|
Nm imaging bone/joint whole body
|
$5,969.21 |
$5,969.21 |
$5,969.21 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$4,657.11 |
$4,657.11 |
$4,657.11 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$5,993.72 |
$5,993.72 |
$5,993.72 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$3,813.23 |
$3,813.23 |
$3,813.23 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$7,748.96 |
$7,748.96 |
$7,748.96 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$4,983.55 |
$4,983.55 |
$4,983.55 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$5,179.97 |
$5,179.97 |
$5,179.97 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,644.49 |
$4,644.49 |
$4,644.49 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,864.75 |
$2,864.75 |
$2,864.75 |
$1,020.34
|
|
Npm1 gene
|
$13,212.41 |
$13,212.41 |
$13,212.41 |
$430.95
|
|
Nras gene variants exon 2&3
|
$15,853.07 |
$15,853.07 |
$15,853.07 |
$554.45
|
|
Nuclear Stress Test (Heart)
|
$14,103.19 |
$14,103.19 |
$14,103.19 |
$3,921.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$3,459.50 |
$3,459.50 |
$3,459.50 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$525.43 |
$525.43 |
$525.43 |
$411.10
|
|
Observation per hour
|
$47.12 |
$47.12 |
$47.12 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$682,939.74 |
$682,939.74 |
$682,939.74 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$338.29 |
$338.29 |
$338.29 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$133,478.51 |
$133,478.51 |
$133,478.51 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$46,870.24 |
$46,870.24 |
$46,870.24 |
$4,797.94
|
|
Oncoprotein dcp
|
$3,452.10 |
$3,452.10 |
$3,452.10 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$109.81 |
$109.81 |
$109.81 |
$34.32
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$262.07 |
$262.07 |
$262.07 |
$65.07
|
|
Orthopantogram
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$219.22
|
|
Orthovisc inj per dose
|
$1,896.62 |
$1,896.62 |
$1,896.62 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$453.85 |
$453.85 |
$453.85 |
$221.34
|
|
Osmolality blood
|
$201.02 |
$201.02 |
$201.02 |
$67.60
|
|
Osmolality urine
|
$201.02 |
$201.02 |
$201.02 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,668.57 |
$1,668.57 |
$1,668.57 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$1,668.57 |
$1,668.57 |
$1,668.57 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,668.57 |
$1,668.57 |
$1,668.57 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$496.49 |
$496.49 |
$496.49 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$512.22 |
$512.22 |
$512.22 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$512.22 |
$512.22 |
$512.22 |
$107.32
|
|
Ot re-evaluation patient/family
|
$807.91 |
$807.91 |
$807.91 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$583.80 |
$583.80 |
$583.80 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$390.30 |
$390.30 |
$390.30 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$390.30 |
$390.30 |
$390.30 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$583.80 |
$583.80 |
$583.80 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$478.34 |
$478.34 |
$478.34 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$468.92 |
$468.92 |
$468.92 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$321.13 |
$321.13 |
$321.13 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,021.26 |
$1,021.26 |
$1,021.26 |
$231.46
|
|
Palonosetron hcl
|
$4,669.97 |
$4,669.97 |
$4,669.97 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$748.30 |
$748.30 |
$748.30 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$23,957.29 |
$23,957.29 |
$23,957.29 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$269.15 |
$269.15 |
$269.15 |
$44.25
|
|
Papaverin hcl injection
|
$388.67 |
$388.67 |
$388.67 |
$76.40
|
|
Parathormone (pth) intact
|
$2,440.08 |
$2,440.08 |
$2,440.08 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$4,983.55 |
$4,983.55 |
$4,983.55 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,560.99 |
$1,560.99 |
$1,560.99 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$4,657.11 |
$4,657.11 |
$4,657.11 |
$1,398.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$78,438.11 |
$78,438.11 |
$78,438.11 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$27,494.60 |
$27,494.60 |
$27,494.60 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$55,280.55 |
$55,280.55 |
$55,280.55 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$29,282.63 |
$29,282.63 |
$29,282.63 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$6,544.98 |
$6,544.98 |
$6,544.98 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$9,008.97 |
$9,008.97 |
$9,008.97 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,672.41 |
$5,672.41 |
$5,672.41 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,291.97 |
$5,291.97 |
$5,291.97 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$4,915.32 |
$4,915.32 |
$4,915.32 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$3,943.54 |
$3,943.54 |
$3,943.54 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$42,072.50 |
$42,072.50 |
$42,072.50 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$10,262.31 |
$10,262.31 |
$10,262.31 |
$643.59
|
|
Penile vascular study
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$460.20
|
|
Perc d-e cor revasc chro sin
|
$49,337.84 |
$49,337.84 |
$49,337.84 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$35,267.95 |
$35,267.95 |
$35,267.95 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$36,940.30 |
$36,940.30 |
$36,940.30 |
$15,337.30
|
|
Perc d-e cor stent ather s
|
$35,267.95 |
$35,267.95 |
$35,267.95 |
$19,892.81
|
|
Perc drug-el cor stent bran
|
$55,168.93 |
$55,168.93 |
$55,168.93 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$36,940.30 |
$36,940.30 |
$36,940.30 |
$14,070.70
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$527.36 |
$527.36 |
$527.36 |
$321.71
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,336.32 |
$1,336.32 |
$1,336.32 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,276.87 |
$3,276.87 |
$3,276.87 |
$2,573.60
|
|
Perq art m-thrombect &/nfs
|
$12,905.85 |
$12,905.85 |
$12,905.85 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$49,784.47 |
$49,784.47 |
$49,784.47 |
$12,032.67
|
|
Perq plmt bile duct stent
|
$64,795.22 |
$64,795.22 |
$64,795.22 |
$7,082.99
|
|
Perq transcath closure pda
|
$109,195.20 |
$109,195.20 |
$109,195.20 |
$18,277.50
|
|
Perq transcath cls mitral
|
$109,195.20 |
$109,195.20 |
$109,195.20 |
$23,883.21
|
|
Pertuzumab 30 mg/ml desensitization
|
$24,341.71 |
$24,341.71 |
$24,341.71 |
$18,443.20
|
|
Pertuzu, trastuzu, 10 mg
|
$202,023.35 |
$202,023.35 |
$202,023.35 |
$41,963.08
|
|
Ph body fluid
|
$97.48 |
$97.48 |
$97.48 |
$39.20
|
|
Phencyclidine (pcp)
|
$195.72 |
$195.72 |
$195.72 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,145.65 |
$1,145.65 |
$1,145.65 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$894.24 |
$894.24 |
$894.24 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$245.05 |
$245.05 |
$245.05 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$187.01 |
$187.01 |
$187.01 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$660.26 |
$660.26 |
$660.26 |
$111.27
|
|
Phlebotomy therapeutic
|
$258.48 |
$258.48 |
$258.48 |
$249.00
|
|
Phosphorus
|
$232.65 |
$232.65 |
$232.65 |
$47.81
|
|
Phosphorus 24 hour urine
|
$232.65 |
$232.65 |
$232.65 |
$42.81
|
|
Phys blood bank serv reactj
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$334.08 |
$334.08 |
$334.08 |
$86.36
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$543.62 |
$543.62 |
$543.62 |
$95.01
|
|
Place cath intracranial art
|
$9,819.50 |
$9,819.50 |
$9,819.50 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$6,900.90 |
$6,900.90 |
$6,900.90 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$20,348.51 |
$20,348.51 |
$20,348.51 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,942.88 |
$3,942.88 |
$3,942.88 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$4,830.57 |
$4,830.57 |
$4,830.57 |
$1,372.15
|
