|
New Patient Office Visit (level 3)
|
$238.71 |
$238.71 |
$238.71 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$258.88 |
$258.88 |
$258.88 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$337.36 |
$337.36 |
$337.36 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$536.28 |
$536.28 |
$536.28 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$51.78 |
$51.78 |
$51.78 |
$71.09
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$16,353.82 |
$16,353.82 |
$16,353.82 |
$14,281.70
|
|
Njx px nfrosgrm &/urtrgrm
|
$4,259.18 |
$4,259.18 |
$4,259.18 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$2,013.23 |
$2,013.23 |
$2,013.23 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$2,013.23 |
$2,013.23 |
$2,013.23 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,348.95 |
$2,348.95 |
$2,348.95 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,013.23 |
$2,013.23 |
$2,013.23 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,093.89 |
$2,093.89 |
$2,093.89 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,763.70 |
$2,763.70 |
$2,763.70 |
$1,774.30
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,763.70 |
$2,763.70 |
$2,763.70 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$991.90 |
$991.90 |
$991.90 |
$1,186.03
|
|
Npm1 gene
|
$190.75 |
$190.75 |
$190.75 |
$430.95
|
|
Nras gene variants exon 2&3
|
$185.30 |
$185.30 |
$185.30 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,333.69 |
$2,333.69 |
$2,333.69 |
$7,875.40
|
|
Ntrk translocation analysis
|
$441.45 |
$441.45 |
$441.45 |
$727.74
|
|
Ntsty modul rad tx dlvr cplx
|
$1,693.86 |
$1,693.86 |
$1,693.86 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,693.86 |
$1,693.86 |
$1,693.86 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$4,646.13 |
$4,646.13 |
$4,646.13 |
$3,921.45
|
|
Nushield 1 square cm
|
$11,724.59 |
$11,724.59 |
$11,724.59 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$19,714.83 |
$19,714.83 |
$19,714.83 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$447.99 |
$447.99 |
$447.99 |
$420.00
|
|
Observation per hour
|
$147.15 |
$147.15 |
$147.15 |
$83.52
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$51,297.04 |
$51,297.04 |
$51,297.04 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$296.48 |
$296.48 |
$296.48 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$14,617.99 |
$14,617.99 |
$14,617.99 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$14,558.59 |
$14,558.59 |
$14,558.59 |
$1,146.45
|
|
Olanzapine 10 mg intramuscular solution
|
$98.65 |
$98.65 |
$98.65 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,483.32 |
$6,483.32 |
$6,483.32 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$51.23 |
$51.23 |
$51.23 |
$30.15
|
|
Organic acids total quant ea spec
|
$9.77 |
$9.77 |
$9.77 |
$151.36
|
|
Orthosis lso rigd frm hyperex
|
$2,108.61 |
$2,108.61 |
$2,108.61 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$145.52 |
$145.52 |
$145.52 |
$221.34
|
|
Osmolality blood
|
$59.41 |
$59.41 |
$59.41 |
$67.60
|
|
Osmolality urine
|
$56.68 |
$56.68 |
$56.68 |
$65.65
|
|
Oth resp proc, group
|
$192.39 |
$192.39 |
$192.39 |
$137.05
|
|
Oth resp proc, indiv
|
$55.59 |
$55.59 |
$55.59 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$6,005.90 |
$6,005.90 |
$6,005.90 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$6,272.95 |
$6,272.95 |
$6,272.95 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$89.93 |
$89.93 |
$89.93 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$117.72 |
$117.72 |
$117.72 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,976.32 |
$3,976.32 |
$3,976.32 |
$3,656.90
|
|
Palonosetron hcl
|
$942.85 |
$942.85 |
$942.85 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,290.56 |
$1,290.56 |
$1,290.56 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,158.41 |
$12,158.41 |
$12,158.41 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$35.43 |
$35.43 |
$35.43 |
$35.43
|
|
Papaverin hcl injection
|
$35.43 |
$35.43 |
