|
Nuclear Stress Test (Heart)
|
$6,729.00 |
$6,729.00 |
$6,729.00 |
$3,921.45
|
|
Nudt15 gene common variants
|
$2,321.00 |
$2,321.00 |
$2,321.00 |
$320.50
|
|
Nushield 1 square cm
|
$1,983.37 |
$1,983.37 |
$1,983.37 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$6,010.02 |
$6,010.02 |
$6,010.02 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$439.00 |
$439.00 |
$439.00 |
$420.00
|
|
Observation per hour
|
$34.00 |
$34.00 |
$34.00 |
$82.93
|
|
Obstetric panel inc HIV tstg
|
$759.00 |
$759.00 |
$759.00 |
$224.00
|
|
Obstetrics panel
|
$759.00 |
$759.00 |
$759.00 |
$204.80
|
|
Obtaining screen pap smear
|
$85.00 |
$85.00 |
$85.00 |
$39.77
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$121,805.49 |
$121,805.49 |
$121,805.49 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$64.69 |
$64.69 |
$64.69 |
$70.66
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$23,816.59 |
$23,816.59 |
$23,816.59 |
$1,146.45
|
|
Off/op consltj new/est sf 20
|
$268.00 |
$268.00 |
$268.00 |
$160.00
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$8,371.19 |
$8,371.19 |
$8,371.19 |
$4,595.01
|
|
Oncology prostate prob score
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$1,048.80
|
|
Onco (ovar) five proteins
|
$5,670.00 |
$5,670.00 |
$5,670.00 |
$897.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$30.15 |
$30.15 |
$30.15 |
$30.15
|
|
Oropharyngeal biopsy 42800
|
$19,394.00 |
$19,394.00 |
$19,394.00 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.03 |
$53.03 |
$53.03 |
$56.42
|
|
Orthovisc inj per dose
|
$350.76 |
$350.76 |
$350.76 |
$443.85
|
|
Oscillation chest wall mechanical per session
|
$405.00 |
$405.00 |
$405.00 |
$221.34
|
|
Osmolality blood
|
$94.00 |
$94.00 |
$94.00 |
$67.60
|
|
Osmolality urine
|
$102.00 |
$102.00 |
$102.00 |
$65.65
|
|
Osteopath manip tx/5-6 body region 98927
|
$101.00 |
$101.00 |
$101.00 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$101.00 |
$101.00 |
$101.00 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$101.00 |
$101.00 |
$101.00 |
$95.16
|
|
Ot evaluation high complexity patient/family
|
$484.00 |
$484.00 |
$484.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$242.00 |
$242.00 |
$242.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$363.00 |
$363.00 |
$363.00 |
$270.58
|
|
Oth resp proc, group
|
$176.00 |
$176.00 |
$176.00 |
$137.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$113.00 |
$113.00 |
$113.00 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$147.00 |
$147.00 |
$147.00 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$139.00 |
$139.00 |
$139.00 |
$107.32
|
|
Ot re-evaluation patient/family
|
$137.00 |
$137.00 |
$137.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$103.00 |
$103.00 |
$103.00 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$124.00 |
$124.00 |
$124.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$124.00 |
$124.00 |
$124.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$113.00 |
$113.00 |
$113.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$122.00 |
$122.00 |
$122.00 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$100.00 |
$100.00 |
$100.00 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$411.65 |
$411.65 |
$411.65 |
$342.84
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,705.82 |
$1,705.82 |
$1,705.82 |
$231.63
|
|
Palonosetron hcl
|
$845.35 |
$845.35 |
$845.35 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$120.91 |
$120.91 |
$120.91 |
$131.62
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$33,590.80 |
$33,590.80 |
$33,590.80 |
$14,082.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$54.12 |
$54.12 |
$54.12 |
$35.43
|
|
Papaverin hcl injection
|
$69.10 |
$69.10 |
$69.10 |
$83.77
|
|
Parathormone (pth) intact
|
$637.00 |
$637.00 |
$637.00 |
$200.23
|
|
Parathyroid planar imaging
