|
Nose (Nasal Bone) X-ray (complete)
|
$367.50 |
$367.50 |
$367.50 |
$274.65
|
|
Npm1 gene
|
$376.50 |
$376.50 |
$376.50 |
$457.50
|
|
Npsy fam hlth interv ea addl 15 min
|
$115.50 |
$115.50 |
$115.50 |
$86.33
|
|
Npsy grp hlth intrv ea addl 15 min
|
$117.00 |
$117.00 |
$117.00 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$115.50 |
$115.50 |
$115.50 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$316.50 |
$316.50 |
$316.50 |
$412.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$153.75 |
$153.75 |
$153.75 |
$252.54
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$6,921.00 |
$6,921.00 |
$6,921.00 |
$6,921.00
|
|
Nuclear exam of tear flow
|
$951.75 |
$951.75 |
$951.75 |
$648.04
|
|
Nuclear rx intra-arterial
|
$1,467.00 |
$1,467.00 |
$1,467.00 |
$761.95
|
|
Nuclear rx intra-articular
|
$288.75 |
$288.75 |
$288.75 |
$297.60
|
|
Nuclear rx intracav admin
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$756.22
|
|
Nuclear rx IV admin
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$5,417.25 |
$5,417.25 |
$5,417.25 |
$3,809.00
|
|
Nushield 1 square cm
|
$501.00 |
$501.00 |
$501.00 |
$914.95
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$492,978.44 |
$492,978.44 |
$492,978.44 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$33,278.55 |
$33,278.55 |
$33,278.55 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$551.25 |
$551.25 |
$551.25 |
$386.40
|
|
Observation per hour
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$82.93
|
|
Obtaining screen pap smear
|
$23.25 |
$23.25 |
$23.25 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$596.25 |
$596.25 |
$596.25 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$409.50 |
$409.50 |
$409.50 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$297.00 |
$297.00 |
$297.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$297.00 |
$297.00 |
$297.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$297.00 |
$297.00 |
$297.00 |
$265.10
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$76,319.96 |
$76,319.96 |
$76,319.96 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$887.40 |
$887.40 |
$887.40 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$23,458.95 |
$23,458.95 |
$23,458.95 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$857.48 |
$857.48 |
$857.48 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$172.31 |
$172.31 |
$172.31 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$5,445.54 |
$5,445.54 |
$5,445.54 |
$4,595.01
|
|
Oncology prostate prob score
|
$1,623.75 |
$1,623.75 |
$1,623.75 |
$952.00
|
|
Oncoprotein dcp
|
$537.00 |
$537.00 |
$537.00 |
$171.25
|
|
Oncoprotein her-2/neu
|
$237.00 |
$237.00 |
$237.00 |
$216.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$34.32 |
$34.32 |
$34.32 |
$22.62
|
|
Ophthalmic mitomycin
|
$1,327.41 |
$1,327.41 |
$1,327.41 |
$775.44
|
|
Oph Ultrasound dx quan a-scan only
|
$127.50 |
$127.50 |
$127.50 |
$273.00
|
|
Oral aprepitant
|
$3,616.34 |
$3,616.34 |
$3,616.34 |
$410.20
|
|
Oral everolimus
|
$2,255.34 |
$2,255.34 |
$2,255.34 |
$30.30
|
|
Organic acids total quant ea spec
|
$508.50 |
$508.50 |
$508.50 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$11,913.61 |
$11,913.61 |
$11,913.61 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$3,186.00 |
$3,186.00 |
$3,186.00 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$31.68 |
$31.68 |
$31.68 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$129.00 |
$129.00 |
$129.00 |
$279.81
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$26.25 |
$26.25 |
$26.25 |
$247.80
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$389.25 |
$389.25 |
$389.25 |
$315.01
|
|
Ortho hnd without jnt w/fit&adj
|
$52.50 |
$52.50 |
$52.50 |
$238.20
|
|
Orthopantogram
|
$270.00 |
$270.00 |
$270.00 |
$248.04
|
|
Orthovisc inj per dose
|
$443.85 |
$443.85 |
