|
Oil silicone ophth 8.5ml silikon 1000
|
$1,690.32 |
$1,690.32 |
$1,690.32 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$71.33 |
$71.33 |
$100.19 |
$120.17
|
|
Oncoprotein dcp
|
$87.50 |
$87.50 |
$87.50 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$29.44 |
$29.44 |
$1,256.52 |
$8.65
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$41.23 |
$41.23 |
$68.46 |
$29.35
|
|
Opn fem art expos cndt crtj 34714
|
$97.30 |
$97.30 |
$97.30 |
$2,041.65
|
|
Oral busulfan
|
$185.60 |
$185.60 |
$185.60 |
$84.21
|
|
Oral everolimus
|
$6.67 |
$6.67 |
$6.67 |
$34.49
|
|
Organic acids total quant ea spec
|
$1,736.12 |
$2,013.80 |
$2,156.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$12,058.80 |
$12,058.80 |
$12,058.80 |
$12,058.80
|
|
Oritavancin 400 mg intravenous solution
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$24.70 |
$723.60 |
$795.93 |
$56.42
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$496.00 |
$496.00 |
$496.00 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$830.31
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$468.00 |
$468.00 |
$468.00 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$554.00 |
$554.00 |
$554.00 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$468.00 |
$468.00 |
$468.00 |
$225.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,081.00 |
$1,081.00 |
$1,081.00 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$155.40 |
$155.40 |
$155.40 |
$221.34
|
|
Osmolality blood
|
$83.30 |
$83.30 |
$508.00 |
$67.60
|
|
Osmolality urine
|
$66.50 |
$66.50 |
$508.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,543.45 |
$1,543.45 |
$1,543.45 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$797.15 |
$797.15 |
$797.15 |
$238.00
|
|
Other immunoelectrophoresis
|
$670.51 |
$670.51 |
$996.00 |
$46.40
|
|
Oth resp proc, indiv
|
$105.35 |
$105.35 |
$105.35 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$129.15 |
$129.15 |
$129.15 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$112.70 |
$112.70 |
$112.70 |
$107.32
|
|
Ot re-evaluation patient/family
|
$741.21 |
$741.21 |
$762.73 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$98.00 |
$98.00 |
$98.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$141.40 |
$141.40 |
$374.09 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$148.75 |
$148.75 |
$547.96 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$122.50 |
$122.50 |
$122.50 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$112.70 |
$112.70 |
$112.70 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$81.20 |
$81.20 |
$81.20 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$48.86 |
$48.86 |
$48.86 |
$68.31
|
|
Oxaliplatin 5 mg/ml desensitization
|
$346.65 |
$346.65 |
$1,036.25 |
$311.60
|
|
Oxytocin 10 unit/ml injection solution
|
$36.72 |
$45.00 |
$185.60 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$88,200.00 |
$88,200.00 |
$100,000.00 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$322.77 |
$322.77 |
$322.77 |
$222.51
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,072.50 |
$4,072.50 |
$4,072.50 |
$2,946.55
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15,631.00 |
$15,631.00 |
$15,631.00 |
$5,568.01
|
|
Palivizumab 50 mg/0.5 ml inj
|
$7,874.22 |
$7,874.22 |
$7,874.22 |
$5,156.88
|
|
Palonosetron hcl
|
$198.69 |
$354.74 |
$354.74 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$99.46 |
$99.46 |
$3,736.75 |
$131.90
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,565.51 |
$16,565.51 |
$16,565.51 |
$12,452.74
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$17.63 |
$26.50 |
$544.00 |
$35.43
|
|
Papaverin hcl injection
|
$76.40 |
$76.40 |
$76.40 |
$83.77
|
|
Parathormone (pth) intact
|
$165.20 |
$165.20 |
$165.20 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,641.50 |
$1,641.50 |
$8,415.20 |
$1,574.40
|
|
Parathyroid planar imaging
|
