|
Nras gene variants exon 2&3
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$592.00
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$22,745.62 |
$22,745.62 |
$22,745.62 |
$7,668.85
|
|
Nsl/sins ndsc surg max sins
|
$21,437.32 |
$21,437.32 |
$21,437.32 |
$5,695.20
|
|
Nsl/sins ndsc tot w/sphendt
|
$44,942.98 |
$44,942.98 |
$44,942.98 |
$7,227.00
|
|
Ntrk translocation analysis
|
$1,714.20 |
$1,714.20 |
$1,714.20 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$3,801.60 |
$3,801.60 |
$3,801.60 |
$3,804.45
|
|
Nushield 1 square cm
|
$6,892.42 |
$6,892.42 |
$6,892.42 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$3,726.12 |
$3,726.12 |
$3,726.12 |
$14,865.31
|
|
Observation per hour
|
$15.00 |
$15.00 |
$15.00 |
$81.22
|
|
Obstetrics panel
|
$231.60 |
$231.60 |
$231.60 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$61,922.88 |
$61,922.88 |
$61,922.88 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$28,618.00 |
$28,618.00 |
$28,618.00 |
$12,080.43
|
|
Offset knee joint each
|
$427.49 |
$427.49 |
$427.49 |
$221.31
|
|
Offset knee joint heavy duty
|
$610.96 |
$610.96 |
$610.96 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$238.04 |
$238.04 |
$238.04 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$13,696.72 |
$13,696.72 |
$13,696.72 |
$4,595.01
|
|
Onco (ovar) two proteins
|
$525.60 |
$525.60 |
$525.60 |
$341.54
|
|
Oncoprotein dcp
|
$193.20 |
$193.20 |
$193.20 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$10.20 |
$10.20 |
$10.20 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$22.62
|
|
Open periprosthetic breast capsule 19370
|
$39,629.94 |
$39,629.94 |
$39,629.94 |
$4,520.16
|
|
Opn impltj nea sacral nerve
|
$69,567.88 |
$69,567.88 |
$69,567.88 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$147,555.54 |
$147,555.54 |
$147,555.54 |
$36,076.18
|
|
Optx clavicular fx w/int fix
|
$39,196.58 |
$39,196.58 |
$39,196.58 |
$9,013.88
|
|
Optx crpl fx oth/thn scph ea
|
$13,508.71 |
$13,508.71 |
$13,508.71 |
$3,953.60
|
|
Optx medial ankle fx
|
$196,840.33 |
$196,840.33 |
$196,840.33 |
$7,807.24
|
|
Optx prox humrl fx w/int fix
|
$32,888.97 |
$32,888.97 |
$32,888.97 |
$13,938.00
|
|
Oral aprepitant
|
$580.46 |
$580.46 |
$580.46 |
$410.20
|
|
Organic acids total quant ea spec
|
$136.20 |
$136.20 |
$136.20 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$5,397.77 |
$5,397.77 |
$5,397.77 |
$3,082.73
|
|
Ortho dvc repair per 15 min
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$1,097.55 |
$1,097.55 |
$1,097.55 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$2,589.29 |
$2,589.29 |
$2,589.29 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$4,873.70 |
$4,873.70 |
$4,873.70 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$577.20 |
$577.20 |
$577.20 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$1,029.37 |
$1,029.37 |
$1,029.37 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,220.90 |
$1,220.90 |
$1,220.90 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$401.36 |
$401.36 |
$401.36 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$1,029.37 |
$1,029.37 |
$1,029.37 |
$231.00
|
|
Orthopedic shoe add rub insl
|
$122.10 |
$122.10 |
$122.10 |
$70.40
|
|
Ortho shoe add leather insol
|
$122.10 |
$122.10 |
$122.10 |
$63.22
|
|
Ortho shoe add march bar
|
$175.18 |
$175.18 |
$175.18 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$2,306.74 |
$2,306.74 |
$2,306.74 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,353.94 |
$1,353.94 |
$1,353.94 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$3,769.24 |
$3,769.24 |
$3,769.24 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$107.40 |
$107.40 |
$107.40 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$95.51 |
$95.51 |
$95.51 |
$49.45
|
|
O shoe add instep extension
|
$355.97 |
$355.97 |
$355.97 |
