|
Neurolysis celiac plexus
|
$3,025.20 |
$3,025.20 |
$3,025.20 |
$1,754.00
|
|
New Patient Office Visit (level 2)
|
$214.80 |
$214.80 |
$214.80 |
$164.65
|
|
New Patient Office Visit (level 3)
|
$441.00 |
$441.00 |
$441.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$610.80 |
$610.80 |
$610.80 |
$294.00
|
|
New Patient Office Visit (level 5)
|
$814.80 |
$814.80 |
$814.80 |
$356.85
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$13.80 |
$13.80 |
$13.80 |
$250.70
|
|
Nintedanib 150 mg capsule
|
$76.20 |
$76.20 |
$76.20 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$2,293.20
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$0.60 |
$0.60 |
$0.60 |
$74.40
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$186.60 |
$186.60 |
$186.60 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$435.60 |
$435.60 |
$435.60 |
$41,635.10
|
|
Njx aa&/strd nrv nrvtg si jt
|
$2,537.40 |
$2,537.40 |
$2,537.40 |
$1,159.00
|
|
Njx interlaminar crv/thrc
|
$2,149.80 |
$2,149.80 |
$2,149.80 |
$1,877.40
|
|
Njx interlaminar lmbr/sac
|
$2,149.80 |
$2,149.80 |
$2,149.80 |
$1,970.25
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,461.75
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,202.40
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,531.20
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$791.40 |
$791.40 |
$791.40 |
$1,024.52
|
|
Non-card vasc flow imaging
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$608.56
|
|
Non-corrosive finish
|
$270.60 |
$270.60 |
$270.60 |
$126.65
|
|
Noninv pace analysis
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$761.60
|
|
Nose (Nasal Bone) X-ray (complete)
|
$188.40 |
$188.40 |
$188.40 |
$274.65
|
|
Npm1 gene
|
$890.40 |
$890.40 |
$890.40 |
$457.50
|
|
Npsy fam hlth interv ea addl 15 min
|
$181.80 |
$181.80 |
$181.80 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$76.80 |
$76.80 |
$76.80 |
$52.38
|
|
Npsy tst eval phsy/qhp 1st hr
|
$244.80 |
$244.80 |
$244.80 |
$410.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$182.40 |
$182.40 |
$182.40 |
$252.54
|
|
Nr lnr acclrtr tx max 5 sessions
|
$9,337.20 |
$9,337.20 |
$9,337.20 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$1,765.20 |
$1,765.20 |
$1,765.20 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$1,765.20 |
$1,765.20 |
$1,765.20 |
$2,165.29
|
|
Nuclear exam of tear flow
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$648.04
|
|
Nuclear rx intra-arterial
|
$742.20 |
$742.20 |
$742.20 |
$765.00
|
|
Nuclear rx IV admin
|
$791.40 |
$791.40 |
$791.40 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$3,858.20
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$123.60 |
$123.60 |
$123.60 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$420.00 |
$420.00 |
$420.00 |
$385.00
|
|
Observation per hour
|
$111.60 |
$111.60 |
$111.60 |
$82.55
|
|
Obstetric panel inc HIV tstg
|
$486.60 |
$486.60 |
$486.60 |
$271.00
|
|
Obstetrics panel
|
$310.80 |
$310.80 |
$310.80 |
$214.50
|
|
Obtaining screen pap smear
|
$24.60 |
$24.60 |
$24.60 |
$38.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$394.20 |
$394.20 |
$394.20 |
$356.59
|
|
Ob Ultrasound nuchal meas add-on
|
$175.20 |
$175.20 |
$175.20 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$363.00 |
$363.00 |
$363.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$226.80 |
$226.80 |
$226.80 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$303.60 |
$303.60 |
$303.60 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$1,182.60 |
$1,182.60 |
$1,182.60 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$29.40 |
$29.40 |
$29.40 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$4,066.20 |
$4,066.20 |
