|
Nm imaging gastric emptying study
|
$1,209.44 |
$1,209.44 |
$1,209.44 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,148.89 |
$1,148.89 |
$1,148.89 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$561.70 |
$561.70 |
$561.70 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$686.65 |
$686.65 |
$686.65 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$511.56 |
$511.56 |
$511.56 |
$608.56
|
|
Npm1 gene
|
$95.90 |
$95.90 |
$95.90 |
$430.95
|
|
Npsy fam hlth interv ea addl 15 min
|
$105.77 |
$105.77 |
$105.77 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$26.58 |
$26.58 |
$26.58 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$62.75 |
$62.75 |
$62.75 |
$89.09
|
|
Npsy tst eval phsy/qhp 1st hr
|
$420.59 |
$420.59 |
$420.59 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$420.59 |
$420.59 |
$420.59 |
$225.60
|
|
Nras gene variants exon 2&3
|
$93.16 |
$93.16 |
$93.16 |
$554.45
|
|
Ntrk translocation analysis
|
$221.94 |
$221.94 |
$221.94 |
$727.74
|
|
Nuclear rx intra-arterial
|
$652.40 |
$652.40 |
$652.40 |
$761.95
|
|
Nuclear rx intracav admin
|
$532.66 |
$532.66 |
$532.66 |
$675.63
|
|
Nuclear rx IV admin
|
$371.00 |
$371.00 |
$371.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$2,790.97 |
$2,790.97 |
$2,790.97 |
$3,921.45
|
|
Nushield 1 square cm
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$11,327.71 |
$11,327.71 |
$11,327.71 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$290.17 |
$290.17 |
$290.17 |
$420.00
|
|
Observation per hour
|
$101.66 |
$101.66 |
$101.66 |
$82.93
|
|
Ob Ultrasound nuchal meas 1 gest
|
$513.48 |
$513.48 |
$513.48 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$424.98 |
$424.98 |
$424.98 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$27,147.10 |
$27,147.10 |
$27,147.10 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$170.43 |
$170.43 |
$170.43 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$8,399.20 |
$8,399.20 |
$8,399.20 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$7,704.61 |
$7,704.61 |
$7,704.61 |
$1,146.45
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$768.57 |
$768.57 |
$768.57 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$56.72 |
$56.72 |
$56.72 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$29.32 |
$29.32 |
$29.32 |
$30.15
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$152.07 |
$152.07 |
$152.07 |
$186.40
|
|
Organic acids total quant ea spec
|
$4.91 |
$4.91 |
$4.91 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$32.88 |
$32.88 |
$32.88 |
$56.42
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$147.69 |
$147.69 |
$147.69 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$590.47 |
$590.47 |
$590.47 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$655.14 |
$655.14 |
$655.14 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$138.65 |
$138.65 |
$138.65 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$164.13 |
$164.13 |
$164.13 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$138.65 |
$138.65 |
$138.65 |
$225.00
|
|
Orthosis lso rigd frm hyperex
|
$768.57 |
$768.57 |
$768.57 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$55.08 |
$55.08 |
$55.08 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$506.90 |
$506.90 |
$506.90 |
$410.92
|
|
Oscillation chest wall mechanical per session
|
$84.67 |
$84.67 |
$84.67 |
$221.34
|
|
Osmolality blood
|
$50.42 |
$50.42 |
$50.42 |
$67.60
|
|
Osmolality urine
|
$50.69 |
$50.69 |
$50.69 |
$65.65
|
|
Oth resp proc, group
|
$363.05 |
$363.05 |
$363.05 |
$137.05
|
|
Oth resp proc, indiv
|
$46.31 |
$46.31 |
$46.31 |
$89.70
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$3,178.40 |
$3,178.40 |
$3,178.40 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3,319.79 |
$3,319.79 |
$3,319.79 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$51.52 |
$51.52 |
$51.52 |
$48.29
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$20,222.57 |
$20,222.57 |
$20,222.57 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.31 |
$6.31 |
$6.31 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,104.32 |
$2,104.32 |
$2,104.32 |
$3,656.90
|
|
Pad repl cerv collr univ adult
|
$267.15 |
$267.15 |
$267.15 |
$93.32
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,517.34 |
$3,517.34 |
$3,517.34 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,394.76 |
$2,394.76 |
$2,394.76 |
$5,156.88
|
|
Palonosetron hcl
|
$541.70 |
$541.70 |
$541.70 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$741.45 |
$741.45 |
$741.45 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$6,434.35 |
$6,434.35 |
$6,434.35 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$16.44 |
$16.44 |
$16.44 |
$35.43
|
|
Papaverin hcl injection
|
$51.24 |
$51.24 |
$51.24 |
$83.77
|
|
Parathormone (pth) intact
|
$146.32 |
$146.32 |
$146.32 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,145.87 |
$1,145.87 |
$1,145.87 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,385.07 |
$1,385.07 |
$1,385.07 |
$1,398.75
|
|
Paricalcitol
|
$26.58 |
$26.58 |
$26.58 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$4,418.35
|
|
Passy muir valve metal trach
|
$205.50 |
$205.50 |
$205.50 |
$242.47
|
|
Pdgfra gene
|
$137.00 |
$137.00 |
$137.00 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,780.96 |
$6,780.96 |
$6,780.96 |
$11,569.18
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,490.96 |
$5,490.96 |
$5,490.96 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,490.96 |
$5,490.96 |
$5,490.96 |
$4,749.07
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$3,288.00 |
$3,288.00 |
$3,288.00 |
$2,499.60
|
|
Pegloticase 8 mg/ml intravenous solution
|
$34,248.36 |
$34,248.36 |
$34,248.36 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,296.85 |
$1,296.85 |
$1,296.85 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,611.22 |
$2,611.22 |
$2,611.22 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,611.22 |
$2,611.22 |
$2,611.22 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,697.43 |
$1,697.43 |
$1,697.43 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$513.48 |
$513.48 |
$513.48 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$226.05 |
$226.05 |
$226.05 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,620.39 |
$6,620.39 |
$6,620.39 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$4,448.94 |
$4,448.94 |
$4,448.94 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$424.16 |
$424.16 |
$424.16 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$151.25 |
$151.25 |
$151.25 |
$90.35
|
|
Penile rear tip xtnd 0.5cm
|
$16,712.63 |
$16,712.63 |
$16,712.63 |
$19,815.11
|
|
Penile vascular study
|
$539.24 |
$539.24 |
$539.24 |
$561.00
|
|
Penile vascular study
|
$539.24 |
$539.24 |
$539.24 |
$460.20
|
|
Pentobarbital sodium inj
|
$167.97 |
$167.97 |
$167.97 |
$185.00
|
|
Perc cryo ablate renal tum
|
$3,175.66 |
$3,175.66 |
$3,175.66 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$10,039.64 |
$10,039.64 |
$10,039.64 |
$14,712.96
|
|
Perc d-e cor revasc t cabg b
|
$10,039.64 |
$10,039.64 |
$10,039.64 |
$12,091.30
|
|
Perc d-e cor stent ather br
|
$10,039.64 |
$10,039.64 |
$10,039.64 |
$11,957.60
|
|
Perc drug-el cor stent bran
|
$10,039.64 |
$10,039.64 |
$10,039.64 |
$11,667.75
|
|
Perc rf ablate renal tumor
|
$3,017.02 |
$3,017.02 |
$3,017.02 |
$6,949.48
|
|
Percut ablate liver rf
|
$3,153.74 |
$3,153.74 |
$3,153.74 |
$7,024.12
|