142.35
|
|
Palingen or palingen xplus
|
$656.01 |
$656.01 |
$656.01 |
$656.01
|
|
Palingen or promatrx
|
$691.88 |
$691.88 |
$691.88 |
$691.88
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,887.83 |
$6,887.83 |
$6,887.83 |
$6,272.41
|
|
Palonosetron hcl
|
$432.00 |
$432.00 |
$432.00 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$202.09 |
$202.09 |
$202.09 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,051.61 |
$13,051.61 |
$13,051.61 |
$13,318.60
|
|
Papaverin hcl injection
|
$52.18 |
$52.18 |
$52.18 |
$76.40
|
|
Parathormone (pth) intact
|
$273.30 |
$273.30 |
$273.30 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$2,634.30 |
$2,634.30 |
$2,634.30 |
$1,555.00
|
|
Parathyroid planar imaging
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,883.70 |
$1,883.70 |
$1,883.70 |
$1,345.00
|
|
Paricalcitol
|
$41.45 |
$41.45 |
$41.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$235.35 |
$235.35 |
$235.35 |
$242.88
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,448.80 |
$6,448.80 |
$6,448.80 |
$4,706.31
|
|
Passy muir valve metal trach
|
$275.75 |
$275.75 |
$275.75 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$5.73 |
$5.73 |
$5.73 |
$5.73
|
|
Pdgfra gene
|
$511.80 |
$511.80 |
$511.80 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.50 |
$61.50 |
$61.50 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,707.63 |
$12,707.63 |
$12,707.63 |
$11,216.31
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,133.25 |
$4,133.25 |
$4,133.25 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$56,690.57 |
$56,690.57 |
$56,690.57 |
$49,585.09
|
|
Pelvic CT scan (with and without contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$2,081.55 |
$2,081.55 |
$2,081.55 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$2,637.58 |
$2,637.58 |
$2,637.58 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$2,997.75 |
$2,997.75 |
$2,997.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$861.45 |
$861.45 |
$861.45 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$383.10 |
$383.10 |
$383.10 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$11,003.90 |
$11,003.90 |
$11,003.90 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$8,005.14 |
$8,005.14 |
$8,005.14 |
$6,202.54
|
|
Peng benzathine/procaine inj
|
$477.40 |
$477.40 |
$477.40 |
$338.23
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,124.96 |
$1,124.96 |
$1,124.96 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$88.57 |
$88.57 |
$88.57 |
$97.85
|
|
Penicillin g procaine inj
|
$180.77 |
$180.77 |
$180.77 |
$147.21
|
|
Penile injection
|
$386.70 |
$386.70 |
$386.70 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$18,349.50 |
$18,349.50 |
$18,349.50 |
$18,349.50
|
|
Penile vascular study
|
$697.20 |
$697.20 |
$697.20 |
$585.20
|
|
Pentobarbital sodium inj
|
$4,655.07 |
$4,655.07 |
$4,655.07 |
$2,047.85
|
|
Perc d-e cor revasc chro add
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$13,045.40
|
|
Perc d-e cor revasc chro sin
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$18,808.65
|
|
Perc drug-el cor stent bran
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$18,808.65 |
$18,808.65 |
$18,808.65 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$6,949.48
|