|
Opn ax/subcla art expos
|
$2,745.00 |
$5,988.18 |
$5,988.18 |
$1,269.60
|
|
Opn fem art expos cndt crtj 34714
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$2,041.65
|
|
Opps service,sched team conf
|
$491.70 |
$491.70 |
$491.70 |
$503.90
|
|
Opscpy extnd on/mac draw
|
$85.00 |
$85.00 |
$199.32 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$117.48 |
$117.48 |
$132.50 |
$71.00
|
|
Oral aprepitant
|
$7.97 |
$29.03 |
$29.03 |
$410.20
|
|
Organic acids total quant ea spec
|
$207.50 |
$531.30 |
$531.30 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$56.31 |
$56.31 |
$56.31 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$76.00 |
$76.00 |
$76.00 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$190.00 |
$349.80 |
$349.80 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$325.00 |
$325.00 |
$325.00 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$487.50 |
$552.42 |
$552.42 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$177.50 |
$371.58 |
$371.58 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$210.00 |
$283.80 |
$283.80 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$177.50 |
$208.56 |
$208.56 |
$231.00
|
|
Orthopantogram
|
$280.00 |
$315.48 |
$315.48 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$232.50 |
$485.76 |
$485.76 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$645.00 |
$645.00 |
$645.00 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$92.50 |
$526.02 |
$526.02 |
$195.00
|
|
Osmolality blood
|
$40.26 |
$40.26 |
$50.00 |
$67.60
|
|
Osmolality urine
|
$42.90 |
$42.90 |
$50.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$155.76 |
$155.76 |
$310.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$155.76 |
$155.76 |
$177.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$155.76 |
$155.76 |
$240.00 |
$263.50
|
|
Oth resp proc, group
|
$162.50 |
$167.64 |
$167.64 |
$123.05
|
|
Oth resp proc, indiv
|
$65.00 |
$84.48 |
$84.48 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.00 |
$80.52 |
$80.52 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$85.14 |
$85.14 |
$92.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$104.94 |
$104.94 |
$125.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.50 |
$95.70 |
$95.70 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$71.94 |
$71.94 |
$82.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$71.94 |
$71.94 |
$82.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$80.52 |
$80.52 |
$87.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$87.50 |
$93.72 |
$93.72 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$87.50 |
$89.10 |
$89.10 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.25 |
$3.25 |
$3.25 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$12.92 |
$32.34 |
$40.64 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.96 |
$0.96 |
$1.83 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$29.33 |
$29.33 |
$29.88 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$892.32 |
$892.32 |
$892.32 |
$672.50
|
|
Palonosetron hcl
|
$170.48 |
$170.48 |
$170.48 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$60.87 |
$60.87 |
$60.87 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$389.73 |
$389.73 |
$520.62 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.42 |
$32.34 |
$34.52 |
$29.31
|
|
Papaverin hcl injection
|
$182.66 |
$182.66 |
$182.66 |
$77.05
|
|
Parathormone (pth) intact
|
$120.00 |
$252.12 |
$252.12 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,510.00 |
$1,510.00 |
$1,755.60 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,000.00 |
$1,170.18 |
$1,170.18 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,345.00 |
$1,609.74 |
$1,609.74 |
$1,350.60
|
|
Paricalcitol
|
$32.34 |
$32.34 |
$32.34 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$100.00 |
$199.98 |
$199.98 |
$245.00
|
|
Partial removal finger bone
|
$3,032.04 |
$3,032.04 |
$3,032.04 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,534.00 |
$2,534.00 |
$2,534.00 |
$4,921.76
|
|
Passy muir valve metal trach
|
$203.94 |
$203.94 |
$462.21 |
$275.75
|
|
Path clin consltj sf 5-20
|
$107.58 |
$107.58 |
$107.58 |
$97.14
|
|
Pca3/klk3 antigen
|
$1,189.32 |
$1,189.32 |
$1,189.32 |
$510.40
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Ped home apnea mntr dl&alys
|
$438.90 |
$438.90 |
$438.90 |
$296.92
|
|
Pegaspargase injection
|
$50,480.10 |
$50,480.10 |
$50,480.10 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$829.53 |
$829.53 |
$1,334.30 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$324.54 |
$324.54 |
$324.54 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$307.56 |
$307.56 |
$433.99 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$5,954.44 |
$5,954.44 |
$5,954.44 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,539.12 |
$1,539.12 |
$1,570.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,259.28 |
$1,259.28 |
$1,470.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,893.44 |
$2,893.44 |
$3,265.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,210.00 |
$2,504.70 |
$2,504.70 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,110.00 |
$2,277.00 |
$2,277.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$575.00 |
$615.12 |
$615.12 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$375.00 |
$482.46 |
$482.46 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$113.57 |
$113.57 |
$128.04 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$52.87 |
$52.87 |
$52.87 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$101.08 |
$101.08 |
$101.09 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$11.31 |
$11.31 |
$14.51 |
$101.34
|
|
Penile injection
|
$305.00 |
$711.48 |
$711.48 |
$418.00
|
|
Pentobarbital sodium inj
|
$294.74 |
$294.74 |
$294.74 |
$2,205.38
|
|
Perc cryo ablate renal tum
|
$10,485.00 |
$10,485.00 |
$12,025.20 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$8,915.28 |
$8,915.28 |
$8,915.28 |
$12,886.61
|
|
Perc d-e cor revasc chro sin
|
$13,249.50 |
$13,249.50 |
$13,249.50 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$5,539.38 |
$5,539.38 |
$5,539.38 |
$11,088.63
|
|
Perc d-e cor revasc t cabg s
|
$11,482.68 |
$11,482.68 |
$11,482.68 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$10,730.28 |
$10,730.28 |
$10,730.28 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$20,739.84 |
$20,739.84 |
$20,739.84 |
$18,700.50
|
|
Perc drug-el cor stent bran
|
$8,234.16 |
$8,234.16 |
$8,234.16 |
$11,515.20
|
|
Perc drug-el cor stent sing
|
$9,716.52 |
$9,716.52 |
$9,716.52 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$3,590.00 |
$3,590.00 |
$6,945.18 |
$7,243.60
|
|
Percut ablate liver rf
|
$4,650.00 |
$6,738.60 |
$6,738.60 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$315.66 |
$315.66 |
$332.84 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,571.46 |
$1,571.46 |
$1,571.46 |
$2,513.20
|
|
Pericardiocentesis wwo imaging
|
$1,794.54 |
$1,794.54 |
$2,230.00 |
$2,251.20
|
|
Peripheral vascular rehab
|
$92.40 |
$92.40 |
$132.50 |
$132.50
|
|
Peri-proc device eval icd
|
$204.60 |
$204.60 |
$367.50 |
$192.40
|
|
Peri-proc device eval pm
|
$181.50 |
$181.50 |
$310.00 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$6,243.60 |
$6,243.60 |
$6,243.60 |
$5,625.74
|
|
Peritoneogram rs&i
|
$551.76 |
$551.76 |
$845.00 |
$695.89
|
|
Permanent tear duct plug
|
$180.55 |
$180.55 |
$180.55 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$9,600.00 |
$9,600.00 |
$13,878.48 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$10,479.48 |
$10,479.48 |
$10,479.48 |
$9,509.53
|