|
Nm imaging bone/joint 3 phase study
|
$1,949.40 |
$1,949.40 |
$1,949.40 |
$1,703.45
|
|
Nm imaging bone/joint whole body
|
$2,177.40 |
$2,177.40 |
$2,177.40 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,608.60 |
$1,608.60 |
$1,608.60 |
$1,401.00
|
|
Nm imaging gastric emptying study
|
$1,999.80 |
$1,999.80 |
$1,999.80 |
$1,350.05
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,208.93
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$1,612.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$1,091.00
|
|
Non-corrosive finish
|
$149.74 |
$149.74 |
$149.74 |
$126.65
|
|
Noonan spectrum disorders
|
$3,721.80 |
$3,721.80 |
$3,721.80 |
$2,452.80
|
|
Novachor 1 sq cm
|
$6,560.55 |
$6,560.55 |
$6,560.55 |
$796.00
|
|
Npm1 gene
|
$407.40 |
$407.40 |
$407.40 |
$457.50
|
|
Nras gene variants exon 2&3
|
$783.60 |
$783.60 |
$783.60 |
$621.87
|
|
Ntrk translocation analysis
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$4,393.80 |
$4,393.80 |
$4,393.80 |
$3,801.60
|
|
Nudt15 gene common variants
|
$423.00 |
$423.00 |
$423.00 |
$299.30
|
|
Nushield 1 square cm
|
$3,904.84 |
$3,904.84 |
$3,904.84 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$952.20 |
$952.20 |
$952.20 |
$386.40
|
|
Observation per hour
|
$60.00 |
$60.00 |
$60.00 |
$80.73
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Offset knee joint each
|
$242.19 |
$242.19 |
$242.19 |
$221.31
|
|
Offset knee joint heavy duty
|
$346.13 |
$346.13 |
$346.13 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$2,624.22 |
$2,624.22 |
$2,624.22 |
$1,220.80
|
|
Onco (ovar) five proteins
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$986.70
|
|
Ondansetron 8 mg disintegrating tablet
|
$6.60 |
$6.60 |
$6.60 |
$9.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$22.75
|
|
Organic acids total quant ea spec
|
$122.40 |
$122.40 |
$122.40 |
$150.70
|
|
Oritavancin 400 mg intravenous solution
|
$5,014.74 |
$5,014.74 |
$5,014.74 |
$3,354.72
|
|
Ortho dvc repair per 15 min
|
$590.45 |
$590.45 |
$590.45 |
$41.29
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$621.81 |
$621.81 |
$621.81 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$1,466.94 |
$1,466.94 |
$1,466.94 |
$550.50
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,761.15 |
$2,761.15 |
$2,761.15 |
$1,288.00
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$583.18 |
$583.18 |
$583.18 |
$247.80
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$691.69 |
$691.69 |
$691.69 |
$315.01
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$227.39 |
$227.39 |
$227.39 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$583.18 |
$583.18 |
$583.18 |
$228.60
|
|
Orthopedic shoe add rub insl
|
$69.17 |
$69.17 |
$69.17 |
$70.40
|
|
Ortho shoe add leather insol
|
$69.17 |
$69.17 |
$69.17 |
$63.22
|
|
Ortho shoe add march bar
|
$99.25 |
$99.25 |
$99.25 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$1,306.86 |
$1,306.86 |
$1,306.86 |
$837.25
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$767.06 |
$767.06 |
$767.06 |
$461.28
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,135.43 |
$2,135.43 |
$2,135.43 |
$719.65
|
|
Oscillation chest wall mechanical per session
|
$476.40 |
$476.40 |
$476.40 |
$196.70
|
|
O shoe add horseshoe toe tap
|
$54.11 |
$54.11 |
$54.11 |
$49.45
|
|
O shoe add instep extension
|
$201.67 |
$201.67 |
$201.67 |
$184.24
|
|
O shoe add instep velcro clo
|
$153.46 |
$153.46 |
$153.46 |
$140.22
|
|
O shoe add standard toe tap
|
$21.15 |
$21.15 |
$21.15 |
$19.38
|
|
O shoe convert to sof counte
|
$126.41 |
$126.41 |
$126.41 |
$115.53
|
|
Osmolality blood
|
$84.60 |
$84.60 |
$84.60 |
$68.80
|
|
Osmolality urine
|
$64.80 |
$64.80 |
$64.80 |
$65.52
|
|
Ot evaluation high complexity patient/family
|
