|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$53,707.01 |
$53,707.01 |
$53,707.01 |
$41,635.10
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,881.95 |
$1,881.95 |
$1,881.95 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$1,160.60 |
$1,160.60 |
$1,160.60 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$175.00 |
$175.00 |
$175.00 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$1,160.60 |
$1,160.60 |
$1,160.60 |
$1,586.71
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,797.25 |
$1,797.25 |
$1,797.25 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,502.90 |
$1,502.90 |
$1,502.90 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$740.60 |
$740.60 |
$740.60 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,340.15 |
$1,340.15 |
$1,340.15 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,072.05 |
$1,072.05 |
$1,072.05 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,333.85 |
$1,333.85 |
$1,333.85 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,415.75 |
$1,415.75 |
$1,415.75 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$525.35 |
$525.35 |
$525.35 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$789.60 |
$789.60 |
$789.60 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,579.90 |
$1,579.90 |
$1,579.90 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$485.80 |
$485.80 |
$485.80 |
$608.56
|
|
Npm1 gene
|
$105.00 |
$105.00 |
$105.00 |
$430.95
|
|
Npsy tst eval phsy/qhp 1st hr
|
$3.10 |
$3.10 |
$3.10 |
$407.40
|
|
Nr lnr acclrtr tx max 5 sessions
|
$6,065.50 |
$6,065.50 |
$6,065.50 |
$7,875.40
|
|
Nsl/sins ndsc surg max sins
|
$3,918.95 |
$3,918.95 |
$3,918.95 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$1,940.05 |
$1,940.05 |
$1,940.05 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,503.25 |
$1,503.25 |
$1,503.25 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$463.40 |
$463.40 |
$463.40 |
$761.95
|
|
Nuclear rx IV admin
|
$4,878.30 |
$4,878.30 |
$4,878.30 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$2,334.85 |
$2,334.85 |
$2,334.85 |
$3,921.45
|
|
Nushield 1 square cm
|
$3,791.03 |
$3,791.03 |
$3,791.03 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$521.85 |
$521.85 |
$521.85 |
$420.00
|
|
Observation per hour
|
$77.35 |
$77.35 |
$77.35 |
$88.00
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.34 |
$34.34 |
$34.34 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$24,596.98 |
$24,596.98 |
$24,596.98 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$867.27 |
$867.27 |
$867.27 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$180.63 |
$180.63 |
$180.63 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,761.72 |
$2,761.72 |
$2,761.72 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.31 |
$1.31 |
$1.31 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$33.09 |
$33.09 |
$33.09 |
$30.15
|
|
Opn tx orbit fx without impl 21406
|
$3,190.25 |
$3,190.25 |
$3,190.25 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$8,453.60
|
|
Optx lunate dislocation
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$7,907.11
|
|
Optx medial ankle fx
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$3,190.25 |
$3,190.25 |
$3,190.25 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$7,794.85 |
$7,794.85 |
$7,794.85 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$5,779.90 |
$5,779.90 |
$5,779.90 |
$7,913.97
|
|
Oral aprepitant
|
$123.42 |
$123.42 |
$123.42 |
$413.91
|
|
Orchiopexy ingun/scrot appr
|
$2,115.75 |
$2,115.75 |
$2,115.75 |
$4,176.15
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$247.80 |
$247.80 |
$247.80 |
$231.00
|
|
Orthosis lso rigd frm hyperex
|
$746.03 |
$746.03 |
$746.03 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$325.15 |
$325.15 |
$325.15 |
$221.34
|
|
Osmolality blood
|
$117.95 |
$117.95 |
$117.95 |
$67.60
|
|
Osmolality urine
|
$148.75 |
$148.75 |
$148.75 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$202.30 |
$202.30 |
$202.30 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$194.95 |
$194.95 |
$194.95 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$198.45 |
$198.45 |
$198.45 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$85.40 |
$85.40 |
$85.40 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$85.40 |
$85.40 |
$85.40 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$66.50 |
$66.50 |
$66.50 |
$107.32
|
|
Ot re-evaluation patient/family
|
$118.65 |
$118.65 |
$118.65 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$78.75 |
$78.75 |
$78.75 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$59.15 |
$59.15 |
$59.15 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$59.15 |
$59.15 |
$59.15 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$74.20 |
$74.20 |
$74.20 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$74.55 |
$74.55 |
$74.55 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$58.80 |
$58.80 |
$58.80 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$405.05 |
$405.05 |
$405.05 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$366.36 |
$366.36 |
$366.36 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$33.79 |
$33.79 |
$33.79 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$34,860.00 |
$34,860.00 |
$34,860.00 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$373.72 |
$373.72 |
$373.72 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,256.98 |
$5,256.98 |
$5,256.98 |
$3,656.90
|
|
Palivizumab 50 mg/0.5 ml inj
|
$11,992.38 |
$11,992.38 |
$11,992.38 |
$5,156.88
|
|
Palonosetron hcl
|
$35.53 |
$35.53 |
$35.53 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$134.49 |
$134.49 |
$134.49 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$11,622.77 |
$11,622.77 |
$11,622.77 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$33.96 |
$33.96 |
$33.96 |
$35.43
|
|
Papaverin hcl injection
|
$63.38 |
$63.38 |
$63.38 |
$83.77
|
|
Parathormone (pth) intact
|
$207.20 |
$207.20 |
$207.20 |
$200.23
|
|
Parathyroid planar imaging
|
$1,180.55 |
$1,180.55 |
$1,180.55 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,298.15 |
$1,298.15 |
$1,298.15 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$547.40 |
$547.40 |
$547.40 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$2,732.10 |
$2,732.10 |
$2,732.10 |
$3,762.53
|
|
Partial removal finger bone
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$2,021.04
|
|
Partial removal finger bone
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$2,211.05
|
|
Partial removal of toe
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,311.28 |
$3,311.28 |
$3,311.28 |
$4,418.35
|
|
Passy muir valve metal trach
|
$188.44 |
$188.44 |
$188.44 |
$242.47
|
|
Pedicle enel/ntroral 15576
|
$1,702.05 |
$1,702.05 |
$1,702.05 |
$2,436.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$14,249.25 |
$14,249.25 |
$14,249.25 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,267.38 |
$11,267.38 |
$11,267.38 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,842.40 |
$4,842.40 |
$4,842.40 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$2,341.85 |
$2,341.85 |
$2,341.85 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,197.30 |
$2,197.30 |
$2,197.30 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,924.30 |
$1,924.30 |
$1,924.30 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,046.05 |
$3,046.05 |
$3,046.05 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,572.15 |
$2,572.15 |
$2,572.15 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,098.95 |
$2,098.95 |
$2,098.95 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$706.30 |
$706.30 |
$706.30 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$320.60 |
$320.60 |
$320.60 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$10,474.80 |
$10,474.80 |
$10,474.80 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$13,399.77 |
$13,399.77 |
$13,399.77 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$765.75 |
$765.75 |
$765.75 |
$643.59
|