|
Nm imaging gastric emptying study
|
$496.20 |
$496.20 |
$496.20 |
$1,340.15
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,567.70 |
$2,567.70 |
$2,567.70 |
$1,612.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,477.70 |
$2,477.70 |
$2,477.70 |
$1,590.00
|
|
Non-corrosive finish
|
$151.92 |
$151.92 |
$151.92 |
$126.65
|
|
Novachor 1 sq cm
|
$6,656.25 |
$6,656.25 |
$6,656.25 |
$796.00
|
|
Ntrk translocation analysis
|
$857.10 |
$857.10 |
$857.10 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$3,625.80 |
$3,625.80 |
$3,625.80 |
$3,804.45
|
|
Nushield 1 square cm
|
$3,961.80 |
$3,961.80 |
$3,961.80 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$4,050.13 |
$4,050.13 |
$4,050.13 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$351.30 |
$351.30 |
$351.30 |
$384.00
|
|
Observation per hour
|
$222.00 |
$222.00 |
$222.00 |
$81.22
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Offset knee joint each
|
$245.72 |
$245.72 |
$245.72 |
$221.31
|
|
Offset knee joint heavy duty
|
$351.18 |
$351.18 |
$351.18 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$2,662.50 |
$2,662.50 |
$2,662.50 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$381.47 |
$381.47 |
$381.47 |
$109.58
|
|
Oncoprotein dcp
|
$96.60 |
$96.60 |
$96.60 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$19.55 |
$19.55 |
$19.55 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$22.62
|
|
Ortho dvc repair per 15 min
|
$599.06 |
$599.06 |
$599.06 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$630.88 |
$630.88 |
$630.88 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,488.34 |
$1,488.34 |
$1,488.34 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,801.43 |
$2,801.43 |
$2,801.43 |
$1,288.00
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$591.69 |
$591.69 |
$591.69 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$701.78 |
$701.78 |
$701.78 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$230.71 |
$230.71 |
$230.71 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$591.69 |
$591.69 |
$591.69 |
$231.00
|
|
Orthopedic shoe add rub insl
|
$70.18 |
$70.18 |
$70.18 |
$70.40
|
|
Ortho shoe add leather insol
|
$70.18 |
$70.18 |
$70.18 |
$63.22
|
|
Ortho shoe add march bar
|
$100.69 |
$100.69 |
$100.69 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$1,325.92 |
$1,325.92 |
$1,325.92 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$778.25 |
$778.25 |
$778.25 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,166.58 |
$2,166.58 |
$2,166.58 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$66.90 |
$66.90 |
$66.90 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$54.90 |
$54.90 |
$54.90 |
$49.45
|
|
O shoe add instep extension
|
$204.61 |
$204.61 |
$204.61 |
$201.67
|
|
O shoe add instep velcro clo
|
$155.70 |
$155.70 |
$155.70 |
$140.22
|
|
O shoe add standard toe tap
|
$21.46 |
$21.46 |
$21.46 |
$19.38
|
|
O shoe convert to sof counte
|
$128.25 |
$128.25 |
$128.25 |
$115.53
|
|
Osmolality blood
|
$205.50 |
$205.50 |
$205.50 |
$67.60
|
|
Osmolality urine
|
$205.50 |
$205.50 |
$205.50 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$443.70 |
$443.70 |
$443.70 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$443.70 |
$443.70 |
$443.70 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$443.70 |
$443.70 |
$443.70 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$48.00 |
$48.00 |
$48.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$53.70 |
$53.70 |
$53.70 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$190.50 |
$190.50 |
$190.50 |
$105.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$190.50 |
$190.50 |
$190.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$55.80 |
$55.80 |
$55.80 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$190.50 |
$190.50 |
