|
New Patient Office Visit (level 3)
|
$162.50 |
$162.50 |
$162.50 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$175.00 |
$175.00 |
$175.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$202.50 |
$202.50 |
$202.50 |
$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
|
$2,790.50 |
$2,790.50 |
$2,790.50 |
$2,156.65
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$138.28 |
$138.28 |
$138.28 |
$74.40
|
|
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
|
$1,582.50 |
$1,582.50 |
$1,582.50 |
$1,672.56
|
|
Nm imaging bone/joint whole body
|
$1,673.50 |
$1,673.50 |
$1,673.50 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,383.50 |
$1,383.50 |
$1,383.50 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,104.50 |
$1,104.50 |
$1,104.50 |
$1,512.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,149.00 |
$2,149.00 |
$2,149.00 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$976.50 |
$976.50 |
$976.50 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,147.50 |
$2,147.50 |
$2,147.50 |
$1,056.33
|
|
Non-ophthalmic fva
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$609.12
|
|
Npm1 gene
|
$368.50 |
$368.50 |
$368.50 |
$454.35
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$11.90 |
$11.90 |
$11.90 |
$102.71
|
|
Nr lnr acclrtr tx max 5 sessions
|
$6,486.50 |
$6,486.50 |
$6,486.50 |
$6,737.40
|
|
Nuclear rx intra-arterial
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$761.95
|
|
Nuclear rx IV admin
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$4,463.00 |
$4,463.00 |
$4,463.00 |
$3,801.60
|
|
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 |
$109.62
|
|
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 |
$34.49
|
|
Organic acids total quant ea spec
|
$219.00 |
$219.00 |
$219.00 |
$150.70
|
|
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
|
$627.74 |
$627.74 |
$627.74 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$85.49 |
$85.49 |
$85.49 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$68.50 |
$68.50 |
$68.50 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$84.98 |
$84.98 |
$84.98 |
$231.00
|
|
Orthovisc inj per dose
|
$677.90 |
$677.90 |
$677.90 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$126.69 |
$126.69 |
$126.69 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$145.00 |
$145.00 |
$145.00 |
$195.00
|
|
Osmolality blood
|
$66.00 |
$66.00 |
$66.00 |
$67.60
|
|
Osmolality urine
|
$43.00 |
$43.00 |
$43.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$280.50 |
$280.50 |
$280.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$204.50 |
$204.50 |
$204.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$236.50 |
$236.50 |
$236.50 |
$263.50
|
|
Oth resp proc, group
|
$183.50 |
$183.50 |
$183.50 |
$123.05
|
|
Oth resp proc, indiv
|
$169.00 |
$169.00 |
$169.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$93.50 |
$93.50 |
$93.50 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$93.50 |
$93.50 |
$93.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$75.50 |
$75.50 |
$75.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$246.00 |
$246.00 |
$246.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$84.50 |
$84.50 |
$84.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$93.50 |
$93.50 |
$93.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$89.00 |
$89.00 |
$89.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$82.00 |
$82.00 |
$82.00 |
$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 |
$50.04
|
|
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 |
$168.43
|
|
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 |
$28.70
|
|
Papaverin hcl injection
|
$106.96 |
$106.96 |
$106.96 |
$76.40
|
|
Parathormone (pth) intact
|
$197.50 |
$197.50 |
$197.50 |
$201.50
|
|
Parathyroid planar imaging
|
$908.00 |
$908.00 |
$908.00 |
$1,126.25
|
|
Parathyroid planar img w/tomo spect
|
$953.00 |
$953.00 |
$953.00 |
$1,350.00
|
|
Paricalcitol
|
$72.38 |
$72.38 |
$72.38 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$309.00 |
$309.00 |
$309.00 |
$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 |
$3,342.99
|
|
Pegloticase 8 mg/ml intravenous solution
|
$39,174.78 |
$39,174.78 |
$39,174.78 |
$47,464.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$1,887.84
|
|
Pelvic CT scan (with contrast)
|
$764.00 |
$764.00 |
$764.00 |
$1,608.98
|