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$317.00 |
$317.00 |
$317.00 |
$270.00
|
|
Pdgfra gene
|
$2,361.00 |
$2,361.00 |
$2,361.00 |
$659.20
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$14,000.89 |
$14,000.89 |
$14,000.89 |
$11,569.18
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,915.81 |
$4,915.81 |
$4,915.81 |
$6,879.79
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$9,871.06 |
$9,871.06 |
$9,871.06 |
$7,531.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,234.68 |
$5,234.68 |
$5,234.68 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$5,301.00 |
$5,301.00 |
$5,301.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,288.00 |
$4,288.00 |
$4,288.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,775.00 |
$2,775.00 |
$2,775.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$7,047.00 |
$7,047.00 |
$7,047.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$5,618.00 |
$5,618.00 |
$5,618.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$5,342.00 |
$5,342.00 |
$5,342.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$59,002.42 |
$59,002.42 |
$59,002.42 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$1,842.67 |
$1,842.67 |
$1,842.67 |
$643.59
|
|
Penile injection
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$418.00
|
|
Penile vascular study
|
$1,451.00 |
$1,451.00 |
$1,451.00 |
$460.20
|
|
Perc cryo ablate renal tum
|
$39,700.00 |
$39,700.00 |
$39,700.00 |
$12,320.22
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$508.07 |
$508.07 |
$508.07 |
$321.71
|
|
Peripheral vascular rehab
|
$182.65 |
$182.65 |
$182.65 |
$128.69
|
|
Pertuzumab 30 mg/ml desensitization
|
$34,130.05 |
$34,130.05 |
$34,130.05 |
$15,007.91
|
|
Pertuzu, trastuzu, 10 mg
|
$36,040.63 |
$36,040.63 |
$36,040.63 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$9,919.00 |
$9,919.00 |
$9,919.00 |
$4,854.75
|
|
Pet CT whole body initial
|
$10,911.00 |
$10,911.00 |
$10,911.00 |
$5,017.50
|
|
Pet image full body
|
$10,667.00 |
$10,667.00 |
$10,667.00 |
$4,795.47
|
|
Ph body fluid
|
$215.00 |
$215.00 |
$215.00 |
$39.20
|
|
Phencyclidine (pcp)
|
$178.00 |
$178.00 |
$178.00 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$178.16 |
$178.16 |
$178.16 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$171.00 |
$171.00 |
$171.00 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$50.22 |
$50.22 |
$50.22 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$42.42 |
$42.42 |
$42.42 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$106.00 |
$106.00 |
$106.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$407.00 |
$407.00 |
$407.00 |
$249.00
|
|
Phosphorus
|
$73.00 |
$73.00 |
$73.00 |
$47.81
|
|
Phosphorus 24 hour urine
|
$89.00 |
$89.00 |
$89.00 |
$42.81
|
|
Phys blood bank serv reactj
|
$901.00 |
$901.00 |
$901.00 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$64.05 |
$64.05 |
$64.05 |
$92.07
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$83.57 |
$83.57 |
$83.57 |
$101.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$3,211.00 |
$3,211.00 |
$3,211.00 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$450.00 |
$450.00 |
$450.00 |
$1,372.15
|
|
Place right device/marker pros
|
$10,768.00 |
$10,768.00 |
$10,768.00 |
$1,903.23
|
|
Platelet automated
|
$87.00 |
$87.00 |
$87.00 |
$44.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$6,930.00 |
$6,930.00 |
$6,930.00 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$8,791.00 |
$8,791.00 |
$8,791.00 |
$1,363.70
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$1,292.45
|
|
Plethysmography lung volumes/airway resistance
|
$488.00 |
$488.00 |
$488.00 |
$411.51
|
|
Pm device progr eval dual
|
$461.00 |
$461.00 |
$461.00 |
$148.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$503.00 |
$503.00 |
$503.00 |
$173.00
|
