|
Nicardipine 25 mg/10 ml intravenous solution
|
$3.80 |
$3.80 |
$3.80 |
$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
|
|
Njx aa&/strd nrv nrvtg si jt
|
$640.20 |
$640.20 |
$640.20 |
$1,159.00
|
|
Njx aa&/strd sc nrv nfs img
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,772.02
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,718.00 |
$2,718.00 |
$2,718.00 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,374.20 |
$2,374.20 |
$2,374.20 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,203.80 |
$2,203.80 |
$2,203.80 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,590.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$436.20 |
$436.20 |
$436.20 |
$274.65
|
|
Npm1 gene
|
$2,913.60 |
$2,913.60 |
$2,913.60 |
$457.50
|
|
Nras gene variants exon 2&3
|
$369.60 |
$369.60 |
$369.60 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$15,173.40 |
$15,173.40 |
$15,173.40 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$3,548.40 |
$3,548.40 |
$3,548.40 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$3,087.00 |
$3,087.00 |
$3,087.00 |
$2,165.29
|
|
Nuclear Stress Test (Heart)
|
$4,751.40 |
$4,751.40 |
$4,751.40 |
$3,859.98
|
|
Nudt15 gene common variants
|
$477.00 |
$477.00 |
$477.00 |
$304.50
|
|
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
|
$130.20 |
$130.20 |
$130.20 |
$384.00
|
|
Observation per hour
|
$516.00 |
$516.00 |
$516.00 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$307.20 |
$307.20 |
$307.20 |
$263.65
|
|
Obstetrics panel
|
$144.60 |
$144.60 |
$144.60 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$411.60 |
$411.60 |
$411.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$411.60 |
$411.60 |
$411.60 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$411.60 |
$411.60 |
$411.60 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$808.80 |
$808.80 |
$808.80 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$11.20 |
$11.20 |
$11.20 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$333.60 |
$333.60 |
$333.60 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$244.00 |
$244.00 |
$244.00 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$67.60 |
$67.60 |
$67.60 |
$22.62
|
|
Oral aprepitant
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$410.20
|
|
Oral everolimus
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$30.30
|
|
Organic acids total quant ea spec
|
$257.40 |
$257.40 |
$257.40 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$99.20 |
$99.20 |
$99.20 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.40 |
$18.40 |
$18.40 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$214.80 |
$214.80 |
$214.80 |
$196.30
|
|
Osmolality blood
|
$98.40 |
$98.40 |
$98.40 |
$70.85
|
|
Osmolality urine
|
$102.00 |
$102.00 |
$102.00 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$156.00 |
$156.00 |
$156.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$155.40 |
$155.40 |
$155.40 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$307.20 |
$307.20 |
$307.20 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$307.20 |
$307.20 |
$307.20 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$79.80 |
$79.80 |
$79.80 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$58.80 |
$58.80 |
$58.80 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$5.80 |
$5.80 |
$5.80 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$38.40 |
$38.40 |
$38.40 |
$216.00
|
|
Paliperidone 117 mg/0.75 ml inj
|
$34.00 |
$34.00 |
$34.00 |
$6,238.82
|
|
Palonosetron hcl
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$2,365.60 |
$2,365.60 |
$2,365.60 |
$123.55
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$104.80 |
$104.80 |
$104.80 |
$28.90
|
|
Papaverin hcl injection
|
$64.00 |
$64.00 |
$64.00 |
$78.75
|
|
Parathormone (pth) intact
|
$618.60 |
$618.60 |
$618.60 |
$206.18
|
|
Parenteral 50% dextrose solu
|
$165.60 |
$165.60 |
$165.60 |
$145.60
|
|
Paricalcitol
|
$99.20 |
$99.20 |
$99.20 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$306.60 |
$306.60 |
$306.60 |
$245.67
|
|
Passy muir valve metal trach
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$275.75
|
|
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
|
$12,202.80 |
$12,202.80 |
$12,202.80 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$1,189.60 |
$1,189.60 |
$1,189.60 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$633.60 |
$633.60 |
$633.60 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$436.20 |
$436.20 |
$436.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$436.20 |
$436.20 |
$436.20 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$188.00 |
$188.00 |
$188.00 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$635.20 |
$635.20 |
$635.20 |
$7,089.13
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$526.20 |
$526.20 |
$526.20 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$85.20 |
$85.20 |
$85.20 |
$97.85
|
|
Pentamidine non-comp unit
|
$1,608.80 |
$1,608.80 |
$1,608.80 |
$294.39
|
|
Perc d-e cor revasc chro sin
|
$13,883.40 |
$13,883.40 |
$13,883.40 |
$18,435.36
|
|
Perc d-e cor stent ather s
|
$13,883.40 |
$13,883.40 |
$13,883.40 |
$18,545.83
|
|
Perc drug-el cor stent sing
|
$11,297.40 |
$11,297.40 |
$11,297.40 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$618.60 |
$618.60 |
$618.60 |
$332.84
|
|
Pericardiocentesis wwo imaging
|
$2,677.20 |
$2,677.20 |
$2,677.20 |
$2,375.00
|
|
Perq plmt bile duct stent
|
$13,188.60 |
$13,188.60 |
$13,188.60 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$13,188.60 |
$13,188.60 |
$13,188.60 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$13,188.60 |
$13,188.60 |
$13,188.60 |
$7,020.00
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$625.93
|
|
Pfc sigma fem post aug sz3 8mm
|
$31,394.40 |
$31,394.40 |
$31,394.40 |
$39,920.50
|
|
Ph body fluid
|
$53.40 |
$53.40 |
$53.40 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$42.00 |
$42.00 |
$42.00 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$169.20 |
$169.20 |
$169.20 |
$105.00
|
|
Phentolaine mesylate inj
|
$270.40 |
$270.40 |
$270.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$0.06 |
$0.06 |
$0.06 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$771.60 |
$771.60 |
$771.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$198.60 |
$198.60 |
$198.60 |
$111.27
|
|
Phlebotomy therapeutic
|
$272.40 |
$272.40 |
$272.40 |
$231.40
|
|
Phosphorus
|
$70.80 |
$70.80 |
$70.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$76.20 |
$76.20 |
$76.20 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$411.60 |
$411.60 |
$411.60 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$411.60 |
$411.60 |
$411.60 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$411.60 |
$411.60 |
$411.60 |
$256.20
|
