|
Nras gene variants exon 2&3
|
$369.60 |
$369.60 |
$369.60 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,922.60 |
$11,922.60 |
$11,922.60 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$1,873.80 |
$1,873.80 |
$1,873.80 |
$2,165.29
|
|
Nuclear rx IV admin
|
$477.00 |
$477.00 |
$477.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
$3,859.98
|
|
Nudt15 gene common variants
|
$477.00 |
$477.00 |
$477.00 |
$304.50
|
|
Nushield 1 square cm
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$931.43
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$177.00 |
$177.00 |
$177.00 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$109.20 |
$109.20 |
$109.20 |
$384.00
|
|
Observation per hour
|
$355.80 |
$355.80 |
$355.80 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$444.60 |
$444.60 |
$444.60 |
$263.65
|
|
Obstetrics panel
|
$594.60 |
$594.60 |
$594.60 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$997.80 |
$997.80 |
$997.80 |
$357.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$379.20 |
$379.20 |
$379.20 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$379.20 |
$379.20 |
$379.20 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$379.20 |
$379.20 |
$379.20 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$208.80 |
$208.80 |
$208.80 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$889.20 |
$889.20 |
$889.20 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$729.60 |
$729.60 |
$729.60 |
$12,080.43
|
|
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
|
$408.00 |
$408.00 |
$408.00 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$36.00 |
$36.00 |
$36.00 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$112.80 |
$112.80 |
$112.80 |
$22.62
|
|
Opn exc/dst ntra-abd 10.1-20
|
$12,047.40 |
$12,047.40 |
$12,047.40 |
$2,774.24
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$10,524.60 |
$10,524.60 |
$10,524.60 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$8,245.80 |
$8,245.80 |
$8,245.80 |
$1,822.08
|
|
Oral aprepitant
|
$559.80 |
$559.80 |
$559.80 |
$410.20
|
|
Oral everolimus
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$30.30
|
|
Organic acids total quant ea spec
|
$388.80 |
$388.80 |
$388.80 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$99.20 |
$99.20 |
$99.20 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$220.00 |
$220.00 |
$220.00 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$158.40 |
$158.40 |
$158.40 |
$196.30
|
|
Osmolality blood
|
$91.20 |
$91.20 |
$91.20 |
$70.85
|
|
Osmolality urine
|
$54.60 |
$54.60 |
$54.60 |
$65.52
|
|
Oth resp proc, indiv
|
$39.00 |
$39.00 |
$39.00 |
$83.50
|
|
Ot re-evaluation patient/family
|
$136.20 |
$136.20 |
$136.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$228.60 |
$228.60 |
$228.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$228.60 |
$228.60 |
$228.60 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$67.80 |
$67.80 |
$67.80 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$38.40 |
$38.40 |
$38.40 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$99.00 |
$99.00 |
$99.00 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$30.00 |
$30.00 |
$30.00 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$60.00 |
$60.00 |
$60.00 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$38.40 |
$38.40 |
$38.40 |
$6,238.82
|
|
Palonosetron hcl
|
$114.60 |
$114.60 |
$114.60 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$123.55
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$325.80 |
$325.80 |
$325.80 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$159.20 |
$159.20 |
$159.20 |
$28.90
|
|
Papaverin hcl injection
|
$28.80 |
$28.80 |
$28.80 |
$78.75
|
|
Parathormone (pth) intact
|
$212.40 |
$212.40 |
$212.40 |
$206.18
|
|
Parathyroid planar imaging
|
$1,498.80 |
$1,498.80 |
$1,498.80 |
$1,126.00
|
|
Parenteral 50% dextrose solu
|
$141.60 |
$141.60 |
$141.60 |
$145.60
|
|
Paricalcitol
|
$102.60 |
$102.60 |
$102.60 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$245.40 |
$245.40 |
$245.40 |
$245.67
|
|
Pcv21 vaccine im
|
$252.80 |
$252.80 |
$252.80 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,069.60 |
$12,069.60 |
$12,069.60 |
$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
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$6,349.20 |
$6,349.20 |
$6,349.20 |
$49,135.11
|
|
Pelvic CT scan (with and without contrast)
|
$2,442.60 |
$2,442.60 |
$2,442.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,789.20 |
$1,789.20 |
$1,789.20 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,853.00 |
$2,853.00 |
$2,853.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$4,861.20 |
$4,861.20 |
$4,861.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$438.00 |
$438.00 |
$438.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$431.40 |
$431.40 |
$431.40 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$463.20 |
$463.20 |
$463.20 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$147.00 |
$147.00 |
$147.00 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$274.80 |
$274.80 |
$274.80 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$301.20 |
$301.20 |
$301.20 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$138.60 |
$138.60 |
$138.60 |
$97.85
|
|
Penile vascular study
|
$336.00 |
$336.00 |
$336.00 |
$574.60
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$606.00 |
$606.00 |
$606.00 |
$332.84
|
|
Perq dev breast 1st strtctc
|
$1,548.60 |
$1,548.60 |
$1,548.60 |
$1,456.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$38.40 |
$38.40 |
$38.40 |
$14,272.91
|
|
Pet CT skull-mid thgh initial
|
$8,429.40 |
$8,429.40 |
$8,429.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$10,151.40 |
$10,151.40 |
$10,151.40 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$23,824.20 |
$23,824.20 |
$23,824.20 |
$39,920.50
|
|
Ph body fluid
|
$21.60 |
$21.60 |
$21.60 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$28.60 |
$28.60 |
$28.60 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$85.20 |
$85.20 |
$85.20 |
$105.00
|
|
Phentolaine mesylate inj
|
$375.20 |
$375.20 |
$375.20 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.04 |
$0.04 |
$0.04 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$509.40 |
$509.40 |
$509.40 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$70.20 |
$70.20 |
$70.20 |
$111.27
|
|
Phlebotomy therapeutic
|
$149.40 |
$149.40 |
$149.40 |
$231.40
|
|
Phosphorus
|
$32.40 |
$32.40 |
$32.40 |
$49.20
|
|
Phosphorus 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$340.20 |
$340.20 |
$340.20 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$340.20 |
$340.20 |
$340.20 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$340.20 |
$340.20 |
$340.20 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$112.80 |
$112.80 |
$112.80 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$70.00 |
$70.00 |
$70.00 |
$90.25
|
|
Piflu f-18, dia 1 millicurie
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,038.40
|
|
Pinworm exam
|
$39.00 |
$39.00 |
$39.00 |
$39.62
|
