|
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)
|
$2,874.60 |
$2,874.60 |
$2,874.60 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,103.60 |
$2,103.60 |
$2,103.60 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,052.00 |
$5,052.00 |
$5,052.00 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,887.80 |
$2,887.80 |
$2,887.80 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,887.80 |
$2,887.80 |
$2,887.80 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$340.20 |
$340.20 |
$340.20 |
$60.38
|
|
New Patient Office Visit (level 2)
|
$90.60 |
$90.60 |
$90.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$178.80 |
$178.80 |
$178.80 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$204.60 |
$204.60 |
$204.60 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$252.60 |
$252.60 |
$252.60 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$409.20 |
$409.20 |
$409.20 |
$263.48
|
|
Nm imaging bone/joint 3 phase study
|
$1,239.60 |
$1,239.60 |
$1,239.60 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$1,570.65
|
|
Nm imaging gastric emptying study
|
$1,369.80 |
$1,369.80 |
$1,369.80 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$918.60 |
$918.60 |
$918.60 |
$1,079.00
|
|
Nuclear Stress Test (Heart)
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$413.40 |
$413.40 |
$413.40 |
$384.00
|
|
Observation/inpatient hospital care mod severity 99235
|
$184.80 |
$184.80 |
$184.80 |
$303.20
|
|
Observation per hour
|
$76.80 |
$76.80 |
$76.80 |
$81.22
|
|
Obstetrics panel
|
$192.60 |
$192.60 |
$192.60 |
$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
|
|
Off/op cnsltj new/est low 30
|
$154.80 |
$154.80 |
$154.80 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$221.40 |
$221.40 |
$221.40 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$120.00 |
$120.00 |
$120.00 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$62.40 |
$62.40 |
$62.40 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$121.20 |
$121.20 |
$121.20 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,617.40 |
$3,617.40 |
$3,617.40 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$990.00 |
$990.00 |
$990.00 |
$871.20
|
|
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
|
|
Orthosis lso rigd frm hyperex
|
$573.74 |
$573.74 |
$573.74 |
$816.00
|
|
Osmolality blood
|
$102.00 |
$102.00 |
$102.00 |
$67.60
|
|
Osmolality urine
|
$102.00 |
$102.00 |
$102.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$319.20 |
$319.20 |
$319.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$319.20 |
$319.20 |
$319.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$319.20 |
$319.20 |
$319.20 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$163.20 |
$163.20 |
$163.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$170.40 |
$170.40 |
$170.40 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$243.60 |
$243.60 |
$243.60 |
$105.00
|
|
Otoplasty 69300
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$3,589.62
|
|
Ot re-evaluation patient/family
|
$248.40 |
$248.40 |
$248.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$197.40 |
$197.40 |
$197.40 |
$101.38
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$209.40 |
$209.40 |
$209.40 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$178.80 |
$178.80 |
$178.80 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$193.20 |
$193.20 |
$193.20 |
$94.25
|
|
Oxytocin 10 unit/ml injection solution
|
$28.20 |
$28.20 |
$28.20 |
$50.40
|
|
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
|
$417.60 |
$417.60 |
$417.60 |
$204.87
|
|
Parathyroid planar imaging
|
$805.80 |
$805.80 |
$805.80 |
$1,129.91
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$43.20 |
$43.20 |
$43.20 |
$245.00
|
|
Pelvic CT scan (with and without contrast)
|
$2,874.60 |
$2,874.60 |
$2,874.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,325.20 |
$3,325.20 |
$3,325.20 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$799.20 |
$799.20 |
$799.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$179.40 |
$179.40 |
$179.40 |
$430.00
|
|
Peng benzathine/procaine inj
|
$37.20 |
$37.20 |
$37.20 |
$375.32
|
|
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
|
|
Pet CT skull-mid thgh initial
|
$4,928.40 |
$4,928.40 |
$4,928.40 |
$4,707.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$4,057.20 |
$4,057.20 |
$4,057.20 |
$38,834.22
|
|
Ph body fluid
|
$141.00 |
$141.00 |
$141.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$36.00 |
$36.00 |
$36.00 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$70.20 |
$70.20 |
$70.20 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$61.20 |
$61.20 |
$61.20 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$89.40 |
$89.40 |
$89.40 |
$67.89
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$6.60 |
$6.60 |
$6.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$140.40 |
$140.40 |
$140.40 |
$110.88
|
|
Phlebotomy therapeutic
|
$156.00 |
$156.00 |
$156.00 |
$231.66
|
|
Phosphorus
|
$64.20 |
$64.20 |
$64.20 |
$48.80
|
|
Phosphorus 24 hour urine
|
$61.20 |
$61.20 |
$61.20 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$99.60 |
$99.60 |
$99.60 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$31.20 |
$31.20 |
$31.20 |
$83.03
|
|
Place gastrostomy tube perc
|
$697.20 |
$697.20 |
$697.20 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,099.80 |
$1,099.80 |
$1,099.80 |
$1,332.43
|
|
Platelet automated
|
$55.20 |
$55.20 |
$55.20 |
$45.60
|
|
Platelets leukocytes reduced irradiated each unit
|
$142.80 |
$142.80 |
$142.80 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$499.20 |
$499.20 |
$499.20 |
$1,139.20
|
|
Plethysmography lung volumes/airway resistance
|
$97.20 |
$97.20 |
$97.20 |
$405.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$174.60 |
$174.60 |
$174.60 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,795.40 |
$2,795.40 |
$2,795.40 |
$3,751.48
|
|
Potassium 24 hour urine
|
$96.60 |
$96.60 |
$96.60 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$15.90 |
$15.90 |
$15.90 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$75.60 |
$75.60 |
$75.60 |
$46.75
|
|
Pr application of long arm splint
|
$183.60 |
$183.60 |
$183.60 |
$329.00
|
|
Pr application splint static short arm
|
$253.80 |
$253.80 |
$253.80 |
$287.70
|
