|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$9.60 |
$9.60 |
$9.60 |
$27.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$264.60 |
$264.60 |
$264.60 |
$318.43
|
|
Mpl gene analysis common variants
|
$746.40 |
$746.40 |
$746.40 |
$388.00
|
|
MRI chest without contrast
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$1,818.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,336.40 |
$2,336.40 |
$2,336.40 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$6,022.20 |
$6,022.20 |
$6,022.20 |
$2,812.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,766.80 |
$3,766.80 |
$3,766.80 |
$2,637.60
|
|
Mthfr gene analy common variants
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$184.00
|
|
Mumps antibody igg
|
$336.60 |
$336.60 |
$336.60 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$3.60 |
$3.60 |
$3.60 |
$10.79
|
|
Mycoplasma antibody igm
|
$373.20 |
$373.20 |
$373.20 |
$76.59
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$155.40 |
$155.40 |
$155.40 |
$135.50
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$396.60 |
$396.60 |
$396.60 |
$70.87
|
|
Naltrexone, depot form
|
$4,365.00 |
$4,365.00 |
$4,365.00 |
$3,249.40
|
|
Natriuretic peptide
|
$198.00 |
$198.00 |
$198.00 |
$176.15
|
|
Natural killer cells total count
|
$121.20 |
$121.20 |
$121.20 |
$132.63
|
|
Ndl insj without njx 1 or 2 musc
|
$33.60 |
$33.60 |
$33.60 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$33.60 |
$33.60 |
$33.60 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,521.80 |
$2,521.80 |
$2,521.80 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,716.80 |
$5,716.80 |
$5,716.80 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,517.20 |
$3,517.20 |
$3,517.20 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,265.80 |
$3,265.80 |
$3,265.80 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,051.60 |
$3,051.60 |
$3,051.60 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$340.20 |
$340.20 |
$340.20 |
$60.38
|
|
New Patient Office Visit (level 3)
|
$514.20 |
$514.20 |
$514.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$662.40 |
$662.40 |
$662.40 |
$291.06
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$103.20 |
$103.20 |
$103.20 |
$263.48
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$20,981.40 |
$20,981.40 |
$20,981.40 |
$14,820.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,569.00 |
$1,569.00 |
$1,569.00 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,153.80 |
$1,153.80 |
$1,153.80 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,079.00
|
|
Nuclear Stress Test (Heart)
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$3,804.45
|
|
Nushield 1 square cm
|
$817.69 |
$817.69 |
$817.69 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$21,518.40 |
$21,518.40 |
$21,518.40 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$413.40 |
$413.40 |
$413.40 |
$384.00
|
|
Observation/inpatient hospital care low severity 99234
|
$139.80 |
$139.80 |
$139.80 |
$239.20
|
|
Observation per hour
|
$91.80 |
$91.80 |
$91.80 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$448.80 |
$448.80 |
$448.80 |
$264.60
|
|
Obstetrics panel
|
$205.80 |
$205.80 |
$205.80 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$54,177.00 |
$54,177.00 |
$54,177.00 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$801.00 |
$801.00 |
$801.00 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$121.20 |
$121.20 |
$121.20 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$11,300.70 |
$11,300.70 |
$11,300.70 |
$4,595.01
|
|
Onco (ovar) two proteins
|
$442.20 |
$442.20 |
$442.20 |
$341.54
|
|
Ondansetron 8 mg disintegrating tablet
|
$4.80 |
$4.80 |
$4.80 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$17.40 |
$17.40 |
$17.40 |
$22.62
|
|
Oritavancin 1,200 mg intravenous solution
|
$17,931.60 |
$17,931.60 |
$17,931.60 |
$10,393.98
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.40 |
$53.40 |
$53.40 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$91.80 |
$91.80 |
$91.80 |
$195.00
|
|
Osmolality blood
|
$157.80 |
$157.80 |
$157.80 |
$67.60
|
|
Osmolality urine
|
$100.80 |
$100.80 |
$100.80 |
$65.00
|
|
Ot evaluation low complexity patient/family
|
$276.00 |
$276.00 |
$276.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$276.00 |
$276.00 |
$276.00 |
$263.50
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$150.00 |
$150.00 |
$150.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$223.20 |
$223.20 |
$223.20 |
$105.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$175.20 |
$175.20 |
$175.20 |
$101.38
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$189.00 |
$189.00 |
$189.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$164.40 |
$164.40 |
$164.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$171.60 |
$171.60 |
$171.60 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$667.20 |
$667.20 |
$667.20 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$3.60 |
$3.60 |
$3.60 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$334.20 |
$334.20 |
$334.20 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,716.20 |
$5,716.20 |
$5,716.20 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8,341.20 |
$8,341.20 |
$8,341.20 |
$6,238.82
|
|
Palonosetron hcl
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$120.60 |
$120.60 |
$120.60 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.40 |
$11.40 |
$11.40 |
$29.31
|
|
Parathormone (pth) intact
|
$440.40 |
$440.40 |
$440.40 |
$204.87
|
|
Parathyroid planar imaging
|
$928.20 |
$928.20 |
$928.20 |
$1,129.91
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$306.60 |
$306.60 |
$306.60 |
$245.00
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$13,920.00 |
$13,920.00 |
$13,920.00 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$16,902.60 |
$16,902.60 |
$16,902.60 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$68,089.80 |
$68,089.80 |
$68,089.80 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,517.20 |
$3,517.20 |
$3,517.20 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$844.80 |
$844.80 |
$844.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$400.20 |
$400.20 |
$400.20 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,735.00 |
$15,735.00 |
$15,735.00 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$11,278.20 |
$11,278.20 |
$11,278.20 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$43.20 |
$43.20 |
$43.20 |
$101.34
|
|
Perq skel fix ulnar styld fx
|
$4,828.20 |
$4,828.20 |
$4,828.20 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,712.40 |
$16,712.40 |
$16,712.40 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$5,751.00 |
$5,751.00 |
$5,751.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,751.00 |
$5,751.00 |
$5,751.00 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$16,840.91 |
$16,840.91 |
$16,840.91 |
$38,834.22
|
|
Ph body fluid
|
$136.20 |
$136.20 |
$136.20 |
$41.28
|