|
Optx prox humrl fx w/int fix
|
$7,081.34 |
$7,081.34 |
$7,081.34 |
$13,938.00
|
|
Optx ulnar shft fx int fixj
|
$4,269.00 |
$4,269.00 |
$4,269.00 |
$8,453.60
|
|
Oral aprepitant
|
$64.62 |
$64.62 |
$64.62 |
$410.20
|
|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$279.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$92.00 |
$92.00 |
$92.00 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$24.81 |
$24.81 |
$24.81 |
$50.63
|
|
Ortho shoe add full sole
|
$121.00 |
$121.00 |
$121.00 |
$109.93
|
|
Orthosis lso rigd frm hyperex
|
$645.00 |
$645.00 |
$645.00 |
$816.00
|
|
Orthovisc inj per dose
|
$269.50 |
$269.50 |
$269.50 |
$537.58
|
|
Oscillation chest wall mechanical per session
|
$37.50 |
$37.50 |
$37.50 |
$195.00
|
|
Osmolality blood
|
$12.50 |
$12.50 |
$12.50 |
$67.60
|
|
Osmolality urine
|
$13.00 |
$13.00 |
$13.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$173.50 |
$173.50 |
$173.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$182.50 |
$182.50 |
$182.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$182.50 |
$182.50 |
$182.50 |
$263.50
|
|
Oth resp proc, group
|
$95.50 |
$95.50 |
$95.50 |
$123.05
|
|
Oth resp proc, indiv
|
$258.00 |
$258.00 |
$258.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$58.00 |
$58.00 |
$58.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$97.50 |
$97.50 |
$97.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$182.00 |
$182.00 |
$182.00 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$9.00 |
$9.00 |
$9.00 |
$60.45
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$162.00 |
$162.00 |
$162.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$18.00 |
$18.00 |
$18.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$18.00 |
$18.00 |
$18.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$364.00 |
$364.00 |
$364.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$82.00 |
$82.00 |
$82.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$62.50 |
$62.50 |
$62.50 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.00 |
$2.00 |
$2.00 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$66.74 |
$66.74 |
$66.74 |
$370.75
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$158.56 |
$158.56 |
$158.56 |
$216.00
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$33.00 |
$33.00 |
$33.00 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$5,569.20
|
|
Palonosetron hcl
|
$5.79 |
$5.79 |
$5.79 |
$170.48
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.45 |
$7.45 |
$7.45 |
$29.31
|
|
Parathormone (pth) intact
|
$215.00 |
$215.00 |
$215.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$1,129.91
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$408.00 |
$408.00 |
$408.00 |
$245.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$5,054.34 |
$5,054.34 |
$5,054.34 |
$4,914.00
|
|
Partial removal finger bone
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$2,049.27
|
|
Partial removal foot fascia
|
$6,378.00 |
$6,378.00 |
$6,378.00 |
$3,762.00
|
|
Partial removal of foot bone
|
$1,303.81 |
$1,303.81 |
$1,303.81 |
$3,839.54
|
|
Partial thyroid excision
|
$10,150.00 |
$10,150.00 |
$10,150.00 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,020.25 |
$3,020.25 |
$3,020.25 |
$4,921.76
|
|
Part removal of metatarsal
|
$5,777.00 |
$5,777.00 |
$5,777.00 |
$3,795.71
|
|
Part removal of metatarsal
|
$3,371.50 |
$3,371.50 |
$3,371.50 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$4,492.00 |
$4,492.00 |
$4,492.00 |
$3,839.54
|
|
Pca3/klk3 antigen
|
$330.00 |
$330.00 |
$330.00 |
$510.40
|
|
Pcv21 vaccine im
|
$222.50 |
$222.50 |
$222.50 |
$410.26
|
|
Pdgfra gene
|
$344.00 |
$344.00 |
$344.00 |
$717.23
|
|
Pdt dstr prmlg les phys/qhp
|
$225.50 |
$225.50 |
$225.50 |
$294.77
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,522.59 |
$9,522.59 |
$9,522.59 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,633.75 |
$3,633.75 |
$3,633.75 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,847.50 |
$3,847.50 |
$3,847.50 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$735.00 |
$735.00 |
$735.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,304.50 |
$2,304.50 |
$2,304.50 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,815.50 |
$1,815.50 |
$1,815.50 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$469.50 |
$469.50 |
$469.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$261.00 |
$261.00 |
$261.00 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$23,128.32 |
$23,128.32 |
$23,128.32 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$310.05 |
$310.05 |
$310.05 |
$7,089.13
|
|
Peng benzathine/procaine inj
|
$42.00 |
$42.00 |
$42.00 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,260.74 |
$1,260.74 |
$1,260.74 |
$826.47
|
|
Penile rear tip xtnd 0.5cm
|
$9,772.50 |
$9,772.50 |
$9,772.50 |
$18,764.94
|
|
Penis study
|
$429.50 |
$429.50 |
$429.50 |
$368.50
|
|
Perc drug-el cor stent sing
|
$7,110.50 |
$7,110.50 |
$7,110.50 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$255.38 |
$255.38 |
$255.38 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$4,086.00 |
$4,086.00 |
$4,086.00 |
$2,251.20
|
|
Perineoplasty rpr per nonob
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,522.35
|
|
Peri-proc device eval pm
|
$109.00 |
$109.00 |
$109.00 |
$159.90
|
|
Peritoneogram rs&i
|
$765.00 |
$765.00 |
$765.00 |
$695.89
|
|
Perq plmt bile duct stent
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$6,904.15
|
|
Perq trluml angp nt/recr coa
|
$4,065.50 |
$4,065.50 |
$4,065.50 |
$7,398.00
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$78.50 |
$78.50 |
$78.50 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$3,312.00 |
$3,312.00 |
$3,312.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,334.00 |
$3,334.00 |
$3,334.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$3,334.00 |
$3,334.00 |
$3,334.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$3,334.00 |
$3,334.00 |
$3,334.00 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$4,789.00 |
$4,789.00 |
$4,789.00 |
$38,834.22
|
|
Ph body fluid
|
$13.00 |
$13.00 |
$13.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$77.00 |
$77.00 |
$77.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$235.13 |
$235.13 |
$235.13 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$93.00 |
$93.00 |
$93.00 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$60.00 |
$60.00 |
$60.00 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$15.20 |
$15.20 |
$15.20 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$99.00 |
$99.00 |
$99.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$146.00 |
$146.00 |
$146.00 |
$231.66
|
|
Phosphorus
|
$44.50 |
$44.50 |
$44.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$40.00 |
$40.00 |
$40.00 |
$41.51
|
|
Photo patch test
|
$68.50 |
$68.50 |
$68.50 |
$71.50
|
|
Photopheresis
|
$7,862.50 |
$7,862.50 |
$7,862.50 |
$7,967.00
|
|
Phys blood bank serv reactj
|
$80.50 |
$80.50 |
$80.50 |
$207.50
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$41.58 |
$41.58 |
$41.58 |
$87.50
|
