|
Nipple/areola reconst 19350
|
$3,440.00 |
$4,670.50 |
$4,670.50 |
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$203.60 |
$203.60 |
$227.85 |
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$39,556.58 |
$39,556.58 |
$45,275.60 |
|
|
Njx aa&/strd lmbr plex nfs
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
|
|
Njx aa&/strd nrv nrvtg si jt
|
$618.50 |
$855.00 |
$898.00 |
|
|
Njx aa&/strd sc nrv nfs img
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
|
|
Njx aa&/strd vagus nrv
|
$296.00 |
$409.50 |
$409.50 |
|
|
Njx cath slct p-art angrp bi
|
$931.50 |
$1,150.00 |
$1,391.50 |
|
|
Njx cath slct pulm vn angrph
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
|
|
Njx interlaminar crv/thrc
|
$1,019.00 |
$1,409.00 |
$2,893.00 |
|
|
Njx interlaminar lmbr/sac
|
$856.00 |
$1,183.50 |
$2,014.50 |
|
|
Njx interlaminar lmbr/sac
|
$1,019.00 |
$1,409.00 |
$2,442.00 |
|
|
Njx px nfrosgrm &/urtrgrm
|
$538.00 |
$892.00 |
$6,084.00 |
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$857.50 |
$1,150.00 |
$5,899.00 |
|
|
Nm imaging gastrointestinal acute blood loss
|
$618.00 |
$964.80 |
$3,603.00 |
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$725.50 |
$1,919.50 |
$5,998.00 |
|
|
Nm imaging pulmonary ventilation/perfusion
|
$504.00 |
$1,059.60 |
$4,108.00 |
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$507.00 |
$1,085.00 |
$3,552.00 |
|
|
Nm radiopharmaceutical therapy oral administration
|
$478.50 |
$1,382.40 |
$3,007.00 |
|
|
Non-corrosive finish
|
$156.50 |
$156.50 |
$357.77 |
|
|
Noninv pace analysis
|
$735.50 |
$904.00 |
$994.50 |
|
|
Nose (Nasal Bone) X-ray (complete)
|
$147.50 |
$331.50 |
$902.00 |
|
|
Novachor 1 sq cm
|
$15,675.00 |
$15,675.00 |
$15,675.00 |
|
|
Npm1 gene
|
$303.00 |
$378.00 |
$777.00 |
|
|
Nps surg dilat eust tube bi
|
$24,965.15 |
$24,965.15 |
$24,965.15 |
|
|
Nps surg dilat eust tube uni
|
$43,225.84 |
$43,225.84 |
$43,225.84 |
|
|
Npsy fam hlth interv ea addl 15 min
|
$7.50 |
$11.00 |
$12.50 |
|
|
Npsy grp hlth intrv ea addl 15 min
|
$7.50 |
$11.00 |
$12.50 |
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$22.50 |
$31.00 |
$36.50 |
|
|
Npsy tst eval phsy/qhp 1st hr
|
$124.50 |
$154.00 |
$154.00 |
|
|
Npsy tst eval phsy/qhp ea l hr
|
$94.00 |
$116.00 |
$116.00 |
|
|
Nras gene variants exon 2&3
|
$304.50 |
$378.00 |
$486.00 |
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,577.50 |
$3,385.00 |
$13,999.00 |
|
|
Nrv rpr w/nrv algrft 1st
|
$204,202.73 |
$204,202.73 |
$204,202.73 |
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$3,991.00 |
$6,622.00 |
$25,230.10 |
|
|
Nsl/sins ndsc surg frnt sins
|
$2,686.00 |
$4,457.00 |
$28,451.62 |
|
|
Nsl/sins ndsc surg frnt&sphn
|
$3,991.00 |
$6,622.00 |
$6,622.00 |
|
|
Nsl/sins ndsc surg max sins
|
$2,686.00 |
$4,457.00 |
$32,901.92 |
|
|
Nsl/sins ndsc surg sphn sins
|
$2,686.00 |
$4,457.00 |
$4,457.00 |
|
|
Nsl/sins ndsc total
|
$3,991.00 |
$6,622.00 |
$24,311.18 |
|
|
Nsl/sins ndsc tot w/sphendt
|
$3,991.00 |
$6,622.00 |
$23,716.85 |
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$5,492.00 |
$5,492.00 |
$5,492.00 |
|
|
Nsl/sinus ndsc rf abltj pnn
|
$30,223.89 |
$30,223.89 |
$30,223.89 |
|
|
Ntrk translocation analysis
|
$912.50 |
$1,454.50 |
$1,454.50 |
|
|
Ntsty modul rad tx dlvr cplx
|
$1,340.00 |
$2,928.00 |
$10,584.00 |
|
|
Ntsty modul rad tx dlvr smpl
|
$760.50 |
$982.00 |
$8,896.00 |
|
|
Nuclear exam of tear flow
|
$354.50 |
$465.50 |
$465.50 |
|
|
Nuclear rx intra-arterial
|
$396.50 |
$521.00 |
$538.20 |
|
|
Nuclear rx intracav admin
|
$234.50 |
$308.50 |
$308.50 |
|
|
Nuclear rx IV admin
|
$658.50 |
$864.50 |
$3,009.00 |
|
|
Nuclear Stress Test (Heart)
