|
Nm imaging gastric emptying study
|
$3,841.70 |
$3,841.70 |
$3,841.70 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,619.04 |
$4,619.04 |
$4,619.04 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,619.33 |
$4,619.33 |
$4,619.33 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,319.08 |
$2,319.08 |
$2,319.08 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$4,377.96 |
$4,377.96 |
$4,377.96 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$3,081.71 |
$3,081.71 |
$3,081.71 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$696.20 |
$696.20 |
$696.20 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$437.77 |
$437.77 |
$437.77 |
$608.56
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$38.52 |
$38.52 |
$38.52 |
$89.09
|
|
Nras gene variants exon 2&3
|
$107.31 |
$107.31 |
$107.31 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,698.15 |
$1,698.15 |
$1,698.15 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,919.53 |
$1,919.53 |
$1,919.53 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,919.53 |
$1,919.53 |
$1,919.53 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$292.53 |
$292.53 |
$292.53 |
$761.95
|
|
Nuclear rx IV admin
|
$795.57 |
$795.57 |
$795.57 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$6,449.48 |
$6,449.48 |
$6,449.48 |
$3,921.45
|
|
Nuclr rx interstit colloid
|
$182.58 |
$182.58 |
$182.58 |
$372.06
|
|
Nushield 1 square cm
|
$2,983.52 |
$2,983.52 |
$2,983.52 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$9,875.46 |
$9,875.46 |
$9,875.46 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$266.07 |
$266.07 |
$266.07 |
$420.00
|
|
Observation per hour
|
$120.84 |
$120.84 |
$120.84 |
$83.52
|
|
Obstetrics panel
|
$169.35 |
$169.35 |
$326.62 |
$204.80
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$23,667.00 |
$23,667.00 |
$23,667.00 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$148.47 |
$148.47 |
$148.47 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$4,252.71 |
$4,252.71 |
$4,252.71 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$6,717.02 |
$6,717.02 |
$6,717.02 |
$1,146.45
|
|
Olanzapine 10 mg intramuscular solution
|
$49.40 |
$49.40 |
$90.22 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,623.77 |
$1,623.77 |
$1,623.77 |
$4,595.01
|
|
Onco (ovar) five proteins
|
$186.99 |
$186.99 |
$363.16 |
$897.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$25.58 |
$25.58 |
$46.83 |
$30.15
|
|
Open thrombectomy of av fistula without revision 36831
|
$7,385.87 |
$7,385.87 |
$7,385.87 |
$6,182.35
|
|
Oral busulfan
|
$13.53 |
$13.53 |
$13.53 |
$84.21
|
|
Organic acids total quant ea spec
|
$19.11 |
$19.11 |
$37.12 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$1,141.90 |
$1,141.90 |
$1,141.90 |
$3,745.44
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$28.52 |
$28.52 |
$28.52 |
$56.42
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$20.00 |
$20.00 |
$20.00 |
$279.81
|
|
Orthosis lso rigd frm hyperex
|
$448.06 |
$448.06 |
$448.06 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$134.95 |
$134.95 |
$134.95 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$87.62 |
$87.62 |
$149.61 |
$221.34
|
|
Osmolality blood
|
$183.87 |
$183.87 |
$194.34 |
$67.60
|
|
Osmolality urine
|
$112.49 |
$112.49 |
$194.34 |
$65.65
|
|
Oth resp proc, group
|
$112.61 |
$112.61 |
$112.61 |
$137.05
|
|
Oth resp proc, indiv
|
$72.92 |
$72.92 |
$72.92 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2,770.95 |
$2,770.95 |
$2,770.95 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,894.14 |
$2,894.14 |
$2,894.14 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$44.99 |
$44.99 |
$44.99 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$31,752.00 |
$31,752.00 |
$31,752.00 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$5.59 |
$5.59 |
$5.59 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$3,656.90
