|
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
|
|
Njx aa&/strd nrv nrvtg si jt
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$1,035.20
|
|
Njx cath slct p-art angrp bi
|
$8,532.00 |
$8,532.00 |
$8,532.00 |
$1,774.00
|
|
Njx cth slct p-art angrp uni
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$1,301.25
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$1,580.80
|
|
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
|
|
Noninv pace analysis
|
$593.40 |
$593.40 |
$593.40 |
$788.00
|
|
Npm1 gene
|
$816.60 |
$816.60 |
$816.60 |
$493.60
|
|
Npsy fam hlth interv ea addl 15 min
|
$182.40 |
$182.40 |
$182.40 |
$82.25
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$182.40 |
$182.40 |
$182.40 |
$89.40
|
|
Nras gene variants exon 2&3
|
$622.20 |
$622.20 |
$622.20 |
$590.26
|
|
Nr lnr acclrtr tx max 5 sessions
|
$6,737.40 |
$6,737.40 |
$6,737.40 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$2,966.40 |
$2,966.40 |
$2,966.40 |
$2,591.00
|
|
Nuclear exam of tear flow
|
$799.80 |
$799.80 |
$799.80 |
$549.70
|
|
Nuclear rx intra-arterial
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$761.95
|
|
Nuclear rx IV admin
|
$1,410.60 |
$1,410.60 |
$1,410.60 |
$806.38
|
|
Nuclear Stress Test (Heart)
|
$5,742.60 |
$5,742.60 |
$5,742.60 |
$3,739.20
|
|
Nushield 1 square cm
|
$6,816.00 |
$6,816.00 |
$6,816.00 |
$462.75
|
|
Observation direct referral from physician office for admission
|
$359.40 |
$359.40 |
$359.40 |
$359.40
|
|
Observation per hour
|
$1,015.80 |
$1,015.80 |
$1,015.80 |
$75.15
|
|
Obstetrics panel
|
$384.00 |
$384.00 |
$384.00 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$324.60 |
$324.60 |
$324.60 |
$324.60
|
|
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
|
$6,422.43 |
$6,422.43 |
$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
|
$1.90 |
$1.90 |
$2.09 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$45.34 |
$45.34 |
$165.47 |
$12.51
|
|
Ophthalmic mitomycin
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,327.41
|
|
Ophth Ultrasound b & quant a
|
$189.60 |
$189.60 |
$189.60 |
$209.06
|
|
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
|
|
Ortho elbow w/lock w/ft&adj
|
$183.60 |
$183.60 |
$183.60 |
$183.60
|
|
Orthopantogram
|
$162.60 |
$162.60 |
$162.60 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$31.80 |
$31.80 |
$31.80 |
$267.57
|
|
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
|
|
Oth resp proc, group
|
$100.80 |
$100.80 |
$100.80 |
$100.80
|
|
Oth resp proc, indiv
|
$100.80 |
$100.80 |
$100.80 |
$67.60
|
|
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
|
$79.20 |
$79.20 |
$79.20 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$96.00 |
$96.00 |
$96.00 |
$105.50
|
|
Ot re-evaluation patient/family
|
$139.20 |
$139.20 |
$139.20 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$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
|
$48.00 |
$48.00 |
$73.80 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$73.80 |
$73.80 |
$73.80 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$73.80 |
$73.80 |
$76.80 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$50.50 |
$50.50 |
$50.50 |
$26.95
|
|
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
|
|
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
|
$40.46 |
$40.46 |
$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
|
|
Parathyrd planar w/spect&ct
|
$5,443.80 |
$5,443.80 |
$5,443.80 |
$1,574.40
|
|
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
|
$219.60 |
$219.60 |
$219.60 |
$270.00
|
|
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
|
|
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
|