|
Nuclear rx intra-arterial
|
$583.50 |
$583.50 |
$583.50 |
$765.00
|
|
Nuclear rx IV admin
|
$616.00 |
$616.00 |
$616.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,416.50 |
$3,416.50 |
$3,416.50 |
$3,804.45
|
|
Nudt15 gene common variants
|
$201.00 |
$201.00 |
$201.00 |
$301.62
|
|
Nushield 1 square cm
|
$143.50 |
$143.50 |
$143.50 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$17,225.44 |
$17,225.44 |
$17,225.44 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$463.00 |
$463.00 |
$463.00 |
$384.00
|
|
Observation per hour
|
$3,017.50 |
$3,017.50 |
$3,017.50 |
$81.22
|
|
Obstetrics panel
|
$314.00 |
$314.00 |
$314.00 |
$214.50
|
|
Obtaining screen pap smear
|
$34.00 |
$34.00 |
$34.00 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$145.00 |
$145.00 |
$145.00 |
$359.20
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$72,243.36 |
$72,243.36 |
$72,243.36 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$15.50 |
$15.50 |
$15.50 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$26,415.64 |
$26,415.64 |
$26,415.64 |
$12,080.43
|
|
Ocular function screen
|
$65.50 |
$65.50 |
$65.50 |
$41.60
|
|
Ocular instrumnt screen bil
|
$36.00 |
$36.00 |
$36.00 |
$37.50
|
|
Olanzapine 10 mg intramuscular solution
|
$116.28 |
$116.28 |
$116.28 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,790.40 |
$7,790.40 |
$7,790.40 |
$4,595.01
|
|
Onco (ovar) two proteins
|
$557.00 |
$557.00 |
$557.00 |
$341.54
|
|
Oncoprotein her-2/neu
|
$346.50 |
$346.50 |
$346.50 |
$219.00
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.26 |
$2.26 |
$2.26 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.46 |
$6.46 |
$6.46 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$4,992.00
|
|
Open thrombectomy of av fistula without revision 36831
|
$5,559.00 |
$5,559.00 |
$5,559.00 |
$6,366.08
|
|
Ophthalmic mitomycin
|
$848.50 |
$848.50 |
$848.50 |
$775.44
|
|
Opn impltj crnl nrv nea&pg
|
$18,618.00 |
$18,618.00 |
$18,618.00 |
$35,498.40
|
|
Opn impltj nea sacral nerve
|
$7,611.00 |
$7,611.00 |
$7,611.00 |
$7,766.27
|
|
Opn mpltj hpglsl nstm ary pg
|
$22,830.00 |
$22,830.00 |
$22,830.00 |
$36,076.18
|
|
Optx acrclv dslc aq/chrn grf
|
$22,857.00 |
$22,857.00 |
$22,857.00 |
$7,907.11
|
|
Optx acromclv dislc aqt/chrn
|
$3,809.17 |
$3,809.17 |
$3,809.17 |
$6,721.67
|
|
Optx carpl scphd fx int fixj
|
$7,012.50 |
$7,012.50 |
$7,012.50 |
$7,807.24
|
|
Optx clavicular fx w/int fix
|
$10,347.00 |
$10,347.00 |
$10,347.00 |
$9,013.88
|
|
Optx gr hmrl tbrs fx int fix
|
$7,777.83 |
$7,777.83 |
$7,777.83 |
$7,157.53
|
|
Optx medial ankle fx
|
$8,808.00 |
$8,808.00 |
$8,808.00 |
$7,807.24
|
|
Optx post ankle fx
|
$5,388.00 |
$5,388.00 |
$5,388.00 |
$5,886.74
|
|
Optx prox humrl fx w/int fix
|
$13,938.00 |
$13,938.00 |
$13,938.00 |
$13,938.00
|
|
Optx radial shaft fracture
|
$9,323.00 |
$9,323.00 |
$9,323.00 |
$5,301.66
|
|
Optx rdl shft fx&dstl rad/ul
|
$12,484.50 |
$12,484.50 |
$12,484.50 |
$7,275.00
|
|
Optx rdl&uln shft fx rds&uln
|
$16,075.50 |
$16,075.50 |
$16,075.50 |
$6,915.75
|
|
Optx ulnar shft fx int fixj
|
$10,441.50 |
$10,441.50 |
$10,441.50 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$6,242.00 |
$6,242.00 |
$6,242.00 |
$4,627.00
|
|
Oral aprepitant
|
$198.70 |
$198.70 |
$198.70 |
$410.20
|
|
Orchiopexy ingun/scrot appr
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$4,176.15
|
|
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
|
|
Oropharyngeal biopsy 42800
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$12.41 |
$12.41 |
$12.41 |
$50.63
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$104.00 |
$104.00 |
$104.00 |
$238.34
|
|
Orthovisc inj per dose
|
$269.50 |
$269.50 |
$269.50 |
