|
Nm imaging bone/joint whole body
|
$1,960.18 |
$1,960.18 |
$1,960.18 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,717.05 |
$1,717.05 |
$1,717.05 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,717.05 |
$1,717.05 |
$1,717.05 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,631.08 |
$1,631.08 |
$1,631.08 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$797.45 |
$797.45 |
$797.45 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$974.84 |
$974.84 |
$974.84 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$726.27 |
$726.27 |
$726.27 |
$608.56
|
|
Npm1 gene
|
$136.15 |
$136.15 |
$136.15 |
$430.95
|
|
Npsy fam hlth interv ea addl 15 min
|
$150.16 |
$150.16 |
$150.16 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$37.74 |
$37.74 |
$37.74 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$89.09 |
$89.09 |
$89.09 |
$89.09
|
|
Npsy tst eval phsy/qhp 1st hr
|
$597.12 |
$597.12 |
$597.12 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$597.12 |
$597.12 |
$597.12 |
$225.60
|
|
Nras gene variants exon 2&3
|
$132.26 |
$132.26 |
$132.26 |
$554.45
|
|
Ntrk translocation analysis
|
$315.09 |
$315.09 |
$315.09 |
$727.74
|
|
Nuclear rx intra-arterial
|
$926.21 |
$926.21 |
$926.21 |
$761.95
|
|
Nuclear rx intracav admin
|
$756.22 |
$756.22 |
$756.22 |
$675.63
|
|
Nuclear rx IV admin
|
$526.71 |
$526.71 |
$526.71 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$3,962.36 |
$3,962.36 |
$3,962.36 |
$3,921.45
|
|
Nushield 1 square cm
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$411.96 |
$411.96 |
$411.96 |
$420.00
|
|
Observation per hour
|
$144.32 |
$144.32 |
$144.32 |
$83.52
|
|
Ob Ultrasound nuchal meas 1 gest
|
$728.99 |
$728.99 |
$728.99 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$603.34 |
$603.34 |
$603.34 |
$243.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$241.96 |
$241.96 |
$241.96 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,924.98 |
$6,924.98 |
$6,924.98 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,091.15 |
$1,091.15 |
$1,091.15 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$80.53 |
$80.53 |
$80.53 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$41.63 |
$41.63 |
$41.63 |
$30.15
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$215.90 |
$215.90 |
$215.90 |
$186.40
|
|
Oprelvekin injection
|
$476.14 |
$476.14 |
$476.14 |
$848.31
|
|
Organic acids total quant ea spec
|
$6.97 |
$6.97 |
$6.97 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$1,859.42 |
$1,859.42 |
$1,859.42 |
$3,745.44
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$209.68 |
$209.68 |
$209.68 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$838.30 |
$838.30 |
$838.30 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$930.10 |
$930.10 |
$930.10 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$196.84 |
$196.84 |
$196.84 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$233.02 |
$233.02 |
$233.02 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$196.84 |
$196.84 |
$196.84 |
$225.00
|
|
Orthosis lso rigd frm hyperex
|
$1,091.15 |
$1,091.15 |
$1,091.15 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$78.19 |
$78.19 |
$78.19 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$719.65 |
$719.65 |
$719.65 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$120.21 |
$120.21 |
$120.21 |
$221.34
|
|
Osmolality blood
|
$71.58 |
$71.58 |
$71.58 |
$67.60
|
|
Osmolality urine
|
$71.97 |
$71.97 |
$71.97 |
$65.65
|
|
Oth resp proc, group
|
$515.43 |
$515.43 |
$515.43 |
$137.05
|
|
Oth resp proc, indiv
|
$65.75 |
$65.75 |
$65.75 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$4,512.40 |
$4,512.40 |
$4,512.40 |
$67.80
|
|
Oxytocin 10 unit/ml injection solution
|
