|
New Patient Office Visit (level 3)
|
$87.20 |
$87.20 |
$115.20 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$108.79 |
$108.79 |
$143.72 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$116.20 |
$116.20 |
$153.51 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$245.25 |
$245.25 |
$324.00 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$23.77 |
$23.77 |
$31.40 |
$71.09
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$6,885.97 |
$6,885.97 |
$6,885.97 |
$14,281.70
|
|
Njx px nfrosgrm &/urtrgrm
|
$595.58 |
$595.58 |
$786.82 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,109.41 |
$1,109.41 |
$1,465.64 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,098.51 |
$1,098.51 |
$1,451.24 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$962.26 |
$962.26 |
$1,271.24 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$962.26 |
$962.26 |
$1,271.24 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$914.08 |
$914.08 |
$1,207.59 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,266.58 |
$1,266.58 |
$1,673.28 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,266.58 |
$1,266.58 |
$1,673.28 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,266.58 |
$1,266.58 |
$1,673.28 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$446.90 |
$446.90 |
$590.40 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$546.31 |
$546.31 |
$721.73 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$407.01 |
$407.01 |
$537.70 |
$608.56
|
|
Npm1 gene
|
$76.30 |
$76.30 |
$100.80 |
$430.95
|
|
Npsy fam hlth interv ea addl 15 min
|
$84.15 |
$84.15 |
$111.17 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$21.15 |
$21.15 |
$27.94 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$49.93 |
$49.93 |
$65.96 |
$89.09
|
|
Npsy tst eval phsy/qhp 1st hr
|
$334.63 |
$334.63 |
$442.08 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$334.63 |
$334.63 |
$442.08 |
$225.60
|
|
Nras gene variants exon 2&3
|
$74.12 |
$74.12 |
$97.92 |
$554.45
|
|
Ntrk translocation analysis
|
$176.58 |
$176.58 |
$233.28 |
$727.74
|
|
Nuclear rx intra-arterial
|
$519.06 |
$519.06 |
$685.73 |
$761.95
|
|
Nuclear rx intracav admin
|
$423.80 |
$423.80 |
$559.88 |
$675.63
|
|
Nuclear rx IV admin
|
$295.18 |
$295.18 |
$389.96 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$2,220.55 |
$2,220.55 |
$2,933.57 |
$3,921.45
|
|
Nushield 1 square cm
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$9,012.56 |
$9,012.56 |
$9,012.56 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$230.87 |
$230.87 |
$305.00 |
$420.00
|
|
Observation per hour
|
$80.88 |
$80.88 |
$106.85 |
$83.52
|
|
Ob Ultrasound nuchal meas 1 gest
|
$408.54 |
$408.54 |
$539.72 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$338.12 |
$338.12 |
$446.69 |
$243.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$135.60 |
$135.60 |
$179.14 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$3,880.84 |
$3,880.84 |
$8,828.36 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$611.49 |
$611.49 |
$807.84 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$45.13 |
$45.13 |
$59.62 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,112.89 |
$1,112.89 |
$1,112.89 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$23.33 |
$23.33 |
$30.82 |
$30.15
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$120.99 |
$120.99 |
$159.84 |
$186.40
|
|
Oprelvekin injection
|
$266.84 |
$266.84 |
$352.52 |
$848.31
|
|
Oral busulfan
|
$16.13 |
$16.13 |
$16.13 |
$84.21
|
|
Oral everolimus
|
$18.53 |
$18.53 |
$18.53 |
$25.34
|
|
Organic acids total quant ea spec
|
$3.91 |
$3.91 |
$5.16 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$1,042.04 |
$1,042.04 |
$1,376.64 |
$3,745.44
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$26.16 |
$26.16 |
$26.16 |
$56.42
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$117.51 |
$117.51 |
$155.24 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$469.79 |
$469.79 |
$620.64 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$521.24 |
$521.24 |
$688.61 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$110.31 |
$110.31 |
$145.73 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$130.59 |
$130.59 |
$172.52 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$110.31 |
$110.31 |
$145.73 |
$225.00
|
|
Orthosis lso rigd frm hyperex
|
$611.49 |
$611.49 |
$807.84 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$43.82 |
$43.82 |
$57.89 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$403.30 |
$403.30 |
$532.80 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$67.37 |
$67.37 |
$89.00 |
$221.34
|
|
Osmolality blood
|
$40.12 |
$40.12 |
$53.00 |
$67.60
|
|
Osmolality urine
|
$40.33 |
$40.33 |
$53.28 |
$65.65
|
|
Oth resp proc, group
|
$288.85 |
$288.85 |
$381.60 |
$137.05
|
|
Oth resp proc, indiv
|
$36.85 |
$36.85 |
$48.68 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$24.86 |
$24.86 |
$3,340.80 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,641.29 |
$2,641.29 |
$2,641.29 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$28.56 |
$28.56 |
$54.15 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$16,089.49 |
$16,089.49 |
$21,255.84 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$5.02 |
$5.02 |
$6.63 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,674.24 |
$1,674.24 |
$1,674.24 |
$3,656.90
|
|
Pad repl cerv collr univ adult
|
$212.55 |
$212.55 |
$280.80 |
$93.32
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,465.00 |
$2,465.00 |
$2,798.47 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,905.32 |
$1,905.32 |
$4,250.60 |
$5,156.88
|
|
Palonosetron hcl
|
$430.99 |
$430.99 |
$569.38 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$589.91 |
$589.91 |
$779.33 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,279.88 |
$1,279.88 |
$1,279.88 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$13.08 |
$13.08 |
$17.28 |
$35.43
|
|
Papaverin hcl injection
|
$40.77 |
$40.77 |
$53.86 |
$83.77
|
|
Parathormone (pth) intact
|
$116.42 |
$116.42 |
$153.80 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,266.58 |
$1,266.58 |
$1,673.28 |
$1,574.40
|
|
Parathyroid planar imaging
|
$911.68 |
$911.68 |
$1,204.42 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,101.99 |
$1,101.99 |
$1,455.84 |
$1,398.75
|
|
Paricalcitol
|
$52.98 |
$52.98 |
$69.99 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$4,418.35
|
|
Passy muir valve metal trach
|
$163.50 |
$163.50 |
$216.00 |
$242.47
|
|
Pdgfra gene
|
$109.00 |
$109.00 |
$144.00 |
$659.20
|
|
Pegaspargase injection
|
$17,126.08 |
$17,126.08 |
$17,126.08 |
$33,512.48
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,499.60
|
|
Pelvic CT scan (with and without contrast)
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,031.80 |
$1,031.80 |
$1,363.11 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,077.54 |
$2,077.54 |
$2,744.64 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,077.54 |
$2,077.54 |
$2,744.64 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,350.51 |
$1,350.51 |
$1,784.16 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$408.54 |
$408.54 |
$539.72 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$179.85 |
$179.85 |
$237.60 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$0.01 |
$0.01 |
$5,267.32 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,539.67 |
$3,539.67 |
$3,539.67 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$211.68 |
$211.68 |
$337.47 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$927.38 |
$927.38 |
$1,225.16 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$13,296.91 |
$13,296.91 |
$17,566.56 |
$19,815.11
|