|
Nushield 1 square cm
|
$4,552.53 |
$4,552.53 |
$4,552.53 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$8,438.80 |
$8,438.80 |
$8,438.80 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$246.91 |
$246.91 |
$246.91 |
$384.00
|
|
Observation per hour
|
$76.67 |
$76.67 |
$76.67 |
$81.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$324.68 |
$324.68 |
$324.68 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$165.27 |
$165.27 |
$165.27 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$48,728.27 |
$48,728.27 |
$48,728.27 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$153.57 |
$153.57 |
$153.57 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,622.93 |
$9,622.93 |
$9,622.93 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$7,055.07 |
$7,055.07 |
$7,055.07 |
$2,224.00
|
|
Office emergency care
|
$20.30 |
$20.30 |
$20.30 |
$50.40
|
|
Olanzapine 10 mg intramuscular solution
|
$67.78 |
$67.78 |
$67.78 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,979.54 |
$4,979.54 |
$4,979.54 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$8.94 |
$8.94 |
$8.94 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$804.51 |
$804.51 |
$804.51 |
$22.62
|
|
One way chest drain valve
|
$167.78 |
$167.78 |
$167.78 |
$149.20
|
|
Ophthalmic mitomycin
|
$309.58 |
$309.58 |
$309.58 |
$775.44
|
|
Organic acids total quant ea spec
|
$181.02 |
$181.02 |
$181.02 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$9,045.87 |
$9,045.87 |
$9,045.87 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$1,380.71 |
$1,380.71 |
$1,380.71 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$33.15 |
$33.15 |
$33.15 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$20.36 |
$20.36 |
$20.36 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$433.66 |
$433.66 |
$433.66 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$250.04 |
$250.04 |
$250.04 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$91.61 |
$91.61 |
$91.61 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$108.65 |
$108.65 |
$108.65 |
$310.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$175.77 |
$175.77 |
$175.77 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$211.36 |
$211.36 |
$211.36 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$101.70 |
$101.70 |
$101.70 |
$195.00
|
|
Osmolality blood
|
$46.98 |
$46.98 |
$46.98 |
$67.60
|
|
Osmolality urine
|
$36.53 |
$36.53 |
$36.53 |
$65.00
|
|
Other immunoelectrophoresis
|
$97.82 |
$97.82 |
$97.82 |
$107.52
|
|
Oth resp proc, group
|
$55.23 |
$55.23 |
$55.23 |
$123.05
|
|
Oth resp proc, indiv
|
$47.20 |
$47.20 |
$47.20 |
$82.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$23.38 |
$23.38 |
$23.38 |
$105.00
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1,028.25 |
$1,028.25 |
$1,028.25 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$5,467.67 |
$5,467.67 |
$5,467.67 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$97.37 |
$97.37 |
$97.37 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$49,105.87 |
$49,105.87 |
$49,105.87 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$117.06 |
$117.06 |
$117.06 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$6,232.23 |
$6,232.23 |
$6,232.23 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,348.40 |
$5,348.40 |
$5,348.40 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$89,475.33 |
$89,475.33 |
$89,475.33 |
$5,569.20
|
|
Palonosetron hcl
|
$549.39 |
$549.39 |
$549.39 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$2,031.50 |
$2,031.50 |
$2,031.50 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$10,535.52 |
$10,535.52 |
$10,535.52 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$147.24 |
$147.24 |
$147.24 |
$29.31
|
|
Papaverin hcl injection
|
$67.45 |
$67.45 |
$67.45 |
$77.05
|
|
Parathormone (pth) intact
|
$215.59 |
$215.59 |
$215.59 |
$204.87
|
|
Parathyroid planar imaging
|
$832.50 |
$832.50 |
$832.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$2,031.97 |
$2,031.97 |
$2,031.97 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$105.73 |
$105.73 |
$105.73 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$1,026.06 |
$1,026.06 |
$1,026.06 |
$3,762.53
|
|
Partial removal finger bone
|
$2,178.46 |
$2,178.46 |
$2,178.46 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4,364.29 |
$4,364.29 |
$4,364.29 |
$4,921.76
|
|
Passy muir valve metal trach
|
$237.08 |
$237.08 |
$237.08 |
$275.75
|
|
Pca3/klk3 antigen
|
$223.23 |
$223.23 |
$223.23 |
$510.40
|
|
Pdgfra gene
|
$262.72 |
$262.72 |
$262.72 |
$717.23
|
|
Pegaspargase injection
|
$44,863.81 |
$44,863.81 |
$44,863.81 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,678.84 |
$9,678.84 |
$9,678.84 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,880.69 |
$5,880.69 |
$5,880.69 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,166.44 |
$7,166.44 |
$7,166.44 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$7,508.68 |
$7,508.68 |
$7,508.68 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,554.37 |
$6,554.37 |
$6,554.37 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,784.80 |
$4,784.80 |
$4,784.80 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$27,827.22 |
$27,827.22 |
$27,827.22 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,742.15 |
$1,742.15 |
$1,742.15 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,633.27 |
$1,633.27 |
$1,633.27 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,306.62 |
$1,306.62 |
$1,306.62 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,680.41 |
$2,680.41 |
$2,680.41 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,608.25 |
$1,608.25 |
$1,608.25 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,474.23 |
$1,474.23 |
$1,474.23 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$461.56 |
$461.56 |
$461.56 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$330.79 |
$330.79 |
$330.79 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$14,160.84 |
$14,160.84 |
$14,160.84 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$10,241.68 |
$10,241.68 |
$10,241.68 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$345.32 |
$345.32 |
$345.32 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$431.36 |
$431.36 |
$431.36 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$278.73 |
$278.73 |
$278.73 |
$101.34
|
|
Penicillin g procaine inj
|
$493.93 |
$493.93 |
$493.93 |
$147.96
|
|
Penile injection
|
$150.41 |
$150.41 |
$150.41 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$20,444.00 |
$20,444.00 |
$20,444.00 |
$18,764.94
|
|
Penile vascular study
|
$311.53 |
$311.53 |
$311.53 |
$576.40
|
|
Penile vascular study
|
$199.06 |
$199.06 |
$199.06 |
$574.60
|
|
Pentobarbital sodium inj
|
$2,785.84 |
$2,785.84 |
$2,785.84 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$2,564.56 |
$2,564.56 |
$2,564.56 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$4,475.19 |
$4,475.19 |
$4,475.19 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$7,392.73 |
$7,392.73 |
$7,392.73 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$9,416.93 |
$9,416.93 |
$9,416.93 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$6,600.65 |
$6,600.65 |
$6,600.65 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$8,800.87 |
$8,800.87 |
$8,800.87 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$7,392.73 |
$7,392.73 |
$7,392.73 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$9,416.93 |
$9,416.93 |
$9,416.93 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$6,600.65 |
$6,600.65 |
$6,600.65 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$8,800.87 |
$8,800.87 |
$8,800.87 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$2,327.10 |
$2,327.10 |
$2,327.10 |
$7,243.60
|
|
Percut ablate liver rf
|
$3,368.53 |
$3,368.53 |
$3,368.53 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$174.32 |
$174.32 |
$174.32 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$2,241.38 |
$2,241.38 |
$2,241.38 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$786.45 |
$786.45 |
$786.45 |
$2,251.20
|