|
Nm imaging pulmonary ventilation/perfusion
|
$4,934.00 |
$4,934.00 |
$4,934.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,186.03
|
|
Npm1 gene
|
$341.00 |
$341.00 |
$341.00 |
$430.95
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,988.00 |
$11,988.00 |
$11,988.00 |
$7,875.40
|
|
Ntrk translocation analysis
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$727.74
|
|
Ntsty modul rad tx dlvr cplx
|
$5,156.00 |
$5,156.00 |
$5,156.00 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$3,909.00 |
$3,909.00 |
$3,909.00 |
$2,364.96
|
|
Nuclear exam of tear flow
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$538.45
|
|
Nuclear rx IV admin
|
$936.00 |
$936.00 |
$936.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$12,024.00 |
$12,024.00 |
$12,024.00 |
$3,921.45
|
|
Nudt15 gene common variants
|
$1,361.00 |
$1,361.00 |
$1,361.00 |
$320.50
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$87,500.00 |
$87,500.00 |
$87,500.00 |
$275,814.13
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$721.16 |
$721.16 |
$721.16 |
$14,996.94
|
|
Ob Ultrasound nuchal meas 1 gest
|
$2,765.00 |
$2,765.00 |
$2,765.00 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$6,831.03 |
$6,831.03 |
$6,831.03 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$8.00 |
$8.00 |
$8.00 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$22,395.14 |
$22,395.14 |
$22,395.14 |
$12,749.16
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$394.78 |
$394.78 |
$394.78 |
$1,146.45
|
|
Olanzapine 10 mg intramuscular solution
|
$89.99 |
$89.99 |
$89.99 |
$120.17
|
|
Olanzapine long-acting inj
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$76.20
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,847.36 |
$4,847.36 |
$4,847.36 |
$4,595.01
|
|
Oncology prostate prob score
|
$1,051.00 |
$1,051.00 |
$1,051.00 |
$1,048.80
|
|
Onco (ovar) five proteins
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$897.00
|
|
Oncoprotein dcp
|
$138.00 |
$138.00 |
$138.00 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.66 |
$1.66 |
$1.66 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.04 |
$1.04 |
$1.04 |
$30.15
|
|
Ophthalmic mitomycin
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$1,269.22
|
|
Optx clavicular fx w/int fix
|
$8,762.23 |
$8,762.23 |
$8,762.23 |
$8,453.60
|
|
Optx prox humrl fx w/int fix
|
$13,780.53 |
$13,780.53 |
$13,780.53 |
$12,734.70
|
|
Oral aprepitant
|
$469.95 |
$469.95 |
$469.95 |
$413.91
|
|
Oral busulfan
|
$985.57 |
$985.57 |
$985.57 |
$84.21
|
|
Oral everolimus
|
$34.49 |
$34.49 |
$34.49 |
$25.34
|
|
Oral methotrexate (xatmep)
|
$68.53 |
$68.53 |
$68.53 |
$20.83
|
|
Organic acids total quant ea spec
|
$109.00 |
$109.00 |
$109.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$3,791.12 |
$3,791.12 |
$3,791.12 |
$13,112.70
|
|
Oropharyngeal biopsy 42800
|
$4,921.00 |
$4,921.00 |
$4,921.00 |
$1,855.10
|
|
Orthovisc inj per dose
|
$782.13 |
$782.13 |
$782.13 |
$443.85
|
|
Oscillation chest wall mechanical per session
|
$678.00 |
$678.00 |
$678.00 |
$221.34
|
|
Osmolality blood
|
$138.00 |
$138.00 |
$138.00 |
$67.60
|
|
Osmolality urine
|
$141.00 |
$141.00 |
$141.00 |
$65.65
|
|
Osteochondral knee allograft
|
$8,260.40 |
$8,260.40 |
$8,260.40 |
$7,862.94
|
|
Ot evaluation high complexity patient/family
|
$383.00 |
$383.00 |
$383.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$347.00 |
$347.00 |
$347.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$359.00 |
$359.00 |
$359.00 |
$270.58
|
|
Other immunoelectrophoresis
|
$170.00 |
$170.00 |
$170.00 |
$46.40
|
|
Oth resp proc, indiv
|
$308.00 |
$308.00 |
$308.00 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$151.00 |
$151.00 |
