|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$1,014.09 |
$1,014.09 |
$1,014.09 |
$11,311.98
|
|
Observation direct referral from physician office for admission
|
$162.54 |
$162.54 |
$162.54 |
$415.97
|
|
Observation per hour
|
$644.35 |
$644.35 |
$644.35 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$230,926.05 |
$230,926.05 |
$230,926.05 |
$52,712.40
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$140.34 |
$140.34 |
$140.34 |
$84.15
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$45,141.73 |
$45,141.73 |
$45,141.73 |
$2,224.00
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$15,857.67 |
$15,857.67 |
$15,857.67 |
$4,797.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$45.38 |
$45.38 |
$45.38 |
$33.40
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$110.75 |
$110.75 |
$110.75 |
$63.72
|
|
Orthovisc inj per dose
|
$651.15 |
$651.15 |
$651.15 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$725.00 |
$725.00 |
$725.00 |
$222.28
|
|
Osmolality blood
|
$137.50 |
$137.50 |
$137.50 |
$67.60
|
|
Osmolality urine
|
$175.68 |
$175.68 |
$175.68 |
$66.50
|
|
Ot evaluation high complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$303.20
|
|
Ot evaluation low complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$270.58
|
|
Ot re-evaluation patient/family
|
$333.87 |
$333.87 |
$333.87 |
$175.72
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$289.38 |
$289.38 |
$289.38 |
$100.75
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$274.83 |
$274.83 |
$274.83 |
$98.40
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$274.83 |
$274.83 |
$274.83 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$356.82 |
$356.82 |
$356.82 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$120.16 |
$120.16 |
$120.16 |
$366.28
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$349.56 |
$349.56 |
$349.56 |
$218.00
|
|
Palonosetron hcl
|
$1,588.88 |
$1,588.88 |
$1,588.88 |
$472.46
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$254.73 |
$254.73 |
$254.73 |
$148.35
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,208.18 |
$7,208.18 |
$7,208.18 |
$18,390.86
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$113.50 |
$113.50 |
$113.50 |
$36.87
|
|
Papaverin hcl injection
|
$137.14 |
$137.14 |
$137.14 |
$76.40
|
|
Parathormone (pth) intact
|
$419.97 |
$419.97 |
$419.97 |
$196.48
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$429.38 |
$429.38 |
$429.38 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$26,531.42 |
$26,531.42 |
$26,531.42 |
$12,932.25
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,306.36 |
$9,306.36 |
$9,306.36 |
$8,072.54
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$18,701.37 |
$18,701.37 |
$18,701.37 |
$8,420.68
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,910.93 |
$9,910.93 |
$9,910.93 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$5,081.55 |
$5,081.55 |
$5,081.55 |
$1,891.05
|
|
Pelvic CT scan (with contrast)
|
$4,604.20 |
$4,604.20 |
$4,604.20 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$1,335.34
|
|
Pelvic Ultrasound (complete)
|
$1,178.28 |
$1,178.28 |
$1,178.28 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,066.46 |
$1,066.46 |
$1,066.46 |
$442.65
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$12,642.74 |
$12,642.74 |
$12,642.74 |
$16,273.24
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,479.76 |
$3,479.76 |
$3,479.76 |
$626.67
|
|
Penile vascular study
|
$1,385.44 |
$1,385.44 |
$1,385.44 |
$453.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$7,323.51 |
$7,323.51 |
$7,323.51 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$68,318.17 |
$68,318.17 |
$68,318.17 |
$51,278.21
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$384.66 |
$384.66 |
$384.66 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$292.48 |
$292.48 |
$292.48 |
$104.25
|
|
Phenylephrine 10 mg/ml injection solution
|
$95.12 |
$95.12 |
$95.12 |
$53.43
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$64.54 |
$64.54 |
$64.54 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$272.21 |
