|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,788.24 |
$4,788.24 |
$11,363.00 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$6,314.68 |
$6,314.68 |
$20,270.50 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$5,549.56 |
$5,549.56 |
$14,415.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$3,707.65 |
$3,707.65 |
$7,703.50 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$4,596.77 |
$4,596.77 |
$4,596.77 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$939.15 |
$939.15 |
$8,150.50 |
$608.56
|
|
Noninv pace analysis
|
$2,574.48 |
$2,574.48 |
$19,806.60 |
$761.60
|
|
Noonan spectrum disorders
|
$2,357.96 |
$2,357.96 |
$2,357.96 |
$2,357.96
|
|
Npm1 gene
|
$481.86 |
$481.86 |
$1,706.71 |
$430.95
|
|
Nras gene variants exon 2&3
|
$696.00 |
$696.00 |
$1,906.89 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$10,271.08 |
$10,271.08 |
$56,069.20 |
$7,875.40
|
|
Ntrk translocation analysis
|
$777.96 |
$777.96 |
$4,137.11 |
$727.74
|
|
Ntsty modul rad tx dlvr cplx
|
$10,114.78 |
$10,114.78 |
$17,428.95 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$8,428.97 |
$8,428.97 |
$17,428.95 |
$2,364.96
|
|
Nuclear exam of tear flow
|
$6,098.00 |
$6,098.00 |
$6,098.00 |
$538.45
|
|
Nuclear rx intra-arterial
|
$2,654.40 |
$2,654.40 |
$3,690.00 |
$761.95
|
|
Nuclear rx intracav admin
|
$11,787.00 |
$11,787.00 |
$11,787.00 |
$675.63
|
|
Nuclear rx IV admin
|
$2,484.12 |
$2,484.12 |
$3,077.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$11,895.86 |
$11,895.86 |
$30,606.50 |
$3,921.45
|
|
Nudt15 gene common variants
|
$343.80 |
$343.80 |
$343.80 |
$320.50
|
|
Nushield 1 square cm
|
$975.86 |
$975.86 |
$975.86 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$515.76 |
$515.76 |
$17,140.02 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$811.92 |
$811.92 |
$811.92 |
$420.00
|
|
Observation per hour
|
$202.00 |
$202.00 |
$202.00 |
$83.52
|
|
Obstetrics panel
|
$723.22 |
$723.22 |
$723.22 |
$204.80
|
|
Obtaining screen pap smear
|
$100.98 |
$100.98 |
$100.98 |
$32.04
|
|
Ob Ultrasound nuchal meas 1 gest
|
$1,784.75 |
$1,784.75 |
$1,842.92 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$481.92 |
$481.92 |
$481.92 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$121,301.04 |
$121,301.04 |
$173,306.07 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$524.57 |
$524.57 |
$524.57 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$58,875.04 |
$58,875.04 |
$58,875.04 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$33,885.63 |
$33,885.63 |
$33,885.63 |
$1,146.45
|
|
Olanzapine 10 mg intramuscular solution
|
$1,350.72 |
$1,350.72 |
$1,350.72 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$11,909.62 |
$11,909.62 |
$11,909.62 |
$4,595.01
|
|
Oncology prostate prob score
|
$1,257.83 |
$1,257.83 |
$1,257.83 |
$1,048.80
|
|
Oncology tum unknown origin
|
$31,229.01 |
$31,229.01 |
$31,229.01 |
$5,175.00
|
|
Oncoprotein dcp
|
$469.64 |
$469.64 |
$469.64 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$22.96 |
$22.96 |
$22.96 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$109.27 |
$109.27 |
$1,137.00 |
$30.15
|
|
Optx acromclv dislc aqt/chrn
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,095.72
|
|
Optx clavicular fx w/int fix
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$8,453.60
|
|
Optx medial ankle fx
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Optx radial shaft fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,287.97
|
|
Optx rdl&uln shft fx rds&uln
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$6,839.00
|
|
Optx ulnar shft fx int fixj
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,913.97
|
|
Optx ulnar styloid fracture
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,886.74
|
|
Oral busulfan
|
$25.76 |
$25.76 |
$25.76 |
$84.21
|
|
Organic acids total quant ea spec
|
$261.84 |
$261.84 |
$1,782.66 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$10,940.00 |
$10,940.00 |
$10,940.00 |
