|
Njx cath slct pulm vn angrph
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$927.00
|
|
Njx cth slct p-art angrp uni
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$1,301.25
|
|
Njx interlaminar lmbr/sac
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$1,987.92
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$1,580.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,439.75 |
$1,439.75 |
$1,439.75 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$6,211.27 |
$6,211.27 |
$6,211.27 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,271.10 |
$2,271.10 |
$2,271.10 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$2,741.70 |
$2,741.70 |
$2,741.70 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$897.00 |
$897.00 |
$897.00 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,253.17 |
$2,253.17 |
$2,253.17 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,636.05 |
$1,636.05 |
$1,636.05 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$7,866.85 |
$7,866.85 |
$7,866.85 |
$1,566.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,662.70 |
$1,662.70 |
$1,662.70 |
$1,004.90
|
|
Npm1 gene
|
$661.05 |
$661.05 |
$661.05 |
$493.60
|
|
Nras gene variants exon 2&3
|
$738.40 |
$738.40 |
$738.40 |
$590.26
|
|
Ntsty modul rad tx dlvr cplx
|
$33,753.20 |
$33,753.20 |
$33,753.20 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$30,563.65 |
$30,563.65 |
$30,563.65 |
$2,591.00
|
|
Nuclear Stress Test (Heart)
|
$6,606.60 |
$6,606.60 |
$6,606.60 |
$3,739.20
|
|
Nushield 1 square cm
|
$243.75 |
$243.75 |
$243.75 |
$462.75
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$27,648.69 |
$27,648.69 |
$27,648.69 |
$142.75
|
|
Observation direct referral from physician office for admission
|
$911.30 |
$911.30 |
$911.30 |
$359.40
|
|
Observation per hour
|
$102.70 |
$102.70 |
$102.70 |
$75.15
|
|
Obstetrics panel
|
$264.55 |
$264.55 |
$264.55 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$63,520.80 |
$63,520.80 |
$63,520.80 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$2,422.29 |
$2,422.29 |
$2,422.29 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$20,225.74 |
$20,225.74 |
$20,225.74 |
$8,720.95
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$17,655.07 |
$17,655.07 |
$17,655.07 |
$106.63
|
|
Olanzapine 10 mg intramuscular solution
|
$192.52 |
$192.52 |
$192.52 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,551.25 |
$4,551.25 |
$4,551.25 |
$65.90
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Open bx/exc inguinofem nodes
|
$8,276.22 |
$8,276.22 |
$8,276.22 |
$2,152.00
|
|
Orchiectomy partial
|
$23,952.63 |
$23,952.63 |
$23,952.63 |
$3,817.53
|
|
Organic acids total quant ea spec
|
$156.00 |
$156.00 |
$156.00 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$3,186.36 |
$3,186.36 |
$3,186.36 |
$1,212.12
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$76.05 |
$76.05 |
$76.05 |
$40.92
|
|
Ortho elbow w/lock w/ft&adj
|
$511.55 |
$511.55 |
$511.55 |
$183.60
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.00 |
$13.00 |
$13.00 |
$1,739.46
|
|
Orthopantogram
|
$304.20 |
$304.20 |
$304.20 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$65.65 |
$65.65 |
$65.65 |
$267.57
|
|
Oscillation chest wall mechanical per session
|
$81.25 |
$81.25 |
$81.25 |
$204.89
|
|
Osmolality blood
|
$73.45 |
$73.45 |
$73.45 |
$57.00
|
|
Osmolality urine
|
$70.20 |
$70.20 |
$70.20 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$491.40 |
$491.40 |
$491.40 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$436.80 |
$436.80 |
$436.80 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$464.10 |
$464.10 |
$464.10 |
$249.60
|
|
Other immunoelectrophoresis
|
$137.80 |
$137.80 |
$137.80 |
$92.70
|
|
Oth resp proc, group
|
$94.25 |
$94.25 |
$94.25 |
$100.80
|
|
Oth resp proc, indiv
|
$99.45 |
$99.45 |
$99.45 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$122.85 |
$122.85 |
$122.85 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$155.35 |
$155.35 |
$155.35 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$172.90 |
$172.90 |
$172.90 |
$105.50
|
|
Ot re-evaluation patient/family
|
$416.65 |
$416.65 |
$416.65 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$57.20 |
$57.20 |
$57.20 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$83.85 |
$83.85 |
$83.85 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$81.90 |
$81.90 |
$81.90 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$154.70 |
$154.70 |
$154.70 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$89.05 |
$89.05 |
$89.05 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$123.50 |
$123.50 |
$123.50 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$102.37 |
$102.37 |
$102.37 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$299.00 |
$299.00 |
$299.00 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,628.18 |
$4,628.18 |
$4,628.18 |
$28.29
|
|
Pad repl cerv collr univ adult
|
$2,356.90 |
$2,356.90 |
$2,356.90 |
$2,356.90
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,493.54 |
$6,493.54 |
$6,493.54 |
$4,898.66
|
|
Palonosetron hcl
|
$87.75 |
$87.75 |
$87.75 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$131.62 |
$131.62 |
$131.62 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$22,262.65 |
$22,262.65 |
$22,262.65 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.29 |
$8.29 |
$8.29 |
$18.49
|
|
Papaverin hcl injection
|
$91.41 |
$91.41 |
$91.41 |
$85.02
|
|
Parathormone (pth) intact
|
$219.70 |
$219.70 |
$219.70 |
$204.00
|
|
Parathyroid planar imaging
|
$1,398.15 |
$1,398.15 |
$1,398.15 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,374.75 |
$1,374.75 |
$1,374.75 |
$1,317.94
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.45 |
$8.45 |
$8.45 |
$5,901.00
|
|
Pdgfra gene
|
$701.35 |
$701.35 |
$701.35 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$17,103.94 |
$17,103.94 |
$17,103.94 |
$9,121.58
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$10,460.13 |
$10,460.13 |
$10,460.13 |
$5,688.56
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$11,126.37 |
$11,126.37 |
$11,126.37 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,563.19 |
$5,563.19 |
$5,563.19 |
$5,961.60
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$6,662.51 |
$6,662.51 |
$6,662.51 |
$4,891.26
|
|
Pelvic CT scan (with and without contrast)
|
$1,918.15 |
$1,918.15 |
$1,918.15 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,644.50 |
$1,644.50 |
$1,644.50 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,531.40 |
$1,531.40 |
$1,531.40 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,732.30 |
$3,732.30 |
$3,732.30 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$3,120.65 |
$3,120.65 |
$3,120.65 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,653.30 |
$2,653.30 |
$2,653.30 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$479.70 |
$479.70 |
$479.70 |
$429.66
|
|
Peng benzathine/procaine inj
|
$592.60 |
$592.60 |
$592.60 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$989.48 |
$989.48 |
$989.48 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$62.02 |
$62.02 |
$62.02 |
$53.75
|
|
Perc cryo ablate renal tum
|
$17,052.10 |
$17,052.10 |
$17,052.10 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$12,941.50 |
$12,941.50 |
$12,941.50 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$20,873.45 |
$20,873.45 |
$20,873.45 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$15,753.40 |
$15,753.40 |
$15,753.40 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$24,226.15 |
$24,226.15 |
$24,226.15 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$14,085.50 |
$14,085.50 |
$14,085.50 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$12,359.10 |
$12,359.10 |
$12,359.10 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$6,789.25 |
$6,789.25 |
$6,789.25 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$13,245.70 |
$13,245.70 |
$13,245.70 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,828.14 |
$1,828.14 |
$1,828.14 |
$269.36
|