|
Ndl insj without njx 1 or 2 musc
|
$30.60 |
$30.60 |
$30.60 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$30.60 |
$30.60 |
$30.60 |
$54.60
|
|
Ndl round specialty proguide
|
$1,986.45 |
$1,986.45 |
$1,986.45 |
$388.83
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$676.26 |
$676.26 |
$676.26 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,895.27 |
$2,895.27 |
$2,895.27 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,730.43 |
$1,730.43 |
$1,730.43 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,895.27 |
$2,895.27 |
$2,895.27 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,505.12 |
$2,505.12 |
$2,505.12 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,730.43 |
$1,730.43 |
$1,730.43 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$152.17 |
$152.17 |
$152.17 |
$51.35
|
|
Neuroeltrd stim post tibial
|
$354.45 |
$354.45 |
$354.45 |
$478.14
|
|
Neurolysis trigeminal nerve
|
$1,047.03 |
$1,047.03 |
$1,047.03 |
$2,114.70
|
|
New Patient Office Visit (level 2)
|
$309.57 |
$309.57 |
$309.57 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$475.83 |
$475.83 |
$475.83 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$633.42 |
$633.42 |
$633.42 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$970.53 |
$970.53 |
$970.53 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$297.23 |
$297.23 |
$297.23 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$145.35 |
$145.35 |
$145.35 |
$71.09
|
|
Njx aa&/strd nrv nrvtg si jt
|
$792.03 |
$792.03 |
$792.03 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$1,047.03 |
$1,047.03 |
$1,047.03 |
$1,661.40
|
|
Njx interlaminar crv/thrc
|
$1,047.03 |
$1,047.03 |
$1,047.03 |
$1,586.71
|
|
Nrv rpr w/nrv algrft 1st
|
$1,564.17 |
$1,564.17 |
$1,564.17 |
$6,839.00
|
|
Nsl/sins ndsc surg max sins
|
$10,665.12 |
$10,665.12 |
$10,665.12 |
$7,668.85
|
|
Nursing facility discharge management > 30 min 99316
|
$241.23 |
$241.23 |
$241.23 |
$201.60
|
|
Nushield 1 square cm
|
$4,317.66 |
$4,317.66 |
$4,317.66 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$645.66 |
$645.66 |
$645.66 |
$420.00
|
|
Observation per hour
|
$91.80 |
$91.80 |
$91.80 |
$83.52
|
|
Obtaining screen pap smear
|
$73.95 |
$73.95 |
$73.95 |
$32.04
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$70.66
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,120.42 |
$1,120.42 |
$1,120.42 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$30.15
|
|
Open bx/exc inguinofem nodes
|
$781.32 |
$781.32 |
$781.32 |
$4,242.15
|
|
Open tenotomy tendon flexor foot single or multiple 28230
|
$627.30 |
$627.30 |
$627.30 |
$2,180.80
|
|
Opn tx orbit fx without impl 21406
|
$5,446.29 |
$5,446.29 |
$5,446.29 |
$6,553.49
|
|
Optx acrclv dslc aq/chrn grf
|
$881.79 |
$881.79 |
$881.79 |
$7,807.24
|
|
Optx acromclv dislc aqt/chrn
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$7,095.72
|
|
Optx carpl scphd fx int fixj
|
$1,407.09 |
$1,407.09 |
$1,407.09 |
$5,339.00
|
|
Optx clavicular fx w/int fix
|
$5,008.20 |
$5,008.20 |
$5,008.20 |
$8,453.60
|
|
Optx lunate dislocation
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$7,907.11
|
|
Optx medial ankle fx
|
$8,128.38 |
$8,128.38 |
$8,128.38 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$5,446.29 |
$5,446.29 |
$5,446.29 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$7,540.86 |
$7,540.86 |
$7,540.86 |
$12,734.70
|
|
Optx radial shaft fracture
|
$1,230.12 |
$1,230.12 |
$1,230.12 |
$5,287.97
|
|
Optx rdl shft fx&cltx rad/ul
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$7,386.73
|
|
Optx ulnar shft fx int fixj
|
$5,502.90 |
$5,502.90 |
$5,502.90 |
$7,913.97
|
|
Oral aprepitant
|
$275.30 |
$275.30 |
$275.30 |
$413.91
|
|
Orchiopexy ingun/scrot appr
|
$3,612.84 |
$3,612.84 |
$3,612.84 |
$4,176.15
|
|
Orthosis lso rigd frm hyperex
|
$976.14 |
$976.14 |
