|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$24,421.44 |
$24,421.44 |
$24,421.44 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$26,150.60 |
$26,150.60 |
$26,150.60 |
$7,662.21
|
|
Nasopharyngoscopy w/endoscope
|
$114.00 |
$114.00 |
$114.00 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$26,637.70 |
$26,637.70 |
$26,637.70 |
$16,254.52
|
|
Natriuretic peptide
|
$156.00 |
$156.00 |
$156.00 |
$176.15
|
|
Natural killer cells total count
|
$122.20 |
$122.20 |
$122.20 |
$135.00
|
|
Ndl round specialty proguide
|
$1,221.47 |
$1,221.47 |
$1,221.47 |
$329.50
|
|
Nebulizer Breathing Treatment
|
$365.95 |
$365.95 |
$365.95 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$249.60 |
$249.60 |
$249.60 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,213.25 |
$2,213.25 |
$2,213.25 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,034.50 |
$2,034.50 |
$2,034.50 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,545.10 |
$3,545.10 |
$3,545.10 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,352.35 |
$2,352.35 |
$2,352.35 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,138.85 |
$3,138.85 |
$3,138.85 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$685.10 |
$685.10 |
$685.10 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$428.35 |
$428.35 |
$428.35 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$466.05 |
$466.05 |
$466.05 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,679.30 |
$2,679.30 |
$2,679.30 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$999.05 |
$999.05 |
$999.05 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,518.75 |
$2,518.75 |
$2,518.75 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,902.55 |
$1,902.55 |
$1,902.55 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,197.95 |
$1,197.95 |
$1,197.95 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$9.20 |
$9.20 |
$9.20 |
$60.16
|
|
Neuroeltrd stim post tibial
|
$157.95 |
$157.95 |
$157.95 |
$478.14
|
|
New Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$120.00 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$180.00 |
$180.00 |
$180.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$307.00 |
$307.00 |
$307.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$402.00 |
$402.00 |
$402.00 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$114.85 |
$114.85 |
$114.85 |
$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
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$959.40 |
$959.40 |
$959.40 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,162.85 |
$1,162.85 |
$1,162.85 |
$1,541.32
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,014.65 |
$1,014.65 |
$1,014.65 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
$1,024.56
|
|
Nose (Nasal Bone) X-ray (complete)
|
$288.60 |
$288.60 |
$288.60 |
$274.65
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,873.35 |
$3,873.35 |
$3,873.35 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$1,799.20 |
$1,799.20 |
$1,799.20 |
$2,165.29
|
|
Nuclear Stress Test (Heart)
|
$3,799.90 |
$3,799.90 |
$3,799.90 |
$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
|
$432.90 |
$432.90 |
$432.90 |
$384.00
|
|
Observation/inpatient hospital care low severity 99234
|
$318.00 |
$318.00 |
$318.00 |
$239.20
|
|
Observation per hour
|
$133.90 |
$133.90 |
$133.90 |
$82.50
|
|
Obstetrical care 59410
|
$3,427.00 |
$3,427.00 |
$3,427.00 |
$2,112.80
|
|
Obtaining screen pap smear
|
$38.00 |
$38.00 |
$38.00 |
$39.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$191.75 |
$191.75 |
$191.75 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$189.80 |
$189.80 |
$189.80 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$1,175.85 |
$1,175.85 |
$1,175.85 |
$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
|
$725.10 |
$725.10 |
$725.10 |
$1,220.80
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$4,007.74 |
$4,007.74 |
$4,007.74 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$17,391.40 |
$17,391.40 |
$17,391.40 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$18,877.13 |
$18,877.13 |
$18,877.13 |
$4,992.00
|
|
Open tx rib 4-6 fx w/fix 21812
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$5,112.80
|
|
Optx clavicular fx w/int fix
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$8,538.18
|
|
Optx prox humrl fx w/int fix
|
$3,040.00 |
$3,040.00 |
$3,040.00 |
$13,780.53
|
|
Optx radial shaft fracture
|
$2,320.00 |
$2,320.00 |
$2,320.00 |
$5,855.00
|
|
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
|
|
Oropharyngeal biopsy 42800
|
$921.05 |
$921.05 |
$921.05 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$55.20 |
$55.20 |
$55.20 |
$50.63
|
|
Orthosis lso rigd frm hyperex
|
$899.04 |
$899.04 |
$899.04 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$384.80 |
$384.80 |
$384.80 |
$196.30
|
|
Osmolality blood
|
$94.90 |
$94.90 |
$94.90 |
$70.85
|
|
Osmolality urine
|
$65.00 |
$65.00 |
$65.00 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$50.70 |
$50.70 |
$50.70 |
$97.80
|
|
Otolaryngo binocular microscopy 92504
|
$51.35 |
$51.35 |
$51.35 |
$60.45
|
|
Ot re-evaluation patient/family
|
$175.50 |
$175.50 |
$175.50 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$34.45 |
$34.45 |
$34.45 |
$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
|
$7.20 |
$7.20 |
$7.20 |
$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
|
$14,528.90 |
$14,528.90 |
$14,528.90 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$253.00 |
$253.00 |
$253.00 |
$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
|
$60.66 |
$60.66 |
$60.66 |
$192.01
|
|
Paliperidone 117 mg/0.75 ml inj
|
$16,808.50 |
$16,808.50 |
$16,808.50 |
$6,238.82
|
|
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
|
$289.90 |
$289.90 |
$289.90 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,377.35 |
$1,377.35 |
$1,377.35 |
$1,574.40
|
|
Parial mast w/lymph removal 19302
|
$2,924.00 |
$2,924.00 |
$2,924.00 |
$6,087.59
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$243.75 |
$243.75 |
$243.75 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$17,200.85 |
$17,200.85 |
$17,200.85 |
$4,914.00
|
|
Partial hip replacement
|
$3,874.00 |
$3,874.00 |
$3,874.00 |
$3,874.00
|
|
Partial removal of foot bone
|
$24,404.99 |
$24,404.99 |
$24,404.99 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$221.06 |
$221.06 |
$221.06 |
$4,921.76
|
|
Part removal of metatarsal
|
$18,431.07 |
$18,431.07 |
$18,431.07 |
$3,821.05
|