|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,408.70 |
$2,408.70 |
$2,408.70 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,468.55 |
$2,468.55 |
$2,468.55 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,232.65 |
$2,232.65 |
$2,232.65 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,069.55 |
$2,069.55 |
$2,069.55 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,780.05 |
$2,780.05 |
$2,780.05 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,643.20 |
$2,643.20 |
$2,643.20 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,575.30 |
$2,575.30 |
$2,575.30 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$550.76 |
$550.76 |
$550.76 |
$51.35
|
|
Nerve conduction 7-8 studies
|
$399.70 |
$399.70 |
$399.70 |
$761.48
|
|
Nerve conduction studies 11-12
|
$721.70 |
$721.70 |
$721.70 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$283.15 |
$283.15 |
$283.15 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,432.85 |
$2,432.85 |
$2,432.85 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$566.65 |
$566.65 |
$566.65 |
$495.30
|
|
Nerve conduction studies 5-6
|
$933.10 |
$933.10 |
$933.10 |
$685.75
|
|
Nerve conduction studies 9-10
|
$1,582.70 |
$1,582.70 |
$1,582.70 |
$1,244.90
|
|
Neurolysis trigeminal nerve
|
$428.40 |
$428.40 |
$428.40 |
$2,114.70
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$147.70 |
$147.70 |
$147.70 |
$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
|
|
Njx aa&/strd nrv nrvtg si jt
|
$838.95 |
$838.95 |
$838.95 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$428.40 |
$428.40 |
$428.40 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$199.50 |
$199.50 |
$199.50 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$428.40 |
$428.40 |
$428.40 |
$1,586.71
|
|
Njx interlaminar crv/thrc
|
$1,736.35 |
$1,736.35 |
$1,736.35 |
$1,908.87
|
|
Njx interlaminar lmbr/sac
|
$1,736.35 |
$1,736.35 |
$1,736.35 |
$2,074.68
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,341.55 |
$1,341.55 |
$1,341.55 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$3,416.70 |
$3,416.70 |
$3,416.70 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,403.85 |
$1,403.85 |
$1,403.85 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,853.95 |
$1,853.95 |
$1,853.95 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,345.40 |
$1,345.40 |
$1,345.40 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,147.65 |
$1,147.65 |
$1,147.65 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,149.05 |
$1,149.05 |
$1,149.05 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$863.45 |
$863.45 |
$863.45 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$660.45 |
$660.45 |
$660.45 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,793.05 |
$1,793.05 |
$1,793.05 |
$1,020.34
|
|
Npm1 gene
|
$105.00 |
$105.00 |
$105.00 |
$430.95
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,668.00 |
$3,668.00 |
$3,668.00 |
$7,875.40
|
|
Nsl/sins ndsc surg max sins
|
$3,986.50 |
$3,986.50 |
$3,986.50 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$877.80 |
$877.80 |
$877.80 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$701.75 |
$701.75 |
$701.75 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$358.40 |
$358.40 |
$358.40 |
$761.95
|
|
Nuclear rx IV admin
|
$1,003.45 |
$1,003.45 |
$1,003.45 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$2,346.05 |
$2,346.05 |
$2,346.05 |
$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
|
$472.85 |
$472.85 |
$472.85 |
$420.00
|
|
Observation per hour
|
$78.75 |
$78.75 |
$78.75 |
$83.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$33.84 |
$33.84 |
$33.84 |
$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
|
$57.43 |
$57.43 |
$57.43 |
$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
|
$5.50 |
$5.50 |
$5.50 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$34.11 |
$34.11 |
$34.11 |
$30.15
|
|
Ophthalmic mitomycin
|
$1,509.46 |
$1,509.46 |
$1,509.46 |
$1,269.22
|
|
Opn tx orbit fx without impl 21406
|
$2,946.30 |
$2,946.30 |
$2,946.30 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$8,453.60
|
|
Optx lunate dislocation
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$7,907.11
|
|
Optx medial ankle fx
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$7,807.24
|
|
Optx mndblr/max alv ridge fx
|
$2,946.30 |
$2,946.30 |
$2,946.30 |
$6,808.50
|
|
Optx prox humrl fx w/int fix
|
$7,196.70 |
$7,196.70 |
$7,196.70 |
$12,734.70
|
|
Optx ulnar shft fx int fixj
|
$3,602.90 |
$3,602.90 |
$3,602.90 |
$7,913.97
|
|
Orchiopexy ingun/scrot appr
|
$1,953.35 |
$1,953.35 |
$1,953.35 |
$4,176.15
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$218.75 |
$218.75 |
$218.75 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$105.00 |
$105.00 |
$105.00 |
$830.31
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$147.88 |
$147.88 |
$147.88 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$105.00 |
$105.00 |
$105.00 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$74.38 |
$74.38 |
$74.38 |
$225.00
|
|
Orthosis lso rigd frm hyperex
|
$746.03 |
$746.03 |
$746.03 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$147.88 |
$147.88 |
$147.88 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$175.00 |
$175.00 |
$175.00 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$366.45 |
$366.45 |
$366.45 |
$221.34
|
|
Osmolality blood
|
$109.20 |
$109.20 |
$109.20 |
$67.60
|
|
Osmolality urine
|
$109.20 |
$109.20 |
$109.20 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$268.80 |
$268.80 |
$268.80 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$258.65 |
$258.65 |
$258.65 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$263.90 |
$263.90 |
$263.90 |
$270.58
|
|
Other immunoelectrophoresis
|
$345.80 |
$345.80 |
$345.80 |
$46.40
|
|
Oth resp proc, group
|
$584.85 |
$584.85 |
$584.85 |
$137.05
|
|
Oth resp proc, indiv
|
$129.85 |
$129.85 |
$129.85 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$107.32
|
|
Ot re-evaluation patient/family
|
$175.70 |
$175.70 |
$175.70 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$83.08 |
$83.08 |
$83.08 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$7,595.25 |
$7,595.25 |
$7,595.25 |
$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
|
$463.12 |
$463.12 |
$463.12 |
$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
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$144.57 |
$144.57 |
$144.57 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.24 |
$34.24 |
$34.24 |
$35.43
|
|
Papaverin hcl injection
|
$148.79 |
$148.79 |
$148.79 |
$83.77
|