$151.00 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$101.00 |
$101.00 |
$101.00 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$197.00 |
$197.00 |
$197.00 |
$107.32
|
|
Ot re-evaluation patient/family
|
$201.00 |
$201.00 |
$201.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$155.00 |
$155.00 |
$155.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$211.00 |
$211.00 |
$211.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$211.00 |
$211.00 |
$211.00 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$16.69 |
$16.69 |
$16.69 |
$67.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$16.36 |
$16.36 |
$16.36 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$11.78 |
$11.78 |
$11.78 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$4.20 |
$4.20 |
$4.20 |
$231.63
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,420.45 |
$3,420.45 |
$3,420.45 |
$3,656.90
|
|
Palifermin injection
|
$10,941.16 |
$10,941.16 |
$10,941.16 |
$35.91
|
|
Paliperidone 117 mg/0.75 ml inj
|
$13,915.14 |
$13,915.14 |
$13,915.14 |
$6,272.41
|
|
Palivizumab 50 mg/0.5 ml inj
|
$12,744.62 |
$12,744.62 |
$12,744.62 |
$5,156.88
|
|
Palonosetron hcl
|
$28.51 |
$28.51 |
$28.51 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$11.89 |
$11.89 |
$11.89 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,177.46 |
$1,177.46 |
$1,177.46 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.90 |
$8.90 |
$8.90 |
$35.43
|
|
Papaverin hcl injection
|
$27.49 |
$27.49 |
$27.49 |
$83.77
|
|
Parathormone (pth) intact
|
$49.00 |
$49.00 |
$49.00 |
$200.23
|
|
Parathyroid planar imaging
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,166.00
|
|
Paricalcitol
|
$32.81 |
$32.81 |
$32.81 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$459.00 |
$459.00 |
$459.00 |
$270.00
|
|
Pegaspargase injection
|
$17,876.77 |
$17,876.77 |
$17,876.77 |
$33,512.48
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$19,338.67 |
$19,338.67 |
$19,338.67 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$11,659.55 |
$11,659.55 |
$11,659.55 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,668.75 |
$9,668.75 |
$9,668.75 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,242.22 |
$9,242.22 |
$9,242.22 |
$4,749.07
|
|
Pegloticase 8 mg/ml intravenous solution
|
$102,615.80 |
$102,615.80 |
$102,615.80 |
$49,707.63
|
|
Pelvic CT scan (with and without contrast)
|
$4,601.00 |
$4,601.00 |
$4,601.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,337.00 |
$3,337.00 |
$3,337.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,388.00 |
$7,388.00 |
$7,388.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$7,597.00 |
$7,597.00 |
$7,597.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,747.00 |
$6,747.00 |
$6,747.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,059.32 |
$5,059.32 |
$5,059.32 |
$13,809.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$160.62 |
$160.62 |
$160.62 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$397.76 |
$397.76 |
$397.76 |
$284.45
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$576.19 |
$576.19 |
$576.19 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$15.07 |
$15.07 |
$15.07 |
$90.35
|
|
Penicillin g procaine inj
|
$127.02 |
$127.02 |
$127.02 |
$47.19
|
|
Pentamidine non-comp unit
|
$299.25 |
$299.25 |
$299.25 |
$279.76
|
|
Pentobarbital sodium inj
|
$67.03 |
$67.03 |
$67.03 |
$185.00
|
|
Pentostatin 10 mg intravenous solution
|
$8,676.36 |
$8,676.36 |
$8,676.36 |
$6,659.13
|
|
Perc cryo ablate renal tum
|
$6,278.00 |
$6,278.00 |
$6,278.00 |
$12,320.22
|
|
Perc drug-el cor stent sing
|
$30,660.09 |
$30,660.09 |
$30,660.09 |
$16,846.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$198.45 |
$198.45 |
$198.45 |
$321.71
|
