|
Nushield 1 square cm
|
$5,581.10 |
$5,581.10 |
$5,581.10 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$10,345.42 |
$10,345.42 |
$10,345.42 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$302.69 |
$302.69 |
$302.69 |
$384.00
|
|
Observation per hour
|
$93.99 |
$93.99 |
$93.99 |
$81.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$398.04 |
$398.04 |
$398.04 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$202.61 |
$202.61 |
$202.61 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$59,737.66 |
$59,737.66 |
$59,737.66 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$188.26 |
$188.26 |
$188.26 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$11,797.07 |
$11,797.07 |
$11,797.07 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$8,649.06 |
$8,649.06 |
$8,649.06 |
$2,224.00
|
|
Office emergency care
|
$24.88 |
$24.88 |
$24.88 |
$50.40
|
|
Olanzapine 10 mg intramuscular solution
|
$83.10 |
$83.10 |
$83.10 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,104.59 |
$6,104.59 |
$6,104.59 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$10.96 |
$10.96 |
$10.96 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$986.28 |
$986.28 |
$986.28 |
$22.62
|
|
One way chest drain valve
|
$205.69 |
$205.69 |
$205.69 |
$149.20
|
|
Ophthalmic mitomycin
|
$379.52 |
$379.52 |
$379.52 |
$775.44
|
|
Organic acids total quant ea spec
|
$221.91 |
$221.91 |
$221.91 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$11,089.64 |
$11,089.64 |
$11,089.64 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$1,692.66 |
$1,692.66 |
$1,692.66 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.64 |
$40.64 |
$40.64 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$24.96 |
$24.96 |
$24.96 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$531.64 |
$531.64 |
$531.64 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$306.53 |
$306.53 |
$306.53 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$112.30 |
$112.30 |
$112.30 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$133.20 |
$133.20 |
$133.20 |
$310.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$215.48 |
$215.48 |
$215.48 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$259.11 |
$259.11 |
$259.11 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$124.68 |
$124.68 |
$124.68 |
$195.00
|
|
Osmolality blood
|
$57.60 |
$57.60 |
$57.60 |
$67.60
|
|
Osmolality urine
|
$44.78 |
$44.78 |
$44.78 |
$65.00
|
|
Other immunoelectrophoresis
|
$119.92 |
$119.92 |
$119.92 |
$107.52
|
|
Oth resp proc, group
|
$67.70 |
$67.70 |
$67.70 |
$123.05
|
|
Oth resp proc, indiv
|
$57.86 |
$57.86 |
$57.86 |
$82.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$28.66 |
$28.66 |
$28.66 |
$105.00
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1,260.56 |
$1,260.56 |
$1,260.56 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$6,703.01 |
$6,703.01 |
$6,703.01 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$119.37 |
$119.37 |
$119.37 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$60,200.57 |
$60,200.57 |
$60,200.57 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$143.51 |
$143.51 |
$143.51 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,640.31 |
$7,640.31 |
$7,640.31 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,556.79 |
$6,556.79 |
$6,556.79 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$109,690.89 |
$109,690.89 |
$109,690.89 |
$5,569.20
|
|
Palonosetron hcl
|
$673.52 |
$673.52 |
$673.52 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$2,490.48 |
$2,490.48 |
$2,490.48 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,915.86 |
$12,915.86 |
$12,915.86 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$180.50 |
$180.50 |
$180.50 |
$29.31
|
|
Papaverin hcl injection
|
$82.69 |
$82.69 |
$82.69 |
$77.05
|
|
Parathormone (pth) intact
|
$264.30 |
$264.30 |
$264.30 |
$204.87
|
|
Parathyroid planar imaging
|
$1,020.58 |
$1,020.58 |
$1,020.58 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,491.06 |
$2,491.06 |
$2,491.06 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$129.62 |
$129.62 |
$129.62 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$1,257.88 |
$1,257.88 |
$1,257.88 |
$3,762.53
|
|
Partial removal finger bone
|
$2,670.64 |
$2,670.64 |
$2,670.64 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,350.33 |
$5,350.33 |
$5,350.33 |
$4,921.76
|
|
Passy muir valve metal trach
|
$290.65 |
$290.65 |
$290.65 |
$275.75
|
|
Pca3/klk3 antigen
|
$273.66 |
$273.66 |
$273.66 |
$510.40
|
|
Pdgfra gene
|
$322.08 |
$322.08 |
$322.08 |
$717.23
|
|
Pegaspargase injection
|
$55,000.09 |
$55,000.09 |
$55,000.09 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,865.63 |
$11,865.63 |
$11,865.63 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$7,209.34 |
$7,209.34 |
$7,209.34 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,785.58 |
$8,785.58 |
$8,785.58 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$9,205.15 |
$9,205.15 |
$9,205.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,035.23 |
$8,035.23 |
$8,035.23 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,865.85 |
$5,865.85 |
$5,865.85 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$34,114.35 |
$34,114.35 |
$34,114.35 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,135.76 |
$2,135.76 |
$2,135.76 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,002.28 |
$2,002.28 |
$2,002.28 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,601.82 |
$1,601.82 |
$1,601.82 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,286.01 |
$3,286.01 |
$3,286.01 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,971.61 |
$1,971.61 |
$1,971.61 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,807.31 |
$1,807.31 |
$1,807.31 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$565.84 |
$565.84 |
$565.84 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$405.52 |
$405.52 |
$405.52 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$17,360.27 |
$17,360.27 |
$17,360.27 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,555.62 |
$12,555.62 |
$12,555.62 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$423.34 |
$423.34 |
$423.34 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$528.81 |
$528.81 |
$528.81 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$341.71 |
$341.71 |
$341.71 |
$101.34
|
|
Penicillin g procaine inj
|
$605.53 |
$605.53 |
$605.53 |
$147.96
|
|
Penile injection
|
$184.40 |
$184.40 |
$184.40 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$25,063.00 |
$25,063.00 |
$25,063.00 |
$18,764.94
|
|
Penile vascular study
|
$381.92 |
$381.92 |
$381.92 |
$576.40
|
|
Penile vascular study
|
$244.03 |
$244.03 |
$244.03 |
$574.60
|
|
Pentobarbital sodium inj
|
$3,415.25 |
$3,415.25 |
$3,415.25 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$3,143.98 |
$3,143.98 |
$3,143.98 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$5,486.28 |
$5,486.28 |
$5,486.28 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$9,063.00 |
$9,063.00 |
$9,063.00 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$11,544.54 |
$11,544.54 |
$11,544.54 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$8,091.97 |
$8,091.97 |
$8,091.97 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$10,789.29 |
$10,789.29 |
$10,789.29 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$9,063.00 |
$9,063.00 |
$9,063.00 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$11,544.54 |
$11,544.54 |
$11,544.54 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$8,091.97 |
$8,091.97 |
$8,091.97 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$10,789.29 |
$10,789.29 |
$10,789.29 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,852.87 |
$2,852.87 |
$2,852.87 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,129.60 |
$4,129.60 |
$4,129.60 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$213.70 |
$213.70 |
$213.70 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,747.78 |
$2,747.78 |
$2,747.78 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$964.14 |
$964.14 |
$964.14 |
$2,251.20
|