|
Ntsty modul rad tx dlvr cplx
|
$2,493.60 |
$3,197.40 |
$3,327.00 |
|
|
Ntsty modul rad tx dlvr smpl
|
$2,314.20 |
$2,966.40 |
$3,087.00 |
|
|
Nuclear exam of tear flow
|
$675.60 |
$799.80 |
$990.53 |
|
|
Nuclear rx intra-arterial
|
$855.60 |
$1,472.40 |
$2,154.24 |
|
|
Nuclear rx intracav admin
|
$2,495.75 |
$2,495.75 |
$2,495.75 |
|
|
Nuclear rx IV admin
|
$819.60 |
$1,307.50 |
$8,958.37 |
|
|
Nuclear Stress Test (Heart)
|
$2,994.88 |
$4,942.20 |
$11,107.76 |
|
|
Nudt15 gene common variants
|
$1,124.73 |
$1,124.73 |
$1,124.73 |
|
|
Nushield 1 square cm
|
$2,395.35 |
$3,230.00 |
$6,816.00 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$954.31 |
$20,630.60 |
$20,630.60 |
|
|
Observation direct referral from physician office for admission
|
$198.56 |
$359.40 |
$583.20 |
|
|
Observation/inpatient hospital care hi severity 99236
|
$121.80 |
$121.80 |
$121.80 |
|
|
Observation/inpatient hospital care low severity 99234
|
$66.00 |
$66.00 |
$66.00 |
|
|
Observation/inpatient hospital care mod severity 99235
|
$93.00 |
$93.00 |
$93.00 |
|
|
Observation per hour
|
$52.80 |
$232.80 |
$1,015.80 |
|
|
Obstetric panel inc HIV tstg
|
$399.60 |
$547.80 |
$601.80 |
|
|
Obstetrics panel
|
$267.60 |
$384.00 |
$1,042.93 |
|
|
Ob Ultrasound nuchal meas 1 gest
|
$324.60 |
$324.60 |
$729.00 |
|
|
Ob Ultrasound nuchal meas add-on
|
$364.50 |
$364.50 |
$544.20 |
|
|
Occupational Therapy Evaluation (high complexity)
|
$156.00 |
$267.50 |
$387.92 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$121.20 |
$187.20 |
$387.92 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$138.00 |
$225.00 |
$387.92 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$658.10 |
$30,620.87 |
$49,311.95 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$40.37 |
$121.18 |
$6,061.30 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,422.43 |
$9,617.10 |
$50,875.70 |
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,567.91 |
$1,567.91 |
$61,063.98 |
|
|
Off/op cnsltj new/est low 30
|
$64.58 |
$64.58 |
$64.58 |
|
|
Off/op cnsltj new/est mod 40
|
$65.98 |
$65.98 |
$65.98 |
|
|
Off/op consltj new/est hi 55
|
$89.25 |
$89.25 |
$89.25 |
|
|
Off/op consltj new/est sf 20
|
$51.98 |
$51.98 |
$51.98 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,701.82 |
$1,701.82 |
$1,702.00 |
|
|
Olanzapine 10 mg intramuscular solution
|
$87.29 |
$120.17 |
$120.17 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$21.51 |
$3,488.38 |
$3,488.38 |
|
|
Onc breast mrna 12 genes
|
$562.88 |
$562.88 |
$562.88 |
|
|
Onc breast mrna 70 genes
|
$10,278.26 |
$10,278.26 |
$10,278.26 |
|
|
Oncology colon mrna
|
$16,463.69 |
$16,463.69 |
$16,463.69 |
|
|
Oncology colorectal scr
|
$1,094.24 |
$1,094.24 |
$1,094.24 |
|
|
Oncology prostate prob score
|
$3,736.79 |
$3,736.79 |
$3,736.79 |
|
|
Oncology tum unknown origin
|
$11,991.35 |
$11,991.35 |
$11,991.35 |
|
|
Onco (ovar) two proteins
|
$716.66 |
$716.66 |
$716.66 |
|
|
Oncoprotein dcp
|
$243.00 |
$359.40 |
$756.35 |
|
|
Oncoprotein her-2/neu
|
$756.35 |
$756.35 |
$756.35 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.90 |
$2.09 |
$80.56 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$21.51 |
$95.52 |
$398.16 |
|
|
Ophthalmic mitomycin
|
$858.60 |
$1,120.80 |
$4,463.40 |
|
|
Ophth Ultrasound b & quant a
|
$189.60 |
$189.60 |
$189.60 |
|
|
Oph Ultrasound dx quan a-scan only
|
$753.86 |
$753.86 |
$753.86 |
|
|
Oprelvekin injection
|
$848.31 |
$848.31 |
$848.31 |
|
|
Oral aprepitant
|
$120.81 |
$399.49 |
$474.29 |
|
|
