|
Neck (Cervical Spine) X-ray (6 or more views)
|
$832.00 |
$832.00 |
$832.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,887.20 |
$3,887.20 |
$3,887.20 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,807.20 |
$2,807.20 |
$2,807.20 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$60.08 |
$60.08 |
$60.08 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$750.00
|
|
Nerve conduction studies 11-12
|
$2,134.40 |
$2,134.40 |
$2,134.40 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$557.60 |
$557.60 |
$557.60 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$902.40 |
$902.40 |
$902.40 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$617.24
|
|
Nerve conduction studies 9-10
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$1,100.00
|
|
New Patient Office Visit (level 2)
|
$140.80 |
$140.80 |
$140.80 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$176.80 |
$176.80 |
$176.80 |
$211.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$198.96 |
$198.96 |
$198.96 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$1.20 |
$1.20 |
$1.20 |
$262.93
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,113.60 |
$2,113.60 |
$2,113.60 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,652.80 |
$1,652.80 |
$1,652.80 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,428.00 |
$2,428.00 |
$2,428.00 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,146.40 |
$2,146.40 |
$2,146.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$1,091.00
|
|
No pt prsnt train add 15
|
$64.80 |
$64.80 |
$64.80 |
$47.60
|
|
No pt prsnt train initial 30
|
$129.60 |
$129.60 |
$129.60 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$442.40 |
$442.40 |
$442.40 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,920.80 |
$4,920.80 |
$4,920.80 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$194.40 |
$194.40 |
$194.40 |
$384.00
|
|
Observation per hour
|
$60.00 |
$60.00 |
$60.00 |
$82.50
|
|
Obstetrics panel
|
$238.40 |
$238.40 |
$238.40 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$386.40 |
$386.40 |
$386.40 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$280.00 |
$280.00 |
$280.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$322.40 |
$322.40 |
$322.40 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$31,448.64 |
$31,448.64 |
$31,448.64 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$60.90 |
$60.90 |
$60.90 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,633.08 |
$9,633.08 |
$9,633.08 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$75.88 |
$75.88 |
$75.88 |
$109.62
|
|
Onco (ovar) five proteins
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$986.70
|
|
Ondansetron 4 mg s0119
|
$1.20 |
$1.20 |
$1.20 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.28 |
$60.28 |
$60.28 |
$22.62
|
|
Osmolality blood
|
$128.00 |
$128.00 |
$128.00 |
$70.85
|
|
Osmolality urine
|
$128.00 |
$128.00 |
$128.00 |
$65.52
|
|
Oth resp proc, group
|
$174.40 |
$174.40 |
$174.40 |
$126.00
|
|
Oth resp proc, indiv
|
$136.00 |
$136.00 |
$136.00 |
$83.50
|
|
Ot re-evaluation patient/family
|
$263.20 |
$263.20 |
$263.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$116.80 |
$116.80 |
$116.80 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$134.40 |
$134.40 |
$134.40 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$62.24 |
$62.24 |
$62.24 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$275.51 |
$275.51 |
$275.51 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$60.73 |
$60.73 |
$60.73 |
$50.40
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,726.87 |
$1,726.87 |
$1,726.87 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,653.91 |
$2,653.91 |
$2,653.91 |
$6,238.82
|
|
Palonosetron hcl
|
$67.43 |
$67.43 |
$67.43 |
$163.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$61.45 |
$61.45 |
$61.45 |
$28.90
|
|
Parathormone (pth) intact
|
$216.80 |
$216.80 |
$216.80 |
$206.18
|
|
Parathyroid planar imaging
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$282.40 |
$282.40 |
$282.40 |
$245.67
|
|
Part removal of metatarsal
|
$5,128.80 |
$5,128.80 |
$5,128.80 |
$3,821.05
|
|
Pcv21 vaccine im
|
$410.26 |
$410.26 |
$410.26 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,290.61 |
$7,290.61 |
$7,290.61 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,217.04 |
$3,217.04 |
$3,217.04 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,616.16 |
$6,616.16 |
$6,616.16 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,075.76 |
$2,075.76 |
$2,075.76 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,978.40 |
$1,978.40 |
$1,978.40 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,391.20 |
$4,391.20 |
$4,391.20 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,008.00 |
$4,008.00 |
$4,008.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$714.40 |
$714.40 |
$714.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$399.20 |
$399.20 |
$399.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$444.00 |
$444.00 |
$444.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$6,108.96 |
$6,108.96 |
$6,108.96 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,583.96 |
$3,583.96 |
$3,583.96 |
$7,089.13
|
|
Pemivibart infusion
|
$798.40 |
$798.40 |
$798.40 |
$533.10
|
|
Peng benzathine/procaine inj
|
$284.30 |
$284.30 |
$284.30 |
$375.32
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$63.29 |
$63.29 |
$63.29 |
$97.85
|
|
Peripheral vascular rehab
|
$179.20 |
$179.20 |
$179.20 |
$132.50
|
|
Ph body fluid
|
$39.20 |
$39.20 |
$39.20 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$68.18 |
$68.18 |
$68.18 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$85.60 |
$85.60 |
$85.60 |
$105.00
|
|
Phentolaine mesylate inj
|
$750.39 |
$750.39 |
$750.39 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$60.92 |
$60.92 |
$60.92 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.85 |
$60.85 |
$60.85 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$186.40 |
$186.40 |
$186.40 |
$111.27
|
|
Phlebotomy therapeutic
|
$249.60 |
$249.60 |
$249.60 |
$231.40
|
|
Phosphorus
|
$72.00 |
$72.00 |
$72.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$352.80 |
$352.80 |
$352.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$262.40 |
$262.40 |
$262.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$308.00 |
$308.00 |
$308.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$244.00 |
$244.00 |
$244.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.01 |
$79.01 |
$79.01 |
$90.25
|
|
Pinworm exam
|
$82.40 |
$82.40 |
$82.40 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$62.82 |
$62.82 |
$62.82 |
$81.36
|
|
Place gastrostomy tube perc
|
$2,951.20 |
$2,951.20 |
$2,951.20 |
$2,289.60
|