|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$665.91 |
$665.91 |
$665.91 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,783.83 |
$1,783.83 |
$1,783.83 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,489.44 |
$1,489.44 |
$1,489.44 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$792.49 |
$792.49 |
$792.49 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,219.78 |
$1,219.78 |
$1,219.78 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,551.52 |
$1,551.52 |
$1,551.52 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$576.67 |
$576.67 |
$576.67 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$952.54 |
$952.54 |
$952.54 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$1,194.07 |
$1,194.07 |
$1,194.07 |
$608.56
|
|
Ntsty modul rad tx dlvr cplx
|
$1,159.64 |
$1,159.64 |
$1,159.64 |
$2,590.00
|
|
Nuclear Stress Test (Heart)
|
$1,814.39 |
$1,814.39 |
$1,814.39 |
$3,921.45
|
|
Nushield 1 square cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$312.34 |
$312.34 |
$312.34 |
$420.00
|
|
Observation per hour
|
$223.10 |
$223.10 |
$223.10 |
$83.52
|
|
Obstetrics panel
|
$174.12 |
$174.12 |
$174.12 |
$204.80
|
|
Ob Ultrasound nuchal meas 1 gest
|
$197.88 |
$197.88 |
$197.88 |
$331.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$112.04 |
$112.04 |
$112.04 |
$70.66
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,360.43 |
$1,360.43 |
$1,360.43 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$146.47 |
$146.47 |
$146.47 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$12.61 |
$12.61 |
$12.61 |
$30.15
|
|
Organic acids total quant ea spec
|
$31.53 |
$31.53 |
$31.53 |
$151.36
|
|
Oscillation chest wall mechanical per session
|
$197.40 |
$197.40 |
$197.40 |
$221.34
|
|
Osmolality blood
|
$146.47 |
$146.47 |
$146.47 |
$67.60
|
|
Osmolality urine
|
$118.83 |
$118.83 |
$118.83 |
$65.65
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$71.78 |
$71.78 |
$71.78 |
$67.80
|
|
Oxytocin 10 unit/ml injection solution
|
$44.14 |
$44.14 |
$44.14 |
$48.29
|
|
Pad repl cerv collr univ adult
|
$1,045.18 |
$1,045.18 |
$1,045.18 |
$93.32
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,684.48 |
$2,684.48 |
$2,684.48 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$38.32 |
$38.32 |
$38.32 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$17.95 |
$17.95 |
$17.95 |
$35.43
|
|
Papaverin hcl injection
|
$37.83 |
$37.83 |
$37.83 |
$83.77
|
|
Parathormone (pth) intact
|
$60.14 |
$60.14 |
$60.14 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,055.36 |
$1,055.36 |
$1,055.36 |
$1,574.40
|
|
Parathyroid planar imaging
|
$627.11 |
$627.11 |
$627.11 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$774.06 |
$774.06 |
$774.06 |
$1,398.75
|
|
Paricalcitol
|
$19.40 |
$19.40 |
$19.40 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$4,418.35
|
|
Passy muir valve metal trach
|
$278.88 |
$278.88 |
$278.88 |
$242.47
|
|
Pelvic CT scan (with and without contrast)
|
$3,007.97 |
$3,007.97 |
$3,007.97 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,661.68 |
$2,661.68 |
$2,661.68 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,357.52 |
$1,357.52 |
$1,357.52 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,130.68 |
$3,130.68 |
$3,130.68 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,723.76 |
$2,723.76 |
$2,723.76 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,878.41 |
$1,878.41 |
$1,878.41 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,152.85 |
$1,152.85 |
$1,152.85 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$772.61 |
$772.61 |
$772.61 |
$445.00
|
|
Peng benzathine/procaine inj
|
$173.63 |
$173.63 |
$173.63 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$495.67 |
$495.67 |
$495.67 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$112.52 |
$112.52 |
$112.52 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$19,815.11
|
|
