|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$307.30 |
$307.30 |
$307.30 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$438.10 |
$438.10 |
$438.10 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$563.50 |
$563.50 |
$563.50 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,955.10 |
$3,955.10 |
$3,955.10 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,434.55 |
$2,434.55 |
$2,434.55 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,934.45 |
$1,934.45 |
$1,934.45 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,312.00
|
|
Neurolysis celiac plexus
|
$2,740.75 |
$2,740.75 |
$2,740.75 |
$1,780.24
|
|
New Patient Office Visit (level 2)
|
$315.50 |
$315.50 |
$315.50 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$354.55 |
$354.55 |
$354.55 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$540.60 |
$540.60 |
$540.60 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$655.15 |
$655.15 |
$655.15 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$741.80 |
$741.80 |
$741.80 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$136.61 |
$136.61 |
$136.61 |
$74.56
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$23,684.38 |
$23,684.38 |
$23,684.38 |
$14,820.18
|
|
Njx aa&/strd lmbr plex nfs
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$1,559.40
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,977.25 |
$1,977.25 |
$1,977.25 |
$1,159.00
|
|
Njx interlaminar crv/thrc
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$1,839.60
|
|
Njx interlaminar lmbr/sac
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$1,970.25
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,531.30 |
$1,531.30 |
$1,531.30 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,784.85 |
$1,784.85 |
$1,784.85 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$962.50 |
$962.50 |
$962.50 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,806.40 |
$1,806.40 |
$1,806.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,095.95 |
$1,095.95 |
$1,095.95 |
$1,091.00
|
|
Non-ophthalmic fva
|
$1,036.90 |
$1,036.90 |
$1,036.90 |
$609.12
|
|
Nose (Nasal Bone) X-ray (complete)
|
$277.70 |
$277.70 |
$277.70 |
$274.65
|
|
Nras gene variants exon 2&3
|
$1,765.85 |
$1,765.85 |
$1,765.85 |
$593.45
|
|
Nuclear Stress Test (Heart)
|
$2,206.65 |
$2,206.65 |
$2,206.65 |
$3,859.98
|
|
Nursing facility discharge management > 30 min 99316
|
$273.00 |
$273.00 |
$273.00 |
$166.25
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$26,194.73 |
$26,194.73 |
$26,194.73 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$1,971.40 |
$1,971.40 |
$1,971.40 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$449.20 |
$449.20 |
$449.20 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$212.60 |
$212.60 |
$212.60 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$342.90 |
$342.90 |
$342.90 |
$303.20
|
|
Observation per hour
|
$120.30 |
$120.30 |
$120.30 |
$82.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$533.90 |
$533.90 |
$533.90 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$436.85 |
$436.85 |
$436.85 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$483.95 |
$483.95 |
$483.95 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$62,777.42 |
$62,777.42 |
$62,777.42 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$30.24 |
$30.24 |
$30.24 |
$90.00
|
|
Off/op cnsltj new/est low 30
|
$547.25 |
$547.25 |
$547.25 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$741.40 |
$741.40 |
$741.40 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$920.70 |
$920.70 |
$920.70 |
$352.50
|
|
Off/op consltj new/est sf 20
|
$372.10 |
$372.10 |
$372.10 |
$137.80
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$8,613.98 |
$8,613.98 |
$8,613.98 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.40 |
$1.40 |
$1.40 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$38.25 |
$38.25 |
$38.25 |
$22.62
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,530.49 |
$3,530.49 |
$3,530.49 |
$11,017.26
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$1,186.45 |
$1,186.45 |
$1,186.45 |
$231.66
|
|
Orthovisc inj per dose
|
$2,180.69 |
$2,180.69 |
$2,180.69 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,850.45 |
$1,850.45 |
$1,850.45 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$4,245.95 |
$4,245.95 |
$4,245.95 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$145.60 |
$145.60 |
$145.60 |
$196.30
|
|
Osmolality blood
|
$74.15 |
$74.15 |
$74.15 |
$70.85
|
|
Osmolality urine
|
$63.80 |
$63.80 |
$63.80 |
$65.52
|
|
Osteopath manip tx/5-6 body region 98927
|
$95.90 |
$95.90 |
$95.90 |
$68.25
|
|
Oth resp proc, group
|
$141.55 |
$141.55 |
$141.55 |
$126.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$71.50 |
$71.50 |
$71.50 |
$97.80
|
|
Ot re-evaluation patient/family
|
$256.15 |
$256.15 |
$256.15 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$127.70 |
$127.70 |
$127.70 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$126.02 |
$126.02 |
$126.02 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$152.07 |
$152.07 |
$152.07 |
$348.69
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,805.60 |
$4,805.60 |
$4,805.60 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$10,855.22 |
$10,855.22 |
$10,855.22 |
$6,238.82
|
|
Palonosetron hcl
|
$253.45 |
$253.45 |
$253.45 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$63.46 |
$63.46 |
$63.46 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$22,039.81 |
$22,039.81 |
$22,039.81 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$30.42 |
$30.42 |
$30.42 |
$28.90
|
|
Parathormone (pth) intact
|
$446.15 |
$446.15 |
$446.15 |
$206.18
|
|
Parathyroid planar imaging
|
$946.40 |
$946.40 |
$946.40 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$553.70 |
$553.70 |
$553.70 |
$245.67
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,519.68 |
$19,519.68 |
$19,519.68 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$12,697.85 |
$12,697.85 |
$12,697.85 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,348.93 |
$6,348.93 |
$6,348.93 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,504.65 |
$2,504.65 |
$2,504.65 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,949.20 |
$1,949.20 |
$1,949.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,956.45 |
$3,956.45 |
$3,956.45 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$629.55 |
$629.55 |
$629.55 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$465.15 |
$465.15 |
$465.15 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$208.95 |
$208.95 |
$208.95 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$343.75 |
$343.75 |
$343.75 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$17,937.33 |
$17,937.33 |
$17,937.33 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$12,296.39 |
$12,296.39 |
$12,296.39 |
$7,089.13
|
|
Pemivibart infusion
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,530.54 |
$1,530.54 |
$1,530.54 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$70.93 |
$70.93 |
$70.93 |
$97.85
|
|
Penile injection
|
$886.00 |
$886.00 |
$886.00 |
$424.60
|
|
Pentamidine non-comp unit
|
$761.37 |
$761.37 |
$761.37 |
$294.39
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$529.65 |
$529.65 |
$529.65 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$1,730.85 |
$1,730.85 |
$1,730.85 |
$2,375.00
|
|
Perit-vens shunt pat tst
|
$1,473.40 |
$1,473.40 |
$1,473.40 |
$752.49
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$659.35 |
$659.35 |
$659.35 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$41,487.69 |
$41,487.69 |
$41,487.69 |
$14,272.91
|