|
Nose (Nasal Bone) X-ray (complete)
|
$411.20 |
$411.20 |
$411.20 |
$274.65
|
|
Npsy grp hlth intrv ea addl 15 min
|
$42.40 |
$42.40 |
$42.40 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$84.00 |
$84.00 |
$84.00 |
$102.71
|
|
Nr lnr acclrtr tx max 5 sessions
|
$6,920.00 |
$6,920.00 |
$6,920.00 |
$6,930.00
|
|
Nuclear rx intra-arterial
|
$512.00 |
$512.00 |
$512.00 |
$765.00
|
|
Nuclear rx intra-articular
|
$244.00 |
$244.00 |
$244.00 |
$297.60
|
|
Nuclear rx IV admin
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,676.80 |
$3,676.80 |
$3,676.80 |
$3,859.98
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$41,666.68 |
$41,666.68 |
$41,666.68 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$13,778.64 |
$13,778.64 |
$13,778.64 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$114.40 |
$114.40 |
$114.40 |
$384.00
|
|
Observation per hour
|
$74.40 |
$74.40 |
$74.40 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$404.00 |
$404.00 |
$404.00 |
$357.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$308.80 |
$308.80 |
$308.80 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$252.80 |
$252.80 |
$252.80 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$280.00 |
$280.00 |
$280.00 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$26,130.16 |
$26,130.16 |
$26,130.16 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$16.80 |
$16.80 |
$16.80 |
$90.00
|
|
Off/op cnsltj new/est low 30
|
$219.20 |
$219.20 |
$219.20 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$269.60 |
$269.60 |
$269.60 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$324.00 |
$324.00 |
$324.00 |
$352.50
|
|
Off/op consltj new/est sf 20
|
$196.00 |
$196.00 |
$196.00 |
$137.80
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,842.95 |
$1,842.95 |
$1,842.95 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$162.45 |
$162.45 |
$162.45 |
$109.62
|
|
Olanzapine long-acting inj
|
$2,493.51 |
$2,493.51 |
$2,493.51 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,210.60 |
$3,210.60 |
$3,210.60 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$4.69 |
$4.69 |
$4.69 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$22.04 |
$22.04 |
$22.04 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$16.80 |
$16.80 |
$16.80 |
$22.62
|
|
Oocyte identification
|
$680.00 |
$680.00 |
$680.00 |
$401.60
|
|
Open aortoiliac prosth repr 34831
|
$4,552.00 |
$4,552.00 |
$4,552.00 |
$3,678.92
|
|
Opps service,sched team conf
|
$684.00 |
$684.00 |
$684.00 |
$503.90
|
|
Oral aprepitant
|
$514.91 |
$514.91 |
$514.91 |
$410.20
|
|
Oral everolimus
|
$969.31 |
$969.31 |
$969.31 |
$30.30
|
|
Oropharyngeal biopsy 42800
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$2,443.00
|
|
Ortho dvc repair per 15 min
|
$44.80 |
$44.80 |
$44.80 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$316.73 |
$316.73 |
$316.73 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,336.21 |
$1,336.21 |
$1,336.21 |
$536.90
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$302.51 |
$302.51 |
$302.51 |
$231.66
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$224.00 |
$224.00 |
$224.00 |
$174.40
|
|
Orthopantogram
|
$388.80 |
$388.80 |
$388.80 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$734.33 |
$734.33 |
$734.33 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,597.92 |
$1,597.92 |
$1,597.92 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$856.08 |
$856.08 |
$856.08 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$189.60 |
$189.60 |
$189.60 |
$196.30
|
|
Oth resp proc, group
|
$174.40 |
$174.40 |
$174.40 |
$126.00
|
|
Oth resp proc, indiv
|
$116.80 |
$116.80 |
$116.80 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$128.00 |
$128.00 |
$128.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$192.00 |
$192.00 |
$192.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$181.60 |
$181.60 |
$181.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$216.00 |
$216.00 |
$216.00 |
$93.12
|
|
Oxaliplatin 5 mg/ml desensitization
|
$302.24 |
$302.24 |
$302.24 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$34.80 |
$34.80 |
$34.80 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$137.60 |
$137.60 |
$137.60 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,361.23 |
$3,361.23 |
$3,361.23 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,213.83 |
$5,213.83 |
$5,213.83 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,776.86 |
$4,776.86 |
$4,776.86 |
$5,580.28
|
|
Palonosetron hcl
|
$422.89 |
$422.89 |
$422.89 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$128.07 |
$128.07 |
$128.07 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$6,368.65 |
$6,368.65 |
$6,368.65 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$16.80 |
$16.80 |
$16.80 |
$28.90
|
|
Papaverin hcl injection
|
$108.62 |
$108.62 |
$108.62 |
$78.75
|
|
Parathyrd planar w/spect&ct
|
$2,074.40 |
$2,074.40 |
$2,074.40 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$1,374.75
|
|
Paricalcitol
|
$50.59 |
$50.59 |
$50.59 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$391.20 |
$391.20 |
$391.20 |
$245.67
|
|
Partial removal finger bone
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$42.52 |
$42.52 |
$42.52 |
$4,921.76
|
|
Passy muir valve metal trach
|
$388.23 |
$388.23 |
$388.23 |
$275.75
|
|
Pcv21 vaccine im
|
$663.72 |
$663.72 |
$663.72 |
$410.26
|
|
Pegaspargase injection
|
$41,065.49 |
$41,065.49 |
$41,065.49 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,055.11 |
$7,055.11 |
$7,055.11 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,665.27 |
$2,665.27 |
$2,665.27 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$2,576.80 |
$2,576.80 |
$2,576.80 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,252.80 |
$2,252.80 |
$2,252.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,039.20 |
$2,039.20 |
$2,039.20 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,402.40 |
$4,402.40 |
$4,402.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,724.80 |
$3,724.80 |
$3,724.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,293.60 |
$3,293.60 |
$3,293.60 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$902.40 |
$902.40 |
$902.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$474.40 |
$474.40 |
$474.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$389.60 |
$389.60 |
$389.60 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$468.00 |
$468.00 |
$468.00 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$8,720.99 |
$8,720.99 |
$8,720.99 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,014.24 |
$5,014.24 |
$5,014.24 |
$7,089.13
|
|
Pemivibart infusion
|
$783.20 |
$783.20 |
$783.20 |
$533.10
|
|
Peng benzathine/procaine inj
|
$311.19 |
$311.19 |
$311.19 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$511.92 |
$511.92 |
$511.92 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$394.44 |
$394.44 |
$394.44 |
$97.85
|
|
Penicillin g procaine inj
|
$47.60 |
$47.60 |
$47.60 |
$149.20
|
|
Penile injection
|
$526.40 |
$526.40 |
$526.40 |
$424.60
|
|
Penile rear tip xtnd 0.5cm
|
$24,595.20 |
$24,595.20 |
$24,595.20 |
$18,764.94
|
|
Penile vascular study
|
$462.40 |
$462.40 |
$462.40 |
$561.00
|
|
Pentamidine non-comp unit
|
$216.16 |
$216.16 |
$216.16 |
$294.39
|
|
Pentobarbital sodium inj
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$2,205.38
|
|
Pentostatin 10 mg intravenous solution
|
$4,464.63 |
$4,464.63 |
$4,464.63 |
$5,181.67
|
|
Perc cryo ablate renal tum
|
$11,413.60 |
$11,413.60 |
$11,413.60 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$12,596.00 |
$12,596.00 |
$12,596.00 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$17,990.40 |
$17,990.40 |
$17,990.40 |
$18,435.36
|