|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$58,093.20 |
$58,093.20 |
$58,093.20 |
$1,115.89
|
|
M/phmtrc alys ishquant/semiq
|
$256.00 |
$256.00 |
$256.00 |
$495.60
|
|
MRA chest wwo IV cont
|
$4,137.00 |
$4,137.00 |
$4,137.00 |
$2,548.00
|
|
MRA without fol w/cont, abd
|
$5,086.00 |
$5,086.00 |
$5,086.00 |
$2,511.00
|
|
MRI cardiac morph & func wo IV cont
|
$4,436.00 |
$4,436.00 |
$4,436.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$5,996.00 |
$5,996.00 |
$5,996.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$5,098.00 |
$5,098.00 |
$5,098.00 |
$2,499.60
|
|
MRI chest without contrast
|
$4,402.00 |
$4,402.00 |
$4,402.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$4,347.00 |
$4,347.00 |
$4,347.00 |
$2,652.73
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$9,257.00 |
$9,257.00 |
$9,257.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$10,285.00 |
$10,285.00 |
$10,285.00 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$2,203.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$8,573.00 |
$8,573.00 |
$8,573.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$11,134.00 |
$11,134.00 |
$11,134.00 |
$2,655.25
|
|
Mr safety determination physician/other qhp
|
$185.00 |
$185.00 |
$185.00 |
$160.20
|
|
Mr safety implant elec prepj
|
$193.00 |
$193.00 |
$193.00 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$103.00 |
$103.00 |
$103.00 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$125.00 |
$125.00 |
$125.00 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$51.00 |
$51.00 |
$51.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$507.00 |
$507.00 |
$507.00 |
$439.80
|
|
Mumps antibody igg
|
$140.00 |
$140.00 |
$140.00 |
$78.00
|
|
Muscle-skin graft trunk
|
$4,864.00 |
$4,864.00 |
$4,864.00 |
$4,351.50
|
|
Mycobacteria dna amp probe
|
$381.00 |
$381.00 |
$381.00 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$2.80 |
$2.80 |
$2.80 |
$10.79
|
|
Mycophenolic acid
|
$1.00 |
$1.00 |
$1.00 |
$12.84
|
|
Mycoplasma antibody igm
|
$300.00 |
$300.00 |
$300.00 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$360.00 |
$360.00 |
$360.00 |
$130.80
|
|
Nafcillin 2 gram solution for injection
|
$27.30 |
$27.30 |
$27.30 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$28.50 |
$28.50 |
$28.50 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$546.10 |
$546.10 |
$546.10 |
$70.87
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$26,637.70 |
$26,637.70 |
$26,637.70 |
$16,254.52
|
|
Natriuretic peptide
|
$383.00 |
$383.00 |
$383.00 |
$176.15
|
|
Natural killer cells total count
|
$187.00 |
$187.00 |
$187.00 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,751.25
|
|
Ndl round specialty proguide
|
$1,879.19 |
$1,879.19 |
$1,879.19 |
$329.50
|
|
Nebulizer Breathing Treatment
|
$400.00 |
$400.00 |
$400.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$416.00 |
$416.00 |
$416.00 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$8,073.00 |
$8,073.00 |
$8,073.00 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,492.00 |
$5,492.00 |
$5,492.00 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$658.00 |
$658.00 |
$658.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$857.00 |
$857.00 |
$857.00 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$919.00 |
$919.00 |
$919.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,535.00 |
$5,535.00 |
$5,535.00 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,658.00 |
$2,658.00 |
$2,658.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$4,942.00 |
$4,942.00 |
$4,942.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$4,224.00 |
$4,224.00 |
$4,224.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$3,295.00 |
$3,295.00 |
$3,295.00 |
$1,312.00
|
|
Nerve conduction 7-8 studies
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$750.00
|
|
Neurorraphy w/vein autograft
|
$31,325.07 |
$31,325.07 |
$31,325.07 |
$7,541.82
|
|
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
|
$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
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,406.00 |
$1,406.00 |
$1,406.00 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,534.00 |
$2,534.00 |
$2,534.00 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,162.00 |
$2,162.00 |
$2,162.00 |
$1,590.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$539.00 |
$539.00 |
$539.00 |
$274.65
|
|
Nuclear rx intra-arterial
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$765.00
|
|
Nuclear Stress Test (Heart)
|
$6,381.00 |
$6,381.00 |
$6,381.00 |
$3,859.98
|
|
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
|
$195.00 |
$195.00 |
$195.00 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$519.00 |
$519.00 |
$519.00 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$318.00 |
$318.00 |
$318.00 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$404.00 |
$404.00 |
$404.00 |
$303.20
|
|
Observation per hour
|
$25,454.49 |
$25,454.49 |
$25,454.49 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$592.00 |
$592.00 |
$592.00 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$918.00 |
$918.00 |
$918.00 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$407.00 |
$407.00 |
$407.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$407.00 |
$407.00 |
$407.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$407.00 |
$407.00 |
$407.00 |
$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
|
$51.25 |
$51.25 |
$51.25 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$7,768.80 |
$7,768.80 |
$7,768.80 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$871.20
|
|
Ondansetron 8 mg disintegrating tablet
|
$19.50 |
$19.50 |
$19.50 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$4.10 |
$4.10 |
$4.10 |
$22.62
|
|
Open periprosthetic breast capsule 19370
|
$35,865.50 |
$35,865.50 |
$35,865.50 |
$4,531.42
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$5,817.00 |
$5,817.00 |
$5,817.00 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$4,577.00 |
$4,577.00 |
$4,577.00 |
$1,822.08
|
|
Optx clavicular fx w/int fix
|
$36,226.68 |
$36,226.68 |
$36,226.68 |
$8,538.18
|
|
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
|
|
Orthopantogram
|
$558.00 |
$558.00 |
$558.00 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$1,383.14 |
$1,383.14 |
$1,383.14 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$349.00 |
$349.00 |
$349.00 |
$196.30
|
|
Osmolality blood
|
$200.00 |
$200.00 |
$200.00 |
$70.85
|
|
Osmolality urine
|
$198.00 |
$198.00 |
$198.00 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$143.00 |
$143.00 |
$143.00 |
$97.80
|
|
Otoplasty 69300
|
$38,163.63 |
$38,163.63 |
$38,163.63 |
$3,786.00
|