|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$71.02 |
$71.02 |
$71.02 |
$1,146.45
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$42.93 |
$42.93 |
$42.93 |
$4,595.01
|
|
Onc breast mrna 12 genes
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
$6,910.41
|
|
Oncology colorectal scr
|
$483.36 |
$483.36 |
$483.36 |
$559.76
|
|
Oncoprotein her-2/neu
|
$81.62 |
$81.62 |
$81.62 |
$161.60
|
|
Onc prostate mrna 22 cnt gen
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
$4,260.30
|
|
Onc uveal mlnma mrna 15 gene
|
$6,927.10 |
$6,927.10 |
$6,927.10 |
$8,553.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$56.18 |
$56.18 |
$56.18 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.57 |
$0.57 |
$0.57 |
$30.15
|
|
Open aortic tube prosth repair 34830
|
$7,276.90 |
$7,276.90 |
$7,276.90 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$7,397.21 |
$7,397.21 |
$7,397.21 |
$4,612.80
|
|
Open aortoiliac prosth repr 34831
|
$8,160.41 |
$8,160.41 |
$8,160.41 |
$6,529.90
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$299.98 |
$299.98 |
$299.98 |
$2,180.80
|
|
Open tx nose fx w/skele fixj
|
$1,308.57 |
$1,308.57 |
$1,308.57 |
$5,977.18
|
|
Ophthalmodynamometry
|
$27.03 |
$27.03 |
$27.03 |
$46.45
|
|
Opioids & opiate analogs 3/4
|
$70.49 |
$70.49 |
$70.49 |
$24.00
|
|
Oral aprepitant
|
$4.77 |
$4.77 |
$4.77 |
$413.91
|
|
Oral hiv-1/hiv-2 screen
|
$60.95 |
$60.95 |
$60.95 |
$38.58
|
|
Organic acids total quant ea spec
|
$110.77 |
$110.77 |
$110.77 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$115.54 |
$115.54 |
$115.54 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$29.19 |
$29.19 |
$29.19 |
$56.42
|
|
Ortho dvc repair per 15 min
|
$18.02 |
$18.02 |
$18.02 |
$33.60
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$671.51 |
$671.51 |
$671.51 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,980.72 |
$2,980.72 |
$2,980.72 |
$830.31
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,739.46 |
$1,739.46 |
$1,739.46 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$629.64 |
$629.64 |
$629.64 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$746.77 |
$746.77 |
$746.77 |
$310.00
|
|
Orthopantogram
|
$144.16 |
$144.16 |
$144.16 |
$219.22
|
|
Orthovisc inj per dose
|
$147.34 |
$147.34 |
$147.34 |
$443.85
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$827.86 |
$827.86 |
$827.86 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,305.50 |
$2,305.50 |
$2,305.50 |
$410.92
|
|
Osmolality blood
|
$54.06 |
$54.06 |
$54.06 |
$67.60
|
|
Osmolality urine
|
$49.82 |
$49.82 |
$49.82 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$434.60 |
$434.60 |
$434.60 |
$3,821.05
|
|
Ot evaluation high complexity patient/family
|
$208.82 |
$208.82 |
$208.82 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$127.73 |
$127.73 |
$127.73 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$191.33 |
$191.33 |
$191.33 |
$270.58
|
|
Other immunoelectrophoresis
|
$31.80 |
$31.80 |
$31.80 |
$46.40
|
|
Oth resp proc, group
|
$228.96 |
$228.96 |
$228.96 |
$137.05
|
|
Oth resp proc, indiv
|
$31.27 |
$31.27 |
$31.27 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$125.08 |
$125.08 |
$125.08 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$125.08 |
$125.08 |
$125.08 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$107.59 |
$107.59 |
$107.59 |
$107.32
|
|
Otoplasty 69300
|
$1,313.87 |
$1,313.87 |
$1,313.87 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$111.83 |
$111.83 |
$111.83 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$121.90 |
$121.90 |
$121.90 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$40.81 |
$40.81 |
$40.81 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$81.09 |
$81.09 |
$81.09 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$98.58 |
$98.58 |
$98.58 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$113.42 |