Penile vascular study
|
$237.65 |
$237.65 |
$237.65 |
$561.00
|
|
Penile vascular study
|
$237.65 |
$237.65 |
$237.65 |
$460.20
|
|
Perc cryo ablate renal tum
|
$20,620.26 |
$20,620.26 |
$20,620.26 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$12,836.50 |
$12,836.50 |
$12,836.50 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$12,836.50 |
$12,836.50 |
$12,836.50 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$12,836.50 |
$12,836.50 |
$12,836.50 |
$12,467.24
|
|
Perc drug-el cor stent bran
|
$11,066.25 |
$11,066.25 |
$11,066.25 |
$12,091.30
|
|
Perc rf ablate renal tumor
|
$6,956.36 |
$6,956.36 |
$6,956.36 |
$6,949.48
|
|
Percut ablate liver rf
|
$2,812.52 |
$2,812.52 |
$2,812.52 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$556.78 |
$556.78 |
$556.78 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,566.62 |
$2,566.62 |
$2,566.62 |
$2,573.60
|
|
Peri-proc device eval icd
|
$382.67 |
$382.67 |
$382.67 |
$220.35
|
|
Peri-proc device eval pm
|
$244.93 |
$244.93 |
$244.93 |
$195.80
|
|
Perit-vens shunt pat tst
|
$425.35 |
$425.35 |
$425.35 |
$695.40
|
|
Perq dev breast 1st strtctc
|
$698.89 |
$698.89 |
$698.89 |
$1,548.60
|
|
Perq nl/pl lithotrp cplx>2cm
|
$6,432.56 |
$6,432.56 |
$6,432.56 |
$10,114.58
|
|
Perq nl/pl lithotrp smpl<2cm
|
$6,432.56 |
$6,432.56 |
$6,432.56 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$4,683.65 |
$4,683.65 |
$4,683.65 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$4,683.65 |
$4,683.65 |
$4,683.65 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$4,683.65 |
$4,683.65 |
$4,683.65 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$270.63 |
$270.63 |
$270.63 |
$625.93
|
|
Perq transcath septal reduxn
|
$93.61 |
$93.61 |
$93.61 |
$8,828.16
|
|
Pfc sigma fem post aug sz3 8mm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$33,990.40
|
|
Ph body fluid
|
$57.23 |
$57.23 |
$57.23 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$180.91 |
$180.91 |
$180.91 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$180.42 |
$180.42 |
$180.42 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,422.02 |
$1,422.02 |
$1,422.02 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$762.91 |
$762.91 |
$762.91 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$12.61 |
$12.61 |
$12.61 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$191.58 |
$191.58 |
$191.58 |
$111.27
|
|
Phlebotomy therapeutic
|
$209.04 |
$209.04 |
$209.04 |
$249.00
|
|
Phosphorus
|
$90.70 |
$90.70 |
$90.70 |
$47.81
|
|
Phosphorus 24 hour urine
|
$3.14 |
$3.14 |
$3.14 |
$42.81
|
|
Phys blood bank serv reactj
|
$469.97 |
$469.97 |
$469.97 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$154.23 |
$154.23 |
$154.23 |
$92.07
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$85.36 |
$85.36 |
$85.36 |
$101.60
|
|
Place cath xtrnl carotid
|
$4,564.34 |
$4,564.34 |
$4,564.34 |
$4,202.65
|
|
Place duod/jej tube perc
|
$2,493.87 |
$2,493.87 |
$2,493.87 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$2,168.92 |
$2,168.92 |
$2,168.92 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$991.83 |
$991.83 |
$991.83 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$932.17 |
$932.17 |
$932.17 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$440.38 |
$440.38 |
$440.38 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$3,033.19 |
$3,033.19 |
$3,033.19 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$555.33 |
$555.33 |
$555.33 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$14,228.93 |
$14,228.93 |
$14,228.93 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$3,971.18 |
$3,971.18 |
$3,971.18 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$7,108.65 |
$7,108.65 |
$7,108.65 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,564.34 |
$4,564.34 |
$4,564.34 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$7,108.65 |
$7,108.65 |
$7,108.65 |
$9,181.35
|