$35.43 |
$83.77
|
|
Parathormone (pth) intact
|
$432.73 |
$432.73 |
$432.73 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$2,729.36 |
$2,729.36 |
$2,729.36 |
$1,574.40
|
|
Parathyroid planar imaging
|
$2,348.95 |
$2,348.95 |
$2,348.95 |
$1,166.00
|
|
Paricalcitol
|
$46.33 |
$46.33 |
$46.33 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,935.67 |
$6,935.67 |
$6,935.67 |
$4,418.35
|
|
Passy muir valve metal trach
|
$433.82 |
$433.82 |
$433.82 |
$242.47
|
|
Pdgfra gene
|
$272.50 |
$272.50 |
$272.50 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$11,801.43 |
$11,801.43 |
$11,801.43 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,556.58 |
$9,556.58 |
$9,556.58 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,556.58 |
$9,556.58 |
$9,556.58 |
$4,749.07
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,722.50 |
$5,722.50 |
$5,722.50 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$4,279.89 |
$4,279.89 |
$4,279.89 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,279.89 |
$4,279.89 |
$4,279.89 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,853.62 |
$2,853.62 |
$2,853.62 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$4,111.48 |
$4,111.48 |
$4,111.48 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$2,672.68 |
$2,672.68 |
$2,672.68 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$988.09 |
$988.09 |
$988.09 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$414.75 |
$414.75 |
$414.75 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$12,509.93 |
$12,509.93 |
$12,509.93 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$8,406.63 |
$8,406.63 |
$8,406.63 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$314.47 |
$314.47 |
$314.47 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$738.48 |
$738.48 |
$738.48 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$80.66 |
$80.66 |
$80.66 |
$90.35
|
|
Penicillin g procaine inj
|
$46.33 |
$46.33 |
$46.33 |
$47.19
|
|
Penile rear tip xtnd 0.5cm
|
$19,815.11 |
$19,815.11 |
$19,815.11 |
$19,815.11
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$431.10 |
$431.10 |
$431.10 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,933.74 |
$2,933.74 |
$2,933.74 |
$2,573.60
|
|
Peripheral vascular rehab
|
$115.00 |
$115.00 |
$115.00 |
$128.69
|
|
Pertussis ag if
|
$125.90 |
$125.90 |
$125.90 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$12,457.61 |
$12,457.61 |
$12,457.61 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$31,579.48 |
$31,579.48 |
$31,579.48 |
$27,858.08
|
|
Pet fdg brain metoblic eval sb
|
$2,974.61 |
$2,974.61 |
$2,974.61 |
$3,559.05
|
|
Pet image skull-thigh
|
$3,957.79 |
$3,957.79 |
$3,957.79 |
$4,247.10
|
|
Pfc sigma fem post aug sz3 8mm
|
$95,961.97 |
$95,961.97 |
$95,961.97 |
$33,990.40
|
|
Ph body fluid
|
$87.20 |
$87.20 |
$87.20 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$292.12 |
$292.12 |
$292.12 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$483.96 |
$483.96 |
$483.96 |
$104.50
|
|
Phentolaine mesylate inj
|
$961.38 |
$961.38 |
$961.38 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$16,633.40 |
$16,633.40 |
$16,633.40 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$35.43 |
$35.43 |
$35.43 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$184.21 |
$184.21 |
$184.21 |
$111.27
|
|
Phlebotomy therapeutic
|
$307.93 |
$307.93 |
$307.93 |
$249.00
|
|
Phosphorus
|
$101.37 |
$101.37 |
$101.37 |
$47.81
|
|
Phosphorus 24 hour urine
|
$123.17 |
$123.17 |
$123.17 |
$42.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$106.28 |
$106.28 |
$106.28 |
$92.07
|
|
Piflu f-18, dia 1 millicurie
|
$790.80 |
$790.80 |
$790.80 |
$1,035.81
|
|
Pik3ca gene trgt seq alys
|
$221.27 |
$221.27 |
$221.27 |
$400.95
|
|
Pinworm exam
|
$60.50 |
$60.50 |
$60.50 |
$39.75
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$1,354.33 |
$1,354.33 |
$1,354.33 |
$101.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$412.57 |
$412.57 |
$412.57 |
$1,679.20
|