|
Olanzapine 10 mg intramuscular solution
|
$117.61 |
$135.70 |
$217.83 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,742.21 |
$2,742.21 |
$2,742.21 |
$4,595.01
|
|
Onc breast mrna 58 genes
|
$3,012.25 |
$3,012.25 |
$3,012.25 |
$3,464.09
|
|
Oncology lung
|
$357.79 |
$357.79 |
$357.79 |
$3,158.10
|
|
Oncology prostate prob score
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$952.00
|
|
Oncology thyroid
|
$357.79 |
$357.79 |
$357.79 |
$357.79
|
|
Oncology tissue of origin
|
$13,122.71 |
$13,122.71 |
$13,122.71 |
$572.00
|
|
Oncology tum unknown origin
|
$3,450.00 |
$3,450.00 |
$5,700.00 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$682.50 |
$682.50 |
$682.50 |
$986.70
|
|
Oncoprotein dcp
|
$129.00 |
$129.00 |
$1,345.67 |
$171.25
|
|
Onc thyr mrna 10,196 gen alg
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,320.00
|
|
Ondansetron 4 mg s0119
|
$106.28 |
$106.28 |
$106.28 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$68.94 |
$68.94 |
$68.94 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.87 |
$1.32 |
$28.30 |
$22.62
|
|
Oocyte identification
|
$337.20 |
$337.20 |
$337.20 |
$401.60
|
|
Open aortoiliac prosth repr 34831
|
$52,848.09 |
$52,848.09 |
$52,848.09 |
$3,414.40
|
|
Open thrombectomy of av fistula without revision 36831
|
$6,898.73 |
$6,898.73 |
$6,898.73 |
$6,311.00
|
|
Ophthalmic mitomycin
|
$775.44 |
$775.44 |
$775.44 |
$775.44
|
|
Oph Ultrasound dx quan a-scan only
|
$264.70 |
$264.70 |
$264.70 |
$273.00
|
|
Opioids & opiate analogs 3/4
|
$1,673.21 |
$1,673.21 |
$1,673.21 |
$24.00
|
|
Opn ilac art expos cndt crtj
|
$1,169.29 |
$1,169.29 |
$1,169.29 |
$1,169.29
|
|
Opn mpltj hpglsl nstm ary pg
|
$36,076.18 |
$36,076.18 |
$36,076.18 |
$36,076.18
|
|
Opps service,sched team conf
|
$101.00 |
$101.00 |
$101.00 |
$503.90
|
|
Oprelvekin injection
|
$6,085.94 |
$6,085.94 |
$6,085.94 |
$574.00
|
|
Opscpy extnd rta draw uni/bi
|
$71.00 |
$71.00 |
$71.00 |
$71.00
|
|
Optx tmprmand dislocation
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$4,179.20
|
|
Oral aprepitant
|
$170.50 |
$286.55 |
$659.77 |
$410.20
|
|
Oral busulfan
|
$29.52 |
$29.52 |
$162.70 |
$176.80
|
|
Oral everolimus
|
$25.34 |
$55.25 |
$720.08 |
$30.30
|
|
Organic acids total quant ea spec
|
$231.47 |
$295.20 |
$1,127.83 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$1,506.50 |
$2,298.41 |
$7,038.19 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$1,698.19 |
$1,698.19 |
$1,698.19 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.63 |
$50.63 |
$50.63 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$202.50 |
$202.50 |
$202.50 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$169.72 |
$169.72 |
$348.29 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$676.00 |
$676.00 |
$1,097.19 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$261.50 |
$261.50 |
$261.50 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$310.00 |
$310.00 |
$310.00 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$225.00 |
$261.50 |
$261.50 |
$229.45
|
|
Orthopantogram
|
$219.22 |
$257.00 |
$285.15 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$678.20 |
$678.20 |
$873.43 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$322.50 |
$322.50 |
$609.50 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$957.50 |
$957.50 |
$957.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$234.50 |
$234.50 |
$442.01 |
$196.70
|
|
Osmolality blood
|
$91.31 |
$184.00 |
$926.14 |
$69.55
|
|
Osmolality urine
|
$88.31 |
$184.00 |
$926.14 |
$65.50
|
|
Osteochondral talus autogrft
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$6,982.66
|
|
Ostomy clamp, replacement
|
$2.79 |
$2.79 |
$2.79 |
$2.79
|
|
