|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$460.72 |
$460.72 |
$460.72 |
|
|
Nm imaging gastric emptying study
|
$418.08 |
$418.08 |
$418.08 |
|
|
Nm imaging gastrointestinal acute blood loss
|
$328.64 |
$328.64 |
$328.64 |
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$409.24 |
$409.24 |
$409.24 |
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$447.20 |
$447.20 |
$447.20 |
|
|
Nm imaging pulmonary ventilation/perfusion
|
$937.30 |
$937.30 |
$937.30 |
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$333.06 |
$333.06 |
$333.06 |
|
|
Nm radiopharmaceutical therapy oral administration
|
$219.70 |
$219.70 |
$219.70 |
|
|
Non-card vasc flow imaging
|
$291.20 |
$291.20 |
$291.20 |
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,875.04 |
$3,875.04 |
$3,875.04 |
|
|
Ntsty modul rad tx dlvr cplx
|
$1,267.76 |
$1,267.76 |
$1,267.76 |
|
|
Ntsty modul rad tx dlvr smpl
|
$1,260.48 |
$1,260.48 |
$1,260.48 |
|
|
Nuclear rx intra-arterial
|
$181.48 |
$181.48 |
$181.48 |
|
|
Nuclear rx IV admin
|
$178.62 |
$178.62 |
$178.62 |
|
|
Nuclear Stress Test (Heart)
|
$1,411.02 |
$1,411.02 |
$1,411.02 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$24,879.71 |
$24,879.71 |
$24,879.71 |
|
|
Observation direct referral from physician office for admission
|
$578.24 |
$578.24 |
$578.24 |
|
|
Observation per hour
|
$23.40 |
$23.40 |
$23.40 |
|
|
Obstetric panel inc HIV tstg
|
$126.36 |
$126.36 |
$126.36 |
|
|
Obstetrics panel
|
$80.86 |
$80.86 |
$80.86 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$96.75 |
$96.75 |
$96.75 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,108.53 |
$19,108.53 |
$19,108.53 |
|
|
Off/op consltj new/est sf 20
|
$125.06 |
$125.06 |
$125.06 |
|
|
Olanzapine 10 mg intramuscular solution
|
$109.17 |
$109.17 |
$109.17 |
|
|
Oncoprotein her-2/neu
|
$123.50 |
$123.50 |
$123.50 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$19.85 |
$19.85 |
$19.85 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$43.47 |
$43.47 |
$43.47 |
|
|
Opioids & opiate analogs 3/4
|
$47.32 |
$47.32 |
$47.32 |
|
|
Opps service,sched team conf
|
$102.96 |
$102.96 |
$102.96 |
|
|
Oral aprepitant
|
$253.25 |
$253.25 |
$253.25 |
|
|
Organic acids total quant ea spec
|
$194.48 |
$194.48 |
$194.48 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
|
|
Oscillation chest wall mechanical per session
|
$67.08 |
$67.08 |
$67.08 |
|
|
Osmolality blood
|
$24.96 |
$24.96 |
$24.96 |
|
|
Osmolality urine
|
$24.96 |
$24.96 |
$24.96 |
|
|
Ot evaluation high complexity patient/family
|
$96.98 |
$96.98 |
$96.98 |
|
|
Ot evaluation low complexity patient/family
|
$71.24 |
$71.24 |
$71.24 |
|
|
Ot evaluation moderate complexity patient/family
|
$81.38 |
$81.38 |
$81.38 |
|
|
Oth resp proc, group
|
$211.12 |
$211.12 |
$211.12 |
|
|
Oth resp proc, indiv
|
$66.82 |
$66.82 |
$66.82 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$119.86 |
$119.86 |
$119.86 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$36.92 |
$36.92 |
$36.92 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$28.08 |
$28.08 |
$28.08 |
|
|
Ot re-evaluation patient/family
|
$60.06 |
$60.06 |
$60.06 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$49.40 |
$49.40 |
$49.40 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$34.84 |
$34.84 |
$34.84 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$34.84 |
$34.84 |
$34.84 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$38.74 |
$38.74 |
$38.74 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$23.66 |
$23.66 |
$23.66 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$39.78 |
$39.78 |
$39.78 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$65.14 |
