|
Ndl insj without njx 1 or 2 musc
|
$52.50 |
$52.50 |
$52.50 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$52.50 |
$52.50 |
$52.50 |
$54.60
|
|
Ndl round specialty proguide
|
$1,579.38 |
$1,579.38 |
$1,579.38 |
$388.83
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,349.50 |
$3,349.50 |
$3,349.50 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,267.25 |
$3,267.25 |
$3,267.25 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,088.40 |
$3,088.40 |
$3,088.40 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,061.45 |
$3,061.45 |
$3,061.45 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,435.30 |
$2,435.30 |
$2,435.30 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,243.50 |
$2,243.50 |
$2,243.50 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,435.30 |
$2,435.30 |
$2,435.30 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,169.65 |
$2,169.65 |
$2,169.65 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,914.15 |
$1,914.15 |
$1,914.15 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$33.78 |
$33.78 |
$33.78 |
$51.35
|
|
Neurolysis trigeminal nerve
|
$635.60 |
$635.60 |
$635.60 |
$2,114.70
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$96.60 |
$96.60 |
$96.60 |
$256.41
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$233.86 |
$233.86 |
$233.86 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$47.55 |
$47.55 |
$47.55 |
$71.09
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$11,907.37 |
$11,907.37 |
$11,907.37 |
$14,281.70
|
|
Njx aa&/strd nrv nrvtg si jt
|
$638.40 |
$638.40 |
$638.40 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$635.60 |
$635.60 |
$635.60 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$218.75 |
$218.75 |
$218.75 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$635.60 |
$635.60 |
$635.60 |
$1,586.71
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$847.70 |
$847.70 |
$847.70 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$792.40 |
$792.40 |
$792.40 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$842.10 |
$842.10 |
$842.10 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$702.80 |
$702.80 |
$702.80 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$939.75 |
$939.75 |
$939.75 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,253.35 |
$1,253.35 |
$1,253.35 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$625.80 |
$625.80 |
$625.80 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$469.70 |
$469.70 |
$469.70 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$329.70 |
$329.70 |
$329.70 |
$1,020.34
|
|
Npm1 gene
|
$105.00 |
$105.00 |
$105.00 |
$430.95
|
|
Nsl/sins ndsc surg max sins
|
$2,717.75 |
$2,717.75 |
$2,717.75 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$483.35 |
$483.35 |
$483.35 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$387.10 |
$387.10 |
$387.10 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$1,986.25 |
$1,986.25 |
$1,986.25 |
$3,921.45
|
|
Nushield 1 square cm
|
$3,791.03 |
$3,791.03 |
$3,791.03 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$14,996.94 |
$14,996.94 |
$14,996.94 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$520.10 |
$520.10 |
$520.10 |
$420.00
|
|
Observation per hour
|
$81.55 |
$81.55 |
$81.55 |
$83.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$50.74 |
$50.74 |
$50.74 |
$70.66
|
|
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
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.63 |
$0.63 |
$0.63 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$34.62 |
$34.62 |
$34.62 |
$30.15
|
|
Opn tx orbit fx without impl 21406
|
$3,811.85 |
$3,811.85 |
$3,811.85 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$8,453.60
|
|
Optx lunate dislocation
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$7,907.11
|
|
Optx medial ankle fx
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$3,811.85 |
$3,811.85 |
$3,811.85 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$9,313.85 |
$9,313.85 |
$9,313.85 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$3,165.75 |
$3,165.75 |
$3,165.75 |
$7,913.97
|
|
Oral aprepitant
|
$24.30 |
$24.30 |
$24.30 |
$413.91
|
|
Orchiopexy ingun/scrot appr
|
$2,527.70 |
$2,527.70 |
$2,527.70 |
$4,176.15
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,623.63 |
$3,623.63 |
$3,623.63 |
$13,112.70
|
|
Orthosis lso rigd frm hyperex
|
$746.03 |
$746.03 |
$746.03 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$208.60 |
$208.60 |
$208.60 |
$221.34
|
|
Osmolality blood
|
$119.35 |
$119.35 |
$119.35 |
$67.60
|
|
Osmolality urine
|
$119.35 |
$119.35 |
$119.35 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$3,821.05
|
|
Ot evaluation high complexity patient/family
|
$244.65 |
$244.65 |
$244.65 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$234.15 |
$234.15 |
$234.15 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$239.75 |
$239.75 |
$239.75 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$107.32
|
|
Ot re-evaluation patient/family
|
$234.15 |
$234.15 |
$234.15 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$65.10 |
$65.10 |
$65.10 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$65.10 |
$65.10 |
$65.10 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$77.70 |
$77.70 |
$77.70 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$395.54 |
$395.54 |
$395.54 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$271.80 |
$271.80 |
$271.80 |
$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
|
$257.30 |
$257.30 |
$257.30 |
$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
|
$7,101.31 |
$7,101.31 |
$7,101.31 |
$5,156.88
|
|
Palonosetron hcl
|
$33.23 |
$33.23 |
$33.23 |
$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
|
$34.24 |
$34.24 |
$34.24 |
$35.43
|
|
Papaverin hcl injection
|
$59.73 |
$59.73 |
$59.73 |
$83.77
|
|
Parathormone (pth) intact
|
$136.50 |
$136.50 |
$136.50 |
$200.23
|
|
Parathyroid planar imaging
|
$416.50 |
$416.50 |
$416.50 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,339.80 |
$1,339.80 |
$1,339.80 |
$1,398.75
|
|
Paricalcitol
|
$35.84 |
$35.84 |
$35.84 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$190.05 |
$190.05 |
$190.05 |
$270.00
|
|
Part hymenectomy/revi hymenal ring 56700
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$3,762.53
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$3,881.50
|
|
Partial removal finger bone
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,021.04
|
|
Partial removal finger bone
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,211.05
|
|
Partial removal of tibia
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$4,108.80
|
|
Partial removal of toe
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,821.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,311.28 |
$3,311.28 |
$3,311.28 |
$4,418.35
|
|
Part removal of metatarsal
|
$2,662.10 |
$2,662.10 |
$2,662.10 |
$2,942.23
|