|
Neurolysis celiac plexus
|
$4,216.93 |
$4,216.93 |
$4,216.93 |
$1,754.00
|
|
Neurolysis trigeminal nerve
|
$2,444.88 |
$2,444.88 |
$2,444.88 |
$2,079.50
|
|
Neuromatrix nerve cuff, cm
|
$1,552.30 |
$1,552.30 |
$1,552.30 |
$3,021.00
|
|
New Patient Office Visit (level 2)
|
$262.91 |
$262.91 |
$262.91 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$325.74 |
$325.74 |
$325.74 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$391.62 |
$391.62 |
$391.62 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$401.38 |
$401.38 |
$401.38 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$320.86 |
$320.86 |
$320.86 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$1.29 |
$1.29 |
$1.29 |
$263.48
|
|
Nintedanib 150 mg capsule
|
$0.20 |
$0.20 |
$0.20 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$1,088.85 |
$1,088.85 |
$1,088.85 |
$2,156.65
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$0.74 |
$0.74 |
$0.74 |
$74.40
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$194.05 |
$194.05 |
$194.05 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$443.25 |
$443.25 |
$443.25 |
$41,635.10
|
|
Njx aa&/strd nrv nrvtg si jt
|
$716.14 |
$716.14 |
$716.14 |
$1,159.00
|
|
Njx interlaminar crv/thrc
|
$844.24 |
$844.24 |
$844.24 |
$1,586.71
|
|
Njx interlaminar crv/thrc
|
$807.03 |
$807.03 |
$807.03 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$807.03 |
$807.03 |
$807.03 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$807.03 |
$807.03 |
$807.03 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$877.79 |
$877.79 |
$877.79 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,856.23 |
$1,856.23 |
$1,856.23 |
$1,672.56
|
|
Nm imaging bone/joint whole body
|
$1,639.07 |
$1,639.07 |
$1,639.07 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,667.13 |
$1,667.13 |
$1,667.13 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,613.45 |
$1,613.45 |
$1,613.45 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,163.88 |
$1,163.88 |
$1,163.88 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,629.92 |
$1,629.92 |
$1,629.92 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,485.96 |
$1,485.96 |
$1,485.96 |
$1,512.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,461.56 |
$1,461.56 |
$1,461.56 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,007.11 |
$1,007.11 |
$1,007.11 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$603.90 |
$603.90 |
$603.90 |
$1,056.33
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,095.90 |
$11,095.90 |
$11,095.90 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$2,579.08 |
$2,579.08 |
$2,579.08 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$2,166.72 |
$2,166.72 |
$2,166.72 |
$2,165.29
|
|
Nuclear rx intra-arterial
|
$437.37 |
$437.37 |
$437.37 |
$761.95
|
|
Nuclear rx IV admin
|
$636.23 |
$636.23 |
$636.23 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,984.52 |
$3,984.52 |
$3,984.52 |
$3,801.60
|
|
Nushield 1 square cm
|
$3,417.53 |
$3,417.53 |
$3,417.53 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$131.35 |
$131.35 |
$131.35 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$153.11 |
$153.11 |
$153.11 |
$384.00
|
|
Observation per hour
|
$46.97 |
$46.97 |
$46.97 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$522.77 |
$522.77 |
$522.77 |
$262.01
|
|
Obstetrics panel
|
$110.41 |
$110.41 |
$110.41 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$1,202.58 |
$1,202.58 |
$1,202.58 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$15.28 |
$15.28 |
$15.28 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$3,817.99 |
$3,817.99 |
$3,817.99 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$27.25 |
$27.25 |
$27.25 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$863.84 |
$863.84 |
$863.84 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.69 |
$6.69 |
$6.69 |
$22.62
|
|
Ophthalmic mitomycin
|
$32.76 |
$32.76 |
$32.76 |
$775.44
|
|
Organic acids total quant ea spec
|
$403.21 |
$403.21 |
