|
New Patient Office Visit (level 3)
|
$943.57 |
$943.57 |
$943.57 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$1,213.18 |
$1,213.18 |
$1,213.18 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,512.72 |
$1,512.72 |
$1,512.72 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2,076.25 |
$2,076.25 |
$2,076.25 |
$245.25
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$24.77 |
$24.77 |
$24.77 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$19,860.60 |
$19,860.60 |
$19,860.60 |
$11,280.20
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$95,232.51 |
$95,232.51 |
$95,232.51 |
$41,635.10
|
|
Nuclear Stress Test (Heart)
|
$9,213.21 |
$9,213.21 |
$9,213.21 |
$3,921.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$3,547.53 |
$3,547.53 |
$3,547.53 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$255.50 |
$255.50 |
$255.50 |
$420.81
|
|
Observation per hour
|
$125.09 |
$125.09 |
$125.09 |
$80.73
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$589,349.45 |
$589,349.45 |
$589,349.45 |
$36,571.69
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$343.60 |
$343.60 |
$343.60 |
$71.09
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$115,188.41 |
$115,188.41 |
$115,188.41 |
$1,567.91
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$40,449.27 |
$40,449.27 |
$40,449.27 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$110.14 |
$110.14 |
$110.14 |
$29.48
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$266.12 |
$266.12 |
$266.12 |
$56.05
|
|
Orthovisc inj per dose
|
$1,638.99 |
$1,638.99 |
$1,638.99 |
$443.85
|
|
Oscillation chest wall mechanical per session
|
$204.70 |
$204.70 |
$204.70 |
$221.34
|
|
Osmolality blood
|
$242.57 |
$242.57 |
$242.57 |
$67.60
|
|
Osmolality urine
|
$242.57 |
$242.57 |
$242.57 |
$65.65
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$195.24 |
$195.24 |
$195.24 |
$100.75
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$330.56 |
$330.56 |
$330.56 |
$107.32
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$252.08 |
$252.08 |
$252.08 |
$100.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$413.82 |
$413.82 |
$413.82 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$236.16 |
$236.16 |
$236.16 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$237.82 |
$237.82 |
$237.82 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$309.55 |
$309.55 |
$309.55 |
$342.84
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,025.49 |
$1,025.49 |
$1,025.49 |
$222.51
|
|
Palonosetron hcl
|
$4,032.28 |
$4,032.28 |
$4,032.28 |
$325.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$755.97 |
$755.97 |
$755.97 |
$130.10
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$21,166.18 |
$21,166.18 |
$21,166.18 |
$12,876.58
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$273.32 |
$273.32 |
$273.32 |
$34.48
|
|
Papaverin hcl injection
|
$392.57 |
$392.57 |
$392.57 |
$85.76
|
|
Parathormone (pth) intact
|
$871.03 |
$871.03 |
$871.03 |
$200.23
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$593.28 |
$593.28 |
$593.28 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$67,690.95 |
$67,690.95 |
$67,690.95 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$23,728.93 |
$23,728.93 |
$23,728.93 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$47,707.00 |
$47,707.00 |
$47,707.00 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$25,271.93 |
$25,271.93 |
$25,271.93 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$3,563.50 |
$3,563.50 |
$3,563.50 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$3,043.89 |
$3,043.89 |
$3,043.89 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,249.49 |
$2,249.49 |
$2,249.49 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,110.19 |
$7,110.19 |
$7,110.19 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,269.87 |
$5,269.87 |
$5,269.87 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,180.18 |
$6,180.18 |
$6,180.18 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,836.55 |
$1,836.55 |
$1,836.55 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$2,290.20 |
$2,290.20 |
$2,290.20 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$37,167.95 |
$37,167.95 |
$37,167.95 |
$11,589.18
