|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$934.80 |
$934.80 |
$14,476.45 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$13,597.35 |
$13,597.35 |
$13,597.35 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$884.00 |
$884.00 |
$12,937.10 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$972.00 |
$972.00 |
$13,656.30 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$664.40 |
$664.40 |
$664.40 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$514.40 |
$514.40 |
$8,632.50 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$0.95 |
$0.95 |
$0.95 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$805.30 |
$805.30 |
$805.30 |
$761.48
|
|
Nerve conduction studies 11-12
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$418.20 |
$418.20 |
$418.20 |
$341.10
|
|
Nerve conduction studies 13+
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$805.30 |
$805.30 |
$805.30 |
$495.30
|
|
Nerve conduction studies 5-6
|
$805.30 |
$805.30 |
$805.30 |
$685.75
|
|
Nerve conduction studies 9-10
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$1,244.90
|
|
New Patient Office Visit (level 3)
|
$1,176.45 |
$1,176.45 |
$1,176.45 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,861.10 |
$1,861.10 |
$1,861.10 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.14 |
$0.14 |
$0.14 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$3.26 |
$3.26 |
$3.26 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$1,200.80 |
$1,200.80 |
$14,509.95 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,265.60 |
$1,265.60 |
$13,030.05 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,274.40 |
$1,274.40 |
$12,772.90 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$815.60 |
$815.60 |
$8,336.25 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$866.40 |
$866.40 |
$4,119.30 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,321.60 |
$2,321.60 |
$10,517.10 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,227.20 |
$2,227.20 |
$12,772.90 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$784.40 |
$784.40 |
$8,662.05 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$806.40 |
$806.40 |
$5,084.20 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,174.00 |
$1,174.00 |
$17,179.40 |
$1,020.34
|
|
Noninv pace analysis
|
$1,413.25 |
$1,413.25 |
$1,413.25 |
$761.60
|
|
Npm1 gene
|
$120.00 |
$120.00 |
$120.00 |
$430.95
|
|
Nuclear rx IV admin
|
$31,031.90 |
$31,031.90 |
$31,031.90 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$12,115.35 |
$12,115.35 |
$12,115.35 |
$3,921.45
|
|
Nushield 1 square cm
|
$353.60 |
$353.60 |
$353.60 |
$2,342.13
|
|
Obstetrics panel
|
$1,062.45 |
$1,062.45 |
$1,062.45 |
$204.80
|
|
Ob Ultrasound nuchal meas 1 gest
|
$447.30 |
$447.30 |
$447.30 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$447.30 |
$447.30 |
$447.30 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$86.64 |
$86.64 |
$86.64 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$3.04 |
$3.04 |
$3.04 |
$73.13
|
|
Oncoprotein her-2/neu
|
$99.48 |
$99.48 |
$99.48 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$16.96 |
$16.96 |
$16.96 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$18.06 |
$18.06 |
$28.00 |
$34.32
|
|
Oprelvekin injection
|
$3,862.00 |
$3,862.00 |
$3,862.00 |
$848.31
|
|
Organic acids total quant ea spec
|
$30.60 |
$30.60 |
$259.10 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$4,985.00 |
$4,985.00 |
$4,985.00 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$20.23 |
$20.23 |
$20.23 |
$65.07
|
|
Orthopantogram
|
$164.00 |
$164.00 |
$1,458.65 |
$219.22
|
|
Osmolality blood
|
$51.82 |
$51.82 |
$647.00 |
$67.60
|
|
Osmolality urine
|
$62.08 |
$62.08 |
$646.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$127.20 |
$127.20 |
$127.20 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$127.20 |
$127.20 |
$127.20 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$127.20 |
$127.20 |
$127.20 |
$270.58
|
|
Other immunoelectrophoresis
|
$20.95 |
$20.95 |
$336.02 |
$46.40
|
|
Oth resp proc, group
|
$429.40 |
$429.40 |
$429.40 |
$154.00
|
|
Oth resp proc, indiv
|
$358.15 |
$358.15 |
$358.15 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$51.20 |
$51.20 |
$51.20 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$74.40 |
$74.40 |
$74.40 |
$107.32
|
|
Ot re-evaluation patient/family
|
$142.00 |
$142.00 |
$142.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$58.80 |
$58.80 |
$58.80 |
$100.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$69.20 |
$69.20 |
$69.20 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$86.80 |
$86.80 |
$86.80 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$52.00 |
$52.00 |
$52.00 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$4.00 |
$4.00 |
$4.00 |
$50.50
|
|
Oxytocin 10 unit/ml injection solution
|
$12.68 |
$12.68 |
$38.00 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$4.00 |
$4.00 |
$4.00 |
$231.46
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,227.00 |
$5,227.00 |
$5,227.00 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$730.48 |
$730.48 |
$730.48 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$5.32 |
$5.32 |
$5.32 |
$44.25
|
|
Papaverin hcl injection
|
$28.52 |
$28.52 |
$115.00 |
$76.40
|
|
Parathormone (pth) intact
|
$196.48 |
$196.48 |
$196.48 |
$200.23
|
|
Parathyroid planar imaging
|
$1,266.40 |
$1,266.40 |
$3,870.95 |
$1,166.00
|
|
Paricalcitol
|
$76.00 |
$76.00 |
$76.00 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$4.88 |
$4.88 |
$4.88 |
$4,418.62
|
|
Pdgfra gene
|
$200.00 |
$200.00 |
$200.00 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,643.60 |
$2,643.60 |
$2,643.60 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$972.00 |
$972.00 |
$9,758.85 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$13,971.45 |
$13,971.45 |
$13,971.45 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$972.00 |
$972.00 |
$7,313.45 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,713.20 |
$1,713.20 |
$1,713.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$567.60 |
$567.60 |
$567.60 |
$445.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$24.98 |
$24.98 |
$24.98 |
$643.59
|
|
Pentobarbital sodium inj
|
$43.61 |
$43.61 |
$205.00 |
$167.64
|
|
Perc d-e cor revasc chro add
|
$14,409.60 |
$14,409.60 |
$14,409.60 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$15,351.20 |
$15,351.20 |
$15,351.20 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$14,409.60 |
$14,409.60 |
$14,409.60 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$18,917.20 |
$18,917.20 |
$18,917.20 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$14,409.60 |
$14,409.60 |
$14,409.60 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$14,620.40 |
$14,620.40 |
$14,620.40 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$15,130.40 |
$15,130.40 |
$15,130.40 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$10,335.20 |
$10,335.20 |
$10,335.20 |
$14,070.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$134.14 |
$134.14 |
$134.14 |
$321.71
|
|
Pet CT skull-mid thgh initial
|
$1,687.60 |
$1,687.60 |
$1,687.60 |
$4,854.75
|
|
Pet CT whole body initial
|
$1,687.60 |
$1,687.60 |
$1,687.60 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$3,559.05
|
|
Pet image w/ct lmtd
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$4,422.60
|