|
No pt prsnt train add 15
|
$10.00 |
$10.00 |
$10.00 |
$47.60
|
|
No pt prsnt train initial 30
|
$20.00 |
$20.00 |
$20.00 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$220.00 |
$220.00 |
$220.00 |
$274.65
|
|
Npm1 gene
|
$980.00 |
$980.00 |
$980.00 |
$457.50
|
|
Npsy tst eval phsy/qhp 1st hr
|
$260.00 |
$260.00 |
$260.00 |
$412.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$195.00 |
$195.00 |
$195.00 |
$252.54
|
|
Nras gene variants exon 2&3
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$8,285.00 |
$8,285.00 |
$8,285.00 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$2,165.29
|
|
Nuclear rx intra-arterial
|
$735.00 |
$735.00 |
$735.00 |
$765.00
|
|
Nuclear rx IV admin
|
$995.00 |
$995.00 |
$995.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$2,155.00 |
$2,155.00 |
$2,155.00 |
$3,859.98
|
|
Nudt15 gene common variants
|
$430.00 |
$430.00 |
$430.00 |
$304.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$209.81 |
$209.81 |
$209.81 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$207.50 |
$207.50 |
$207.50 |
$384.00
|
|
Observation per hour
|
$82.50 |
$82.50 |
$82.50 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$190.00 |
$190.00 |
$190.00 |
$263.65
|
|
Obstetrics panel
|
$187.50 |
$187.50 |
$187.50 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$230.00 |
$230.00 |
$230.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$222.50 |
$222.50 |
$222.50 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$225.00 |
$225.00 |
$225.00 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$113.90 |
$113.90 |
$113.90 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$19.55 |
$19.55 |
$19.55 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$515.07 |
$515.07 |
$515.07 |
$12,080.43
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$797.24 |
$797.24 |
$797.24 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$9.57 |
$9.57 |
$9.57 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$114.60 |
$114.60 |
$114.60 |
$4,595.01
|
|
Onco (ovar) five proteins
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$986.70
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$15.51 |
$15.51 |
$15.51 |
$22.62
|
|
Oph Ultrasound dx quan a-scan only
|
$150.00 |
$150.00 |
$150.00 |
$298.98
|
|
Organic acids total quant ea spec
|
$152.50 |
$152.50 |
$152.50 |
$152.50
|
|
Oropharyngeal biopsy 42800
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,443.00
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$230.00 |
$230.00 |
$230.00 |
$279.81
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$250.00 |
$250.00 |
$250.00 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$190.00 |
$190.00 |
$190.00 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$310.00 |
$310.00 |
$310.00 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$265.00 |
$265.00 |
$265.00 |
$229.45
|
|
Orthopantogram
|
$215.00 |
$215.00 |
$215.00 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$325.00 |
$325.00 |
$325.00 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$985.00 |
$985.00 |
$985.00 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$187.50 |
$187.50 |
$187.50 |
$196.30
|
|
Osmolality blood
|
$52.50 |
$52.50 |
$52.50 |
$70.85
|
|
Osmolality urine
|
$57.50 |
$57.50 |
$57.50 |
$65.52
|
|
Oth resp proc, group
|
$67.50 |
$67.50 |
$67.50 |
$126.00
|
|
Oth resp proc, indiv
|
$65.00 |
$65.00 |
$65.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$130.00 |
$130.00 |
$130.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$62.46 |
$62.46 |
$62.46 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.86 |
$0.86 |
$0.86 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$68.10 |
$68.10 |
$68.10 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$2.02 |
$2.02 |
$2.02 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$31.04 |
$31.04 |
$31.04 |
$3,435.42
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$63.27 |
$63.27 |
$63.27 |
$28.90
|
|
Papaverin hcl injection
|
$77.96 |
$77.96 |
$77.96 |
$78.75
|
|
Parathormone (pth) intact
|
$217.50 |
$217.50 |
$217.50 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,126.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$217.50 |
$217.50 |
$217.50 |
$245.67
|
|
Passy muir valve metal trach
|
$553.47 |
$553.47 |
$553.47 |
$275.75
|
|
Pca3/klk3 antigen
|
$900.00 |
$900.00 |
$900.00 |
$510.40
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$917.96 |
$917.96 |
$917.96 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$358.13 |
$358.13 |
$358.13 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$338.40 |
$338.40 |
$338.40 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$780.00 |
$780.00 |
$780.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$620.00 |
$620.00 |
$620.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$465.00 |
$465.00 |
$465.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$315.00 |
$315.00 |
$315.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$392.50 |
$392.50 |
$392.50 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$121.24 |
$121.24 |
$121.24 |
$12,385.22
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$78.67 |
$78.67 |
$78.67 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$11.79 |
$11.79 |
$11.79 |
$97.85
|
|
Perc cryo ablate renal tum
|
$4,975.00 |
$4,975.00 |
$4,975.00 |
$11,523.76
|
|
Perc rf ablate renal tumor
|
$6,710.00 |
$6,710.00 |
$6,710.00 |
$7,243.60
|
|
Percut ablate liver rf
|
$3,790.00 |
$3,790.00 |
$3,790.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$199.14 |
$199.14 |
$199.14 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$2,375.00
|
|
Peripheral vascular rehab
|
$67.50 |
$67.50 |
$67.50 |
$132.50
|
|
Peri-proc device eval icd
|
$135.00 |
$135.00 |
$135.00 |
$192.40
|
|
Peri-proc device eval pm
|
$102.50 |
$102.50 |
$102.50 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$5,240.00 |
$5,240.00 |
$5,240.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$640.00 |
$640.00 |
$640.00 |
$698.50
|
|
Permanent tear duct plug
|
$196.40 |
$196.40 |
$196.40 |
$291.00
|
|
Perq art m-thrombect &/nfs
|
$5,355.00 |
$5,355.00 |
$5,355.00 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
$9,309.08
|
|
Perq dev breast 1st strtctc
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$18,035.00 |
$18,035.00 |
$18,035.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$14,430.00 |
$14,430.00 |
$14,430.00 |
$22,559.00
|
|
Perq p-art revsc 1 nm nt bi
|
$11,160.00 |
$11,160.00 |
$11,160.00 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$8,925.00 |
$8,925.00 |
$8,925.00 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$4,460.00 |
$4,460.00 |
$4,460.00 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$5,575.00 |
$5,575.00 |
$5,575.00 |
$6,904.15
|
