|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$3,839.33 |
$3,839.33 |
$3,839.33 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,532.05 |
$1,532.05 |
$1,532.05 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$8,182.85 |
$8,182.85 |
$8,182.85 |
$1,004.90
|
|
Nras gene variants exon 2&3
|
$663.00 |
$663.00 |
$663.00 |
$590.26
|
|
Nr lnr acclrtr tx max 5 sessions
|
$52,419.25 |
$52,419.25 |
$52,419.25 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$35,536.47 |
$35,536.47 |
$35,536.47 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$28,516.15 |
$28,516.15 |
$28,516.15 |
$2,591.00
|
|
Nuclear rx intra-arterial
|
$82,105.97 |
$82,105.97 |
$82,105.97 |
$761.95
|
|
Nuclear rx IV admin
|
$109,305.95 |
$109,305.95 |
$109,305.95 |
$806.38
|
|
Nuclear Stress Test (Heart)
|
$7,502.30 |
$7,502.30 |
$7,502.30 |
$3,739.20
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$15,364.57 |
$15,364.57 |
$15,364.57 |
$142.75
|
|
Observation direct referral from physician office for admission
|
$99.45 |
$99.45 |
$99.45 |
$359.40
|
|
Observation per hour
|
$55.25 |
$55.25 |
$55.25 |
$75.15
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$35,293.52 |
$35,293.52 |
$35,293.52 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$64.60 |
$64.60 |
$64.60 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$7,509.29 |
$7,509.29 |
$7,509.29 |
$8,720.95
|
|
Olanzapine 10 mg intramuscular solution
|
$65.00 |
$65.00 |
$65.00 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,532.66 |
$2,532.66 |
$2,532.66 |
$65.90
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Open bx/exc inguinofem nodes
|
$26,270.88 |
$26,270.88 |
$26,270.88 |
$2,152.00
|
|
Opn impltj nea sacral nerve
|
$58,494.47 |
$58,494.47 |
$58,494.47 |
$7,728.86
|
|
Orchiectomy partial
|
$18,115.43 |
$18,115.43 |
$18,115.43 |
$3,817.53
|
|
Orchiopexy ingun/scrot appr
|
$18,566.14 |
$18,566.14 |
$18,566.14 |
$3,906.18
|
|
Organic acids total quant ea spec
|
$133.25 |
$133.25 |
$133.25 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.70 |
$50.70 |
$50.70 |
$40.92
|
|
Orthopantogram
|
$167.05 |
$167.05 |
$167.05 |
$219.22
|
|
Oscillation chest wall mechanical per session
|
$386.75 |
$386.75 |
$386.75 |
$204.89
|
|
Osmolality blood
|
$100.10 |
$100.10 |
$100.10 |
$57.00
|
|
Osmolality urine
|
$100.10 |
$100.10 |
$100.10 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$224.25 |
$224.25 |
$224.25 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$224.25 |
$224.25 |
$224.25 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$224.25 |
$224.25 |
$224.25 |
$249.60
|
|
Oth resp proc, group
|
$81.90 |
$81.90 |
$81.90 |
$100.80
|
|
Oth resp proc, indiv
|
$59.80 |
$59.80 |
$59.80 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$82.55 |
$82.55 |
$82.55 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$102.05 |
$102.05 |
$102.05 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$120.25 |
$120.25 |
$120.25 |
$105.50
|
|
Ot re-evaluation patient/family
|
$224.25 |
$224.25 |
$224.25 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$137.15 |
$137.15 |
$137.15 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$104.65 |
$104.65 |
$104.65 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$127.40 |
$127.40 |
$127.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$115.05 |
$115.05 |
$115.05 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$123.50 |
$123.50 |
$123.50 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$39.00 |
$39.00 |
$39.00 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$148.28 |
$148.28 |
$148.28 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,575.40 |
$2,575.40 |
$2,575.40 |
$28.29
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$12,372.33 |
$12,372.33 |
$12,372.33 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$18.49