|
$1,556.00 |
$3,167.40 |
$10,434.00 |
|
|
Nudt15 gene common variants
|
$874.20 |
$874.20 |
$874.20 |
|
|
Nushield 1 square cm
|
$475.00 |
$475.00 |
$9,329.76 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$4,482.14 |
$4,482.14 |
$5,130.16 |
|
|
Observation direct referral from physician office for admission
|
$320.00 |
$354.50 |
$1,323.60 |
|
|
Observation per hour
|
$31.00 |
$49.00 |
$136.50 |
|
|
Obstetrics panel
|
$141.00 |
$141.00 |
$141.00 |
|
|
Ob Ultrasound nuchal meas 1 gest
|
$172.50 |
$191.50 |
$5,026.50 |
|
|
Ob Ultrasound nuchal meas add-on
|
$110.00 |
$122.50 |
$1,687.00 |
|
|
Occupational Therapy Evaluation (high complexity)
|
$142.50 |
$194.00 |
$496.00 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$61.00 |
$174.50 |
$458.50 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$114.00 |
$191.50 |
$504.50 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$61,922.88 |
$61,922.88 |
$61,922.88 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$36.79 |
$90.00 |
$90.00 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$34,424.55 |
$34,424.55 |
$39,401.59 |
|
|
Ocular instrumnt screen bil
|
$6.50 |
$6.50 |
$6.50 |
|
|
Ocular photodynamic ther
|
$233.50 |
$346.50 |
$346.50 |
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$50,140.05 |
$50,140.05 |
$56,113.41 |
|
|
Offset knee joint each
|
$578.66 |
$578.66 |
$578.66 |
|
|
Offset knee joint heavy duty
|
$827.02 |
$827.02 |
$827.02 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$6,270.00 |
$6,270.00 |
$6,270.00 |
|
|
Olanzapine 10 mg intramuscular solution
|
$233.26 |
$261.05 |
$664.00 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,185.59 |
$7,069.25 |
$8,677.00 |
|
|
Oncoprotein dcp
|
$149.00 |
$206.00 |
$271.00 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$27.00 |
$27.00 |
$417.00 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$27.82 |
$45.00 |
$247.00 |
|
|
Open bx/exc inguinofem nodes
|
$10,426.39 |
$10,426.39 |
$14,028.22 |
|
|
Open periprosthetic breast capsule 19370
|
$30,339.41 |
$30,339.41 |
$102,976.43 |
|
|
Open thrombectomy of av fistula without revision 36831
|
$4,402.50 |
$6,047.50 |
$26,699.61 |
|
|
Ophthalmic biometry
|
$256.50 |
$310.00 |
$345.00 |
|
|
Ophthalmic endoscope add-on
|
$31,752.49 |
$31,752.49 |
$31,752.49 |
|
|
Ophth Ultrasound b & quant a
|
$126.50 |
$140.50 |
$140.50 |
|
|
Oph Ultrasound dx ant sgm Ultrasound uni/bi
|
$209.50 |
$233.00 |
$233.00 |
|
|
Oph Ultrasound dx quan a-scan only
|
$185.50 |
$206.00 |
$206.00 |
|
|
Opn impltj crnl nrv nea&pg
|
$322,393.89 |
$322,393.89 |
$322,393.89 |
|
|
Opn impltj nea sacral nerve
|
$105,235.24 |
$105,235.24 |
$121,218.81 |
|
|
Opn mpltj hpglsl nstm ary pg
|
$187,514.32 |
$187,514.32 |
$187,514.32 |
|
|
Oprelvekin injection
|
$3,615.00 |
$3,615.00 |
$3,615.00 |
|
|
Optx acromclv dislc aqt/chrn
|
$23,229.54 |
$23,229.54 |
$36,993.60 |
|
|
Optx carpl scphd fx int fixj
|
$32,208.76 |
$32,208.76 |
$32,208.76 |
|
|
Optx clavicular fx w/int fix
|
$38,244.14 |
$38,244.14 |
$61,648.78 |
|
|
Optx crpl fx oth/thn scph ea
|
$31,702.63 |
$31,702.63 |
$31,702.63 |
|
|
Optx medial ankle fx
|
$47,534.11 |
$47,534.11 |
$47,534.11 |
|
|
Optx prox humrl fx w/int fix
|
$51,536.14 |
$51,536.14 |
$51,536.14 |
|
|
Optx ulnar shft fx int fixj
|
$25,401.75 |
$25,401.75 |
$25,401.75 |
|
|
Oral aprepitant
|
$522.43 |
$522.43 |
$651.71 |
|
|
Oral everolimus
|
$50.00 |
$50.00 |
$50.00 |
|
|
Orchiopexy ingun/scrot appr
|
$12,796.36 |
$12,796.36 |
$12,796.36 |
|
|
Organic acids total quant ea spec
|
$196.80 |
$293.00 |
$728.00 |
|
|
Oritavancin 400 mg intravenous solution
|
$4,328.00 |
$4,328.00 |
$4,328.00 |
|
