|
Opn ilac art expos cndt crtj
|
$1,169.29 |
$1,169.29 |
$18,200.36 |
$1,169.29
|
|
Opn mpltj hpglsl nstm ary pg
|
$36,076.18 |
$36,076.18 |
$36,076.18 |
$36,076.18
|
|
Oprelvekin injection
|
$5,418.99 |
$5,418.99 |
$5,418.99 |
$574.00
|
|
Optx tmprmand dislocation
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$4,179.20
|
|
Oral aprepitant
|
$410.20 |
$410.20 |
$410.20 |
$410.20
|
|
Oral everolimus
|
$25.34 |
$25.34 |
$25.34 |
$30.30
|
|
Oral hiv-1/hiv-2 screen
|
$808.66 |
$808.66 |
$808.66 |
$38.58
|
|
Organic acids total quant ea spec
|
$231.47 |
$231.47 |
$1,351.74 |
$152.50
|
|
Oropharyngeal biopsy 42800
|
$1,698.19 |
$1,698.19 |
$1,698.19 |
$2,443.00
|
|
Ortho elbow w/lock w/ft&adj
|
$348.29 |
$348.29 |
$2,313.00 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$881.50 |
$881.50 |
$881.50 |
$702.80
|
|
Ortho hnd without jnt w/fit&adj
|
$225.00 |
$225.00 |
$225.00 |
$229.45
|
|
Orthopantogram
|
$219.22 |
$219.22 |
$219.22 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$678.20 |
$678.20 |
$678.20 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$420.76 |
$420.76 |
$420.76 |
$421.00
|
|
Oscillation chest wall mechanical per session
|
$333.90 |
$333.90 |
$503.39 |
$196.70
|
|
Osmolality blood
|
$91.31 |
$91.31 |
$91.31 |
$69.55
|
|
Osmolality urine
|
$88.31 |
$88.31 |
$641.81 |
$65.50
|
|
Osteochondral talus autogrft
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$6,982.66
|
|
Ost pch drain for barrier fl
|
$111.00 |
$111.00 |
$111.00 |
$11.45
|
|
Ost skn barr extnd >4 sq
|
$266.00 |
$266.00 |
$266.00 |
$1.01
|
|
Other immunoelectrophoresis
|
$173.50 |
$173.50 |
$173.50 |
$107.52
|
|
Oth resp proc, group
|
$173.23 |
$173.23 |
$173.23 |
$126.00
|
|
Oth resp proc, indiv
|
$119.59 |
$119.59 |
$119.59 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$124.35 |
$124.35 |
$124.35 |
$98.40
|
|
Ot re-evaluation patient/family
|
$227.06 |
$227.06 |
$521.27 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$115.19 |
$115.19 |
$291.33 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.69 |
$114.69 |
$291.33 |
$94.81
|
|
Oxaliplatin 5 mg/ml desensitization
|
$289.20 |
$289.20 |
$289.20 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$21.52 |
$50.40 |
$50.40 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$48,945.60 |
$48,945.60 |
$627,750.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$222.51 |
$222.51 |
$222.51 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,874.11 |
$2,874.11 |
$2,874.11 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$290.46 |
$290.46 |
$290.46 |
$672.50
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,191.26 |
$6,191.26 |
$6,191.26 |
$5,569.20
|
|
Palonosetron hcl
|
$540.00 |
$540.00 |
$540.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$50.47 |
$50.47 |
$50.47 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,452.74 |
$12,452.74 |
$12,452.74 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.27 |
$18.27 |
$34.07 |
$28.90
|
|
Papaverin hcl injection
|
$149.08 |
$149.08 |
$149.08 |
$78.75
|
|
Parathormone (pth) intact
|
$269.44 |
$269.44 |
$2,310.21 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,254.06 |
$2,254.06 |
$9,138.52 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,522.84 |
$1,522.84 |
$7,803.03 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,873.69 |
$1,873.69 |
$1,873.69 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$285.93 |
$285.93 |
$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
|
$10.10 |
$10.10 |
$10.10 |
$4,921.76
|
|
Passy muir valve metal trach
|
$339.37 |
$339.37 |
$339.37 |
$275.75
|
|
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 |
$59.27 |
$59.27 |
$97.14
|
|
Pdgfra gene
|
$1,302.83 |
$1,302.83 |
$1,302.83 |
$717.23
|
|
Pegaspargase injection
|
$33,512.48 |
$33,512.48 |