$3,745.44
|
|
Oropharyngeal biopsy 42800
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$405.20 |
$405.20 |
$462.00 |
$56.42
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$822.94 |
$822.94 |
$822.94 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$783.41 |
$783.41 |
$783.41 |
$623.75
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$873.19 |
$873.19 |
$873.19 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$771.89 |
$771.89 |
$771.89 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$503.12 |
$503.12 |
$503.12 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$771.89 |
$771.89 |
$771.89 |
$225.00
|
|
Orthopantogram
|
$808.94 |
$808.94 |
$3,579.95 |
$219.22
|
|
Orthosis lso rigd frm hyperex
|
$616.95 |
$616.95 |
$616.95 |
$813.61
|
|
Orthovisc inj per dose
|
$498.00 |
$498.00 |
$498.00 |
$443.85
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$468.21 |
$468.21 |
$468.21 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$736.45 |
$736.45 |
$1,094.90 |
$221.34
|
|
Osmolality blood
|
$333.31 |
$333.31 |
$1,073.07 |
$67.60
|
|
Osmolality urine
|
$269.35 |
$269.35 |
$1,073.07 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,821.05
|
|
Osteopath manip tx/5-6 body region 98927
|
$94.41 |
$94.41 |
$94.41 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$112.11 |
$112.11 |
$112.11 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$112.11 |
$112.11 |
$112.11 |
$95.16
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,855.00
|
|
Ot evaluation high complexity patient/family
|
$928.55 |
$928.55 |
$2,597.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$759.72 |
$759.72 |
$1,298.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$844.12 |
$844.12 |
$1,730.00 |
$270.58
|
|
Other immunoelectrophoresis
|
$2,083.20 |
$2,083.20 |
$2,083.20 |
$46.40
|
|
Oth resp proc, group
|
$137.05 |
$137.05 |
$1,152.25 |
$137.05
|
|
Oth resp proc, indiv
|
$137.05 |
$137.05 |
$1,321.10 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$119.77 |
$119.77 |
$601.15 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$488.88 |
$488.88 |
$488.88 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$288.40 |
$288.40 |
$288.40 |
$107.32
|
|
Ot re-evaluation patient/family
|
$571.11 |
$571.11 |
$868.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$255.00 |
$255.00 |
$255.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$383.46 |
$383.46 |
$383.46 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$383.46 |
$383.46 |
$383.46 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$271.38 |
$271.38 |
$271.38 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$299.77 |
$299.77 |
$299.77 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$319.76 |
$319.76 |
$319.76 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$731.16 |
$731.16 |
$1,026.00 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$505.68 |
$505.68 |
$505.68 |
$48.29
|
|
P-32 sod phosphate ther per mci
|
$1,642.00 |
$1,642.00 |
$1,642.00 |
$436.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,815.70 |
$2,815.70 |
$2,815.70 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$22,195.60 |
$22,195.60 |
$22,195.60 |
$3,656.90
|
|
Pad repl cerv collr univ adult
|
$194.66 |
$194.66 |
$194.66 |
$93.32
|
|
Palivizumab 50 mg/0.5 ml inj
|
$19,929.84 |
$19,929.84 |
$19,929.84 |
$5,156.88
|
|
Palonosetron hcl
|
$411.60 |
$411.60 |
$2,659.32 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$803.98 |
$803.98 |
$6,704.88 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$28,208.92 |
$28,208.92 |
$28,208.92 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$416.29 |
$416.29 |
$1,036.00 |
$35.43
|
|
Papaverin hcl injection
|
$419.08 |
$419.08 |
$419.08 |
$83.77
|
|
Parathormone (pth) intact
|
$40.00 |
$40.00 |
$661.07 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$8,216.02 |
$8,216.02 |
$8,216.02 |
$1,574.40
|
|
Parathyroid planar imaging
|
$4,117.69 |
$4,117.69 |
$11,212.00 |
$1,166.00
|