$65.14 |
$65.14 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$503.11 |
$503.11 |
$503.11 |
|
|
Oxytocin 10 unit/ml injection solution
|
$87.78 |
$87.78 |
$87.78 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$410.95 |
$410.95 |
$410.95 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$11,779.64 |
$11,779.64 |
$11,779.64 |
|
|
Palonosetron hcl
|
$782.65 |
$782.65 |
$782.65 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$258.63 |
$258.63 |
$258.63 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$20,031.92 |
$20,031.92 |
$20,031.92 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.74 |
$21.74 |
$21.74 |
|
|
Papaverin hcl injection
|
$228.94 |
$228.94 |
$228.94 |
|
|
Parathormone (pth) intact
|
$91.78 |
$91.78 |
$91.78 |
|
|
Parathyrd planar w/spect&ct
|
$409.50 |
$409.50 |
$409.50 |
|
|
Parathyroid planar imaging
|
$524.16 |
$524.16 |
$524.16 |
|
|
Parathyroid planar img w/tomo spect
|
$627.12 |
$627.12 |
$627.12 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$108.68 |
$108.68 |
$108.68 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,741.38 |
$17,741.38 |
$17,741.38 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,541.04 |
$11,541.04 |
$11,541.04 |
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$11,887.27 |
$11,887.27 |
$11,887.27 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,770.52 |
$5,770.52 |
$5,770.52 |
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$6,910.80 |
$6,910.80 |
$6,910.80 |
|
|
Pelvic CT scan (with and without contrast)
|
$487.76 |
$487.76 |
$487.76 |
|
|
Pelvic CT scan (with contrast)
|
$399.88 |
$399.88 |
$399.88 |
|
|
Pelvic CT scan (without contrast)
|
$333.32 |
$333.32 |
$333.32 |
|
|
Pelvic MRI (with and without contrast)
|
$877.76 |
$877.76 |
$877.76 |
|
|
Pelvic MRI (with contrast)
|
$869.44 |
$869.44 |
$869.44 |
|
|
Pelvic MRI (without contrast)
|
$629.46 |
$629.46 |
$629.46 |
|
|
Pelvic Ultrasound (complete)
|
$425.62 |
$425.62 |
$425.62 |
|
|
Pelvic Ultrasound (limited)
|
$373.62 |
$373.62 |
$373.62 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$32,606.37 |
$32,606.37 |
$32,606.37 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,090.43 |
$2,090.43 |
$2,090.43 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$59.20 |
$59.20 |
$59.20 |
|
|
Perc cryo ablate renal tum
|
$4,558.32 |
$4,558.32 |
$4,558.32 |
|
|
Perc d-e cor revasc chro add
|
$2,928.90 |
$2,928.90 |
$2,928.90 |
|
|
Perc d-e cor revasc chro sin
|
$11,903.32 |
$11,903.32 |
$11,903.32 |
|
|
Perc d-e cor revasc t cabg b
|
$2,909.14 |
$2,909.14 |
$2,909.14 |
|
|
Perc d-e cor revasc t cabg s
|
$11,575.20 |
$11,575.20 |
$11,575.20 |
|
|
Perc d-e cor stent ather br
|
$2,261.48 |
$2,261.48 |
$2,261.48 |
|
|
Perc d-e cor stent ather s
|
$9,191.00 |
$9,191.00 |
$9,191.00 |
|
|
Perc drug-el cor stent bran
|
$2,627.30 |
$2,627.30 |
$2,627.30 |
|
|
Perc drug-el cor stent sing
|
$11,246.30 |
$11,246.30 |
$11,246.30 |
|
|
Perc rf ablate renal tumor
|
$7,755.28 |
$7,755.28 |
$7,755.28 |
|
|
Percut ablate liver rf
|
$4,503.20 |
$4,503.20 |
$4,503.20 |
|
|
Pericardiocentesis wwo imaging
|
$550.42 |
$550.42 |
$550.42 |
|
|
Peri-proc device eval icd
|
$87.10 |
$87.10 |
$87.10 |
|
|
Peri-proc device eval pm
|
$78.26 |
$78.26 |
$78.26 |
|
|
Perq clsr tcat l atr apndge
|
$4,531.80 |
$4,531.80 |
$4,531.80 |
|
|
Perq plmt bile duct stent
|
$2,921.62 |
$2,921.62 |
$2,921.62 |
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,418.56 |
$1,418.56 |
$1,418.56 |
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,854.04 |
$18,854.04 |
$18,854.04 |
|
|
Pet CT skull-mid thgh initial
|
$1,828.84 |
$1,828.84 |
$1,828.84 |
|