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,066.42 |
$3,066.42 |
$5,588.95 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,525.65 |
$3,525.65 |
$3,525.65 |
$5,156.88
|
|
Palonosetron hcl
|
$472.46 |
$472.46 |
$472.46 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$646.51 |
$646.51 |
$646.51 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$19.11 |
$19.11 |
$19.11 |
$35.43
|
|
Papaverin hcl injection
|
$44.69 |
$44.69 |
$44.69 |
$83.77
|
|
Parathormone (pth) intact
|
$123.34 |
$123.34 |
$128.78 |
$200.23
|
|
Parathyroid planar imaging
|
$1,721.08 |
$1,721.08 |
$1,721.08 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,699.32 |
$1,699.32 |
$1,699.32 |
$1,398.75
|
|
Paricalcitol
|
$57.92 |
$57.92 |
$57.92 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$1,764.89 |
$1,764.89 |
$1,764.89 |
$4,418.35
|
|
Passy muir valve metal trach
|
$156.41 |
$156.41 |
$303.78 |
$242.47
|
|
Path clin consltj high 41-60
|
$159.94 |
$159.94 |
$379.15 |
$187.28
|
|
Path clin consltj mod 21-40
|
$159.94 |
$159.94 |
$379.15 |
$192.11
|
|
Path clin consltj sf 5-20
|
$53.22 |
$53.22 |
$125.62 |
$82.15
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$26.46 |
$26.46 |
$26.46 |
$28.80
|
|
Pelvic CT scan (with and without contrast)
|
$6,368.93 |
$6,368.93 |
$6,368.93 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$5,651.57 |
$5,651.57 |
$5,651.57 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,868.86 |
$2,868.86 |
$2,868.86 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$9,377.43 |
$9,377.43 |
$9,377.43 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,125.44 |
$1,125.44 |
$1,125.44 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$5,626.58 |
$5,626.58 |
$5,626.58 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,500.29 |
$1,500.29 |
$1,500.29 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,005.19 |
$1,005.19 |
$1,005.19 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,771.81 |
$5,771.81 |
$5,771.81 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,878.75 |
$3,878.75 |
$3,878.75 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$287.22 |
$287.22 |
$287.22 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$369.86 |
$369.86 |
$674.36 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$132.01 |
$132.01 |
$132.01 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$10,270.89 |
$10,270.89 |
$10,270.89 |
$19,815.11
|
|
Penile vascular study
|
$267.84 |
$267.84 |
$267.84 |
$561.00
|
|
Penile vascular study
|
$267.84 |
$267.84 |
$267.84 |
$460.20
|
|
Perc cryo ablate renal tum
|
$11,350.76 |
$11,350.76 |
$11,350.76 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$12,467.24
|
|
Perc drug-el cor stent bran
|
$11,995.20 |
$11,995.20 |
$11,995.20 |
$12,091.30
|
|
Perc rf ablate renal tumor
|
$5,217.03 |
$5,217.03 |
$5,217.03 |
$6,949.48
|
|
Percut ablate liver rf
|
$11,847.32 |
$11,847.32 |
$11,847.32 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$198.75 |
$198.75 |
$198.75 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$1,360.93 |
$1,360.93 |
$1,360.93 |
$2,573.60
|
|
Peri-proc device eval icd
|
$19.11 |
$19.11 |
$19.11 |
$220.35
|
|
Peri-proc device eval pm
|
$19.11 |
$19.11 |
$19.11 |
$195.80
|
|
Peritoneal cath sub q resv per
|
$6,769.94 |
$6,769.94 |
$6,769.94 |
$5,625.74
|
|
Peritoneogram rs&i
|
$528.32 |
$528.32 |
$528.32 |
$648.84
|
|
Perit-vens shunt pat tst
|
$280.77 |
$280.77 |
$280.77 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$3,761.15 |
$3,761.15 |
$3,761.15 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$6,637.05 |
$6,637.05 |
$6,637.05 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$1,124.85 |
$1,124.85 |
$1,124.85 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$221.68 |
$221.68 |
$221.68 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$4,516.43 |
$4,516.43 |
$4,516.43 |
$6,904.15
|