$4,066.20 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$72.00 |
$72.00 |
$72.00 |
$2,224.00
|
|
Office consultation
|
$198.00 |
$198.00 |
$198.00 |
$121.55
|
|
Off/op cnsltj new/est low 30
|
$489.00 |
$489.00 |
$489.00 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$693.60 |
$693.60 |
$693.60 |
$273.60
|
|
Off/op consltj new/est hi 55
|
$659.40 |
$659.40 |
$659.40 |
$349.80
|
|
Off/op consltj new/est sf 20
|
$369.60 |
$369.60 |
$369.60 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$30.00 |
$30.00 |
$30.00 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$830.40 |
$830.40 |
$830.40 |
$4,595.01
|
|
Oncoprotein dcp
|
$233.40 |
$233.40 |
$233.40 |
$171.25
|
|
Ondansetron 8 mg disintegrating tablet
|
$21.60 |
$21.60 |
$21.60 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.60 |
$0.60 |
$0.60 |
$22.62
|
|
Open thrombectomy of av fistula without revision 36831
|
$9,842.40 |
$9,842.40 |
$9,842.40 |
$6,311.00
|
|
Opn abltj 1/> rnl mas crysrg
|
$2,204.40 |
$2,204.40 |
$2,204.40 |
$2,111.20
|
|
Opn exc/dst ntra-abd
|
$8,653.20 |
$8,653.20 |
$8,653.20 |
$3,221.64
|
|
Opn exc/dst ntra-abd 10.1-20
|
$8,653.20 |
$8,653.20 |
$8,653.20 |
$2,774.24
|
|
Opn exc/dstr ntra-abd >30 cm
|
$8,653.20 |
$8,653.20 |
$8,653.20 |
$3,961.69
|
|
Opn exc/dstr ntra-abd 5.1-10
|
$8,653.20 |
$8,653.20 |
$8,653.20 |
$2,317.83
|
|
Opn exc/dstr ntra-abd 5 cm/<
|
$6,780.00 |
$6,780.00 |
$6,780.00 |
$1,491.00
|
|
Oral aprepitant
|
$52.20 |
$52.20 |
$52.20 |
$410.20
|
|
Oral everolimus
|
$6.00 |
$6.00 |
$6.00 |
$30.30
|
|
Organic acids total quant ea spec
|
$36.00 |
$36.00 |
$36.00 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$696.00 |
$696.00 |
$696.00 |
$3,311.06
|
|
Orthopantogram
|
$188.40 |
$188.40 |
$188.40 |
$241.50
|
|
Ortho shoe add full sole
|
$326.40 |
$326.40 |
$326.40 |
$109.15
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$702.00 |
$702.00 |
$702.00 |
$421.00
|
|
Oscillation chest wall mechanical per session
|
$419.40 |
$419.40 |
$419.40 |
$196.70
|
|
Osmolality blood
|
$33.00 |
$33.00 |
$33.00 |
$69.55
|
|
Osmolality urine
|
$34.20 |
$34.20 |
$34.20 |
$65.50
|
|
Oth resp proc, group
|
$304.80 |
$304.80 |
$304.80 |
$126.00
|
|
Oth resp proc, indiv
|
$54.60 |
$54.60 |
$54.60 |
$83.50
|
|
Ot re-evaluation patient/family
|
$138.60 |
$138.60 |
$138.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$114.60 |
$114.60 |
$114.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.60 |
$114.60 |
$114.60 |
$94.81
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.00 |
$3.00 |
$3.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$50.40
|
|
P-32 chromic phos ther per mci
|
$894.00 |
$894.00 |
$894.00 |
$290.64
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1.20 |
$1.20 |
$1.20 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$963.60 |
$963.60 |
$963.60 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,391.40 |
$1,391.40 |
$1,391.40 |
$6,238.82
|
|
Palonosetron hcl
|
$24.00 |
$24.00 |
$24.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5.40 |
$5.40 |
$5.40 |
$122.00
|
|
Pancreatectomy dist subtot w/wo splenecto 48140
|
$5,536.20 |
$5,536.20 |
$5,536.20 |
$2,927.40
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$197.40 |
$197.40 |
$197.40 |
$13,051.61
|
|
Papaverin hcl injection
|
$12.00 |
$12.00 |
$12.00 |
$78.75
|
|
Parathormone (pth) intact
|
$209.40 |
$209.40 |
$209.40 |
$206.18
|
|
Parathyrdec/expl parathyr medstnl sternal/tthrc 60505
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$2,681.40
|
|
Parathyrd planar w/spect&ct
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,574.40
|
|
Parathyroid autotransplantation 60512
|
$575.40 |
$575.40 |
$575.40 |
$1,716.15
|
