|
Nm imaging bone/joint 3 phase study
|
$2,286.28 |
$2,286.28 |
$2,286.28 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$3,031.44 |
$3,031.44 |
$3,031.44 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,874.00 |
$2,874.00 |
$2,874.00 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,268.26 |
$2,268.26 |
$2,268.26 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,226.66 |
$1,226.66 |
$1,226.66 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,800.15 |
$1,800.15 |
$1,800.15 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,061.13 |
$1,061.13 |
$1,061.13 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$3,075.45 |
$3,075.45 |
$3,075.45 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,337.26 |
$1,337.26 |
$1,337.26 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$3,213.70 |
$3,213.70 |
$3,213.70 |
$1,020.34
|
|
Nuclear Stress Test (Heart)
|
$8,529.56 |
$8,529.56 |
$8,529.56 |
$3,921.45
|
|
Nudt15 gene common variants
|
$5,782.04 |
$5,782.04 |
$5,782.04 |
$320.50
|
|
Nushield 1 square cm
|
$1,624.58 |
$1,624.58 |
$1,624.58 |
$2,342.13
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$10,792.10 |
$10,792.10 |
$10,792.10 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$1,867.26 |
$1,867.26 |
$1,867.26 |
$411.10
|
|
Observation per hour
|
$60.21 |
$60.21 |
$60.21 |
$79.30
|
|
Obstetrics panel
|
$948.79 |
$948.79 |
$948.79 |
$204.80
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$985,785.45 |
$985,785.45 |
$985,785.45 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$463.07 |
$463.07 |
$463.07 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$192,667.27 |
$192,667.27 |
$192,667.27 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$67,652.83 |
$67,652.83 |
$67,652.83 |
$4,797.94
|
|
Oncoprotein dcp
|
$1,278.22 |
$1,278.22 |
$1,278.22 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$146.41 |
$146.41 |
$146.41 |
$34.32
|
|
Organic acids total quant ea spec
|
$468.34 |
$468.34 |
$468.34 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$358.58 |
$358.58 |
$358.58 |
$65.07
|
|
Ortho elbow w/lock w/ft&adj
|
$2,128.97 |
$2,128.97 |
$2,128.97 |
$717.62
|
|
Orthovisc inj per dose
|
$2,735.78 |
$2,735.78 |
$2,735.78 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$484.63 |
$484.63 |
$484.63 |
$221.34
|
|
Osmolality blood
|
$217.82 |
$217.82 |
$217.82 |
$67.60
|
|
Osmolality urine
|
$97.93 |
$97.93 |
$97.93 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$336.12 |
$336.12 |
$336.12 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$341.62 |
$341.62 |
$341.62 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$337.93 |
$337.93 |
$337.93 |
$270.58
|
|
Oth resp proc, group
|
$203.08 |
$203.08 |
$203.08 |
$154.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$150.79 |
$150.79 |
$150.79 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$152.75 |
$152.75 |
$152.75 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$185.17 |
$185.17 |
$185.17 |
$107.32
|
|
Ot re-evaluation patient/family
|
$206.64 |
$206.64 |
$206.64 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$152.27 |
$152.27 |
$152.27 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$160.50 |
$160.50 |
$160.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$167.73 |
$167.73 |
$167.73 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$163.75 |
$163.75 |
$163.75 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$152.27 |
$152.27 |
$152.27 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$142.52 |
$142.52 |
$142.52 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$793.12 |
$793.12 |
$793.12 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2,829.12 |
$2,829.12 |
$2,829.12 |
$231.46
|
|
Palonosetron hcl
|
$6,738.98 |
$6,738.98 |
$6,738.98 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,014.36 |
$1,014.36 |
$1,014.36 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$66,898.30 |
$66,898.30 |
$66,898.30 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$368.28 |
$368.28 |
$368.28 |
$44.25
|
|
