|
Neck (Cervical Spine) MRI (without contrast)
|
$1,519.80 |
$1,519.80 |
$1,519.80 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$215.40 |
$215.40 |
$215.40 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$280.20 |
$280.20 |
$280.20 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$357.60 |
$357.60 |
$357.60 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,763.40 |
$1,763.40 |
$1,763.40 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$889.20 |
$889.20 |
$889.20 |
$1,312.00
|
|
Neg pres wound ther drsg set
|
$1,627.80 |
$1,627.80 |
$1,627.80 |
$676.00
|
|
Neisseria meningitidis
|
$147.00 |
$147.00 |
$147.00 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$2,330.40 |
$2,330.40 |
$2,330.40 |
$750.00
|
|
Nerve conduction studies 11-12
|
$3,663.00 |
$3,663.00 |
$3,663.00 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$335.40 |
$335.40 |
$335.40 |
$341.10
|
|
Nerve conduction studies 13+
|
$4,327.80 |
$4,327.80 |
$4,327.80 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$999.00 |
$999.00 |
$999.00 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,666.20 |
$1,666.20 |
$1,666.20 |
$617.24
|
|
Nerve conduction studies 9-10
|
$2,996.40 |
$2,996.40 |
$2,996.40 |
$1,100.00
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$251.40 |
$251.40 |
$251.40 |
$256.41
|
|
New Patient Office Visit (level 2)
|
$260.40 |
$260.40 |
$260.40 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$338.40 |
$338.40 |
$338.40 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$433.80 |
$433.80 |
$433.80 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$526.20 |
$526.20 |
$526.20 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2.80 |
$2.80 |
$2.80 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$23.40 |
$23.40 |
$23.40 |
$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 lmbr plex nfs
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$1,559.40
|
|
Njx interlaminar lmbr/sac
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$1,523.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$691.20 |
$691.20 |
$691.20 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$627.00 |
$627.00 |
$627.00 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$807.60 |
$807.60 |
$807.60 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$500.40 |
$500.40 |
$500.40 |
$1,024.56
|
|
Non-ophthalmic fva
|
$706.80 |
$706.80 |
$706.80 |
$609.12
|
|
Nose (Nasal Bone) X-ray (complete)
|
$225.00 |
$225.00 |
$225.00 |
$274.65
|
|
Npm1 gene
|
$253.20 |
$253.20 |
$253.20 |
$457.50
|
|
Npsy tst eval phsy/qhp 1st hr
|
$445.80 |
$445.80 |
$445.80 |
$412.00
|
|
Nras gene variants exon 2&3
|
$348.60 |
$348.60 |
$348.60 |
$593.45
|
|
Nuclear Stress Test (Heart)
|
$2,604.60 |
$2,604.60 |
$2,604.60 |
$3,859.98
|
|
Nudt15 gene common variants
|
$477.00 |
$477.00 |
$477.00 |
$304.50
|
|
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
|
$105.00 |
$105.00 |
$105.00 |
$384.00
|
|
Observation per hour
|
$42.00 |
$42.00 |
$42.00 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$144.60 |
$144.60 |
$144.60 |
$263.65
|
|
Obstetrics panel
|
$594.60 |
$594.60 |
$594.60 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$242.40 |
$242.40 |
$242.40 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$304.20 |
$304.20 |
$304.20 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$168.60 |
$168.60 |
$168.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$168.60 |
$168.60 |
$168.60 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$168.60 |
$168.60 |
$168.60 |
$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)
|
$211.20 |
$211.20 |
$211.20 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$6.40 |
$6.40 |
$6.40 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$175.20 |
$175.20 |
$175.20 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$384.80 |
$384.80 |
$384.80 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$16.60 |
$16.60 |
$16.60 |
$22.62
|
|
Ophthalmic mitomycin
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$775.44
|
|
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
|
$153.00 |
$153.00 |
$153.00 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$99.20 |
$99.20 |
$99.20 |
$3,311.06
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.20 |
$63.20 |
$63.20 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$158.40 |
$158.40 |
$158.40 |
$196.30
|
|
Osmolality blood
|
$36.60 |
$36.60 |
$36.60 |
$70.85
|
|
Osmolality urine
|
$40.20 |
$40.20 |
$40.20 |
$65.52
|
|
Oth resp proc, group
|
$58.80 |
$58.80 |
$58.80 |
$126.00
|
|
Oth resp proc, indiv
|
$39.00 |
$39.00 |
$39.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$87.60 |
$87.60 |
$87.60 |
$97.80
|
|
Ot re-evaluation patient/family
|
$104.40 |
$104.40 |
$104.40 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$239.40 |
$239.40 |
$239.40 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$239.40 |
$239.40 |
$239.40 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$125.40 |
$125.40 |
$125.40 |
$76.52
|
|
Oxytocin 10 unit/ml injection solution
|
$5.80 |
$5.80 |
$5.80 |
$50.40
|
|
Paliperidone 117 mg/0.75 ml inj
|
$25.20 |
$25.20 |
$25.20 |
$6,238.82
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$1,455.20 |
$1,455.20 |
$1,455.20 |
$123.55
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$14.20 |
$14.20 |
$14.20 |
$28.90
|
|
Papaverin hcl injection
|
$7.00 |
$7.00 |
$7.00 |
$78.75
|
|
Parathormone (pth) intact
|
$119.40 |
$119.40 |
$119.40 |
$206.18
|
|
Parathyroid planar imaging
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$1,374.75
|
|
Parenteral 50% dextrose solu
|
$141.60 |
$141.60 |
$141.60 |
$145.60
|
|
Paricalcitol
|
$16.00 |
$16.00 |
$16.00 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$186.00 |
$186.00 |
$186.00 |
$245.67
|
|
Partial removal finger bone
|
$3,889.80 |
$3,889.80 |
$3,889.80 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,732.60 |
$6,732.60 |
$6,732.60 |
$4,921.76
|
|
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-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)
|
$1,519.20 |
$1,519.20 |
$1,519.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$975.00 |
$975.00 |
$975.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,659.60 |
$1,659.60 |
$1,659.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$394.80 |
$394.80 |
$394.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$312.00 |
$312.00 |
$312.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$215.40 |
$215.40 |
$215.40 |
$281.82
|
