|
Ndl emg musc 1 xtr/non-limb
|
$1,233.69 |
$1,233.69 |
$1,233.69 |
$225.25
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$11,174.67 |
$11,174.67 |
$11,174.67 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$10,277.66 |
$10,277.66 |
$10,277.66 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$9,148.55 |
$9,148.55 |
$9,148.55 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$27,342.37 |
$27,342.37 |
$27,342.37 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$19,131.88 |
$19,131.88 |
$19,131.88 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$16,635.48 |
$16,635.48 |
$16,635.48 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$18,819.61 |
$18,819.61 |
$18,819.61 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$18,819.61 |
$18,819.61 |
$18,819.61 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$18,819.61 |
$18,819.61 |
$18,819.61 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$81.09 |
$81.09 |
$81.09 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$2,135.88 |
$2,135.88 |
$2,135.88 |
$761.48
|
|
Nerve conduction studies 11-12
|
$3,814.50 |
$3,814.50 |
$3,814.50 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$1,233.69 |
$1,233.69 |
$1,233.69 |
$341.10
|
|
Nerve conduction studies 13+
|
$3,814.50 |
$3,814.50 |
$3,814.50 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$2,467.42 |
$2,467.42 |
$2,467.42 |
$495.30
|
|
Nerve conduction studies 5-6
|
$3,701.12 |
$3,701.12 |
$3,701.12 |
$685.75
|
|
Nerve conduction studies 9-10
|
$2,288.70 |
$2,288.70 |
$2,288.70 |
$1,244.90
|
|
Nesiritide injection
|
$3,297.70 |
$3,297.70 |
$3,297.70 |
$2,365.81
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$1,233.69 |
$1,233.69 |
$1,233.69 |
$256.41
|
|
New Patient Office Visit (level 2)
|
$284.00 |
$284.00 |
$284.00 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$399.19 |
$399.19 |
$399.19 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$516.18 |
$516.18 |
$516.18 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$620.11 |
$620.11 |
$620.11 |
$367.20
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$1.63 |
$1.63 |
$1.63 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$10,511.25 |
$10,511.25 |
$10,511.25 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$10,419.64 |
$10,419.64 |
$10,419.64 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$13,800.57 |
$13,800.57 |
$13,800.57 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$8,071.14 |
$8,071.14 |
$8,071.14 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,391.73 |
$4,391.73 |
$4,391.73 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$13,217.11 |
$13,217.11 |
$13,217.11 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$5,924.25 |
$5,924.25 |
$5,924.25 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$18,386.98 |
$18,386.98 |
$18,386.98 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$8,631.36 |
$8,631.36 |
$8,631.36 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$15,289.56 |
$15,289.56 |
$15,289.56 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$4,471.17 |
$4,471.17 |
$4,471.17 |
$608.56
|
|
Non-imaging heart function
|
$2,983.98 |
$2,983.98 |
$2,983.98 |
$636.97
|
|
Nuclear rx intra-arterial
|
$16,824.63 |
$16,824.63 |
$16,824.63 |
$761.95
|
|
Nuclear rx intra-articular
|
$16,824.63 |
$16,824.63 |
$16,824.63 |
$288.75
|
|
Nuclear rx intracav admin
|
$15,295.04 |
$15,295.04 |
$15,295.04 |
$675.63
|
|
Nuclear rx IV admin
|
$8,986.29 |
$8,986.29 |
$8,986.29 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$23,662.20 |
$23,662.20 |
$23,662.20 |
$3,921.45
|
|
Nuclr rx interstit colloid
|
$15,557.74 |
$15,557.74 |
$15,557.74 |
$372.06
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$27,195.14 |
$27,195.14 |
$27,195.14 |
$14,996.94
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$15,741.68 |
$15,741.68 |
$15,741.68 |
$14,506.60
|
|
Olanzapine 10 mg intramuscular solution
|
$319.07 |
$319.07 |
$319.07 |
$122.78
|
|
Oncoprotein dcp
|
$140.09 |
$140.09 |
$140.09 |
$167.75
|
|
Oprelvekin injection
|
$5,168.96 |
$5,168.96 |
$5,168.96 |
$848.31
|
|
Oritavancin 400 mg intravenous solution
|
$3,466.16 |
$3,466.16 |
