|
Myelography via inj w/s&i thoracic
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$2,042.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$226.20 |
$226.20 |
$226.20 |
$115.05
|
|
Myocrd img pet 1 std w/ct
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$2,135.64
|
|
Nalbuphine 10 mg/ml injection solution
|
$49.64 |
$49.64 |
$49.64 |
$22.20
|
|
Naltrexone, depot form
|
$2,475.17 |
$2,475.17 |
$2,475.17 |
$5,794.40
|
|
Nasopharyngoscopy w/endoscope
|
$169.20 |
$169.20 |
$169.20 |
$285.55
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$42.69 |
$42.69 |
$42.69 |
$39.09
|
|
Natriuretic peptide
|
$359.40 |
$359.40 |
$359.40 |
$161.60
|
|
Natural killer cells total count
|
$181.20 |
$181.20 |
$181.20 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,741.80
|
|
Nelarabine injection
|
$1,677.43 |
$1,677.43 |
$1,677.43 |
$1,447.13
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$128.01 |
$128.01 |
$128.01 |
$34.13
|
|
Nesiritide injection
|
$2,365.81 |
$2,365.81 |
$2,365.81 |
$96.76
|
|
New Patient Office Visit (level 2)
|
$294.60 |
$294.60 |
$294.60 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$390.00 |
$390.00 |
$390.00 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$505.20 |
$505.20 |
$505.20 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$663.60 |
$663.60 |
$663.60 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$337.70 |
$337.70 |
$337.70 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$65.30 |
$65.30 |
$65.30 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$60.11 |
$60.11 |
$60.11 |
$60.11
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$22,234.68 |
$22,234.68 |
$22,234.68 |
$295.83
|
|
Nm imaging bone/joint 3 phase study
|
$2,416.20 |
$2,416.20 |
$2,416.20 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$2,208.00 |
$2,208.00 |
$2,208.00 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$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
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,532.00 |
$2,532.00 |
$2,532.00 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,830.20 |
$2,830.20 |
$2,830.20 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,124.60 |
$2,124.60 |
$2,124.60 |
$1,004.90
|
|
Nras gene variants exon 2&3
|
$622.20 |
$622.20 |
$622.20 |
$590.26
|
|
Nuclear Stress Test (Heart)
|
$5,742.60 |
$5,742.60 |
$5,742.60 |
$3,739.20
|
|
Observation direct referral from physician office for admission
|
$359.40 |
$359.40 |
$359.40 |
$359.40
|
|
Observation per hour
|
$115.80 |
$115.80 |
$115.80 |
$75.15
|
|
Obstetrics panel
|
$384.00 |
$384.00 |
$384.00 |
$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)
|
$121.18 |
$121.18 |
$121.18 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,617.10 |
$9,617.10 |
$9,617.10 |
$8,720.95
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,567.91 |
$1,567.91 |
$1,567.91 |
$106.63
|
|
Olanzapine 10 mg intramuscular solution
|
$120.17 |
$120.17 |
$120.17 |
$120.17
|
|
Oncoprotein dcp
|
$367.80 |
$367.80 |
$367.80 |
$175.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.09 |
$2.09 |
$2.09 |
$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
|
|
Oral aprepitant
|
$474.29 |
$474.29 |
$474.29 |
$260.40
|
|
Oral busulfan
|
$18.96 |
$18.96 |
$18.96 |
$84.21
|
|
Organic acids total quant ea spec
|
$129.00 |
$129.00 |
$129.00 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$40.92 |
$40.92
|
|
Oscillation chest wall mechanical per session
|
$148.80 |
$148.80 |
$148.80 |
$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
|
$263.40 |
$263.40 |
$263.40 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$159.00 |
$159.00 |
$159.00 |
$249.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$69.60 |
$69.60 |
$69.60 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$108.60 |
$108.60 |
$108.60 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$124.80 |
$124.80 |
$124.80 |
$105.50
|
|
Ot re-evaluation patient/family
|
$139.20 |
$139.20 |
$139.20 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$75.00 |
$75.00 |
$75.00 |
$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
|
$94.80 |
$94.80 |
$94.80 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$88.80 |
$88.80 |
$88.80 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$94.80 |
$94.80 |
$94.80 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.82 |
$3.82 |
$3.82 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$67.25 |
$67.25 |
$67.25 |
$30.78
|
|
P-32 chromic phos ther per mci
|
$12,150.00 |
$12,150.00 |
$12,150.00 |
$1,730.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$201.09 |
$201.09 |
$201.09 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$29.18 |
$29.18 |
$29.18 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,898.66 |
$4,898.66 |
$4,898.66 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,126.81 |
$6,126.81 |
$6,126.81 |
$5,156.88
|
|
Palonosetron hcl
|
$1,094.62 |
$1,094.62 |
$1,094.62 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$129.80 |
$129.80 |
$129.80 |
$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
|
$121.02 |
$121.02 |
$121.02 |
$85.02
|
|
Parathormone (pth) intact
|
$305.40 |
$305.40 |
$305.40 |
$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
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,901.00 |
$5,901.00 |
$5,901.00 |
$5,901.00
|
|
Passy muir valve metal trach
|
$217.20 |
$217.20 |
$217.20 |
$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
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$4,028.25 |
$4,028.25 |
$4,028.25 |
$4,891.26
|
|
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
|