$537.58
|
|
Oscillation chest wall mechanical per session
|
$112.00 |
$112.00 |
$112.00 |
$195.00
|
|
Osmolality blood
|
$45.00 |
$45.00 |
$45.00 |
$67.60
|
|
Osmolality urine
|
$46.00 |
$46.00 |
$46.00 |
$65.00
|
|
Osteochondral knee allograft
|
$3,997.50 |
$3,997.50 |
$3,997.50 |
$10,629.07
|
|
Osteopath manip tx/7-8 body region 98928
|
$30.50 |
$30.50 |
$30.50 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$28.00 |
$28.00 |
$28.00 |
$92.42
|
|
Ost skn barr extnd >4 sq
|
$12.00 |
$12.00 |
$12.00 |
$5.40
|
|
Ot evaluation high complexity patient/family
|
$207.50 |
$207.50 |
$207.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$207.50 |
$207.50 |
$207.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$207.50 |
$207.50 |
$207.50 |
$263.50
|
|
Oth resp proc, group
|
$236.00 |
$236.00 |
$236.00 |
$123.05
|
|
Oth resp proc, indiv
|
$68.00 |
$68.00 |
$68.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$50.50 |
$50.50 |
$50.50 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$168.00 |
$168.00 |
$168.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$255.00 |
$255.00 |
$255.00 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$9.00 |
$9.00 |
$9.00 |
$60.45
|
|
Ot re-evaluation patient/family
|
$105.50 |
$105.50 |
$105.50 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$219.00 |
$219.00 |
$219.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$33.00 |
$33.00 |
$33.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$314.00 |
$314.00 |
$314.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$163.00 |
$163.00 |
$163.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$168.00 |
$168.00 |
$168.00 |
$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
|
$347.07 |
$347.07 |
$347.07 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$14.18 |
$14.18 |
$14.18 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$240.75 |
$240.75 |
$240.75 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$9,810.55 |
$9,810.55 |
$9,810.55 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$32.00 |
$32.00 |
$32.00 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$5,569.20
|
|
Palonosetron hcl
|
$112.50 |
$112.50 |
$112.50 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$18.30 |
$18.30 |
$18.30 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,984.56 |
$13,984.56 |
$13,984.56 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.45 |
$7.45 |
$7.45 |
$29.31
|
|
Papaverin hcl injection
|
$5.22 |
$5.22 |
$5.22 |
$77.05
|
|
Parathormone (pth) intact
|
$215.00 |
$215.00 |
$215.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$905.00 |
$905.00 |
$905.00 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$4,818.50 |
$4,818.50 |
$4,818.50 |
$4,080.85
|
|
Parathyroid planar imaging
|
$685.00 |
$685.00 |
$685.00 |
$1,129.91
|
|
Parial mast w/lymph removal 19302
|
$19,836.00 |
$19,836.00 |
$19,836.00 |
$5,509.55
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$231.00 |
$231.00 |
$231.00 |
$245.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$3,976.00 |
$3,976.00 |
$3,976.00 |
$4,914.00
|
|
Partial removal finger bone
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$2,021.04
|
|
Partial removal finger bone
|
$2,701.00 |
$2,701.00 |
$2,701.00 |
$2,049.27
|
|
Partial removal of lip
|
$1,557.34 |
$1,557.34 |
$1,557.34 |
$3,544.29
|
|
Partial removal of thyroid
|
$16,206.00 |
$16,206.00 |
$16,206.00 |
$6,457.82
|
|
Partial removal of vaginal wall 57106
|
$4,598.50 |
$4,598.50 |
$4,598.50 |
$3,762.53
|
|
Partial thyroid excision
|
$12,012.00 |
$12,012.00 |
$12,012.00 |
$6,457.82
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,020.25 |
$3,020.25 |
$3,020.25 |
$4,921.76
|