$387.00 |
$387.00 |
$387.00 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$258.60 |
$258.60 |
$258.60 |
$228.58
|
|
Ot evaluation moderate complexity patient/family
|
$336.60 |
$336.60 |
$336.60 |
$257.74
|
|
Other immunoelectrophoresis
|
$44.40 |
$44.40 |
$44.40 |
$107.52
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$109.80 |
$109.80 |
$109.80 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$104.97
|
|
Ot re-evaluation patient/family
|
$162.60 |
$162.60 |
$162.60 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$150.60 |
$150.60 |
$150.60 |
$99.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$86.69
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$31.80 |
$31.80 |
$31.80 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$110.40 |
$110.40 |
$110.40 |
$97.50
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$116.40 |
$116.40 |
$116.40 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$124.80 |
$124.80 |
$124.80 |
$93.60
|
|
Outrigger
|
$123.81 |
$123.81 |
$123.81 |
$123.81
|
|
Outrigger bil with vert extens
|
$414.44 |
$414.44 |
$414.44 |
$378.67
|
|
Oxytocin 10 unit/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$50.04
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$65,474.29 |
$65,474.29 |
$65,474.29 |
$47,880.00
|
|
Palingen or palingen xplus
|
$15,246.72 |
$15,246.72 |
$15,246.72 |
$656.01
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$121.86 |
$121.86 |
$121.86 |
$129.02
|
|
Parathormone (pth) intact
|
$277.80 |
$277.80 |
$277.80 |
$200.85
|
|
Parathyroid planar imaging
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$723.00 |
$723.00 |
$723.00 |
$1,345.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$399.60 |
$399.60 |
$399.60 |
$249.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$11,494.09 |
$11,494.09 |
$11,494.09 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$275.75
|
|
Patten bottom
|
$757.24 |
$757.24 |
$757.24 |
$672.73
|
|
Pca3/klk3 antigen
|
$873.00 |
$873.00 |
$873.00 |
$510.40
|
|
Pdgfra gene
|
$873.00 |
$873.00 |
$873.00 |
$743.34
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$54.11 |
$54.11 |
$54.11 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$27,725.76 |
$27,725.76 |
$27,725.76 |
$11,216.31
|
|
Pelv band/spread bar thigh c
|
$1,120.07 |
$1,120.07 |
$1,120.07 |
$802.87
|
|
Pelvic control band & belt b
|
$743.50 |
$743.50 |
$743.50 |
$566.16
|
|
Pelvic control band & belt u
|
$547.83 |
$547.83 |
$547.83 |
$500.58
|
|
Pelvic control hip heavy dut
|
$591.53 |
$591.53 |
$591.53 |
$591.53
|
|
Pelvic control pelvic sling
|
$1,026.80 |
$1,026.80 |
$1,026.80 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$1,774.80 |
$1,774.80 |
$1,774.80 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$1,357.20
|
|
Pelvic & hip control thigh c
|
$2,512.27 |
$2,512.27 |
$2,512.27 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$2,879.40 |
$2,879.40 |
$2,879.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,477.40 |
$2,477.40 |
$2,477.40 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$733.20 |
$733.20 |
$733.20 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$745.80 |
$745.80 |
$745.80 |
$435.00
|
|
Pelv & thor control gluteal
|
$327.43 |
$327.43 |
$327.43 |
$299.21
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,594.26 |
$1,594.26 |
$1,594.26 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$229.62 |
$229.62 |
$229.62 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$31,123.99 |
$31,123.99 |
$31,123.99 |
$18,349.50
|
|
Perit-vens shunt pat tst
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$861.25
|
|
Permanent tear duct plug
|
$301.79 |
$301.79 |
$301.79 |
$291.00
|
|
Peroneal straps pair pre ots
|
$40.44 |
$40.44 |
$40.44 |
$36.90
|