$272.21 |
$272.21 |
$110.00
|
|
Phosphorus
|
$89.75 |
$89.75 |
$89.75 |
$47.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$138.71 |
$138.71 |
$138.71 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$214.98 |
$214.98 |
$214.98 |
$92.86
|
|
Platelet automated
|
$125.99 |
$125.99 |
$125.99 |
$43.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$528.60 |
$528.60 |
$528.60 |
$173.00
|
|
Potassium 24 hour urine
|
$112.65 |
$112.65 |
$112.65 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$544.35 |
$544.35 |
$544.35 |
$70.80
|
|
Potassium serum/plasma/whole blood
|
$110.74 |
$110.74 |
$110.74 |
$44.22
|
|
Pr application of long arm splint
|
$1,046.59 |
$1,046.59 |
$1,046.59 |
$329.00
|
|
Pr application splint static short arm
|
$843.54 |
$843.54 |
$843.54 |
$300.00
|
|
Pr biopsy skin punch single lesion
|
$942.01 |
$942.01 |
$942.01 |
$472.79
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$126.18 |
$126.18 |
$126.18 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$942.01 |
$942.01 |
$942.01 |
$353.71
|
|
Prealbumin
|
$376.18 |
$376.18 |
$376.18 |
$87.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$58.63 |
$58.63 |
$58.63 |
$18.28
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,488.91 |
$1,488.91 |
$1,488.91 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$1,375.01 |
$1,375.01 |
$1,375.01 |
$541.45
|
|
Pr incision & drainage abscess complicated/multiple
|
$877.34 |
$877.34 |
$877.34 |
$631.44
|
|
Pr incision & drainage abscess simple/single
|
$877.34 |
$877.34 |
$877.34 |
$437.53
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,197.23 |
$2,197.23 |
$2,197.23 |
$612.81
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,455.26 |
$1,455.26 |
$1,455.26 |
$612.34
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,290.89 |
$1,290.89 |
$1,290.89 |
$273.38
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,961.32 |
$2,961.32 |
$2,961.32 |
$587.52
|
|
Procalcitonin
|
$271.27 |
$271.27 |
$271.27 |
$142.47
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$64.26 |
$64.26 |
$64.26 |
$46.39
|
|
Progesterone
|
$367.11 |
$367.11 |
$367.11 |
$100.93
|
|
Prolactin
|
$328.44 |
$328.44 |
$328.44 |
$127.26
|
|
Promethazine hcl injection
|
$53.11 |
$53.11 |
$53.11 |
$29.21
|
|
Propofol infusion 10 mg/ml
|
$202.56 |
$202.56 |
$202.56 |
$84.15
|
|
Prostate biopsy, any mthd
|
$920.58 |
$920.58 |
$920.58 |
$597.78
|
|
Protamine 10 mg/ml intravenous solution
|
$67.92 |
$67.92 |
$67.92 |
$50.70
|
|
Protein electrophoretic fractionation & quantitation serum
|
$231.03 |
$231.03 |
$231.03 |
$84.00
|
|
Protein s total
|
$152.17 |
$152.17 |
$152.17 |
$78.77
|
|
Protein total 24 hour urine
|
$146.48 |
$146.48 |
$146.48 |
$52.50
|
|
Protein total body fluid
|
$159.14 |
$159.14 |
$159.14 |
$52.80
|
|
Protein total serum plasma whole blood
|
$129.84 |
$129.84 |
$129.84 |
$42.63
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$765.81 |
$765.81 |
$765.81 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$2,580.64 |
$2,580.64 |
$2,580.64 |
$764.00
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,306.12 |
$1,306.12 |
$1,306.12 |
$434.55
|
|
Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm
|
$729.12 |
$729.12 |
$729.12 |
$374.23
|
|
Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm
|
$506.21 |
$506.21 |
$506.21 |
$409.67
|
|
Pr tube thoracostomy w/connection to drainage open
|
$1,754.69 |
$1,754.69 |
$1,754.69 |
$1,786.00
|
|
PSA (Prostate) Test
|
$371.58 |
$371.58 |
$371.58 |
$107.50
|
|
Pt evaluation high complexity patient/family
|
$554.20 |
$554.20 |
$554.20 |
$300.13
|
|
Pt evaluation low complexity patient/family
|
$554.20 |
$554.20 |
$554.20 |
$226.85
|
|
Pt evaluation moderate complexity patient/family
|
$554.20 |
$554.20 |
$554.20 |
$264.00
|
|
Pt therapeutic procedure >=1 area gait training each 15 minutes
|
$219.86 |
$219.86 |
$219.86 |
$86.80
|
|
Pt wheelchair management each 15 minutes
|
$196.97 |
$196.97 |
$196.97 |
$86.40
|
|
Pulse ox continuous overnight monitoring
|
$259.39 |
$259.39 |
$259.39 |
$360.60
|