|
Nose (Nasal Bone) X-ray (complete)
|
$412.50 |
$412.50 |
$412.50 |
$274.65
|
|
Nras gene variants exon 2&3
|
$472.35 |
$472.35 |
$472.35 |
$593.45
|
|
Nuclear Stress Test (Heart)
|
$3,745.15 |
$3,745.15 |
$3,745.15 |
$3,859.98
|
|
Nursing facility discharge management > 30 min 99316
|
$326.75 |
$326.75 |
$326.75 |
$166.25
|
|
Nursing facility discharge management 30 min/less than 99315
|
$204.10 |
$204.10 |
$204.10 |
$119.60
|
|
Observation direct referral from physician office for admission
|
$204.65 |
$204.65 |
$204.65 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$686.20 |
$686.20 |
$686.20 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$425.05 |
$425.05 |
$425.05 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$532.30 |
$532.30 |
$532.30 |
$303.20
|
|
Observation per hour
|
$134.15 |
$134.15 |
$134.15 |
$82.50
|
|
Obstetrics panel
|
$235.50 |
$235.50 |
$235.50 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$455.60 |
$455.60 |
$455.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$455.60 |
$455.60 |
$455.60 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$455.60 |
$455.60 |
$455.60 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.99 |
$34.99 |
$34.99 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$8,476.88 |
$8,476.88 |
$8,476.88 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$162.65 |
$162.65 |
$162.65 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,473.18 |
$3,473.18 |
$3,473.18 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.63 |
$0.63 |
$0.63 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.34 |
$6.34 |
$6.34 |
$22.62
|
|
Oral aprepitant
|
$89.88 |
$89.88 |
$89.88 |
$410.20
|
|
Oscillation chest wall mechanical per session
|
$140.40 |
$140.40 |
$140.40 |
$196.30
|
|
Osmolality blood
|
$118.40 |
$118.40 |
$118.40 |
$70.85
|
|
Osmolality urine
|
$67.85 |
$67.85 |
$67.85 |
$65.52
|
|
Osteopath manip tx/5-6 body region 98927
|
$115.10 |
$115.10 |
$115.10 |
$68.25
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$188.00 |
$188.00 |
$188.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$455.60 |
$455.60 |
$455.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$76.15 |
$76.15 |
$76.15 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$76.15 |
$76.15 |
$76.15 |
$93.12
|
|
Oxaliplatin 5 mg/ml desensitization
|
$63.74 |
$63.74 |
$63.74 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$24.29 |
$24.29 |
$24.29 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$382.43 |
$382.43 |
$382.43 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,743.86 |
$1,743.86 |
$1,743.86 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,376.85 |
$4,376.85 |
$4,376.85 |
$6,238.82
|
|
Palonosetron hcl
|
$289.72 |
$289.72 |
$289.72 |
$163.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$8,886.51 |
$8,886.51 |
$8,886.51 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.50 |
$34.50 |
$34.50 |
$28.90
|
|
Parathormone (pth) intact
|
$89.70 |
$89.70 |
$89.70 |
$206.18
|
|
Parathyroid planar imaging
|
$1,403.90 |
$1,403.90 |
$1,403.90 |
$1,126.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$270.10 |
$270.10 |
$270.10 |
$245.67
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,870.39 |
$7,870.39 |
$7,870.39 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,119.81 |
$5,119.81 |
$5,119.81 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,559.91 |
$2,559.91 |
$2,559.91 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,140.65 |
$1,140.65 |
$1,140.65 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,013.90 |
$1,013.90 |
$1,013.90 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$887.15 |
$887.15 |
$887.15 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,301.70 |
$3,301.70 |
$3,301.70 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$2,527.55 |
$2,527.55 |
$2,527.55 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,406.60 |
$1,406.60 |
$1,406.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$608.20 |
$608.20 |
$608.20 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$377.95 |
$377.95 |
$377.95 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$644.10 |
$644.10 |
$644.10 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,232.38 |
$7,232.38 |
$7,232.38 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,052.63 |
$2,052.63 |
$2,052.63 |
$7,089.13
|
|
Pemivibart infusion
|
$1,171.30 |
$1,171.30 |
$1,171.30 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,511.96 |
$1,511.96 |
$1,511.96 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$294.82 |
$294.82 |
$294.82 |
$97.85
|
|
Penile injection
|
$333.20 |
$333.20 |
$333.20 |
$424.60
|
|
Pentamidine non-comp unit
|
$651.22 |
$651.22 |
$651.22 |
$294.39
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$222.16 |
$222.16 |
$222.16 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$368.35 |
$368.35 |
$368.35 |
$2,375.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$214.50 |
$214.50 |
$214.50 |
$625.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$16,727.94 |
$16,727.94 |
$16,727.94 |
$14,272.91
|
|
Pfc sigma fem post aug sz3 8mm
|
$5,950.00 |
$5,950.00 |
$5,950.00 |
$39,920.50
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$57.25 |
$57.25 |
$57.25 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$84.05 |
$84.05 |
$84.05 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$29.35 |
$29.35 |
$29.35 |
$31.20
|
|
Ph body fluid
|
$10.55 |
$10.55 |
$10.55 |
$42.00
|
|
Phencyclidine (pcp)
|
$263.70 |
$263.70 |
$263.70 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$396.32 |
$396.32 |
$396.32 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$284.30 |
$284.30 |
$284.30 |
$105.00
|
|
Phentolaine mesylate inj
|
$2,208.11 |
$2,208.11 |
$2,208.11 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$5.00 |
$5.00 |
$5.00 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$206.30 |
$206.30 |
$206.30 |
$111.27
|
|
Phlebotomy therapeutic
|
$283.45 |
$283.45 |
$283.45 |
$231.40
|
|
Phosphorus
|
$95.80 |
$95.80 |
$95.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$14.45 |
$14.45 |
$14.45 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$455.60 |
$455.60 |
$455.60 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$455.60 |
$455.60 |
$455.60 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$455.60 |
$455.60 |
$455.60 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$455.60 |
$455.60 |
$455.60 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$283.73 |
$283.73 |
$283.73 |
$90.25
|
|
Pinworm exam
|
$157.05 |
$157.05 |
$157.05 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$376.63 |
$376.63 |
$376.63 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,819.15 |
$1,819.15 |
$1,819.15 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$167.65 |
$167.65 |
$167.65 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$867.60 |
$867.60 |
$867.60 |
$1,332.43
|
|
Platelet aggregation each agent teg
|
$244.85 |
$244.85 |
$244.85 |
$148.98
|
|
Platelet automated
|
$98.50 |
$98.50 |
$98.50 |
$46.00
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$4,497.95 |
$4,497.95 |
$4,497.95 |
$1,170.65
|
|
Platelets pheresis leukocytes reduced each unit
|
$4,040.25 |
$4,040.25 |
$4,040.25 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,551.25 |
$1,551.25 |
$1,551.25 |
$1,005.65
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,675.90 |
$1,675.90 |
$1,675.90 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$759.55
|
|
Plethysmography lung volumes/airway resistance
|
$215.30 |
$215.30 |
$215.30 |
$408.05
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$363.30 |
$363.30 |
$363.30 |
$187.32
|
|
Potassium 24 hour urine
|
$26.60 |
$26.60 |
$26.60 |
$51.17
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$42.24 |
$42.24 |
$42.24 |
$62.79
|
|
Potassium serum/plasma/whole blood
|
$95.80 |
$95.80 |
$95.80 |
$47.85
|