|
Nras gene variants exon 2&3
|
$472.35 |
$743.70 |
$1,765.85 |
|
|
Ntrprof ph1/ntrnet/ehr 11-20
|
$138.00 |
$138.00 |
$138.00 |
|
|
Ntrprof ph1/ntrnet/ehr 21-30
|
$207.40 |
$207.40 |
$207.40 |
|
|
Ntrprof ph1/ntrnet/ehr 31/>
|
$280.10 |
$280.10 |
$280.10 |
|
|
Ntrprof ph1/ntrnet/ehr 5/>
|
$62.10 |
$62.10 |
$62.10 |
|
|
Ntrprof ph1/ntrnet/ehr 5-10
|
$82.80 |
$82.80 |
$82.80 |
|
|
Ntrprof ph1/ntrnet/ehr rfrl
|
$305.45 |
$305.45 |
$305.45 |
|
|
Nuclear exam of tear flow
|
$1,319.95 |
$1,319.95 |
$1,319.95 |
|
|
Nuclear matrix protein 22
|
$76.00 |
$76.00 |
$76.00 |
|
|
Nuclear rx intra-arterial
|
$297.00 |
$297.00 |
$297.00 |
|
|
Nuclear rx intracav admin
|
$331.00 |
$331.00 |
$331.00 |
|
|
Nuclear rx IV admin
|
$1,458.85 |
$1,458.85 |
$1,458.85 |
|
|
Nuclear Stress Test (Heart)
|
$2,206.65 |
$3,228.40 |
$4,566.00 |
|
|
Nursing facility discharge management > 30 min 99316
|
$177.35 |
$237.55 |
$326.75 |
|
|
Nursing facility discharge management 30 min/less than 99315
|
$136.40 |
$179.50 |
$204.10 |
|
|
Nushield 1 square cm
|
$255.48 |
$255.48 |
$1,250.00 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$20,565.45 |
$22,504.18 |
$26,194.73 |
|
|
Observation care discharge
|
$165.45 |
$165.45 |
$165.45 |
|
|
Observation direct referral from physician office for admission
|
$40.50 |
$204.65 |
$1,971.40 |
|
|
Observation/inpatient hospital care hi severity 99236
|
$449.20 |
$569.30 |
$686.20 |
|
|
Observation/inpatient hospital care low severity 99234
|
$212.60 |
$337.40 |
$425.05 |
|
|
Observation/inpatient hospital care mod severity 99235
|
$342.90 |
$441.30 |
$532.30 |
|
|
Observation per hour
|
$93.90 |
$120.30 |
$255.50 |
|
|
Obstetrics panel
|
$235.50 |
$235.50 |
$235.50 |
|
|
Ob Ultrasound nuchal meas 1 gest
|
$491.35 |
$491.35 |
$491.35 |
|
|
Ob Ultrasound nuchal meas add-on
|
$278.05 |
$438.90 |
$438.90 |
|
|
Occupational Therapy Evaluation (high complexity)
|
$254.30 |
$396.80 |
$533.90 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$249.70 |
$325.25 |
$455.60 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$254.30 |
$361.70 |
$483.95 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$49,286.49 |
$53,932.77 |
$62,777.42 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$25.03 |
$34.99 |
$163.79 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$8,476.88 |
$12,151.03 |
$18,061.83 |
|
|
Off/op cnsltj new/est low 30
|
$225.40 |
$332.10 |
$547.25 |
|
|
Off/op cnsltj new/est mod 40
|
$336.00 |
$455.10 |
$741.40 |
|
|
Off/op consltj new/est hi 55
|
$410.25 |
$592.85 |
$962.80 |
|
|
Off/op consltj new/est sf 20
|
$177.90 |
$246.95 |
$391.40 |
|
|
Olanzapine 10 mg intramuscular solution
|
$141.40 |
$216.50 |
$341.02 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,473.18 |
$7,455.03 |
$11,511.93 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.63 |
$1.40 |
$4.05 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.02 |
$6.34 |
$81.31 |
|
|
Oral aprepitant
|
$89.88 |
$210.00 |
$306.41 |
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,530.49 |
$3,530.49 |
$3,530.49 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$288.80 |
$758.35 |
$1,149.15 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$3,362.00 |
$3,362.00 |
$5,102.65 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$415.75 |
$2,929.65 |
$3,362.00 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$356.30 |
$758.35 |
$1,186.45 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$406.20 |
$406.20 |
$406.20 |
|
|
Ortho hnd without jnt w/fit&adj
|
$126.85 |
$126.85 |
$126.85 |
|
|
Orthopantogram
|
$296.95 |
$296.95 |
$296.95 |
|
|
Orthovisc inj per dose
|
$2,180.69 |
$2,180.69 |
$2,180.69 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$288.80 |