Papaverin hcl injection
|
$526.66 |
$526.66 |
$526.66 |
$76.40
|
|
Parathormone (pth) intact
|
$819.20 |
$819.20 |
$819.20 |
$200.23
|
|
Parathyroid planar imaging
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$802.48 |
$802.48 |
$802.48 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$113,219.37 |
$113,219.37 |
$113,219.37 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$39,685.11 |
$39,685.11 |
$39,685.11 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$79,792.67 |
$79,792.67 |
$79,792.67 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$42,266.05 |
$42,266.05 |
$42,266.05 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$5,094.57 |
$5,094.57 |
$5,094.57 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,257.38 |
$4,257.38 |
$4,257.38 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,813.25 |
$3,813.25 |
$3,813.25 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,795.76 |
$3,795.76 |
$3,795.76 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,605.25 |
$2,605.25 |
$2,605.25 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,721.23 |
$1,721.23 |
$1,721.23 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,418.00 |
$1,418.00 |
$1,418.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,763.62 |
$1,763.62 |
$1,763.62 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$117,520.26 |
$117,520.26 |
$117,520.26 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$14,811.22 |
$14,811.22 |
$14,811.22 |
$643.59
|
|
Penile injection
|
$1,326.71 |
$1,326.71 |
$1,326.71 |
$418.00
|
|
Penile vascular study
|
$1,106.97 |
$1,106.97 |
$1,106.97 |
$460.20
|
|
Perc cryo ablate renal tum
|
$26,433.59 |
$26,433.59 |
$26,433.59 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$19,855.07 |
$19,855.07 |
$19,855.07 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$51,068.80 |
$51,068.80 |
$51,068.80 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$51,242.03 |
$51,242.03 |
$51,242.03 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$50,955.08 |
$50,955.08 |
$50,955.08 |
$15,337.30
|
|
Perc d-e cor stent ather s
|
$39,384.77 |
$39,384.77 |
$39,384.77 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$51,068.80 |
$51,068.80 |
$51,068.80 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$51,083.67 |
$51,083.67 |
$51,083.67 |
$14,070.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$517.93 |
$517.93 |
$517.93 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$3,480.85 |
$3,480.85 |
$3,480.85 |
$2,573.60
|
|
Peripheral vascular rehab
|
$487.48 |
$487.48 |
$487.48 |
$128.69
|
|
Peritoneogram rs&i
|
$4,311.57 |
$4,311.57 |
$4,311.57 |
$648.84
|
|
Perq art m-thrombect &/nfs
|
$11,946.69 |
$11,946.69 |
$11,946.69 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$43,161.64 |
$43,161.64 |
$43,161.64 |
$12,032.67
|
|
Perq transcath closure each
|
$15,798.08 |
$15,798.08 |
$15,798.08 |
$10,244.02
|
|
Perq transcath cls aortic
|
$67,386.56 |
$67,386.56 |
$67,386.56 |
$22,633.26
|
|
Perq transcath cls mitral
|
$67,386.56 |
$67,386.56 |
$67,386.56 |
$23,883.21
|
|
Pertuzumab 30 mg/ml desensitization
|
$67,972.55 |
$67,972.55 |
$67,972.55 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$291,608.12 |
$291,608.12 |
$291,608.12 |
$41,963.08
|
|
Ph body fluid
|
$135.92 |
$135.92 |
$135.92 |
$39.20
|
|
Phencyclidine (pcp)
|
$181.18 |
$181.18 |
$181.18 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,553.21 |
$1,553.21 |
$1,553.21 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$49.00 |
$49.00 |
$49.00 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$333.27 |
$333.27 |
$333.27 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$250.47 |
$250.47 |
$250.47 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$774.74 |
$774.74 |
$774.74 |
$111.27
|
|
Phlebotomy therapeutic
|
$3,188.84 |
$3,188.84 |
$3,188.84 |
$249.00
|
|
Phosphorus
|
$257.13 |
$257.13 |
$257.13 |
$47.81
|
|
Phosphorus 24 hour urine
|
$31.30 |
$31.30 |
$31.30 |
$42.81
|
|
Phys blood bank serv reactj
|
$1,211.95 |
$1,211.95 |
$1,211.95 |
$219.94
|