$443.85 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$153.00 |
$153.00 |
$153.00 |
$454.40
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$72.75 |
$72.75 |
$72.75 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$237.75 |
$237.75 |
$237.75 |
$193.20
|
|
Osmolality blood
|
$77.25 |
$77.25 |
$77.25 |
$68.80
|
|
Osmolality urine
|
$75.75 |
$75.75 |
$75.75 |
$65.00
|
|
Osteopath manip tx/5-6 body region 98927
|
$125.25 |
$125.25 |
$125.25 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$147.00 |
$147.00 |
$147.00 |
$83.27
|
|
Osteopath manip tx/9-10 body region98929
|
$183.75 |
$183.75 |
$183.75 |
$89.00
|
|
Other immunoelectrophoresis
|
$186.00 |
$186.00 |
$186.00 |
$107.52
|
|
Oth resp proc, group
|
$187.50 |
$187.50 |
$187.50 |
$126.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$138.00 |
$138.00 |
$138.00 |
$96.00
|
|
Otolaryngo binocular microscopy 92504
|
$104.25 |
$104.25 |
$104.25 |
$59.40
|
|
Ot re-evaluation patient/family
|
$212.25 |
$212.25 |
$212.25 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$98.25 |
$98.25 |
$98.25 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$98.25 |
$98.25 |
$98.25 |
$91.80
|
|
Oxaliplatin 5 mg/ml desensitization
|
$342.84 |
$342.84 |
$342.84 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$35.06 |
$35.06 |
$35.06 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$57,937.50 |
$57,937.50 |
$57,937.50 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$34.43 |
$34.43 |
$34.43 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,416.36 |
$5,416.36 |
$5,416.36 |
$3,435.42
|
|
Palifermin injection
|
$11,767.98 |
$11,767.98 |
$11,767.98 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,272.41 |
$6,272.41 |
$6,272.41 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$9,797.53 |
$9,797.53 |
$9,797.53 |
$5,569.20
|
|
Palonosetron hcl
|
$184.88 |
$184.88 |
$184.88 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$148.35 |
$148.35 |
$148.35 |
$121.86
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$27,287.26 |
$27,287.26 |
$27,287.26 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$18.49 |
$18.49 |
$18.49 |
$28.90
|
|
Papaverin hcl injection
|
$143.71 |
$143.71 |
$143.71 |
$76.40
|
|
Parathormone (pth) intact
|
$500.25 |
$500.25 |
$500.25 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,436.25 |
$1,436.25 |
$1,436.25 |
$1,109.00
|
|
Parathyroid planar img w/tomo spect
|
$2,424.75 |
$2,424.75 |
$2,424.75 |
$1,350.00
|
|
Paricalcitol
|
$35.52 |
$35.52 |
$35.52 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$291.75 |
$291.75 |
$291.75 |
$245.89
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7,702.14 |
$7,702.14 |
$7,702.14 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,016.73 |
$1,016.73 |
$1,016.73 |
$275.75
|
|
Pdgfra gene
|
$618.00 |
$618.00 |
$618.00 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$7.50 |
$7.50 |
$7.50 |
$44.97
|
|
Pegaspargase injection
|
$82,241.50 |
$82,241.50 |
$82,241.50 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$16,623.78 |
$16,623.78 |
$16,623.78 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,163.13 |
$11,163.13 |
$11,163.13 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,455.84 |
$6,455.84 |
$6,455.84 |
$4,133.25
|
|
Peg interferon alfa-2a/180
|
$3,504.65 |
$3,504.65 |
$3,504.65 |
$2,672.20
|
|
Pegloticase 8 mg/ml intravenous solution
|
$113,672.22 |
$113,672.22 |
$113,672.22 |
$49,135.11
|
|
Pelvic control pelvic sling
|
$299.25 |
$299.25 |
$299.25 |
$781.87
|
|
Pelvic CT scan (with and without contrast)
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$1,710.75 |
$1,710.75 |
$1,710.75 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,392.75 |
$1,392.75 |
$1,392.75 |
$1,313.40
|
|
Pelvic MRI (with and without contrast)
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,373.75 |
$2,373.75 |
$2,373.75 |
$2,210.00
|