$38.13 |
$38.13 |
$38.13 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$28,710.15 |
$28,710.15 |
$28,710.15 |
$44,654.40
|
|
Pad repl cerv collr univ adult
|
$379.28 |
$379.28 |
$379.28 |
$93.32
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,993.60 |
$4,993.60 |
$4,993.60 |
$6,272.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,052.64 |
$1,052.64 |
$1,052.64 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$23.34 |
$23.34 |
$23.34 |
$35.43
|
|
Papaverin hcl injection
|
$72.75 |
$72.75 |
$72.75 |
$83.77
|
|
Parathormone (pth) intact
|
$207.73 |
$207.73 |
$207.73 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,626.80 |
$1,626.80 |
$1,626.80 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,966.40 |
$1,966.40 |
$1,966.40 |
$1,398.75
|
|
Paricalcitol
|
$37.74 |
$37.74 |
$37.74 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,278.73 |
$5,278.73 |
$5,278.73 |
$4,418.35
|
|
Passy muir valve metal trach
|
$291.75 |
$291.75 |
$291.75 |
$242.47
|
|
Pdgfra gene
|
$194.50 |
$194.50 |
$194.50 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,761.52 |
$2,761.52 |
$2,761.52 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,761.52 |
$2,761.52 |
$2,761.52 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,841.14 |
$1,841.14 |
$1,841.14 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,707.17 |
$3,707.17 |
$3,707.17 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,707.17 |
$3,707.17 |
$3,707.17 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,409.86 |
$2,409.86 |
$2,409.86 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$728.99 |
$728.99 |
$728.99 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$320.93 |
$320.93 |
$320.93 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$285.92 |
$285.92 |
$285.92 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$214.73 |
$214.73 |
$214.73 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$23,727.06 |
$23,727.06 |
$23,727.06 |
$19,815.11
|
|
Penile vascular study
|
$765.56 |
$765.56 |
$765.56 |
$561.00
|
|
Penile vascular study
|
$765.56 |
$765.56 |
$765.56 |
$460.20
|
|
Pentobarbital sodium inj
|
$4,214.43 |
$4,214.43 |
$4,214.43 |
$185.00
|
|
Perc cryo ablate renal tum
|
$4,508.51 |
$4,508.51 |
$4,508.51 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$14,253.35 |
$14,253.35 |
$14,253.35 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$14,253.35 |
$14,253.35 |
$14,253.35 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$14,253.35 |
$14,253.35 |
$14,253.35 |
$12,467.24
|
|
Perc drug-el cor stent bran
|
$14,253.35 |
$14,253.35 |
$14,253.35 |
$12,091.30
|
|
Perc rf ablate renal tumor
|
$4,283.28 |
$4,283.28 |
$4,283.28 |
$6,949.48
|
|
Percut ablate liver rf
|
$4,477.39 |
$4,477.39 |
$4,477.39 |
$7,024.12
|
|
Pericardiocentesis wwo imaging
|
$2,933.06 |
$2,933.06 |
$2,933.06 |
$2,573.60
|
|
Peripheral vascular rehab
|
$91.81 |
$91.81 |
$91.81 |
$128.69
|
|
Peritoneogram rs&i
|
$919.21 |
$919.21 |
$919.21 |
$648.84
|
|
Perq art m-thrombect &/nfs
|
$5,603.94 |
$5,603.94 |
$5,603.94 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$10,641.49 |
$10,641.49 |
$10,641.49 |
$12,032.67
|
|
Perq dev breast 1st strtctc
|
$329.10 |
$329.10 |
$329.10 |
$1,548.60
|
|
Perq nl/pl lithotrp cplx>2cm
|
$12,193.99 |
$12,193.99 |
$12,193.99 |
$10,114.58
|
|
Perq plmt bile duct stent
|
$4,701.85 |
$4,701.85 |
$4,701.85 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,701.85 |
$4,701.85 |
$4,701.85 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$4,701.85 |
$4,701.85 |
$4,701.85 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$210.06 |
$210.06 |
$210.06 |
$625.93
|
|
Perq transcath closure pda
|
$9,927.67 |
$9,927.67 |
$9,927.67 |
$18,277.50
|