|
Opn mpltj hpglsl nstm ary pg
|
$36,076.18 |
$36,076.18 |
$36,076.18 |
$36,076.18
|
|
Optx tmprmand dislocation
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$4,179.20
|
|
Oral aprepitant
|
$286.55 |
$286.55 |
$410.20 |
$410.20
|
|
Oral busulfan
|
$29.52 |
$29.52 |
$29.52 |
$176.80
|
|
Oral everolimus
|
$25.34 |
$720.08 |
$720.08 |
$30.30
|
|
Organic acids total quant ea spec
|
$231.47 |
$295.20 |
$295.20 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$2,298.41 |
$2,298.41 |
$2,298.41 |
$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 w/lock w/ft&adj
|
$169.72 |
$169.72 |
$348.29 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$881.50 |
$1,097.19 |
$1,097.19 |
$702.80
|
|
Ortho hnd without jnt w/fit&adj
|
$225.00 |
$225.00 |
$225.00 |
$229.45
|
|
Orthopantogram
|
$219.22 |
$285.15 |
$285.15 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$678.20 |
$873.43 |
$873.43 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$420.76 |
$609.50 |
$609.50 |
$421.00
|
|
Oscillation chest wall mechanical per session
|
$155.55 |
$155.55 |
$333.90 |
$196.30
|
|
Osmolality blood
|
$91.31 |
$188.70 |
$188.70 |
$70.85
|
|
Osmolality urine
|
$88.31 |
$188.70 |
$188.70 |
$65.52
|
|
Osteochondral talus autogrft
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$7,807.24
|
|
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
|
$79.95 |
$79.95 |
$173.23 |
$126.00
|
|
Oth resp proc, indiv
|
$76.80 |
$76.80 |
$119.59 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$124.35 |
$124.35 |
$134.70 |
$97.80
|
|
Ot re-evaluation patient/family
|
$227.06 |
$227.06 |
$508.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$115.19 |
$115.19 |
$123.90 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.69 |
$114.69 |
$123.90 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.52 |
$76.52 |
$76.52 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$289.20 |
$432.00 |
$432.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$50.40 |
$94.05 |
$94.05 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$48,945.60 |
$48,945.60 |
$48,945.60 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$216.00 |
$216.00 |
$222.51 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,874.11 |
$2,874.11 |
$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 |
$6,191.26 |
$5,580.28
|
|
Palonosetron hcl
|
$432.00 |
$432.00 |
$540.00 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$50.47 |
$202.09 |
$202.09 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,452.74 |
$13,051.61 |
$13,051.61 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.27 |
$18.27 |
$18.27 |
$28.90
|
|
Papaverin hcl injection
|
$52.18 |
$52.18 |
$149.08 |
$78.75
|
|
Parathormone (pth) intact
|
$269.44 |
$273.30 |
$273.30 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,254.06 |
$2,254.06 |
$2,634.30 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,132.80 |
$1,132.80 |
$1,522.84 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,873.69 |
$1,873.69 |
$1,883.70 |
$1,374.75
|
|
Paricalcitol
|
$41.45 |
$41.45 |
$41.45 |
$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
|
$10.10 |
$6,448.80 |
$6,448.80 |
$4,921.76
|
|
Passy muir valve metal trach
|
$275.75 |
$275.75 |
$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 |
$201.80
|
|
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
|
$511.80 |
$511.80 |
$1,302.83 |
$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 |
$33,512.48 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,569.18 |
$12,707.63 |
$12,707.63 |
$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 |
$4,133.25 |
$4,133.25 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$56,690.57 |
$56,690.57 |
$56,690.57 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,047.67 |
$2,612.85 |
$2,612.85 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,199.47 |
$2,612.85 |
$2,612.85 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,621.86 |
$2,081.55 |
$2,081.55 |
$1,335.34
|
|
Pelvic & hip control thigh c
|
$1,902.39 |
$2,637.58 |
$2,637.58 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,482.70 |
$3,482.70 |
$3,742.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,745.15 |
$2,997.75 |
$2,997.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,721.60 |
$2,830.05 |
$2,830.05 |
$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 |
$861.45 |
$861.45 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$383.10 |
$383.10 |
$560.25 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$270.84 |
$371.85 |
$371.85 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$355.88 |
$404.40 |
$404.40 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,437.74 |
$11,003.90 |
$11,003.90 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,307.40 |
$8,005.14 |
$8,005.14 |
$7,089.13
|
|
Pemivibart infusion
|
$520.56 |
$520.56 |
$520.56 |
$533.10
|
|
Peng benzathine/procaine inj
|
$477.40 |
$477.40 |
$477.40 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$826.47 |
$1,124.96 |
$1,124.96 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$88.57 |
$88.57 |
$182.10 |
$97.85
|
|
Penicillin g procaine inj
|
$180.77 |
$180.77 |
$180.77 |
$149.20
|
|
Penile injection
|
$386.70 |
$386.70 |
$533.92 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$18,349.50 |
$18,349.50 |
$23,449.80 |
$18,764.94
|
|
Penile vascular study
|
$697.20 |
$697.20 |
$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 |
$453.61 |
$572.10
|
|
Pentobarbital sodium inj
|
$4,062.60 |
$4,655.07 |
$4,655.07 |
$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
|
$18,808.65 |
$18,808.65 |
$18,907.21 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$18,808.65 |
$18,808.65 |
$25,041.46 |
$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
|
$18,808.65 |
$18,808.65 |
$21,790.26 |
$16,047.20
|