$113.42 |
$113.42 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$112.89 |
$112.89 |
$112.89 |
$93.75
|
|
Ovulation tests
|
$25.97 |
$25.97 |
$25.97 |
$29.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.61 |
$0.61 |
$0.61 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$10.65 |
$10.65 |
$10.65 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.59 |
$0.59 |
$0.59 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$25.63 |
$25.63 |
$25.63 |
$3,656.90
|
|
Palb2 gene full gene seq
|
$506.15 |
$506.15 |
$506.15 |
$649.44
|
|
Palb2 gene known famil vrnt
|
$539.01 |
$539.01 |
$539.01 |
$398.20
|
|
Paliperidone 117 mg/0.75 ml inj
|
$22.04 |
$22.04 |
$22.04 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,255.57 |
$1,255.57 |
$1,255.57 |
$5,156.88
|
|
Palonosetron hcl
|
$12.19 |
$12.19 |
$12.19 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$49.51 |
$49.51 |
$49.51 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$141.51 |
$141.51 |
$141.51 |
$14,082.00
|
|
Papaverin hcl injection
|
$96.57 |
$96.57 |
$96.57 |
$83.77
|
|
Parathormone (pth) intact
|
$249.10 |
$249.10 |
$249.10 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$3,586.51 |
$3,586.51 |
$3,586.51 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$2,128.48 |
$2,128.48 |
$2,128.48 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$221.01 |
$221.01 |
$221.01 |
$270.00
|
|
Partial excision of lip
|
$355.10 |
$355.10 |
$355.10 |
$3,837.72
|
|
Partial removal foot fascia
|
$324.89 |
$324.89 |
$324.89 |
$3,839.54
|
|
Partial removal of lung 32480
|
$3,401.54 |
$3,401.54 |
$3,401.54 |
$3,603.20
|
|
Partial removal of toe
|
$305.81 |
$305.81 |
$305.81 |
$3,821.05
|
|
Part removal of metatarsal
|
$354.57 |
$354.57 |
$354.57 |
$3,795.71
|
|
Part removal of metatarsal
|
$437.78 |
$437.78 |
$437.78 |
$2,942.23
|
|
Part removal of metatarsal 28112
|
$435.66 |
$435.66 |
$435.66 |
$3,591.33
|
|
Passy muir valve metal trach
|
$227.90 |
$227.90 |
$227.90 |
$242.47
|
|
Path clin consltj high 41-60
|
$258.64 |
$258.64 |
$258.64 |
$187.28
|
|
Path clin consltj mod 21-40
|
$258.64 |
$258.64 |
$258.64 |
$192.11
|
|
Path clin consltj sf 5-20
|
$82.15 |
$82.15 |
$82.15 |
$82.15
|
|
Pdgfra gene
|
$1,291.61 |
$1,291.61 |
$1,291.61 |
$659.20
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$24.38 |
$24.38 |
$24.38 |
$28.80
|
|
Pedicle enel/ntroral 15576
|
$839.52 |
$839.52 |
$839.52 |
$2,436.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$817.39 |
$817.39 |
$817.39 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$579.00 |
$579.00 |
$579.00 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$579.00 |
$579.00 |
$579.00 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$1,575.16 |
$1,575.16 |
$1,575.16 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,281.54 |
$1,281.54 |
$1,281.54 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,113.53 |
$1,113.53 |
$1,113.53 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,753.88 |
$2,753.88 |
$2,753.88 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,995.98 |
$1,995.98 |
$1,995.98 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,288.54 |
$2,288.54 |
$2,288.54 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$604.20 |
$604.20 |
$604.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$435.13 |
$435.13 |
$435.13 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$86.90 |
$86.90 |
$86.90 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$82.15 |
$82.15 |
$82.15 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$13.78 |
$13.78 |
$13.78 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$36.52 |
$36.52 |
$36.52 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$2.23 |
$2.23 |
$2.23 |
$90.35
|
|
Penicillin g procaine inj
|
$35.51 |
$35.51 |
$35.51 |
$47.19
|
|
Penile vascular study
|
$1,398.14 |
$1,398.14 |
$1,398.14 |
$561.00
|