|
Nm imaging bone/joint 3 phase study
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$997.50 |
$997.50 |
$997.50 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,213.50 |
$1,213.50 |
$1,213.50 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$997.50 |
$997.50 |
$997.50 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$581.25 |
$581.25 |
$581.25 |
$1,056.33
|
|
Non-card vasc flow imaging
|
$997.50 |
$997.50 |
$997.50 |
$608.56
|
|
Non-imaging heart function
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$1,222.94
|
|
Noninv pace analysis
|
$825.00 |
$825.00 |
$825.00 |
$761.60
|
|
Non-sterile gauze<=16 sq in
|
$2.25 |
$2.25 |
$2.25 |
$32.08
|
|
Nps surg dilat eust tube bi
|
$14,958.75 |
$14,958.75 |
$14,958.75 |
$6,372.80
|
|
Nps surg dilat eust tube uni
|
$14,958.75 |
$14,958.75 |
$14,958.75 |
$7,000.36
|
|
Nr lnr acclrtr tx max 5 sessions
|
$6,561.00 |
$6,561.00 |
$6,561.00 |
$6,737.40
|
|
Nuclear exam of tear flow
|
$997.50 |
$997.50 |
$997.50 |
$583.70
|
|
Nuclear matrix protein 22
|
$107.25 |
$107.25 |
$107.25 |
$44.00
|
|
Nuclear rx intra-arterial
|
$581.25 |
$581.25 |
$581.25 |
$765.00
|
|
Nuclear rx intra-articular
|
$581.25 |
$581.25 |
$581.25 |
$297.60
|
|
Nuclear rx intracav admin
|
$581.25 |
$581.25 |
$581.25 |
$776.97
|
|
Nuclear rx IV admin
|
$581.25 |
$581.25 |
$581.25 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,311.25 |
$3,311.25 |
$3,311.25 |
$3,804.45
|
|
Nuclr rx interstit colloid
|
$581.25 |
$581.25 |
$581.25 |
$642.09
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$289,675.69 |
$289,675.69 |
$289,675.69 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$19,474.40 |
$19,474.40 |
$19,474.40 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$570.75 |
$570.75 |
$570.75 |
$384.00
|
|
Observation per hour
|
$123.75 |
$123.75 |
$123.75 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$231.00 |
$231.00 |
$231.00 |
$264.60
|
|
Obstetrics panel
|
$148.50 |
$148.50 |
$148.50 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$501.75 |
$501.75 |
$501.75 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$303.75 |
$303.75 |
$303.75 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$44,588.22 |
$44,588.22 |
$44,588.22 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$565.35 |
$565.35 |
$565.35 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,179.15 |
$16,179.15 |
$16,179.15 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$20,223.42 |
$20,223.42 |
$20,223.42 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$689.93 |
$689.93 |
$689.93 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$139.46 |
$139.46 |
$139.46 |
$109.58
|
|
Olanzapine long-acting inj
|
$2,664.90 |
$2,664.90 |
$2,664.90 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,896.29 |
$6,896.29 |
$6,896.29 |
$4,595.01
|
|
Oncoprotein dcp
|
$392.25 |
$392.25 |
$392.25 |
$161.60
|
|
Oncoprotein her-2/neu
|
$392.25 |
$392.25 |
$392.25 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.42 |
$9.42 |
$9.42 |
$22.62
|
|
Open nasoethmoid fx without fixj
|
$7,798.50 |
$7,798.50 |
$7,798.50 |
$6,759.31
|
|
Ophthalmic biometry
|
$112.50 |
$112.50 |
$112.50 |
$182.95
|
|
Ophthalmic mitomycin
|
$843.81 |
$843.81 |
$843.81 |
$775.44
|
|
Ophth Ultrasound b & quant a
|
$334.50 |
$334.50 |
$334.50 |
$301.60
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$307.50 |
$307.50 |
$307.50 |
$215.90
|
|
Oph Ultrasound dx quan a-scan only
|
$324.00 |
$324.00 |
$324.00 |
$298.98
|
|
Optical endomicroscpy interp
|
$164.25 |
$164.25 |
$164.25 |