$33,512.48 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,569.18 |
$11,569.18 |
$11,569.18 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,531.80 |
$7,531.80 |
$7,531.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,774.30 |
$3,774.30 |
$3,774.30 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,047.67 |
$2,047.67 |
$2,047.67 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,199.47 |
$2,199.47 |
$2,199.47 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,621.86 |
$1,621.86 |
$1,621.86 |
$1,333.20
|
|
Pelvic & hip control thigh c
|
$1,902.39 |
$1,902.39 |
$1,902.39 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,742.20 |
$3,742.20 |
$3,742.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,745.15 |
$1,745.15 |
$1,745.15 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,721.60 |
$2,721.60 |
$2,721.60 |
$1,916.50
|
|
Pelvic ring fracture uni/bil
|
$3,091.54 |
$3,091.54 |
$3,091.54 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$761.44 |
$761.44 |
$761.44 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$560.25 |
$560.25 |
$560.25 |
$432.50
|
|
Pelvis X-ray (1 to 2 views)
|
$270.84 |
$270.84 |
$270.84 |
$282.00
|
|
Pelvis X-ray (complete, 4 or more views)
|
$355.88 |
$355.88 |
$355.88 |
$355.50
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,437.74 |
$10,437.74 |
$10,437.74 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,307.40 |
$7,307.40 |
$46,619.55 |
$7,089.13
|
|
Pemivibart infusion
|
$520.56 |
$520.56 |
$520.56 |
$533.10
|
|
Peng benzathine/procaine inj
|
$1,240.92 |
$1,240.92 |
$1,240.92 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$826.47 |
$826.47 |
$1,515.69 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$182.10 |
$182.10 |
$182.10 |
$97.85
|
|
Penile injection
|
$533.92 |
$533.92 |
$533.92 |
$418.86
|
|
Penile rear tip xtnd 0.5cm
|
$23,449.80 |
$23,449.80 |
$23,449.80 |
$18,764.94
|
|
Penile vascular study
|
$855.79 |
$855.79 |
$855.79 |
$561.00
|
|
Penile vascular study
|
$605.42 |
$605.42 |
$605.42 |
$574.60
|
|
Pentamidine 300 mg solution for injection
|
$453.61 |
$453.61 |
$901.22 |
$572.10
|
|
Pentamidine non-comp unit
|
$877.23 |
$877.23 |
$877.23 |
$294.39
|
|
Pentobarbital sodium inj
|
$4,062.60 |
$4,062.60 |
$4,062.60 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$13,038.50 |
$13,038.50 |
$13,038.50 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$18,907.21 |
$18,907.21 |
$18,907.21 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$25,041.46 |
$25,041.46 |
$27,226.43 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$21,937.06 |
$21,937.06 |
$21,937.06 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$21,790.26 |
$21,790.26 |
$21,790.26 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$19,620.85 |
$19,620.85 |
$19,620.85 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$26,512.47 |
$26,512.47 |
$26,512.47 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$19,200.89 |
$19,200.89 |
$19,200.89 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$23,831.01 |
$23,831.01 |
$23,831.01 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$6,949.48 |
$6,949.48 |
$6,949.48 |
$7,243.60
|
|
Percut ablate liver rf
|
$8,169.20 |
$8,169.20 |
$50,483.69 |
$6,904.15
|
|
Percutaneous islet celltrans
|
$1,870.88 |
$1,870.88 |
$1,870.88 |
$1,729.73
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$939.94 |
$939.94 |
$2,415.84 |
$332.84
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,227.59 |
$3,227.59 |
$3,227.59 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$3,161.89 |
$3,161.89 |
$12,319.12 |
$2,418.99
|
|
Pericardiotomy/clot/for bod remove 33020
|
$1,432.75 |
$1,432.75 |
$1,432.75 |
$1,797.00
|
|
Perineoplasty rpr per nonob
|
$3,285.49 |
$3,285.49 |
$3,285.49 |
$3,720.50
|
|
Peripheral vascular rehab
|
$142.11 |
$142.11 |
$142.11 |
$132.50
|
