|
MRI orbit/face/neck without & w/contrast
|
$3,441.00 |
$3,441.00 |
$3,441.00 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$3,022.20 |
$3,022.20 |
$3,022.20 |
$2,176.20
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,022.20 |
$3,022.20 |
$3,022.20 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$2,609.40 |
$2,609.40 |
$2,609.40 |
$2,024.40
|
|
Mthfr gene analy common variants
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$180.48
|
|
Mumps antibody igg
|
$330.60 |
$330.60 |
$330.60 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$3.60 |
$3.60 |
$3.60 |
$10.79
|
|
Mycoplasma antibody igm
|
$375.60 |
$375.60 |
$375.60 |
$78.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$195.00 |
$195.00 |
$195.00 |
$131.07
|
|
Nalbuphine 10 mg/ml injection solution
|
$12.60 |
$12.60 |
$12.60 |
$38.69
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$110.40 |
$110.40 |
$110.40 |
$70.87
|
|
Natriuretic peptide
|
$197.40 |
$197.40 |
$197.40 |
$176.15
|
|
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)
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,986.60 |
$1,986.60 |
$1,986.60 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,588.80 |
$4,588.80 |
$4,588.80 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,851.80 |
$2,851.80 |
$2,851.80 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,623.80 |
$2,623.80 |
$2,623.80 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$1,824.90
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$340.20 |
$340.20 |
$340.20 |
$60.38
|
|
New Patient Office Visit (level 2)
|
$165.60 |
$165.60 |
$165.60 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$192.60 |
$192.60 |
$192.60 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$695.40 |
$695.40 |
$695.40 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$916.20 |
$916.20 |
$916.20 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$103.20 |
$103.20 |
$103.20 |
$264.31
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$57.60 |
$57.60 |
$57.60 |
$74.56
|
|
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
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,330.20 |
$1,330.20 |
$1,330.20 |
$1,570.65
|
|
Nm imaging gastric emptying study
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$996.00 |
$996.00 |
$996.00 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,330.20 |
$1,330.20 |
$1,330.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$828.00 |
$828.00 |
$828.00 |
$1,091.00
|
|
Nuclear Stress Test (Heart)
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$3,804.45
|
|
Nursing facility discharge management > 30 min 99316
|
$110.40 |
$110.40 |
$110.40 |
$166.25
|
|
Nushield 1 square cm
|
$817.69 |
$817.69 |
$817.69 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$413.40 |
$413.40 |
$413.40 |
$392.45
|
|
Observation/inpatient hospital care low severity 99234
|
$139.80 |
$139.80 |
$139.80 |
$239.20
|
|
Observation per hour
|
$78.00 |
$78.00 |
$78.00 |
$79.95
|
|
Obstetric panel inc HIV tstg
|
$430.80 |
$430.80 |
$430.80 |
$288.01
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$801.00 |
$801.00 |
$801.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,353.00 |
$19,353.00 |
$19,353.00 |
$12,151.03
|
|
Off/op cnsltj new/est low 30
|
$75.00 |
$75.00 |
$75.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$90.00 |
$90.00 |
$90.00 |
$268.20
|
|
Off/op consltj new/est sf 20
|
$60.00 |
$60.00 |
$60.00 |
$133.80
|
|
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 |
$4,781.43
|
|
Onco (ovar) two proteins
|
$442.20 |
$442.20 |
$442.20 |
$291.76
|
|
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 |
$11,017.26
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.40 |
$53.40 |
$53.40 |
$50.63
|
|
Osmolality blood
|
$150.00 |
$150.00 |
$150.00 |
$69.55
|
|
Osmolality urine
|
$100.20 |
$100.20 |
$100.20 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$229.80 |
$229.80 |
$229.80 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$229.80 |
$229.80 |
$229.80 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$229.80 |
$229.80 |
$229.80 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$183.60 |
$183.60 |
$183.60 |
$105.00
|
|
Ot re-evaluation patient/family
|
$179.40 |
$179.40 |
$179.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$148.80 |
$148.80 |
$148.80 |
$98.90
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$156.60 |
$156.60 |
$156.60 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$135.00 |
$135.00 |
$135.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$143.40 |
$143.40 |
$143.40 |
$93.60
|
|
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 |
$3,420.45
|
|
Palonosetron hcl
|
$1,510.80 |
$1,510.80 |
$1,510.80 |
$154.78
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$120.60 |
$120.60 |
$120.60 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.40 |
$11.40 |
$11.40 |
$27.16
|
|
Parathormone (pth) intact
|
$406.80 |
$406.80 |
$406.80 |
$201.50
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$43.20 |
$43.20 |
$43.20 |
$242.88
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,804.20 |
$19,804.20 |
$19,804.20 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$14,410.80 |
$14,410.80 |
$14,410.80 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$13,920.00 |
$13,920.00 |
$13,920.00 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,375.40 |
$2,375.40 |
$2,375.40 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,714.20 |
$1,714.20 |
$1,714.20 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$4,840.20 |
$4,840.20 |
$4,840.20 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$715.80 |
$715.80 |
$715.80 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$574.20 |
$574.20 |
$574.20 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,735.00 |
$15,735.00 |
$15,735.00 |
$12,385.22
|
|
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 |
$97.85
|
|
Perq skel fix ulnar styld fx
|
$4,515.00 |
$4,515.00 |
$4,515.00 |
$3,839.54
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,712.40 |
$16,712.40 |
$16,712.40 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$5,751.00 |
$5,751.00 |
$5,751.00 |
$4,711.20
|
|
Pet CT whole body initial
|
$5,751.00 |
$5,751.00 |
$5,751.00 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,393.94 |
$3,393.94 |
$3,393.94 |
$34,920.00
|
|
Ph body fluid
|
$139.20 |
$139.20 |
$139.20 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$70.20 |
$70.20 |
$70.20 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$175.20 |
$175.20 |
$175.20 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$80.40 |
$80.40 |
$80.40 |
$62.98
|