$201.67
|
|
O shoe add instep velcro clo
|
$270.88 |
$270.88 |
$270.88 |
$140.22
|
|
O shoe add standard toe tap
|
$37.33 |
$37.33 |
$37.33 |
$19.38
|
|
O shoe convert to sof counte
|
$223.12 |
$223.12 |
$223.12 |
$115.53
|
|
Osmolality blood
|
$74.40 |
$74.40 |
$74.40 |
$67.60
|
|
Osmolality urine
|
$76.80 |
$76.80 |
$76.80 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$280.80 |
$280.80 |
$280.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$364.80 |
$364.80 |
$364.80 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$364.80 |
$364.80 |
$364.80 |
$263.50
|
|
Oth resp proc, group
|
$104.40 |
$104.40 |
$104.40 |
$123.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$109.20 |
$109.20 |
$109.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$153.00 |
$153.00 |
$153.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$41,608.30 |
$41,608.30 |
$41,608.30 |
$105.00
|
|
Ot re-evaluation patient/family
|
$136.20 |
$136.20 |
$136.20 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$175.20 |
$175.20 |
$175.20 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$148.20 |
$148.20 |
$148.20 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.20 |
$91.20 |
$91.20 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$172.20 |
$172.20 |
$172.20 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$121.80 |
$121.80 |
$121.80 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$118.80 |
$118.80 |
$118.80 |
$94.25
|
|
Outrigger
|
$218.54 |
$218.54 |
$218.54 |
$123.81
|
|
Outrigger bil with vert extens
|
$731.53 |
$731.53 |
$731.53 |
$378.67
|
|
Oxytocin 10 unit/ml injection solution
|
$143.40 |
$143.40 |
$143.40 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$115,568.40 |
$115,568.40 |
$115,568.40 |
$47,880.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,541.45 |
$6,541.45 |
$6,541.45 |
$3,435.42
|
|
Palingen or palingen xplus
|
$26,911.92 |
$26,911.92 |
$26,911.92 |
$656.01
|
|
Palonosetron hcl
|
$232.50 |
$232.50 |
$232.50 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$231.38 |
$231.38 |
$231.38 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$30,000.92 |
$30,000.92 |
$30,000.92 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$36.43 |
$36.43 |
$36.43 |
$29.31
|
|
Papaverin hcl injection
|
$148.46 |
$148.46 |
$148.46 |
$77.05
|
|
Parathormone (pth) intact
|
$250.80 |
$250.80 |
$250.80 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$817.20 |
$817.20 |
$817.20 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$817.20 |
$817.20 |
$817.20 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$28,287.93 |
$28,287.93 |
$28,287.93 |
$5,509.55
|
|
Paricalcitol
|
$108.63 |
$108.63 |
$108.63 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$251.40 |
$251.40 |
$251.40 |
$245.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$121,676.02 |
$121,676.02 |
$121,676.02 |
$4,914.00
|
|
Partial removal finger bone
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,049.27
|
|
Partial removal of fibula
|
$40,979.63 |
$40,979.63 |
$40,979.63 |
$3,786.00
|
|
Partial removal of foot bone
|
$42,294.40 |
$42,294.40 |
$42,294.40 |
$3,839.54
|
|
Partial removal of thyroid
|
$32,716.37 |
$32,716.37 |
$32,716.37 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$20,288.16 |
$20,288.16 |
$20,288.16 |
$4,921.76
|
|
Part removal of metatarsal
|
$55,106.71 |
$55,106.71 |
$55,106.71 |
$3,795.71
|
|
Part removal of metatarsal 28112
|
$15,135.27 |
$15,135.27 |
$15,135.27 |
$3,839.54
|
|
Passy muir valve metal trach
|
$1,859.70 |
$1,859.70 |
$1,859.70 |
$275.75
|
|
Patten bottom
|
$1,336.61 |
$1,336.61 |
$1,336.61 |
$672.73
|
|
Pca3/klk3 antigen
|
$546.00 |
$546.00 |
$546.00 |
$510.40
|
|
Pdgfra gene
|
$1,090.20 |
$1,090.20 |
$1,090.20 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$95.51 |
$95.51 |
$95.51 |
$49.45
|