Oral busulfan
|
$18.96 |
$18.96 |
$18.96 |
|
|
Oral everolimus
|
$41.18 |
$41.18 |
$41.18 |
|
|
Organic acids total quant ea spec
|
$49.20 |
$208.50 |
$448.20 |
|
|
Oritavancin 400 mg intravenous solution
|
$2,721.38 |
$2,721.38 |
$12,386.45 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$40.92 |
$40.92 |
$99.92 |
|
|
Ortho dvc repair per 15 min
|
$62.40 |
$62.40 |
$62.40 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$487.20 |
$487.20 |
$487.20 |
|
|
Ortho elbow w/lock w/ft&adj
|
$183.60 |
$183.60 |
$2,553.75 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$597.50 |
$627.74 |
$663.60 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$81.50 |
$83.00 |
$231.00 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$65.00 |
$66.00 |
$68.50 |
|
|
Ortho hnd without jnt w/fit&adj
|
$81.00 |
$82.50 |
$238.20 |
|
|
Orthopantogram
|
$162.60 |
$162.60 |
$1,158.29 |
|
|
Orthosis lso rigd frm hyperex
|
$2,405.78 |
$2,405.78 |
$2,405.78 |
|
|
Orthovisc inj per dose
|
$677.90 |
$677.90 |
$1,345.15 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$31.80 |
$123.00 |
$1,857.38 |
|
|
Oscillation chest wall mechanical per session
|
$138.00 |
$145.00 |
$348.99 |
|
|
Osmolality blood
|
$41.62 |
$81.63 |
$147.60 |
|
|
Osmolality urine
|
$41.00 |
$104.40 |
$147.60 |
|
|
Ostomy irrigation set
|
$96.00 |
$96.00 |
$96.00 |
|
|
Other immunoelectrophoresis
|
$405.60 |
$405.60 |
$405.60 |
|
|
Oth resp proc, group
|
$37.50 |
$177.50 |
$416.40 |
|
|
Oth resp proc, indiv
|
$61.50 |
$130.80 |
$169.00 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$69.60 |
$89.00 |
$221.40 |
|
|
Ot re-evaluation patient/family
|
$90.00 |
$149.00 |
$246.00 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$79.80 |
$79.80 |
$285.12 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$91.80 |
$91.80 |
$285.12 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$45.01 |
$106.82 |
$218.30 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.82 |
$5.03 |
$4,309.36 |
|
|
Oxytocin 10 unit/ml injection solution
|
$27.80 |
$39.23 |
$67.25 |
|
|
P-32 chromic phos ther per mci
|
$12,150.00 |
$12,150.00 |
$12,150.00 |
|
|
P-32 sod phosphate ther per mci
|
$185.40 |
$185.40 |
$185.40 |
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$65,625.00 |
$65,625.00 |
$226,535.63 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.85 |
$113.12 |
$570.38 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$29.18 |
$32.95 |
$16,607.48 |
|
|
Palb2 gene full gene seq
|
$899.59 |
$899.59 |
$899.59 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$148.56 |
$4,898.66 |
$8,247.53 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,730.99 |
$8,620.80 |
$19,843.34 |
|
|
Palonosetron hcl
|
$111.88 |
$1,094.62 |
$1,349.30 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$47.45 |
$129.80 |
$409.07 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,925.16 |
$16,674.25 |
$16,674.25 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$40.46 |
$47.70 |
$65.80 |
|
|
Papaverin hcl injection
|
$57.46 |
$106.96 |
$281.84 |
|
|
Parathormone (pth) intact
|
$89.00 |
$305.40 |
$610.80 |
|
|
Parathyrd planar w/spect&ct
|
$1,729.80 |
$3,043.14 |
$5,443.80 |
|
|
Parathyroid planar imaging
|
$413.50 |
$1,170.60 |
$2,970.41 |
|
|
Parathyroid planar img w/tomo spect
|
$727.50 |
$1,531.80 |
$2,970.41 |
|
|
Paricalcitol
|
$47.38 |
$72.38 |
$99.13 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$192.60 |
$299.50 |
$741.10 |
|
|
Partial removal finger bone
|
$803.00 |
$803.00 |
$803.00 |
|