|
Nm imaging bone/joint 3 phase study
|
$2,820.00 |
$2,820.00 |
$2,820.00 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,847.40 |
$1,847.40 |
$1,847.40 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,716.80 |
$2,716.80 |
$2,716.80 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,877.00 |
$2,877.00 |
$2,877.00 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,878.60 |
$1,878.60 |
$1,878.60 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,799.40 |
$1,799.40 |
$1,799.40 |
$1,004.90
|
|
Non-card vasc flow imaging
|
$799.20 |
$799.20 |
$799.20 |
$476.96
|
|
Npm1 gene
|
$447.00 |
$447.00 |
$447.00 |
$493.60
|
|
Nras gene variants exon 2&3
|
$639.60 |
$639.60 |
$639.60 |
$590.26
|
|
Nr lnr acclrtr tx max 5 sessions
|
$17,760.60 |
$17,760.60 |
$17,760.60 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$3,327.00 |
$3,327.00 |
$3,327.00 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$3,087.00 |
$3,087.00 |
$3,087.00 |
$2,591.00
|
|
Nuclear exam of tear flow
|
$675.60 |
$675.60 |
$675.60 |
$549.70
|
|
Nuclear rx IV admin
|
$948.00 |
$948.00 |
$948.00 |
$806.38
|
|
Nuclear Stress Test (Heart)
|
$5,742.60 |
$5,742.60 |
$5,742.60 |
$3,739.20
|
|
Nushield 1 square cm
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$462.75
|
|
Observation direct referral from physician office for admission
|
$294.00 |
$294.00 |
$294.00 |
$359.40
|
|
Observation per hour
|
$54.00 |
$54.00 |
$54.00 |
$75.15
|
|
Obstetrics panel
|
$388.20 |
$388.20 |
$388.20 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$30,620.87 |
$30,620.87 |
$30,620.87 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$418.25 |
$418.25 |
$418.25 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,617.10 |
$9,617.10 |
$9,617.10 |
$8,720.95
|
|
Olanzapine 10 mg intramuscular solution
|
$120.17 |
$120.17 |
$120.17 |
$120.17
|
|
Oncoprotein dcp
|
$395.40 |
$395.40 |
$395.40 |
$175.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.90 |
$1.90 |
$1.90 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$165.47 |
$165.47 |
$165.47 |
$12.51
|
|
Oprelvekin injection
|
$848.31 |
$848.31 |
$848.31 |
$353.44
|
|
Organic acids total quant ea spec
|
$49.20 |
$49.20 |
$49.20 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$40.92 |
$40.92
|
|
Oscillation chest wall mechanical per session
|
$183.60 |
$183.60 |
$183.60 |
$204.89
|
|
Osmolality blood
|
$131.40 |
$131.40 |
$131.40 |
$57.00
|
|
Osmolality urine
|
$131.40 |
$131.40 |
$131.40 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$218.40 |
$218.40 |
$218.40 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$141.00 |
$141.00 |
$141.00 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$180.00 |
$180.00 |
$180.00 |
$249.60
|
|
Oth resp proc, indiv
|
$130.80 |
$130.80 |
$130.80 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.20 |
$70.20 |
$70.20 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$62.40 |
$62.40 |
$62.40 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$67.20 |
$67.20 |
$67.20 |
$105.50
|
|
Ot re-evaluation patient/family
|
$90.00 |
$90.00 |
$90.00 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$63.60 |
$63.60 |
$63.60 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.80 |
$79.80 |
$79.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.80 |
$91.80 |
$91.80 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$60.60 |
$60.60 |
$60.60 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$60.00 |
$60.00 |
$60.00 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$5.03 |
$5.03 |
$5.03 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$64.52 |
$64.52 |
$64.52 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$180.24 |
$180.24 |
$180.24 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$32.95 |
$32.95 |
$32.95 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,898.66 |
$4,898.66 |
$4,898.66 |
$4,898.66
|
|
Palonosetron hcl
|
$1,094.62 |
$1,094.62 |
$1,094.62 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$119.41 |
$119.41 |
$119.41 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$65.80 |
$65.80 |
$65.80 |
$18.49
|
|
Papaverin hcl injection
|
$57.46 |
$57.46 |
$57.46 |
$85.02
|
|
Parathormone (pth) intact
|
$456.60 |
$456.60 |
$456.60 |
$204.00
|
|
Parathyroid planar imaging
|
$1,189.20 |
$1,189.20 |
$1,189.20 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,531.80 |
$1,531.80 |
$1,531.80 |
$1,317.94
|
|
Paricalcitol
|
$47.38 |
$47.38 |
$47.38 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$366.60 |
$366.60 |
$366.60 |
$270.00
|
|
Passy muir valve metal trach
|
$250.20 |
$250.20 |
$250.20 |
$241.20
|
|
Pegaspargase injection
|
$39,780.27 |
$39,780.27 |
$39,780.27 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,121.58 |
$9,121.58 |
$9,121.58 |
$9,121.58
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,688.56 |
$5,688.56 |
$5,688.56 |
$5,688.56
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,159.82 |
$5,159.82 |
$5,159.82 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,961.60 |
$5,961.60 |
$5,961.60 |
$5,961.60
|
|
Pegloticase 8 mg/ml intravenous solution
|
$41,940.84 |
$41,940.84 |
$41,940.84 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$343.20 |
$343.20 |
$343.20 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$295.20 |
$295.20 |
$295.20 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$85.04 |
$85.04 |
$85.04 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$16.16 |
$16.16 |
$16.16 |
$122.56
|
|
Peng benzathine/procaine inj
|
$338.23 |
$338.23 |
$338.23 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$35.36 |
$35.36 |
$35.36 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$151.99 |
$151.99 |
$151.99 |
$53.75
|
|
Penile vascular study
|
$820.20 |
$820.20 |
$820.20 |
$527.34
|
|
Pentamidine non-comp unit
|
$279.76 |
$279.76 |
$279.76 |
$279.76
|
|
Pentobarbital sodium inj
|
$279.95 |
$279.95 |
$279.95 |
$64.60
|
|
Perc d-e cor revasc t cabg s
|
$57,406.80 |
$57,406.80 |
$57,406.80 |
$18,917.20
|
|
Perc drug-el cor stent bran
|
$16,080.00 |
$16,080.00 |
$16,080.00 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$21,437.40 |
$21,437.40 |
$21,437.40 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$83.70 |
$83.70 |
$83.70 |
$269.36
|
|
Peritoneogram rs&i
|
$396.00 |
$396.00 |
$396.00 |
$510.85
|
|
Perit-vens shunt pat tst
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$608.46
|
|
Perq dev breast 1st strtctc
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,471.17
|
|
Pertussis ag if
|
$159.60 |
$159.60 |
$159.60 |
$53.95
|
|
Pertuzumab 30 mg/ml desensitization
|
$10,118.19 |
$10,118.19 |
$10,118.19 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$4,645.20 |
$4,645.20 |
$4,645.20 |
$4,850.00
|
|
Pet CT whole body initial
|
$5,017.80 |
$5,017.80 |
$5,017.80 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$4,113.60 |
$4,113.60 |
$4,113.60 |
$3,274.20
|
|
Pet image w/ct lmtd
|
$3,949.80 |
$3,949.80 |
$3,949.80 |
$4,422.60
|