|
|
Papaverin hcl injection
|
$134.58 |
$134.58 |
$134.58 |
$85.02
|
|
Parathormone (pth) intact
|
$250.90 |
$250.90 |
$250.90 |
$204.00
|
|
Parathyroid planar imaging
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,443.65 |
$1,443.65 |
$1,443.65 |
$1,317.94
|
|
Paricalcitol
|
$49.24 |
$49.24 |
$49.24 |
$41.14
|
|
Partial removal of thyroid
|
$21,661.84 |
$21,661.84 |
$21,661.84 |
$6,457.82
|
|
Passy muir valve metal trach
|
$240.50 |
$240.50 |
$240.50 |
$241.20
|
|
Pdt dstr prmlg les phys/qhp
|
$199.55 |
$199.55 |
$199.55 |
$290.99
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,515.08 |
$12,515.08 |
$12,515.08 |
$9,121.58
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,070.63 |
$4,070.63 |
$4,070.63 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$984.75 |
$984.75 |
$984.75 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$984.75 |
$984.75 |
$984.75 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,313.05 |
$3,313.05 |
$3,313.05 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,579.85 |
$2,579.85 |
$2,579.85 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,579.85 |
$2,579.85 |
$2,579.85 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$830.70 |
$830.70 |
$830.70 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$347.75 |
$347.75 |
$347.75 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$9,978.80 |
$9,978.80 |
$9,978.80 |
$86.90
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$251.55 |
$251.55 |
$251.55 |
$122.56
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,703.48 |
$2,703.48 |
$2,703.48 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$86.16 |
$86.16 |
$86.16 |
$53.75
|
|
Pentobarbital sodium inj
|
$292.11 |
$292.11 |
$292.11 |
$64.60
|
|
Perc cryo ablate renal tum
|
$42,229.42 |
$42,229.42 |
$42,229.42 |
$13,038.50
|
|
Perc d-e cor revasc chro sin
|
$21,434.40 |
$21,434.40 |
$21,434.40 |
$21,146.91
|
|
Perc d-e cor revasc t cabg s
|
$20,140.90 |
$20,140.90 |
$20,140.90 |
$18,917.20
|
|
Perc d-e cor stent ather s
|
$20,140.90 |
$20,140.90 |
$20,140.90 |
$21,146.91
|
|
Perc drug-el cor stent sing
|
$14,504.75 |
$14,504.75 |
$14,504.75 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$44,569.87 |
$44,569.87 |
$44,569.87 |
$6,949.48
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,218.76 |
$1,218.76 |
$1,218.76 |
$269.36
|
|
Peripheral vascular rehab
|
$147.55 |
$147.55 |
$147.55 |
$142.11
|
|
Perq nl/pl lithotrp cplx>2cm
|
$60,357.73 |
$60,357.73 |
$60,357.73 |
$10,114.58
|
|
Pertuzumab 30 mg/ml desensitization
|
$11,201.92 |
$11,201.92 |
$11,201.92 |
$15,007.91
|
|
Pet CT skull-mid thgh initial
|
$9,107.15 |
$9,107.15 |
$9,107.15 |
$4,850.00
|
|
Pet CT whole body initial
|
$9,007.05 |
$9,007.05 |
$9,007.05 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$2,482.35 |
$2,482.35 |
$2,482.35 |
$3,274.20
|
|
Pet image full body
|
$6,882.85 |
$6,882.85 |
$6,882.85 |
$2,796.00
|
|
Pet image w/ct lmtd
|
$7,299.50 |
$7,299.50 |
$7,299.50 |
$4,422.60
|
|
Ph body fluid
|
$68.90 |
$68.90 |
$68.90 |
$35.75
|
|
Phencyclidine (pcp)
|
$55.90 |
$55.90 |
$55.90 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$123.17 |
$123.17 |
$123.17 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$213.20 |
$213.20 |
$213.20 |
$97.50
|
|
Phentolaine mesylate inj
|
$1,364.35 |
$1,364.35 |
$1,364.35 |
$881.36
|
|
Phenylephrine 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$28.92
|
|
Phenytoin total therapeutic drug level
|
$215.15 |
$215.15 |
$215.15 |
$100.75
|
|
Phlebotomy therapeutic
|
$151.45 |
$151.45 |
$151.45 |
$240.24
|
|
Phosphorus
|
$100.10 |
$100.10 |
$100.10 |
$42.37
|
|
Phosphorus 24 hour urine
|
$104.00 |
$104.00 |
$104.00 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$80.37 |
$80.37 |
$80.37 |
$75.04
|