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$8,858.22 |
$8,858.22 |
$8,858.22 |
$664.48
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$527.36 |
$527.36 |
$527.36 |
$321.71
|
|
Pertuzumab 30 mg/ml desensitization
|
$21,505.75 |
$21,505.75 |
$21,505.75 |
$13,666.00
|
|
Pertuzu, trastuzu, 10 mg
|
$174,339.62 |
$174,339.62 |
$174,339.62 |
$27,858.08
|
|
Ph body fluid
|
$69.62 |
$69.62 |
$69.62 |
$39.20
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,157.48 |
$1,157.48 |
$1,157.48 |
$120.24
|
|
Phenobarbital therapeutic drug level
|
$284.89 |
$284.89 |
$284.89 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$245.39 |
$245.39 |
$245.39 |
$56.70
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$186.60 |
$186.60 |
$186.60 |
$13.70
|
|
Phenytoin total therapeutic drug level
|
$232.94 |
$232.94 |
$232.94 |
$111.27
|
|
Phosphorus
|
$134.30 |
$134.30 |
$134.30 |
$47.81
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$339.32 |
$339.32 |
$339.32 |
$92.07
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$395.77 |
$395.77 |
$395.77 |
$95.01
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,448.69 |
$6,448.69 |
$6,448.69 |
$1,235.83
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,550.98 |
$4,550.98 |
$4,550.98 |
$970.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$538.72 |
$538.72 |
$538.72 |
$173.00
|
|
Potassium 24 hour urine
|
$129.77 |
$129.77 |
$129.77 |
$50.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$1,024.43 |
$1,024.43 |
$1,024.43 |
$69.46
|
|
Potassium serum/plasma/whole blood
|
$108.86 |
$108.86 |
$108.86 |
$44.64
|
|
Pr application of long arm splint
|
$1,066.63 |
$1,066.63 |
$1,066.63 |
$332.75
|
|
Pr application splint static short arm
|
$859.68 |
$859.68 |
$859.68 |
$301.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$77.22 |
$77.22 |
$77.22 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$961.97 |
$961.97 |
$961.97 |
$356.40
|
|
Prealbumin
|
$152.87 |
$152.87 |
$152.87 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$110.36 |
$110.36 |
$110.36 |
$13.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,143.19 |
$1,143.19 |
$1,143.19 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$672.97 |
$672.97 |
$672.97 |
$541.45
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$753.64 |
$753.64 |
$753.64 |
$827.94
|
|
Pr incision & drainage abscess complicated/multiple
|
$1,016.94 |
$1,016.94 |
$1,016.94 |
$648.80
|
|
Pr incision & drainage abscess simple/single
|
$1,152.70 |
$1,152.70 |
$1,152.70 |
$438.00
|
|
Pr incision & drainage abscess vulva/perineal
|
$2,239.28 |
$2,239.28 |
$2,239.28 |
$638.55
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$1,006.12 |
$1,006.12 |
$1,006.12 |
$615.60
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$1,870.43 |
$1,870.43 |
$1,870.43 |
$277.60
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$7,535.04 |
$7,535.04 |
$7,535.04 |
$546.07
|
|
Procalcitonin
|
$393.44 |
$393.44 |
$393.44 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$185.64 |
$185.64 |
$185.64 |
$44.81
|
|
Progesterone
|
$352.96 |
$352.96 |
$352.96 |
$105.00
|
|
Prolactin
|
$61.47 |
$61.47 |
$61.47 |
$127.50
|
|
Promethazine hcl injection
|
$147.13 |
$147.13 |
$147.13 |
$23.92
|
|
Propofol infusion 10 mg/ml
|
$664.17 |
$664.17 |
$664.17 |
$64.99
|
|
Protamine 10 mg/ml intravenous solution
|
$198.47 |
$198.47 |
$198.47 |
$56.70
|
|
Protein c activity
|
$431.61 |
$431.61 |
$431.61 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$507.25 |
$507.25 |
$507.25 |
$85.20
|
|
Protein s total
|
$78.87 |
$78.87 |
$78.87 |
$78.87
|
|
Protein total 24 hour urine
|
$198.95 |
$198.95 |
$198.95 |
$52.50
|
|
Protein total body fluid
|
$159.24 |
$159.24 |
$159.24 |
$52.57
|
|
Protein total serum plasma whole blood
|
$735.74 |
$735.74 |
$735.74 |
$42.81
|
|
Pr removal foreign body external auditory canal without anesthesia
|
$780.47 |
$780.47 |
$780.47 |
$280.79
|
|
Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm
|
$2,630.02 |
$2,630.02 |
$2,630.02 |
$775.50
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm
|
$1,164.26 |
$1,164.26 |
$1,164.26 |
$387.40
|
|
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm
|
$1,331.12 |
$1,331.12 |
$1,331.12 |
$440.00
|