|
Neck Soft Tissue CT Scan (without contrast)
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$9.20 |
$9.20 |
$9.20 |
$60.16
|
|
New Patient Office Visit (level 2)
|
$178.00 |
$178.00 |
$178.00 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$252.00 |
$252.00 |
$252.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$488.00 |
$488.00 |
$488.00 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$27.30 |
$27.30 |
$27.30 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$112.50 |
$112.50 |
$112.50 |
$74.56
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$24,305.85 |
$24,305.85 |
$24,305.85 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$94,382.55 |
$94,382.55 |
$94,382.55 |
$41,635.10
|
|
Njx aa&/strd nrv nrvtg si jt
|
$3,117.00 |
$3,117.00 |
$3,117.00 |
$1,159.00
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$1,397.69
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,960.00 |
$2,960.00 |
$2,960.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$1,091.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$321.00 |
$321.00 |
$321.00 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,482.00 |
$4,482.00 |
$4,482.00 |
$3,859.98
|
|
Nursing facility discharge management 30 min/less than 99315
|
$175.00 |
$175.00 |
$175.00 |
$119.60
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$455,355.55 |
$455,355.55 |
$455,355.55 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$28,351.00 |
$28,351.00 |
$28,351.00 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$231.00 |
$231.00 |
$231.00 |
$384.00
|
|
Observation/inpatient hospital care low severity 99234
|
$318.00 |
$318.00 |
$318.00 |
$239.20
|
|
Observation per hour
|
$150.00 |
$150.00 |
$150.00 |
$82.50
|
|
Obtaining screen pap smear
|
$104.00 |
$104.00 |
$104.00 |
$39.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$333.00 |
$333.00 |
$333.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$276.00 |
$276.00 |
$276.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$306.00 |
$306.00 |
$306.00 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$65,142.90 |
$65,142.90 |
$65,142.90 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$32.20 |
$32.20 |
$32.20 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,011.30 |
$19,011.30 |
$19,011.30 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,810.15 |
$1,810.15 |
$1,810.15 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,115.54 |
$1,115.54 |
$1,115.54 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$129.10 |
$129.10 |
$129.10 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$14.30 |
$14.30 |
$14.30 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.00 |
$1.00 |
$1.00 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.31 |
$7.31 |
$7.31 |
$22.62
|
|
Optx medial ankle fx
|
$20,287.03 |
$20,287.03 |
$20,287.03 |
$6,653.00
|
|
Oritavancin 1,200 mg intravenous solution
|
$28,018.60 |
$28,018.60 |
$28,018.60 |
$11,017.26
|
|
Oritavancin 400 mg intravenous solution
|
$5,978.20 |
$5,978.20 |
$5,978.20 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$55.20 |
$55.20 |
$55.20 |
$50.63
|
|
Orthosis lso rigd frm hyperex
|
$1,383.14 |
$1,383.14 |
$1,383.14 |
$813.61
|
|
Orthovisc inj per dose
|
$808.00 |
$808.00 |
$808.00 |
$537.58
|
|
Oscillation chest wall mechanical per session
|
$113.00 |
$113.00 |
$113.00 |
$196.30
|
|
Osmolality blood
|
$119.00 |
$119.00 |
$119.00 |
$70.85
|
|
Osmolality urine
|
$115.00 |
$115.00 |
$115.00 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$198.00 |
$198.00 |
$198.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$226.00 |
$226.00 |
$226.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$205.00 |
$205.00 |
$205.00 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$198.00 |
$198.00 |
$198.00 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$14.50 |
$14.50 |
$14.50 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$6.85 |
$6.85 |
$6.85 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$290.64
|
|
P-32 sod phosphate ther per mci
|
$1,383.10 |
$1,383.10 |
$1,383.10 |
$469.34
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$22,352.16 |
$22,352.16 |
$22,352.16 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$328.00 |
$328.00 |
$328.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,766.15 |
$4,766.15 |
$4,766.15 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$93.32 |
$93.32 |
$93.32 |
$192.01
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$136.60 |
$136.60 |
$136.60 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$20,996.10 |
$20,996.10 |
$20,996.10 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.25 |
$10.25 |
$10.25 |
$28.90
|
|
Parathormone (pth) intact
|
$367.00 |
$367.00 |
$367.00 |
$206.18
|
|
Parathyroid planar img w/tomo spect
|
$2,594.00 |
$2,594.00 |
$2,594.00 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$426.00 |
$426.00 |
$426.00 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$16,725.34 |
$16,725.34 |
$16,725.34 |
$4,914.00
|
|
Partial removal of foot bone
|
$8,216.58 |
$8,216.58 |
$8,216.58 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$340.09 |
$340.09 |
$340.09 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$3,371.50
|
|
Passy muir valve metal trach
|
$372.96 |
$372.96 |
$372.96 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$0.54 |
$0.54 |
$0.54 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$144.91 |
$144.91 |
$144.91 |
$44.97
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,709.85 |
$17,709.85 |
$17,709.85 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,830.70 |
$10,830.70 |
$10,830.70 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$20,144.40 |
$20,144.40 |
$20,144.40 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,866.15 |
$11,866.15 |
$11,866.15 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,801.40 |
$4,801.40 |
$4,801.40 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$11,497.50 |
$11,497.50 |
$11,497.50 |
$4,120.37
|
|
Pegloticase 8 mg/ml intravenous solution
|
$95,364.75 |
$95,364.75 |
$95,364.75 |
$49,135.11
|
|
Pelvic CT scan (with contrast)
|
$2,677.00 |
$2,677.00 |
$2,677.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,986.00 |
$1,986.00 |
$1,986.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$5,898.00 |
$5,898.00 |
$5,898.00 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,175.00 |
$3,175.00 |
$3,175.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$920.00 |
$920.00 |
$920.00 |
$643.80
|
|
Pelvis X-ray (1 to 2 views)
|
$349.00 |
$349.00 |
$349.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$777.00 |
$777.00 |
$777.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$18,047.05 |
$18,047.05 |
$18,047.05 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,906.25 |
$5,906.25 |
$5,906.25 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,928.25 |
$1,928.25 |
$1,928.25 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$20.10 |
$20.10 |
$20.10 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$20,815.21 |
$20,815.21 |
$20,815.21 |
$18,764.94
|
|
Pentamidine 300 mg solution for injection
|
$792.75 |
$792.75 |
$792.75 |
$572.10
|
|
Pentostatin 10 mg intravenous solution
|
$14,509.25 |
$14,509.25 |
$14,509.25 |
$5,181.67
|
|
Perphenazine 4mg oral
|
$1.00 |
$1.00 |
$1.00 |
$2.58
|
|
Perq skel fix ulnar styld fx
|
$1,706.00 |
$1,706.00 |
$1,706.00 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,666.10 |
$20,666.10 |
$20,666.10 |
$14,272.91
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$148.28 |
$148.28 |
$148.28 |
$141.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$84,222.41 |
$84,222.41 |
$84,222.41 |
$39,920.50
|
|
Ph body fluid
|
$81.00 |
$81.00 |
$81.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$201.80 |
$201.80 |
$201.80 |
$114.56
|
