|
Natriuretic peptide
|
$80.00 |
$80.00 |
$80.00 |
$176.15
|
|
Natural killer cells total count
|
$157.60 |
$157.60 |
$157.60 |
$132.63
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$472.00 |
$472.00 |
$472.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$282.00 |
$282.00 |
$282.00 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$701.50 |
$701.50 |
$701.50 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$633.50 |
$633.50 |
$633.50 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$735.00 |
$735.00 |
$735.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$473.00 |
$473.00 |
$473.00 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$59.80 |
$59.80 |
$59.80 |
$60.38
|
|
Nerve conduction 7-8 studies
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$719.39
|
|
Nerve conduction studies 11-12
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$1,080.04
|
|
Nerve conduction studies 13+
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$771.20 |
$771.20 |
$771.20 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,789.60 |
$1,789.60 |
$1,789.60 |
$1,051.96
|
|
New Patient Office Visit (level 2)
|
$109.60 |
$109.60 |
$109.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$128.80 |
$128.80 |
$128.80 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$267.20 |
$267.20 |
$267.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$318.40 |
$318.40 |
$318.40 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$274.80 |
$274.80 |
$274.80 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$236.60 |
$236.60 |
$236.60 |
$74.47
|
|
Nm imaging bone/joint 3 phase study
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,570.65
|
|
Nm imaging gastric emptying study
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,517.10
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,056.33
|
|
Non-card vasc flow imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$608.56
|
|
Nr lnr acclrtr tx max 5 sessions
|
$4,364.80 |
$4,364.80 |
$4,364.80 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$2,984.80 |
$2,984.80 |
$2,984.80 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$2,706.40 |
$2,706.40 |
$2,706.40 |
$2,235.00
|
|
Nuclear rx IV admin
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$159.20 |
$159.20 |
$159.20 |
$384.00
|
|
Observation per hour
|
$540.80 |
$540.80 |
$540.80 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$230.00 |
$230.00 |
$230.00 |
$264.60
|
|
Obstetrics panel
|
$190.00 |
$190.00 |
$190.00 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.20 |
$34.20 |
$34.20 |
$90.00
|
|
Off/op consltj new/est hi 55
|
$369.60 |
$369.60 |
$369.60 |
$339.30
|
|
Olanzapine 10 mg intramuscular solution
|
$377.80 |
$377.80 |
$377.80 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,690.60 |
$4,690.60 |
$4,690.60 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$19.80 |
$19.80 |
$19.80 |
$22.62
|
|
Organic acids total quant ea spec
|
$96.00 |
$96.00 |
$96.00 |
$151.36
|
|
Ortho dvc repair per 15 min
|
$158.40 |
$158.40 |
$158.40 |
$53.43
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$157.60 |
$157.60 |
$157.60 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$136.80 |
$136.80 |
$136.80 |
$238.34
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$469.60 |
$469.60 |
$469.60 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$193.60 |
$193.60 |
$193.60 |
$195.00
|
|
Osmolality blood
|
$27.20 |
$27.20 |
$27.20 |
$67.60
|
|
Osmolality urine
|
$28.00 |
$28.00 |
$28.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$312.80 |
$312.80 |
$312.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$335.20 |
$335.20 |
$335.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$312.80 |
$312.80 |
$312.80 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$76.00 |
$76.00 |
$76.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$105.00
|
|
Ot re-evaluation patient/family
|
$206.40 |
$206.40 |
$206.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$94.25
|
|
Oxaliplatin 5 mg/ml desensitization
|
$107.80 |
$107.80 |
$107.80 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$49.00 |
$49.00 |
$49.00 |
$50.40
|
|
Palonosetron hcl
|
$118.80 |
$118.80 |
$118.80 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$122.00 |
$122.00 |
$122.00 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$25.80 |
$25.80 |
$25.80 |
$29.31
|
|
Papaverin hcl injection
|
$160.40 |
$160.40 |
$160.40 |
$77.05
|
|
Parathormone (pth) intact
|
$168.00 |
$168.00 |
$168.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,574.40
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$7,049.60 |
$7,049.60 |
$7,049.60 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$572.00 |
$572.00 |
$572.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$475.50 |
$475.50 |
$475.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$281.00 |
$281.00 |
$281.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$706.00 |
$706.00 |
$706.00 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$455.50 |
$455.50 |
$455.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$517.60 |
$517.60 |
$517.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$468.00 |
$468.00 |
$468.00 |
$430.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$540.80 |
$540.80 |
$540.80 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,437.60 |
$2,437.60 |
$2,437.60 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$158.40 |
$158.40 |
$158.40 |
$101.34
|
|
Penile injection
|
$490.40 |
$490.40 |
$490.40 |
$418.00
|
|
Perc d-e cor revasc chro sin
|
$35,649.60 |
$35,649.60 |
$35,649.60 |
$18,808.65
|
|
Perc d-e cor revasc t cabg s
|
$30,761.60 |
$30,761.60 |
$30,761.60 |
$16,047.20
|
|
Perc drug-el cor stent sing
|
$30,761.60 |
$30,761.60 |
$30,761.60 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$995.20 |
$995.20 |
$995.20 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$2,207.20 |
$2,207.20 |
$2,207.20 |
$2,251.20
|
|
Pet CT skull-mid thgh initial
|
$6,880.00 |
$6,880.00 |
$6,880.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,880.00 |
$6,880.00 |
$6,880.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,880.00 |
$6,880.00 |
$6,880.00 |
$4,305.60
|
|
Ph body fluid
|
$15.20 |
$15.20 |
$15.20 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$125.60 |
$125.60 |
$125.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$64.00 |
$64.00 |
$64.00 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$39.00 |
$39.00 |
$39.00 |
$67.89
|