|
Nerve conduction studies 5-6
|
$811.80 |
$811.80 |
$811.80 |
$617.24
|
|
Nerve conduction studies 9-10
|
$1,463.40 |
$1,463.40 |
$1,463.40 |
$1,100.00
|
|
Neuromatrix nerve cuff, cm
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$2,924.10
|
|
New Patient Office Visit (level 2)
|
$216.00 |
$216.00 |
$216.00 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$229.20 |
$229.20 |
$229.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$287.40 |
$287.40 |
$287.40 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$355.80 |
$355.80 |
$355.80 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.80 |
$0.80 |
$0.80 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$822.60 |
$822.60 |
$822.60 |
$262.93
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.00 |
$4.00 |
$4.00 |
$74.56
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$82.80 |
$82.80 |
$82.80 |
$14,820.18
|
|
Njx px nfrosgrm &/urtrgrm
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$705.60 |
$705.60 |
$705.60 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$935.40 |
$935.40 |
$935.40 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$1,590.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$100.20 |
$100.20 |
$100.20 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,323.60 |
$4,323.60 |
$4,323.60 |
$3,859.98
|
|
Nushield 1 square cm
|
$951.60 |
$951.60 |
$951.60 |
$931.43
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$189.00 |
$189.00 |
$189.00 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$166.20 |
$166.20 |
$166.20 |
$384.00
|
|
Observation per hour
|
$580.20 |
$580.20 |
$580.20 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$446.40 |
$446.40 |
$446.40 |
$263.65
|
|
Obstetrics panel
|
$166.20 |
$166.20 |
$166.20 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$717.60 |
$717.60 |
$717.60 |
$357.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$299.40 |
$299.40 |
$299.40 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$299.40 |
$299.40 |
$299.40 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$299.40 |
$299.40 |
$299.40 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$47,085.00 |
$47,085.00 |
$47,085.00 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$438.00 |
$438.00 |
$438.00 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$6.80 |
$6.80 |
$6.80 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$175.20 |
$175.20 |
$175.20 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$164.00 |
$164.00 |
$164.00 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$34.00 |
$34.00 |
$34.00 |
$22.62
|
|
Oral aprepitant
|
$190.20 |
$190.20 |
$190.20 |
$410.20
|
|
Oral everolimus
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$30.30
|
|
Organic acids total quant ea spec
|
$274.80 |
$274.80 |
$274.80 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$55.00 |
$55.00 |
$55.00 |
$50.63
|
|
Orthopantogram
|
$187.20 |
$187.20 |
$187.20 |
$241.50
|
|
Osmolality blood
|
$49.80 |
$49.80 |
$49.80 |
$70.85
|
|
Osmolality urine
|
$43.20 |
$43.20 |
$43.20 |
$65.52
|
|
Oth resp proc, indiv
|
$84.60 |
$84.60 |
$84.60 |
$83.50
|
|
Ot re-evaluation patient/family
|
$125.40 |
$125.40 |
$125.40 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$123.60 |
$123.60 |
$123.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$123.60 |
$123.60 |
$123.60 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$93.60 |
$93.60 |
$93.60 |
$76.52
|
|
Oxytocin 10 unit/ml injection solution
|
$6.20 |
$6.20 |
$6.20 |
$50.40
|
|
Paliperidone 117 mg/0.75 ml inj
|
$38.40 |
$38.40 |
$38.40 |
$6,238.82
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$23.40 |
$23.40 |
$23.40 |
$28.90
|
|
Parathormone (pth) intact
|
$210.00 |
$210.00 |
$210.00 |
$206.18
|
|
Parenteral 50% dextrose solu
|
$225.60 |
$225.60 |
$225.60 |
$145.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$337.20 |
$337.20 |
$337.20 |
$245.67
|
|
Path clin consltj mod 21-40
|
$447.60 |
$447.60 |
$447.60 |
$202.78
|
|
Path clin consltj sf 5-20
|
$198.60 |
$198.60 |
$198.60 |
$97.14
|
|
Pcv21 vaccine im
|
$252.80 |
$252.80 |
$252.80 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,699.80 |
$10,699.80 |
$10,699.80 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$645.60 |
$645.60 |
$645.60 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$4,133.25
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$395.40 |
$395.40 |
$395.40 |
$4,120.37
|
|
Pelvic CT scan (with and without contrast)
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$957.60 |
$957.60 |
$957.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$847.80 |
$847.80 |
$847.80 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$299.40 |
$299.40 |
$299.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$216.00 |
$216.00 |
$216.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$108.00 |
$108.00 |
$108.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$115.80 |
$115.80 |
$115.80 |
$351.75
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$156.60 |
$156.60 |
$156.60 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$20.40 |
$20.40 |
$20.40 |
$97.85
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$606.00 |
$606.00 |
$606.00 |
$332.84
|
|
Peripheral vascular rehab
|
$388.20 |
$388.20 |
$388.20 |
$132.50
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$625.93
|
|
Pfc sigma fem post aug sz3 8mm
|
$4,512.60 |
$4,512.60 |
$4,512.60 |
$39,920.50
|
|
Ph body fluid
|
$24.60 |
$24.60 |
$24.60 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$30.40 |
$30.40 |
$30.40 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.05 |
$0.05 |
$0.05 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$405.00 |
$405.00 |
$405.00 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$250.80 |
$250.80 |
$250.80 |
$231.40
|
|
Phosphorus
|
$33.00 |
$33.00 |
$33.00 |
$49.20
|
|
Phosphorus 24 hour urine
|
$27.00 |
$27.00 |
$27.00 |
$42.25
|
|
Phys blood bank serv reactj
|
$536.40 |
$536.40 |
$536.40 |
$207.50
|
|
Physical Therapy Evaluation (high complexity)
|
$299.40 |
$299.40 |
$299.40 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$299.40 |
$299.40 |
$299.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$299.40 |
$299.40 |
$299.40 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$125.40 |
$125.40 |
$125.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$31.20 |
$31.20 |
$31.20 |
$90.25
|
|
Pinworm exam
|
$73.80 |
$73.80 |
$73.80 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$91.80 |
$91.80 |
$91.80 |
$81.36
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$3,631.80 |
$3,631.80 |
$3,631.80 |
$1,332.43
|
|
Platelet aggregation each agent teg
|
$129.60 |
$129.60 |
$129.60 |
$148.98
|
|
Platelet automated
|
$33.60 |
$33.60 |
$33.60 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,914.60 |
$1,914.60 |
$1,914.60 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$6,204.00 |
$6,204.00 |
$6,204.00 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,005.65
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$3,631.80 |
$3,631.80 |
$3,631.80 |
$754.00
|
|
Plmt nephroureteral catheter
|
$4,763.40 |
$4,763.40 |
$4,763.40 |
$4,128.81
|