$976.14 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$221.34 |
$221.34 |
$221.34 |
$221.34
|
|
Osmolality blood
|
$310.59 |
$310.59 |
$310.59 |
$67.60
|
|
Osmolality urine
|
$310.59 |
$310.59 |
$310.59 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$290.19 |
$290.19 |
$290.19 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$224.40 |
$224.40 |
$224.40 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$242.76 |
$242.76 |
$242.76 |
$270.58
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$138.21 |
$138.21 |
$138.21 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$69.36 |
$69.36 |
$69.36 |
$107.32
|
|
Ot re-evaluation patient/family
|
$156.06 |
$156.06 |
$156.06 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$110.16 |
$110.16 |
$110.16 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$84.66 |
$84.66 |
$84.66 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$97.41 |
$97.41 |
$97.41 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$84.66 |
$84.66 |
$84.66 |
$93.75
|
|
Oxytocin 10 unit/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$33,048.00 |
$33,048.00 |
$33,048.00 |
$44,654.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$35.43
|
|
Parathormone (pth) intact
|
$137.70 |
$137.70 |
$137.70 |
$200.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$260.61 |
$260.61 |
$260.61 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$1,069.47 |
$1,069.47 |
$1,069.47 |
$3,881.50
|
|
Partial removal finger bone
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,021.04
|
|
Partial removal finger bone
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,211.05
|
|
Partial removal of radius
|
$785.40 |
$785.40 |
$785.40 |
$3,594.44
|
|
Partial removal of toe
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,838.07 |
$3,838.07 |
$3,838.07 |
$4,418.35
|
|
Part removal of metatarsal 28112
|
$551.82 |
$551.82 |
$551.82 |
$3,591.33
|
|
Passy muir valve metal trach
|
$302.04 |
$302.04 |
$302.04 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$1,760.52 |
$1,760.52 |
$1,760.52 |
$2,436.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,945.65 |
$1,945.65 |
$1,945.65 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,728.39 |
$1,728.39 |
$1,728.39 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$878.73 |
$878.73 |
$878.73 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,993.70 |
$2,993.70 |
$2,993.70 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$2,680.05 |
$2,680.05 |
$2,680.05 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$467.16 |
$467.16 |
$467.16 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$426.87 |
$426.87 |
$426.87 |
$445.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$581.06 |
$581.06 |
$581.06 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$226.04 |
$226.04 |
$226.04 |
$90.35
|
|
Penile injection
|
$264.18 |
$264.18 |
$264.18 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$14,405.49 |
$14,405.49 |
$14,405.49 |
$19,815.11
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,841.32 |
$3,841.32 |
$3,841.32 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,517.76 |
$1,517.76 |
$1,517.76 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$7,429.17 |
$7,429.17 |
$7,429.17 |
$2,013.60
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$264.18 |
$264.18 |
$264.18 |
$625.93
|
|
Perq tx big toe fracture w/manip 28496
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,839.54
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$157.29 |
$157.29 |
$157.29 |
$113.84
|
|
Pfc sigma fem post aug sz3 8mm
|
$35,235.58 |
$35,235.58 |
$35,235.58 |
$33,990.40
|
|
Ph body fluid
|
$52.02 |
$52.02 |
$52.02 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$129.01 |
$129.01 |
$129.01 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$117.81 |
$117.81 |
$117.81 |
$104.50
|