|
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 |
$347.82
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$103.20 |
$103.20 |
$103.20 |
$264.31
|
|
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
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$1,725.50
|
|
Nm imaging bone/joint whole body
|
$1,750.20 |
$1,750.20 |
$1,750.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$583.80 |
$583.80 |
$583.80 |
$1,422.00
|
|
Nm imaging gastric emptying study
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$1,363.98
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,119.60 |
$1,119.60 |
$1,119.60 |
$1,207.59
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,750.20 |
$1,750.20 |
$1,750.20 |
$1,615.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,590.00
|
|
Nps surg dilat eust tube bi
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$6,372.80
|
|
Nps surg dilat eust tube uni
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$6,966.64
|
|
Nsl/sins ndsc surg frnt sins
|
$3,703.20 |
$3,703.20 |
$3,703.20 |
$5,110.00
|
|
Nuclear Stress Test (Heart)
|
$2,611.80 |
$2,611.80 |
$2,611.80 |
$3,842.40
|
|
Nursing facility discharge management > 30 min 99316
|
$110.40 |
$110.40 |
$110.40 |
$166.25
|
|
Nursing facility discharge management 30 min/less than 99315
|
$84.60 |
$84.60 |
$84.60 |
$119.60
|
|
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 |
$385.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$220.80 |
$220.80 |
$220.80 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$139.80 |
$139.80 |
$139.80 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$184.80 |
$184.80 |
$184.80 |
$303.20
|
|
Observation per hour
|
$100.80 |
$100.80 |
$100.80 |
$80.73
|
|
Obtaining screen pap smear
|
$43.80 |
$43.80 |
$43.80 |
$37.22
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$332.40 |
$332.40 |
$332.40 |
$90.00
|
|
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 hi 55
|
$120.00 |
$120.00 |
$120.00 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$42.00 |
$42.00 |
$42.00 |
$133.80
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$11,300.70 |
$11,300.70 |
$11,300.70 |
$4,595.01
|
|
Omental flap intra-abdom 49905
|
$990.00 |
$990.00 |
$990.00 |
$871.20
|
|
Oncoprotein dcp
|
$210.00 |
$210.00 |
$210.00 |
$161.60
|
|
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
|
|
Oscillation chest wall mechanical per session
|
$150.00 |
$150.00 |
$150.00 |
$196.70
|
|
Osmolality blood
|
$157.80 |
$157.80 |
$157.80 |
$71.40
|
|
Osmolality urine
|
$82.20 |
$82.20 |
$82.20 |
$66.50
|
|
Ostectomy complete 1st metatarsal head 28111
|
$785.40 |
$785.40 |
$785.40 |
$3,542.56
|
|
Ot evaluation high complexity patient/family
|
$265.80 |
$265.80 |
$265.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$265.80 |
$265.80 |
$265.80 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$265.80 |
$265.80 |
$265.80 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$177.00 |
$177.00 |
$177.00 |
$99.00
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$177.00 |
$177.00 |
$177.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$261.00 |
$261.00 |
$261.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$208.80 |
$208.80 |
$208.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$205.80 |
$205.80 |
$205.80 |
$100.75
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$210.60 |
$210.60 |
$210.60 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$140.40 |
$140.40 |
$140.40 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$177.00 |
$177.00 |
$177.00 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$667.20 |
$667.20 |
$667.20 |
$366.36
|
|
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 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$120.60 |
$120.60 |
$120.60 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$15,835.80 |
$15,835.80 |
$15,835.80 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.40 |
$11.40 |
$11.40 |
$27.71
|
|
Parathormone (pth) intact
|
$137.40 |
$137.40 |
$137.40 |
$206.18
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$708.60 |
$708.60 |
$708.60 |
$4,810.50
|
|
Pedcle fh/ch/ch/m/n/ax/g/h/f
|
$1,811.40 |
$1,811.40 |
$1,811.40 |
$2,837.09
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$25,983.00 |
$25,983.00 |
$25,983.00 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$16,658.40 |
$16,658.40 |
$16,658.40 |
$7,297.36
|
|
Pelvic CT scan (with contrast)
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$1,989.60 |
$1,989.60 |
$1,989.60 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,892.80 |
$3,892.80 |
$3,892.80 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$3,892.80 |
$3,892.80 |
$3,892.80 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,023.60 |
$1,023.60 |
$1,023.60 |
$662.40
|
|
Pelvic Ultrasound (limited)
|
$666.60 |
$666.60 |
$666.60 |
$435.13
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$15,735.00 |
$15,735.00 |
$15,735.00 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$11,278.20 |
$11,278.20 |
$11,278.20 |
$6,582.76
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,013.40 |
$1,013.40 |
$1,013.40 |
$826.47
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,712.40 |
$16,712.40 |
$16,712.40 |
$13,666.00
|
|
Pet CT skull-mid thgh initial
|
$5,165.40 |
$5,165.40 |
$5,165.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$5,165.40 |
$5,165.40 |
$5,165.40 |
$4,854.75
|
|
Pfc sigma fem post aug sz3 8mm
|
$7,056.00 |
$7,056.00 |
$7,056.00 |
$35,919.52
|
|
Ph body fluid
|
$142.20 |
$142.20 |
$142.20 |
$40.04
|
|
Phencyclidine (pcp)
|
$36.00 |
$36.00 |
$36.00 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$70.20 |
$70.20 |
$70.20 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$199.20 |
$199.20 |
$199.20 |
$104.80
|
|
Phenylephrine 10 mg/ml injection solution
|
$80.40 |
$80.40 |
$80.40 |
$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
|
$192.00 |
$192.00 |
$192.00 |
$113.00
|
|
Phlebotomy therapeutic
|
$168.00 |
$168.00 |
$168.00 |
$234.00
|
|
Phosphorus
|
$75.00 |
$75.00 |
$75.00 |
$50.56
|
|
Phosphorus 24 hour urine
|
$60.60 |
$60.60 |
$60.60 |
$42.25
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$16.80 |
$16.80 |
$16.80 |
$86.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$26.40 |
$26.40 |
$26.40 |
$84.18
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$1,332.43
|
|
Placement of seton
|
$338.40 |
$338.40 |
$338.40 |
$3,816.64
|
|
Platelet automated
|
$57.60 |
$57.60 |
$57.60 |
$45.63
|
|
Platelets leukocytes reduced irradiated each unit
|
$140.40 |
$140.40 |
$140.40 |
$418.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$489.60 |
$489.60 |
$489.60 |
$1,127.54
|
|
Plethysmography lung volumes/airway resistance
|
$208.20 |
$208.20 |
$208.20 |
$405.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$202.80 |
$202.80 |
$202.80 |
$187.32
|
|
Polysom any age 1-3> param
|
$1,685.40 |
$1,685.40 |
$1,685.40 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$3,751.48
|
|
Potassium 24 hour urine
|
$77.40 |
$77.40 |
$77.40 |
$52.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$55.80 |
$55.80 |
$55.80 |
$47.85
|