|
Nushield 1 square cm
|
$4,803.78 |
$4,803.78 |
$4,803.78 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$8,904.54 |
$8,904.54 |
$8,904.54 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$260.54 |
$260.54 |
$260.54 |
$384.00
|
|
Observation per hour
|
$80.90 |
$80.90 |
$80.90 |
$81.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$342.60 |
$342.60 |
$342.60 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$174.39 |
$174.39 |
$174.39 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$51,417.55 |
$51,417.55 |
$51,417.55 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$162.04 |
$162.04 |
$162.04 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$10,154.01 |
$10,154.01 |
$10,154.01 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$7,444.44 |
$7,444.44 |
$7,444.44 |
$2,224.00
|
|
Office emergency care
|
$21.42 |
$21.42 |
$21.42 |
$50.40
|
|
Olanzapine 10 mg intramuscular solution
|
$71.53 |
$71.53 |
$71.53 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$5,254.36 |
$5,254.36 |
$5,254.36 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$9.43 |
$9.43 |
$9.43 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$848.91 |
$848.91 |
$848.91 |
$22.62
|
|
One way chest drain valve
|
$177.04 |
$177.04 |
$177.04 |
$149.20
|
|
Ophthalmic mitomycin
|
$326.66 |
$326.66 |
$326.66 |
$775.44
|
|
Organic acids total quant ea spec
|
$191.01 |
$191.01 |
$191.01 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$9,545.10 |
$9,545.10 |
$9,545.10 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$1,456.91 |
$1,456.91 |
$1,456.91 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$34.98 |
$34.98 |
$34.98 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$21.49 |
$21.49 |
$21.49 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$457.60 |
$457.60 |
$457.60 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$263.84 |
$263.84 |
$263.84 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$96.66 |
$96.66 |
$96.66 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$114.64 |
$114.64 |
$114.64 |
$310.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$185.47 |
$185.47 |
$185.47 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$223.02 |
$223.02 |
$223.02 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$107.31 |
$107.31 |
$107.31 |
$195.00
|
|
Osmolality blood
|
$49.58 |
$49.58 |
$49.58 |
$67.60
|
|
Osmolality urine
|
$38.55 |
$38.55 |
$38.55 |
$65.00
|
|
Other immunoelectrophoresis
|
$103.21 |
$103.21 |
$103.21 |
$107.52
|
|
Oth resp proc, group
|
$58.27 |
$58.27 |
$58.27 |
$123.05
|
|
Oth resp proc, indiv
|
$49.81 |
$49.81 |
$49.81 |
$82.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$24.67 |
$24.67 |
$24.67 |
$105.00
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1,084.99 |
$1,084.99 |
$1,084.99 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$5,769.43 |
$5,769.43 |
$5,769.43 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$102.75 |
$102.75 |
$102.75 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$51,815.99 |
$51,815.99 |
$51,815.99 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$123.52 |
$123.52 |
$123.52 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,576.19 |
$6,576.19 |
$6,576.19 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,643.57 |
$5,643.57 |
$5,643.57 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$94,413.43 |
$94,413.43 |
$94,413.43 |
$5,569.20
|
|
Palonosetron hcl
|
$579.71 |
$579.71 |
$579.71 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$2,143.61 |
$2,143.61 |
$2,143.61 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$11,116.97 |
$11,116.97 |
$11,116.97 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$155.36 |
$155.36 |
$155.36 |
$29.31
|
|
Papaverin hcl injection
|
$71.18 |
$71.18 |
$71.18 |
$77.05
|
|
Parathormone (pth) intact
|
$227.49 |
$227.49 |
$227.49 |
$204.87
|
|
Parathyroid planar imaging
|
$878.44 |
$878.44 |
$878.44 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,144.11 |
$2,144.11 |
$2,144.11 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$111.57 |
$111.57 |
$111.57 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$1,082.68 |
$1,082.68 |
$1,082.68 |
$3,762.53
|
|
Partial removal finger bone
|
$2,298.68 |
$2,298.68 |
$2,298.68 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,605.15 |
$4,605.15 |
$4,605.15 |
$4,921.76
|
|
Passy muir valve metal trach
|
$250.17 |
$250.17 |
$250.17 |
$275.75
|
|
Pca3/klk3 antigen
|
$235.55 |
$235.55 |
$235.55 |
$510.40
|
|
Pdgfra gene
|
$277.22 |
$277.22 |
$277.22 |
$717.23
|
|
Pegaspargase injection
|
$47,339.82 |
$47,339.82 |
$47,339.82 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,213.01 |
$10,213.01 |
$10,213.01 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$6,205.25 |
$6,205.25 |
$6,205.25 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,561.95 |
$7,561.95 |
$7,561.95 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$7,923.08 |
$7,923.08 |
$7,923.08 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,916.10 |
$6,916.10 |
$6,916.10 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,048.87 |
$5,048.87 |
$5,048.87 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$29,362.99 |
$29,362.99 |
$29,362.99 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,838.30 |
$1,838.30 |
$1,838.30 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,723.41 |
$1,723.41 |
$1,723.41 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,378.73 |
$1,378.73 |
$1,378.73 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,828.34 |
$2,828.34 |
$2,828.34 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,697.01 |
$1,697.01 |
$1,697.01 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,555.59 |
$1,555.59 |
$1,555.59 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$487.04 |
$487.04 |
$487.04 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$349.04 |
$349.04 |
$349.04 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,942.37 |
$14,942.37 |
$14,942.37 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,806.91 |
$10,806.91 |
$10,806.91 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$364.38 |
$364.38 |
$364.38 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$455.16 |
$455.16 |
$455.16 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$294.12 |
$294.12 |
$294.12 |
$101.34
|
|
Penicillin g procaine inj
|
$521.19 |
$521.19 |
$521.19 |
$147.96
|
|
Penile injection
|
$158.72 |
$158.72 |
$158.72 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$21,572.29 |
$21,572.29 |
$21,572.29 |
$18,764.94
|
|
Penile vascular study
|
$328.73 |
$328.73 |
$328.73 |
$576.40
|
|
Penile vascular study
|
$210.05 |
$210.05 |
$210.05 |
$574.60
|
|
Pentobarbital sodium inj
|
$2,939.59 |
$2,939.59 |
$2,939.59 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$2,706.09 |
$2,706.09 |
$2,706.09 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$4,722.17 |
$4,722.17 |
$4,722.17 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$7,800.73 |
$7,800.73 |
$7,800.73 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$9,936.64 |
$9,936.64 |
$9,936.64 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$6,964.94 |
$6,964.94 |
$6,964.94 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$9,286.58 |
$9,286.58 |
$9,286.58 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$7,800.73 |
$7,800.73 |
$7,800.73 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$9,936.64 |
$9,936.64 |
$9,936.64 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$6,964.94 |
$6,964.94 |
$6,964.94 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$9,286.58 |
$9,286.58 |
$9,286.58 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,455.53 |
$2,455.53 |
$2,455.53 |
$7,243.60
|
|
Percut ablate liver rf
|
$3,554.44 |
$3,554.44 |
$3,554.44 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$183.94 |
$183.94 |
$183.94 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,365.08 |
$2,365.08 |
$2,365.08 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$829.86 |
$829.86 |
$829.86 |
$2,251.20
|