|
New Patient Office Visit (level 5)
|
$70.70 |
$70.70 |
$70.70 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$333.58 |
$333.58 |
$333.58 |
$263.48
|
|
Nintedanib 150 mg capsule
|
$735.03 |
$735.03 |
$735.03 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$2,656.50 |
$2,656.50 |
$2,656.50 |
$2,194.83
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$138.28 |
$138.28 |
$138.28 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$37,464.78 |
$37,464.78 |
$37,464.78 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$37,083.80 |
$37,083.80 |
$37,083.80 |
$41,635.10
|
|
Nm imaging bone/joint 3 phase study
|
$1,506.50 |
$1,506.50 |
$1,506.50 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,194.50 |
$1,194.50 |
$1,194.50 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,651.50 |
$1,651.50 |
$1,651.50 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$929.50 |
$929.50 |
$929.50 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,044.50 |
$2,044.50 |
$2,044.50 |
$1,056.33
|
|
Non-ophthalmic fva
|
$996.00 |
$996.00 |
$996.00 |
$609.12
|
|
Npm1 gene
|
$351.00 |
$351.00 |
$351.00 |
$457.50
|
|
Nuclear rx IV admin
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$4,249.00 |
$4,249.00 |
$4,249.00 |
$3,804.45
|
|
Nushield 1 square cm
|
$3,230.00 |
$3,230.00 |
$3,230.00 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$20,630.60 |
$20,630.60 |
$20,630.60 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$387.00 |
$387.00 |
$387.00 |
$384.00
|
|
Observation per hour
|
$387.00 |
$387.00 |
$387.00 |
$81.22
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$49,311.95 |
$49,311.95 |
$49,311.95 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$308.02 |
$308.02 |
$308.02 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,532.78 |
$16,532.78 |
$16,532.78 |
$12,080.43
|
|
Off/op cnsltj new/est low 30
|
$64.58 |
$64.58 |
$64.58 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$65.98 |
$65.98 |
$65.98 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$89.25 |
$89.25 |
$89.25 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$51.98 |
$51.98 |
$51.98 |
$133.80
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,701.82 |
$1,701.82 |
$1,701.82 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$87.29 |
$87.29 |
$87.29 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,488.38 |
$3,488.38 |
$3,488.38 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$80.56 |
$80.56 |
$80.56 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$95.52 |
$95.52 |
$95.52 |
$22.62
|
|
Oral aprepitant
|
$399.49 |
$399.49 |
$399.49 |
$410.20
|
|
Oral everolimus
|
$41.18 |
$41.18 |
$41.18 |
$33.34
|
|
Organic acids total quant ea spec
|
$208.50 |
$208.50 |
$208.50 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$2,721.38 |
$2,721.38 |
$2,721.38 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$99.92 |
$99.92 |
$99.92 |
$50.63
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$597.50 |
$597.50 |
$597.50 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$81.50 |
$81.50 |
$81.50 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$65.00 |
$65.00 |
$65.00 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$81.00 |
$81.00 |
$81.00 |
$231.00
|
|
Orthovisc inj per dose
|
$677.90 |
$677.90 |
$677.90 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$120.50 |
$120.50 |
$120.50 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$138.00 |
$138.00 |
$138.00 |
$195.00
|
|
Osmolality blood
|
$63.00 |
$63.00 |
$63.00 |
$67.60
|
|
Osmolality urine
|
$41.00 |
$41.00 |
$41.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$267.00 |
$267.00 |
$267.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$194.50 |
$194.50 |
$194.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$225.00 |
$225.00 |
$225.00 |
$263.50
|
|
Oth resp proc, group
|
$174.50 |
$174.50 |
$174.50 |
$123.05
|
|
Oth resp proc, indiv
|
$161.00 |
$161.00 |
$161.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$72.00 |
$72.00 |
$72.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$234.00 |
$234.00 |
$234.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$80.50 |
$80.50 |
$80.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$97.00 |
$97.00 |
$97.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$97.00 |
$97.00 |
$97.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$84.50 |
$84.50 |
$84.50 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$78.00 |
$78.00 |
$78.00 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$106.82 |
$106.82 |
$106.82 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$211.50 |
$211.50 |
$211.50 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$27.80 |
$27.80 |
$27.80 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$65,625.00 |
$65,625.00 |
$65,625.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$113.12 |
$113.12 |
$113.12 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,435.42 |
$3,435.42 |
$3,435.42 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8,247.53 |
$8,247.53 |
$8,247.53 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,620.80 |
$8,620.80 |
$8,620.80 |
$5,569.20
|
|
Palonosetron hcl
|
$111.88 |
$111.88 |
$111.88 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$47.45 |
$47.45 |
$47.45 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$16,674.25 |
$16,674.25 |
$16,674.25 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$47.70 |
$47.70 |
$47.70 |
$29.31
|
|
Papaverin hcl injection
|
$106.96 |
$106.96 |
$106.96 |
$77.05
|
|
Parathormone (pth) intact
|
$188.00 |
$188.00 |
$188.00 |
$204.87
|
|
Parathyroid planar imaging
|
$864.50 |
$864.50 |
$864.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$907.50 |
$907.50 |
$907.50 |
$1,350.60
|
|
Paricalcitol
|
$72.38 |
$72.38 |
$72.38 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$294.00 |
$294.00 |
$294.00 |
$245.00
|
|
Passy muir valve metal trach
|
$288.88 |
$288.88 |
$288.88 |
$275.75
|
|
Pegaspargase injection
|
$46,529.45 |
$46,529.45 |
$46,529.45 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$10,396.75 |
$10,396.75 |
$10,396.75 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,045.58 |
$5,045.58 |
$5,045.58 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,188.00 |
$4,188.00 |
$4,188.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,004.26 |
$4,004.26 |
$4,004.26 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$5,229.92 |
$5,229.92 |
$5,229.92 |
$4,067.80
|
|
Peg interferon alfa-2a/180
|
$1,944.16 |
$1,944.16 |
$1,944.16 |
$3,289.23
|
|
Pegloticase 8 mg/ml intravenous solution
|
$39,174.78 |
$39,174.78 |
$39,174.78 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$956.00 |
$956.00 |
$956.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$727.50 |
$727.50 |
$727.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$565.50 |
$565.50 |
$565.50 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$892.50 |
$892.50 |
$892.50 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$728.00 |
$728.00 |
$728.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$431.50 |
$431.50 |
$431.50 |
$643.80
|