$403.21 |
$150.70
|
|
Oritavancin 400 mg intravenous solution
|
$608.77 |
$608.77 |
$608.77 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$4.13 |
$4.13 |
$4.13 |
$50.63
|
|
Osmolality blood
|
$42.70 |
$42.70 |
$42.70 |
$67.60
|
|
Osmolality urine
|
$45.14 |
$45.14 |
$45.14 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$225.70 |
$225.70 |
$225.70 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$225.70 |
$225.70 |
$225.70 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$225.70 |
$225.70 |
$225.70 |
$263.50
|
|
Oth resp proc, group
|
$151.89 |
$151.89 |
$151.89 |
$123.05
|
|
Oth resp proc, indiv
|
$98.21 |
$98.21 |
$98.21 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$56.12 |
$56.12 |
$56.12 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$61.00 |
$61.00 |
$61.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$69.54 |
$69.54 |
$69.54 |
$105.00
|
|
Ot re-evaluation patient/family
|
$78.69 |
$78.69 |
$78.69 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$89.06 |
$89.06 |
$89.06 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$86.01 |
$86.01 |
$86.01 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$86.01 |
$86.01 |
$86.01 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$193.98 |
$193.98 |
$193.98 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$64.66 |
$64.66 |
$64.66 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$88.45 |
$88.45 |
$88.45 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$61.37 |
$61.37 |
$61.37 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$13.05 |
$13.05 |
$13.05 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$2.01 |
$2.01 |
$2.01 |
$50.04
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.88 |
$1.88 |
$1.88 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$881.53 |
$881.53 |
$881.53 |
$3,435.42
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,973.01 |
$3,973.01 |
$3,973.01 |
$5,569.20
|
|
Palonosetron hcl
|
$2.54 |
$2.54 |
$2.54 |
$168.43
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$30.49 |
$30.49 |
$30.49 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$213.27 |
$213.27 |
$213.27 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$2.84 |
$2.84 |
$2.84 |
$28.70
|
|
Papaverin hcl injection
|
$11.55 |
$11.55 |
$11.55 |
$76.40
|
|
Parathormone (pth) intact
|
$134.81 |
$134.81 |
$134.81 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$879.62 |
$879.62 |
$879.62 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,107.15 |
$1,107.15 |
$1,107.15 |
$1,126.25
|
|
Parathyroid planar img w/tomo spect
|
$1,026.63 |
$1,026.63 |
$1,026.63 |
$1,350.00
|
|
Paricalcitol
|
$5.83 |
$5.83 |
$5.83 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$141.52 |
$141.52 |
$141.52 |
$245.00
|
|
Partial removal finger bone
|
$2,280.18 |
$2,280.18 |
$2,280.18 |
$2,049.27
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,317.76 |
$5,317.76 |
$5,317.76 |
$4,921.76
|
|
Passy muir valve metal trach
|
$44.90 |
$44.90 |
$44.90 |
$275.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$4,547.33 |
$4,547.33 |
$4,547.33 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$3,231.04 |
$3,231.04 |
$3,231.04 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,568.47 |
$1,568.47 |
$1,568.47 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$1,485.29 |
$1,485.29 |
$1,485.29 |
$4,067.80
|
|
Pegloticase 8 mg/ml intravenous solution
|
$13,787.22 |
$13,787.22 |
$13,787.22 |
$47,464.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,223.45 |
$2,223.45 |
$2,223.45 |
$1,887.84
|
|
Pelvic CT scan (with contrast)
|
$1,825.73 |
$1,825.73 |
$1,825.73 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,472.54 |
$1,472.54 |
$1,472.54 |
$1,362.00
|
|
Pelvic MRI (with and without contrast)
|
$2,646.79 |
$2,646.79 |
$2,646.79 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,594.33 |
$2,594.33 |
$2,594.33 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,250.29 |
$2,250.29 |
$2,250.29 |
$1,902.00
|