$784.95 |
$1,850.45 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$406.20 |
$2,604.40 |
$4,245.95 |
|
|
Oscillation chest wall mechanical per session
|
$140.40 |
$222.70 |
$570.40 |
|
|
Osmolality blood
|
$74.15 |
$109.35 |
$129.10 |
|
|
Osmolality urine
|
$63.80 |
$110.60 |
$114.65 |
|
|
Osteopath manip tx/5-6 body region 98927
|
$89.05 |
$115.10 |
$157.90 |
|
|
Osteopath manip tx/7-8 body region 98928
|
$179.50 |
$179.50 |
$179.50 |
|
|
Osteopath manip tx/9-10 body region98929
|
$171.45 |
$171.45 |
$171.45 |
|
|
Oth resp proc, group
|
$140.00 |
$141.55 |
$377.95 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$71.50 |
$179.35 |
$210.55 |
|
|
Ot re-evaluation patient/family
|
$109.70 |
$232.15 |
$455.60 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$47.55 |
$60.15 |
$122.40 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$50.15 |
$70.70 |
$127.70 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$126.02 |
$226.65 |
$507.51 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$63.74 |
$152.07 |
$487.99 |
|
|
Oxytocin 10 unit/ml injection solution
|
$7.56 |
$24.29 |
$87.91 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$232.05 |
$348.63 |
$695.87 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,743.86 |
$4,159.04 |
$6,881.01 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$4,376.85 |
$8,522.42 |
$15,475.12 |
|
|
Palonosetron hcl
|
$75.56 |
$253.45 |
$1,001.76 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$63.46 |
$136.01 |
$756.55 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$8,886.51 |
$18,934.65 |
$22,039.81 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$14.11 |
$34.02 |
$99.27 |
|
|
Parathormone (pth) intact
|
$89.70 |
$404.85 |
$522.65 |
|
|
Parathyrd planar w/spect&ct
|
$1,454.10 |
$2,001.85 |
$2,830.35 |
|
|
Parathyroid planar imaging
|
$946.40 |
$1,613.80 |
$2,361.95 |
|
|
Parathyroid planar img w/tomo spect
|
$1,512.50 |
$2,347.00 |
$2,681.85 |
|
|
Paricalcitol
|
$106.10 |
$106.10 |
$106.10 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$118.75 |
$270.10 |
$553.70 |
|
|
Partial removal of eye fluid
|
$852.60 |
$852.60 |
$852.60 |
|
|
Passy muir valve metal trach
|
$90.87 |
$90.87 |
$707.05 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,870.39 |
$15,324.88 |
$19,519.68 |
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,372.12 |
$10,331.39 |
$13,674.31 |
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,119.81 |
$10,989.44 |
$13,333.28 |
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,559.91 |
$5,494.72 |
$8,484.86 |
|
|
Pelvic CT scan (with and without contrast)
|
$1,140.65 |
$2,504.65 |
$3,248.75 |
|
|
Pelvic CT scan (with contrast)
|
$1,013.90 |
$1,949.20 |
$3,251.40 |
|
|
Pelvic CT scan (without contrast)
|
$839.25 |
$1,382.10 |
$1,920.60 |
|
|
Pelvic MRI (with and without contrast)
|
$2,451.45 |
$3,301.70 |
$3,956.45 |
|
|
Pelvic MRI (with contrast)
|
$2,557.70 |
$2,630.60 |
$3,136.80 |
|
|
Pelvic MRI (without contrast)
|
$1,822.25 |
$2,217.55 |
$2,554.55 |
|
|
Pelvic Ultrasound (complete)
|
$629.55 |
$858.35 |
$1,453.60 |
|
|
Pelvic Ultrasound (limited)
|
$435.95 |
$568.40 |
$668.10 |
|
|
Pelvis X-ray (1 to 2 views)
|
$190.05 |
$359.00 |
$473.75 |
|
|
Pelvis X-ray (complete, 4 or more views)
|
$343.75 |
$473.75 |
$903.00 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$7,232.38 |
$15,410.16 |
$17,937.33 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,052.63 |
$9,653.88 |
$12,911.73 |
|
|
Pemivibart infusion
|
$652.35 |
$681.75 |
$1,288.35 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$679.31 |
$1,511.96 |
$3,193.43 |
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$70.93 |
$154.55 |
$496.58 |
|