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 |
$2.92
|
|
Ost skn barr extnd >4 sq
|
$1.01 |
$1.01 |
$1.01 |
$1.01
|
|
Ost urine pch w b/bltin conv
|
$2.90 |
$2.90 |
$2.90 |
$2.90
|
|
Other immunoelectrophoresis
|
$173.50 |
$173.50 |
$173.50 |
$107.52
|
|
Oth resp proc, group
|
$38.00 |
$38.00 |
$173.23 |
$126.00
|
|
Oth resp proc, indiv
|
$76.80 |
$110.50 |
$407.12 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$112.00 |
$112.00 |
$134.70 |
$98.40
|
|
Ot re-evaluation patient/family
|
$227.06 |
$427.50 |
$508.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$112.00 |
$112.00 |
$123.90 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$112.00 |
$112.00 |
$123.90 |
$94.81
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.52 |
$76.52 |
$76.52 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$103.50 |
$289.20 |
$19,416.82 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$6.75 |
$19.75 |
$94.05 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$17,381.25 |
$17,381.25 |
$460,040.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.14 |
$183.62 |
$222.51 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,042.00 |
$2,067.00 |
$2,874.11 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$192.01 |
$192.01 |
$192.01 |
$192.01
|
|
Palb2 gene full gene seq
|
$290.46 |
$290.46 |
$290.46 |
$672.50
|
|
Palingen or palingen xplus
|
$656.01 |
$656.01 |
$656.01 |
$171.12
|
|
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 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,191.26 |
$6,191.26 |
$14,158.89 |
$5,569.20
|
|
Palonosetron hcl
|
$51.52 |
$432.00 |
$540.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$50.47 |
$174.12 |
$202.09 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$9,638.37 |
$12,452.74 |
$56,432.56 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.50 |
$8.62 |
$18.27 |
$28.90
|
|
Papaverin hcl injection
|
$52.18 |
$87.00 |
$287.63 |
$78.75
|
|
Parathormone (pth) intact
|
$174.50 |
$269.44 |
$808.30 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,317.50 |
$2,254.06 |
$3,276.75 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,132.80 |
$1,400.50 |
$3,993.41 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,873.69 |
$1,883.70 |
$2,100.00 |
$1,350.60
|
|
Paricalcitol
|
$41.45 |
$63.75 |
$580.55 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$235.35 |
$235.35 |
$285.93 |
$245.67
|
|
Partial removal finger bone
|
$2,374.87 |
$2,374.87 |
$2,374.87 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1.69 |
$10.10 |
$6,448.80 |
$4,921.76
|
|
Passy muir valve metal trach
|
$85.51 |
$85.51 |
$339.37 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$5.73 |
$5.73 |
$5.73 |
$5.73
|
|
Path clin consltj high 41-60
|
$177.88 |
$177.88 |
$177.88 |
$202.78
|
|
Path clin consltj mod 21-40
|
$177.88 |
$177.88 |
$177.88 |
$202.78
|
|
Path clin consltj prolng svc
|
$118.57 |
$118.57 |
$118.57 |
$97.14
|
|
Path clin consltj sf 5-20
|
$59.27 |
$129.50 |
$129.50 |
$97.14
|
|
Pdgfra gene
|
$343.00 |
$921.60 |
$4,208.05 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.50 |
$61.50 |
$61.50 |
$44.97
|
|
Pegaspargase injection
|
$33,512.48 |
$33,512.48 |
$148,463.08 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$8,086.75 |
$11,569.18 |
$36,736.59 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,260.50 |
$5,260.50 |
$7,531.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,774.30 |
$3,774.30 |
$4,133.25 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$40,053.25 |
$40,053.25 |
$56,690.57 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,047.67 |
$2,545.00 |
$6,272.62 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,199.47 |
$2,251.50 |
$4,969.67 |
$1,608.98
|