$3,466.16 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$503.54 |
$503.54 |
$503.54 |
$65.07
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,996.41 |
$2,996.41 |
$2,996.41 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$633.45 |
$633.45 |
$633.45 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.03 |
$2.03 |
$2.03 |
$231.46
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$3,009.66 |
$3,009.66 |
$3,009.66 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$28.90 |
$28.90 |
$28.90 |
$44.25
|
|
Papaverin hcl injection
|
$18.07 |
$18.07 |
$18.07 |
$76.40
|
|
Parathyroid planar imaging
|
$6,144.04 |
$6,144.04 |
$6,144.04 |
$1,166.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,009.23 |
$2,009.23 |
$2,009.23 |
$4,418.62
|
|
Pelvic CT scan (with and without contrast)
|
$11,974.19 |
$11,974.19 |
$11,974.19 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,066.24 |
$4,066.24 |
$4,066.24 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$9,968.21 |
$9,968.21 |
$9,968.21 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$23,856.80 |
$23,856.80 |
$23,856.80 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$23,258.17 |
$23,258.17 |
$23,258.17 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$18,417.45 |
$18,417.45 |
$18,417.45 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$5,418.75 |
$5,418.75 |
$5,418.75 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$4,647.81 |
$4,647.81 |
$4,647.81 |
$445.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$187.69 |
$187.69 |
$187.69 |
$4,181.29
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$550.61 |
$550.61 |
$550.61 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$289.26 |
$289.26 |
$289.26 |
$100.50
|
|
Penile vascular study
|
$798.64 |
$798.64 |
$798.64 |
$561.00
|
|
Pentamidine non-comp unit
|
$1,613.65 |
$1,613.65 |
$1,613.65 |
$299.25
|
|
Pentobarbital sodium inj
|
$6,055.13 |
$6,055.13 |
$6,055.13 |
$167.64
|
|
Perit-vens shunt pat tst
|
$8,532.33 |
$8,532.33 |
$8,532.33 |
$695.40
|
|
Perq transcath closure each
|
$53,146.50 |
$53,146.50 |
$53,146.50 |
$10,244.02
|
|
Pet CT skull-mid thgh initial
|
$23,425.88 |
$23,425.88 |
$23,425.88 |
$4,854.75
|
|
Pet CT whole body initial
|
$23,425.88 |
$23,425.88 |
$23,425.88 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$7,906.25 |
$7,906.25 |
$7,906.25 |
$3,559.05
|
|
Pet image full body
|
$8,009.75 |
$8,009.75 |
$8,009.75 |
$4,795.47
|
|
Pet image ltd area
|
$23,425.88 |
$23,425.88 |
$23,425.88 |
$2,519.20
|
|
Pet image skull-thigh
|
$23,425.88 |
$23,425.88 |
$23,425.88 |
$4,247.10
|
|
Pet image w/ct lmtd
|
$23,425.88 |
$23,425.88 |
$23,425.88 |
$4,422.60
|
|
Pharmacologic management w/psytx
|
$706.27 |
$706.27 |
$706.27 |
$93.00
|
|
Phencyclidine (pcp)
|
$142.60 |
$142.60 |
$142.60 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$46.47 |
$46.47 |
$46.47 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$2,228.94 |
$2,228.94 |
$2,228.94 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,454.06 |
$1,454.06 |
$1,454.06 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$111.27
|
|
Phlebotomy therapeutic
|
$995.51 |
$995.51 |
$995.51 |
$249.00
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$567.61 |
$567.61 |
$567.61 |
$86.36
|
|
Platelet automated
|
$326.93 |
$326.93 |
$326.93 |
$44.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$466.98 |
$466.98 |
$466.98 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$14,963.95 |
$14,963.95 |
$14,963.95 |
$4,293.60
|
|
Potassium 24 hour urine
|
$622.45 |
$622.45 |
$622.45 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$478.59 |
$478.59 |
$478.59 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$949.21 |
$949.21 |
$949.21 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$1,830.76 |
$1,830.76 |
$1,830.76 |
$374.55
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$5,459.51 |
$5,459.51 |
$5,459.51 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$5,587.34 |
$5,587.34 |
$5,587.34 |
$541.45
|
|
Pretreat rbc absorption reference
|
$402.90 |
$402.90 |
$402.90 |
$138.60
|
|
Prgr stim/pace a/iv drug
|
$10,009.93 |
$10,009.93 |
$10,009.93 |
$4,889.30
|