$430.85 |
$430.85 |
$8,031.99 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$859.25 |
$859.25 |
$7,034.91 |
$1,398.75
|
|
Paricalcitol
|
$24.47 |
$24.47 |
$24.47 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$145.95 |
$145.95 |
$145.95 |
$270.00
|
|
Passy muir valve metal trach
|
$274.40 |
$274.40 |
$1,192.00 |
$244.06
|
|
Paste skin barrier .5oz adapt
|
$510.00 |
$510.00 |
$510.00 |
$7.00
|
|
Pegaspargase injection
|
$47,943.02 |
$47,943.02 |
$47,943.02 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,457.16 |
$11,457.16 |
$11,457.16 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,134.93 |
$8,134.93 |
$8,134.93 |
$7,531.80
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$5,713.45 |
$5,713.45 |
$5,713.45 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,012.46 |
$4,012.46 |
$4,012.46 |
$4,458.74
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,194.98 |
$1,194.98 |
$1,194.98 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$3,005.80 |
$3,005.80 |
$17,056.02 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,722.65 |
$2,722.65 |
$2,722.65 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$4,936.05 |
$4,936.05 |
$22,396.06 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,949.05 |
$3,949.05 |
$3,949.05 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,356.85 |
$3,356.85 |
$16,286.18 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$989.80 |
$989.80 |
$989.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$435.40 |
$435.40 |
$435.40 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,703.02 |
$14,703.02 |
$14,703.02 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,212.37 |
$10,212.37 |
$10,212.37 |
$3,448.94
|
|
Peng benzathine/procaine inj
|
$168.10 |
$168.10 |
$168.10 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$785.09 |
$785.09 |
$785.09 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$25.24 |
$25.24 |
$25.24 |
$88.70
|
|
Penicillin g procaine inj
|
$5.67 |
$5.67 |
$5.67 |
$47.19
|
|
Penile injection
|
$233.10 |
$233.10 |
$233.10 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$36,719.87 |
$36,719.87 |
$36,719.87 |
$19,815.11
|
|
Penile vascular study
|
$242.20 |
$242.20 |
$242.20 |
$561.00
|
|
Pentamidine non-comp unit
|
$846.88 |
$846.88 |
$846.88 |
$279.76
|
|
Pentobarbital sodium inj
|
$4,370.93 |
$4,370.93 |
$4,370.93 |
$234.75
|
|
Pentostatin 10 mg intravenous solution
|
$6,112.62 |
$6,112.62 |
$6,112.62 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$7,967.40 |
$7,967.40 |
$7,967.40 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$1,745.10 |
$1,745.10 |
$1,745.10 |
$12,941.50
|
|
Perc d-e cor revasc chro sin
|
$8,930.95 |
$8,930.95 |
$8,930.95 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$1,745.10 |
$1,745.10 |
$1,745.10 |
$11,941.20
|
|
Perc d-e cor revasc t cabg s
|
$10,060.05 |
$10,060.05 |
$10,060.05 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$3,182.20 |
$3,182.20 |
$3,182.20 |
$12,287.00
|
|
Perc d-e cor stent ather s
|
$11,394.60 |
$11,394.60 |
$11,394.60 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$3,079.65 |
$3,079.65 |
$3,079.65 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$10,265.15 |
$10,265.15 |
$10,265.15 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$2,549.75 |
$2,549.75 |
$26,679.00 |
$6,949.48
|
|
Percut ablate liver rf
|
$7,889.35 |
$7,889.35 |
$7,889.35 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$135.10 |
$135.10 |
$510.40 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,091.30 |
$1,091.30 |
$1,091.30 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,212.40 |
$5,450.12 |
$27,800.00 |
$2,573.60
|
|
Peripheral vascular rehab
|
$59.85 |
$59.85 |
$196.43 |
$128.69
|
|
Peri-proc device eval icd
|
$440.65 |
$599.50 |
$3,280.00 |
$220.35
|
|
Peri-proc device eval pm
|
$440.65 |
$599.50 |
$3,280.00 |
$195.80
|