$190.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$172.20 |
$172.20 |
$172.20 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$172.20 |
$172.20 |
$172.20 |
$94.25
|
|
Outrigger
|
$125.62 |
$125.62 |
$125.62 |
$123.81
|
|
Outrigger bil with vert extens
|
$420.49 |
$420.49 |
$420.49 |
$378.67
|
|
Oxytocin 10 unit/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$66,429.37 |
$66,429.37 |
$66,429.37 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$896.94 |
$896.94 |
$896.94 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,110.27 |
$7,110.27 |
$7,110.27 |
$3,435.42
|
|
Palingen or palingen xplus
|
$15,469.12 |
$15,469.12 |
$15,469.12 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$0.01 |
$0.01 |
$0.01 |
$6,238.82
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$32,609.70 |
$32,609.70 |
$32,609.70 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$66.46 |
$66.46 |
$66.46 |
$29.31
|
|
Parathormone (pth) intact
|
$964.50 |
$964.50 |
$964.50 |
$204.87
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$75.30 |
$75.30 |
$75.30 |
$245.00
|
|
Partial removal finger bone
|
$597.90 |
$597.90 |
$597.90 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$11,661.75 |
$11,661.75 |
$11,661.75 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,068.97 |
$1,068.97 |
$1,068.97 |
$275.75
|
|
Patten bottom
|
$768.29 |
$768.29 |
$768.29 |
$672.73
|
|
Pdgfra gene
|
$545.10 |
$545.10 |
$545.10 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$54.90 |
$54.90 |
$54.90 |
$49.45
|
|
Pelv band/spread bar thigh c
|
$1,136.41 |
$1,136.41 |
$1,136.41 |
$802.87
|
|
Pelvic control band & belt b
|
$754.34 |
$754.34 |
$754.34 |
$566.16
|
|
Pelvic control band & belt u
|
$555.82 |
$555.82 |
$555.82 |
$500.58
|
|
Pelvic control hip heavy dut
|
$600.15 |
$600.15 |
$600.15 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,041.78 |
$1,041.78 |
$1,041.78 |
$912.18
|
|
Pelvic CT scan (with contrast)
|
$2,722.80 |
$2,722.80 |
$2,722.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,336.70 |
$2,336.70 |
$2,336.70 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$2,548.92 |
$2,548.92 |
$2,548.92 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$5,499.90 |
$5,499.90 |
$5,499.90 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$797.70 |
$797.70 |
$797.70 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,334.40 |
$1,334.40 |
$1,334.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$886.50 |
$886.50 |
$886.50 |
$430.00
|
|
Pelv & thor control gluteal
|
$332.20 |
$332.20 |
$332.20 |
$299.21
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$27,070.56 |
$27,070.56 |
$27,070.56 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$18,193.50 |
$18,193.50 |
$18,193.50 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,994.62 |
$2,994.62 |
$2,994.62 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$57.22 |
$57.22 |
$57.22 |
$101.34
|
|
Penile rear tip xtnd 0.5cm
|
$31,578.00 |
$31,578.00 |
$31,578.00 |
$18,764.94
|
|
Pericardiocentesis wwo imaging
|
$620.10 |
$620.10 |
$620.10 |
$2,251.20
|
|
Peripheral vascular rehab
|
$72.00 |
$72.00 |
$72.00 |
$132.50
|
|
Permanent tear duct plug
|
$306.19 |
$306.19 |
$306.19 |
$291.00
|
|
Peroneal straps pair pre ots
|
$41.03 |
$41.03 |
$41.03 |
$36.90
|
|
Pertuzu, trastuzu, 10 mg
|
$62,624.41 |
$62,624.41 |
$62,624.41 |
$27,833.07
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$255.73 |
$255.73 |
$255.73 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$83,569.22 |
$83,569.22 |
$83,569.22 |
$38,834.22
|
|
Ph body fluid
|
$19.80 |
$19.80 |
$19.80 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$358.15 |
$358.15 |
$358.15 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$390.30 |
$390.30 |
$390.30 |
$104.50
|
|
Phentolaine mesylate inj
|
$6,658.56 |
$6,658.56 |
$6,658.56 |
$1,028.40
|