|
Ondansetron 8 mg disintegrating tablet
|
$9.00 |
$9.00 |
$9.00 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$24.00 |
$24.00 |
$24.00 |
$22.62
|
|
Ophthalmic biometry
|
$202.50 |
$202.50 |
$202.50 |
$182.95
|
|
Opn impltj crnl nrv nea&pg
|
$62,928.50 |
$62,928.50 |
$62,928.50 |
$35,498.40
|
|
Optx clavicular fx w/int fix
|
$68,891.17 |
$68,891.17 |
$68,891.17 |
$9,013.88
|
|
Optx mndblr/max alv ridge fx
|
$3,416.00 |
$3,416.00 |
$3,416.00 |
$7,000.36
|
|
Optx palatal/max fracture
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$6,311.00
|
|
Oral aprepitant
|
$1,467.12 |
$1,467.12 |
$1,467.12 |
$410.20
|
|
Organic acids total quant ea spec
|
$67.00 |
$67.00 |
$67.00 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$2,218.86
|
|
Ortho dvc repair per 15 min
|
$971.33 |
$971.33 |
$971.33 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$138.69 |
$138.69 |
$1,022.92 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$634.46 |
$634.46 |
$2,413.21 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$613.76 |
$613.76 |
$4,542.26 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$348.80 |
$348.80 |
$577.20 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$129.90 |
$129.90 |
$959.36 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$154.74 |
$154.74 |
$1,137.88 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$54.34 |
$54.34 |
$374.07 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$129.90 |
$129.90 |
$959.36 |
$231.00
|
|
Orthopantogram
|
$375.50 |
$375.50 |
$375.50 |
$241.50
|
|
Orthopedic shoe add rub insl
|
$113.80 |
$113.80 |
$113.80 |
$70.40
|
|
Ortho shoe add half sole
|
$18.63 |
$18.63 |
$18.63 |
$36.40
|
|
Ortho shoe add leather insol
|
$113.80 |
$113.80 |
$113.80 |
$63.22
|
|
Ortho shoe add march bar
|
$163.27 |
$163.27 |
$163.27 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$309.98 |
$309.98 |
$2,149.87 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$179.58 |
$179.58 |
$1,261.86 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$474.55 |
$474.55 |
$3,512.92 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$107.40 |
$107.40 |
$107.40 |
$195.00
|
|
O shoe add horseshoe toe tap
|
$89.02 |
$89.02 |
$89.02 |
$49.45
|
|
O shoe add instep extension
|
$331.76 |
$331.76 |
$331.76 |
$201.67
|
|
O shoe add instep velcro clo
|
$252.46 |
$252.46 |
$252.46 |
$140.22
|
|
O shoe add standard toe tap
|
$34.79 |
$34.79 |
$34.79 |
$19.38
|
|
O shoe convert to sof counte
|
$207.95 |
$207.95 |
$207.95 |
$115.53
|
|
Osmolality blood
|
$74.40 |
$74.40 |
$193.50 |
$67.60
|
|
Osmolality urine
|
$76.80 |
$76.80 |
$193.50 |
$65.00
|
|
Osteopath manip tx/5-6 body region 98927
|
$56.00 |
$56.00 |
$56.00 |
$68.25
|
|
Ot evaluation high complexity patient/family
|
$289.50 |
$289.50 |
$364.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$216.00 |
$216.00 |
$364.80 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$263.50 |
$263.50 |
$364.80 |
$263.50
|
|
Oth resp proc, group
|
$58.00 |
$58.00 |
$58.00 |
$123.05
|
|
Oth resp proc, indiv
|
$58.00 |
$58.00 |
$58.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$131.00 |
$131.00 |
$131.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$102.50 |
$102.50 |
$104.40 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$88.00 |
$88.00 |
$100.80 |
$105.00
|
|
Ot re-evaluation patient/family
|
$136.20 |
$136.20 |
$136.50 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$102.50 |
$102.50 |
$175.20 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$92.50 |
$92.50 |
$172.20 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$109.00 |
$109.00 |
$111.60 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$89.00 |
$89.00 |
$95.40 |
$94.25
|
|
Outrigger
|
$203.68 |
$203.68 |
