|
New Patient Office Visit (level 2)
|
$420.00 |
$420.00 |
$420.00 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$556.20 |
$556.20 |
$556.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$714.60 |
$714.60 |
$714.60 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$940.20 |
$940.20 |
$940.20 |
$349.70
|
|
Nfct agt gntyp alys sarscov2
|
$1,323.75 |
$1,323.75 |
$1,323.75 |
$257.45
|
|
Nfct ds bv&vaginitis dna alg
|
$435.00 |
$435.00 |
$435.00 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$125.58 |
$125.58 |
$821.56 |
$263.48
|
|
N-invas est c ffr sw aly cta
|
$6,372.03 |
$6,372.03 |
$6,372.03 |
$2,194.83
|
|
Nitroblue tetrazolium dye
|
$124.73 |
$124.73 |
$124.73 |
$114.40
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$110.70 |
$110.70 |
$236.15 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$346.74 |
$346.74 |
$25,211.40 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$2,010.42 |
$2,010.42 |
$97,898.76 |
$41,635.10
|
|
Njx aa&/strd lmbr plex nfs
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$2,743.80 |
$2,743.80 |
$2,743.80 |
$1,772.02
|
|
Njx cath slct p angrph mapca
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$1,301.25
|
|
Njx cath slct p-art angrp bi
|
$1,549.20 |
$1,549.20 |
$7,558.95 |
$1,300.00
|
|
Njx cath slct pulm vn angrph
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$927.00
|
|
Njx cth slct p-art angrp uni
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$1,063.68
|
|
Njx interlaminar crv/thrc
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,186.20 |
$1,186.20 |
$1,186.20 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$2,043.00 |
$2,043.00 |
$5,214.14 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,088.40 |
$1,088.40 |
$5,214.14 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,876.20 |
$1,876.20 |
$4,792.50 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,592.40 |
$1,592.40 |
$6,289.43 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$968.40 |
$968.40 |
$1,849.20 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,734.20 |
$2,734.20 |
$4,759.49 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,089.20 |
$2,089.20 |
$4,910.28 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,526.60 |
$2,526.60 |
$4,788.97 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,684.80 |
$1,684.80 |
$4,304.84 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$5,022.60 |
$5,022.60 |
$6,123.37 |
$1,056.33
|
|
Non-card vasc flow imaging
|
$1,929.22 |
$1,929.22 |
$1,929.22 |
$608.56
|
|
Non-corrosive finish
|
$167.06 |
$167.06 |
$167.06 |
$126.65
|
|
Noninv pace analysis
|
$592.80 |
$592.80 |
$1,172.23 |
$761.60
|
|
Noonan spectrum disorders
|
$3,721.80 |
$3,721.80 |
$5,620.43 |
$2,582.40
|
|
Novachor 1 sq cm
|
$7,926.00 |
$7,926.00 |
$7,926.00 |
$796.00
|
|
Npm1 gene
|
$403.52 |
$403.52 |
$573.60 |
$457.50
|
|
Nps surg dilat eust tube bi
|
$14,555.81 |
$14,555.81 |
$14,555.81 |
$6,372.80
|
|
Nps surg dilat eust tube uni
|
$11,404.50 |
$11,404.50 |
$11,404.50 |
$7,000.36
|
|
Nras gene variants exon 2&3
|
$562.80 |
$562.80 |
$1,815.59 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$59,800.82 |
$59,800.82 |
$59,800.82 |
$6,737.40
|
|
Ntrk translocation analysis
|
$1,029.00 |
$1,029.00 |
$4,535.63 |
$873.60
|
|
Nuclear exam of tear flow
|
$990.53 |
$990.53 |
$990.53 |
$583.70
|
|
Nuclear rx intra-arterial
|
$2,154.24 |
$2,154.24 |
$2,154.24 |
$765.00
|
|
Nuclear rx intracav admin
|
$2,495.75 |
$2,495.75 |
$2,495.75 |
$776.97
|
|
Nuclear rx IV admin
|
$8,958.37 |
$8,958.37 |
$8,958.37 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$6,664.80 |
$6,664.80 |
$11,107.76 |
$3,804.45
|
|
Nudt15 gene common variants
|
$530.40 |
$530.40 |
$1,124.73 |
$301.62
|
|
Nushield 1 square cm
|
$2,395.35 |
$2,395.35 |
$4,717.55 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$954.31 |