$86.40
|
|
Oral aprepitant
|
$801.39 |
$801.39 |
$801.39 |
$410.20
|
|
Oral busulfan
|
$706.59 |
$706.59 |
$706.59 |
$176.80
|
|
Oral everolimus
|
$1,602.93 |
$1,602.93 |
$1,602.93 |
$33.34
|
|
Oral hiv-1/hiv-2 screen
|
$36.75 |
$36.75 |
$36.75 |
$38.58
|
|
Oral methotrexate (xatmep)
|
$5,854.69 |
$5,854.69 |
$5,854.69 |
$4,371.50
|
|
Oral netupitant, palonosetro
|
$1,616.34 |
$1,616.34 |
$1,616.34 |
$1,120.66
|
|
Organic acids total quant ea spec
|
$120.00 |
$120.00 |
$120.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$12,492.06 |
$12,492.06 |
$12,492.06 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$2,720.05 |
$2,720.05 |
$2,720.05 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$32.07 |
$32.07 |
$32.07 |
$50.63
|
|
Ortho elbow w/lock w/ft&adj
|
$23.99 |
$23.99 |
$23.99 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,083.75 |
$1,083.75 |
$1,083.75 |
$708.88
|
|
Orthopantogram
|
$240.00 |
$240.00 |
$240.00 |
$241.50
|
|
Orthop traing pfrmd phys/qhp
|
$72.75 |
$72.75 |
$72.75 |
$148.20
|
|
Orthovisc inj per dose
|
$1,122.27 |
$1,122.27 |
$1,122.27 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$708.83 |
$708.83 |
$708.83 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$497.25 |
$497.25 |
$497.25 |
$195.00
|
|
Osmolality blood
|
$53.25 |
$53.25 |
$53.25 |
$67.60
|
|
Osmolality urine
|
$55.50 |
$55.50 |
$55.50 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$486.00 |
$486.00 |
$486.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$241.50 |
$241.50 |
$241.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$253.50 |
$253.50 |
$253.50 |
$263.50
|
|
Other immunoelectrophoresis
|
$144.00 |
$144.00 |
$144.00 |
$107.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$140.25 |
$140.25 |
$140.25 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$156.00 |
$156.00 |
$156.00 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$66.00 |
$66.00 |
$66.00 |
$60.45
|
|
Ot re-evaluation patient/family
|
$175.50 |
$175.50 |
$175.50 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$110.25 |
$110.25 |
$110.25 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$77.25 |
$77.25 |
$77.25 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$81.75 |
$81.75 |
$81.75 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$114.75 |
$114.75 |
$114.75 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$110.25 |
$110.25 |
$110.25 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$94.25
|
|
Ovulation tests
|
$47.25 |
$47.25 |
$47.25 |
$29.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$272.85 |
$272.85 |
$272.85 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$96.68 |
$96.68 |
$96.68 |
$50.40
|
|
Packing strips, non-impreg
|
$8.05 |
$8.05 |
$8.05 |
$6.24
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$226.24 |
$226.24 |
$226.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,731.10 |
$3,731.10 |
$3,731.10 |
$3,435.42
|
|
Palifermin injection
|
$7,318.71 |
$7,318.71 |
$7,318.71 |
$5,464.63
|
|
Palingen or promatrx
|
$3.75 |
$3.75 |
$3.75 |
$691.88
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8,355.57 |
$8,355.57 |
$8,355.57 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,048.49 |
$8,048.49 |
$8,048.49 |
$5,569.20
|
|
Palonosetron hcl
|
$138.75 |
$138.75 |
$138.75 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$155.95 |
$155.95 |
$155.95 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,990.80 |
$16,990.80 |
$16,990.80 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$19.29 |
$19.29 |
$19.29 |
$29.31
|