$203.68 |
$123.81
|
|
Outrigger bil with vert extens
|
$681.79 |
$681.79 |
$681.79 |
$378.67
|
|
Oxaliplatin 5 mg/ml desensitization
|
$377.28 |
$377.28 |
$377.28 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$102.72 |
$102.72 |
$102.72 |
$50.40
|
|
Pabpn1 gene detc abnor allel
|
$655.50 |
$655.50 |
$655.50 |
$225.42
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$107,709.15 |
$107,709.15 |
$107,709.15 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$280.21 |
$280.21 |
$280.21 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,209.64 |
$6,209.64 |
$6,209.64 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$21.22 |
$21.22 |
$21.22 |
$192.01
|
|
Palingen or palingen xplus
|
$25,081.77 |
$25,081.77 |
$25,081.77 |
$656.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,692.06 |
$6,692.06 |
$6,692.06 |
$6,238.82
|
|
Palonosetron hcl
|
$187.50 |
$187.50 |
$187.50 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$240.62 |
$240.62 |
$240.62 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$28,479.14 |
$28,479.14 |
$28,479.14 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$32.10 |
$32.10 |
$32.10 |
$29.31
|
|
Parathormone (pth) intact
|
$250.80 |
$250.80 |
$253.50 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,811.00 |
$1,811.00 |
$1,811.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$1,350.60
|
|
Paricalcitol
|
$97.27 |
$97.27 |
$97.27 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$251.40 |
$251.40 |
$374.00 |
$245.00
|
|
Partial removal finger bone
|
$1,507.80 |
$1,507.80 |
$1,964.00 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$682.24 |
$682.24 |
$18,908.46 |
$4,921.76
|
|
Passy muir valve metal trach
|
$110.23 |
$110.23 |
$1,733.23 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$15.52 |
$15.52 |
$15.52 |
$5.73
|
|
Patten bottom
|
$1,245.71 |
$1,245.71 |
$1,245.71 |
$672.73
|
|
Pca3/klk3 antigen
|
$273.50 |
$273.50 |
$273.50 |
$510.40
|
|
Pdgfra gene
|
$472.00 |
$472.00 |
$472.00 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$11.38 |
$11.38 |
$89.02 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$24,067.46 |
$24,067.46 |
$24,067.46 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$14,718.76 |
$14,718.76 |
$14,718.76 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$15,656.25 |
$15,656.25 |
$15,656.25 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$16,125.94 |
$16,125.94 |
$16,125.94 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,828.13 |
$7,828.13 |
$7,828.13 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$9,375.01 |
$9,375.01 |
$9,375.01 |
$4,067.80
|
|
Pelv band/spread bar thigh c
|
$1,842.58 |
$1,842.58 |
$1,842.58 |
$802.87
|
|
Pelvic control band & belt b
|
$1,223.09 |
$1,223.09 |
$1,223.09 |
$566.16
|
|
Pelvic control band & belt u
|
$901.22 |
$901.22 |
$901.22 |
$500.58
|
|
Pelvic control hip heavy dut
|
$973.09 |
$973.09 |
$973.09 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,689.16 |
$1,689.16 |
$1,689.16 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$1,753.50 |
$1,753.50 |
$1,753.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,694.00 |
$1,694.00 |
$2,584.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,474.00 |
$1,474.00 |
$2,218.80 |
$1,363.11
|
|
Pelvic & hip control thigh c
|
$4,132.84 |
$4,132.84 |
$4,132.84 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$3,166.00 |
$3,166.00 |
$3,946.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,891.00 |
$2,891.00 |
$2,891.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,862.00 |
$1,862.00 |
$3,367.20 |
$1,902.00
|
|
Pelvic ring fracture uni/bil
|
$4,599.00 |
$4,599.00 |
$4,599.00 |
$4,599.00
|
|
Pelvic Ultrasound (complete)
|
$737.00 |
$737.00 |
$934.20 |
$643.80
|