$954.31 |
$2,856.72 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$198.56 |
$198.56 |
$439.20 |
$384.00
|
|
Observation per hour
|
$29.40 |
$29.40 |
$198.56 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$194.40 |
$194.40 |
$457.94 |
$264.60
|
|
Obstetrics panel
|
$802.80 |
$802.80 |
$1,042.93 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$729.00 |
$729.00 |
$729.00 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$364.50 |
$364.50 |
$364.50 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$658.10 |
$658.10 |
$60,684.48 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$6,061.30 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$21,940.50 |
$21,940.50 |
$50,875.70 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$61,063.98 |
$61,063.98 |
$61,063.98 |
$2,224.00
|
|
Offset knee joint each
|
$226.63 |
$226.63 |
$226.63 |
$221.31
|
|
Offset knee joint heavy duty
|
$184.14 |
$184.14 |
$184.14 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$109.62 |
$109.62 |
$138.12 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$520.56 |
$520.56 |
$4,329.96 |
$4,595.01
|
|
Onc breast mrna 12 genes
|
$562.88 |
$562.88 |
$562.88 |
$5,344.74
|
|
Onc breast mrna 70 genes
|
$10,278.26 |
$10,278.26 |
$10,278.26 |
$5,866.53
|
|
Oncology colon mrna
|
$16,463.69 |
$16,463.69 |
$16,463.69 |
$6,232.00
|
|
Oncology colorectal scr
|
$1,094.24 |
$1,094.24 |
$1,094.24 |
$1,018.40
|
|
Oncology prostate prob score
|
$3,736.79 |
$3,736.79 |
$3,736.79 |
$952.00
|
|
Oncology tum unknown origin
|
$6,201.60 |
$6,201.60 |
$11,991.35 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$1,780.20 |
$1,780.20 |
$1,780.20 |
$986.70
|
|
Onco (ovar) two proteins
|
$716.66 |
$716.66 |
$716.66 |
$341.54
|
|
Oncoprotein dcp
|
$756.35 |
$756.35 |
$756.35 |
$161.60
|
|
Oncoprotein her-2/neu
|
$756.35 |
$756.35 |
$756.35 |
$219.00
|
|
Ondansetron 8 mg disintegrating tablet
|
$3.90 |
$3.90 |
$3.90 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$21.51 |
$22.62
|
|
Open periprosthetic breast capsule 19370
|
$29,750.22 |
$29,750.22 |
$29,750.22 |
$4,520.16
|
|
Ophthalmic mitomycin
|
$4,463.40 |
$4,463.40 |
$4,463.40 |
$775.44
|
|
Oph Ultrasound dx quan a-scan only
|
$753.86 |
$753.86 |
$753.86 |
$298.98
|
|
Opn impltj crnl nrv nea&pg
|
$171,456.23 |
$171,456.23 |
$171,456.23 |
$35,498.40
|
|
Optx acromclv dislc aqt/chrn
|
$26,054.39 |
$26,054.39 |
$26,054.39 |
$6,721.67
|
|
Optx clavicular fx w/int fix
|
$34,601.22 |
$34,601.22 |
$34,601.22 |
$9,013.88
|
|
Oral aprepitant
|
$137.22 |
$137.22 |
$137.22 |
$410.20
|
|
Organic acids total quant ea spec
|
$185.40 |
$185.40 |
$379.94 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$3,412.80 |
$3,412.80 |
$12,386.45 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$89.44 |
$89.44 |
$89.44 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$240.00 |
$240.00 |
$240.00 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$247.17 |
$247.17 |
$247.17 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$995.47 |
$995.47 |
$2,553.75 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,873.72 |
$1,873.72 |
$1,873.72 |
$1,288.00
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$238.34 |
$238.34 |
$238.34 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$469.39 |
$469.39 |
$469.39 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$141.99 |
$141.99 |
$141.99 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$238.34 |
$238.34 |
$238.34 |
$231.00
|
|
Orthopantogram
|
$1,158.29 |
$1,158.29 |
$1,158.29 |
$241.50
|
|
Orthopedic shoe add rub insl
|
$77.18 |
$77.18 |
$77.18 |
$70.40
|
|
Ortho shoe add leather insol
|
$77.18 |
$77.18 |
$77.18 |
$63.22
|
|
Ortho shoe add march bar
|
$110.73 |
$110.73 |
$110.73 |
$90.66
|
|
Orthosis lso rigd frm hyperex
|
$886.84 |
$886.84 |
$2,405.78 |
$816.00
|