|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$750.00 |
$750.00 |
$750.00 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$700.00 |
$700.00 |
$700.00 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$625.00 |
$625.00 |
$625.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$950.00 |
$950.00 |
$950.00 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$950.00 |
$950.00 |
$950.00 |
$1,790.58
|
|
Neisseria meningitidis
|
$75.00 |
$75.00 |
$75.00 |
$59.15
|
|
Nelarabine injection
|
$54.94 |
$54.94 |
$54.94 |
$1,051.57
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$30.37 |
$30.37 |
$30.37 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$750.00 |
$750.00 |
$750.00 |
$761.48
|
|
Nerve conduction studies 11-12
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,278.62
|
|
Nerve conduction studies 13+
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$375.00 |
$375.00 |
$375.00 |
$495.30
|
|
Nerve conduction studies 5-6
|
$550.00 |
$550.00 |
$550.00 |
$685.75
|
|
Nerve conduction studies 9-10
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,244.90
|
|
Neurolysis trigeminal nerve
|
$446.25 |
$446.25 |
$446.25 |
$2,114.70
|
|
New Patient Office Visit (level 2)
|
$73.75 |
$73.75 |
$73.75 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$87.50 |
$87.50 |
$87.50 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$100.00 |
$100.00 |
$100.00 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$166.25 |
$166.25 |
$166.25 |
$367.20
|
|
N-invas est c ffr sw aly cta
|
$650.00 |
$650.00 |
$650.00 |
$2,020.50
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$532.70 |
$532.70 |
$532.70 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$974.97 |
$974.97 |
$974.97 |
$85,051.55
|
|
Njx aa&/strd nrv nrvtg si jt
|
$435.00 |
$435.00 |
$435.00 |
$1,214.78
|
|
Njx px nfrosgrm &/urtrgrm
|
$400.00 |
$400.00 |
$400.00 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$433.75 |
$433.75 |
$433.75 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$687.50 |
$687.50 |
$687.50 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$433.75 |
$433.75 |
$433.75 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$433.75 |
$433.75 |
$433.75 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$433.75 |
$433.75 |
$433.75 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$500.00 |
$500.00 |
$500.00 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$575.00 |
$575.00 |
$575.00 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$575.00 |
$575.00 |
$575.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$433.75 |
$433.75 |
$433.75 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$290.00 |
$290.00 |
$290.00 |
$1,020.34
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$700.00 |
$700.00 |
$700.00 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$525.00 |
$525.00 |
$525.00 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$290.00 |
$290.00 |
$290.00 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$3,921.45
|
|
Nudt15 gene common variants
|
$225.00 |
$225.00 |
$225.00 |
$320.50
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$15,576.26 |
$15,576.26 |
$15,576.26 |
$378,000.00
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$315.80 |
$315.80 |
$315.80 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$193.00 |
$193.00 |
$193.00 |
$411.10
|
|
Observation per hour
|
$19.75 |
$19.75 |
$19.75 |
$79.30
|
|
Obstetrics panel
|
$43.75 |
$43.75 |
$43.75 |
$204.80
|
|
Ob Ultrasound nuchal meas 1 gest
|
$150.00 |
$150.00 |
$150.00 |
$331.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$1,523.94 |
$1,523.94 |
$1,523.94 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$100.09 |
$100.09 |
$100.09 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$5,387.46 |
$5,387.46 |
$5,387.46 |
$14,506.60
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$282.80 |
$282.80 |
$282.80 |
$5,346.32
|
|
Olanzapine long-acting inj
|
$872.79 |
$872.79 |
$872.79 |
$2.92
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,075.30 |
$1,075.30 |
$1,075.30 |
$4,797.94
|
|
Oncoprotein dcp
|
$92.50 |
$92.50 |
$92.50 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$26.56 |
$26.56 |
$26.56 |
$34.32
|
|
Ophthalmic mitomycin
|
$529.12 |
$529.12 |
$529.12 |
$1,269.22
|
|
Oral aprepitant
|
$165.28 |
$165.28 |
$165.28 |
$374.43
|
|
Oral busulfan
|
$437.42 |
$437.42 |
$437.42 |
$84.21
|
|
Oral everolimus
|
$104.99 |
$104.99 |
$104.99 |
$33.34
|
|
Oral methotrexate (xatmep)
|
$4.60 |
$4.60 |
$4.60 |
$20.71
|
|
Organic acids total quant ea spec
|
$53.75 |
$53.75 |
$53.75 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,734.81 |
$3,734.81 |
$3,734.81 |
$3,791.12
|
|
Oritavancin 400 mg intravenous solution
|
$813.97 |
$813.97 |
$813.97 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$36.70 |
$36.70 |
$36.70 |
$65.07
|
|
Orthopantogram
|
$125.00 |
$125.00 |
$125.00 |
$219.22
|
|
Orthovisc inj per dose
|
$171.46 |
$171.46 |
$171.46 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$50.00 |
$50.00 |
$50.00 |
$221.34
|
|
Osmolality blood
|
$31.25 |
$31.25 |
$31.25 |
$67.60
|
|
Osmolality urine
|
$31.25 |
$31.25 |
$31.25 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$100.00 |
$100.00 |
$100.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$75.00 |
$75.00 |
$75.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$87.50 |
$87.50 |
$87.50 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$107.32
|
|
Ot re-evaluation patient/family
|
$52.50 |
$52.50 |
$52.50 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$100.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$148.05 |
$148.05 |
$148.05 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$428.34 |
$428.34 |
$428.34 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$25.48 |
$25.48 |
$25.48 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$18.30 |
$18.30 |
$18.30 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,720.30 |
$1,720.30 |
$1,720.30 |
$4,014.63
|
|
Palifermin injection
|
$2,389.27 |
$2,389.27 |
$2,389.27 |
$10,941.16
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,760.56 |
$2,760.56 |
$2,760.56 |
$5,156.88
|
|
Palonosetron hcl
|
$129.50 |
$129.50 |
$129.50 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$26.67 |
$26.67 |
$26.67 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$38.06 |
$38.06 |
$38.06 |
$44.25
|
|
Papaverin hcl injection
|
$45.88 |
$45.88 |
$45.88 |
$76.40
|
|
Parathormone (pth) intact
|
$41.25 |
$41.25 |
$41.25 |
$200.23
|
|
Parathyroid planar imaging
|
$433.75 |
$433.75 |
$433.75 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$433.75 |
$433.75 |
$433.75 |
$1,398.75
|
|
Paricalcitol
|
$48.13 |
$48.13 |
$48.13 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$105.00 |
$105.00 |
$105.00 |
$270.00
|
|
Paste skin barrier .5oz adapt
|
$0.52 |
$0.52 |
$0.52 |
$7.00
|