|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$61.53 |
$61.53 |
$61.53 |
$24.00
|
|
MRA abdomen post contrast
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$2,345.60 |
$2,345.60 |
$2,345.60 |
$2,331.37
|
|
MRA ext low(run-off)pst cntrst
|
$2,756.80 |
$2,756.80 |
$2,756.80 |
$2,564.48
|
|
MRA pelvis
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$2,277.26
|
|
MRA upper extremity post contrast-bil
|
$3,126.40 |
$3,126.40 |
$3,126.40 |
$2,452.45
|
|
MRI chest without contrast
|
$2,736.00 |
$2,736.00 |
$2,736.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,756.00 |
$3,756.00 |
$3,756.00 |
$2,652.73
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,608.00 |
$3,608.00 |
$3,608.00 |
$2,753.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,564.80 |
$3,564.80 |
$3,564.80 |
$2,655.25
|
|
Mucopolysaccharides
|
$255.20 |
$255.20 |
$255.20 |
$178.36
|
|
Multiple sleep latency test
|
$2,999.20 |
$2,999.20 |
$2,999.20 |
$2,466.00
|
|
Mumps antibody igg
|
$72.00 |
$72.00 |
$72.00 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.20 |
$1.20 |
$1.20 |
$10.79
|
|
Mycophenolic acid
|
$1.20 |
$1.20 |
$1.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$70.40 |
$70.40 |
$70.40 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$116.80 |
$116.80 |
$116.80 |
$130.80
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$63.12 |
$63.12 |
$63.12 |
$70.87
|
|
Natriuretic peptide
|
$164.80 |
$164.80 |
$164.80 |
$176.15
|
|
Natural killer cells total count
|
$139.20 |
$139.20 |
$139.20 |
$135.00
|
|
Nebulizer Breathing Treatment
|
$221.60 |
$221.60 |
$221.60 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$280.80 |
$280.80 |
$280.80 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,997.60 |
$1,997.60 |
$1,997.60 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,217.60 |
$4,217.60 |
$4,217.60 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,884.80 |
$2,884.80 |
$2,884.80 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$312.00 |
$312.00 |
$312.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$463.20 |
$463.20 |
$463.20 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$463.20 |
$463.20 |
$463.20 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,823.20 |
$2,823.20 |
$2,823.20 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,470.40 |
$2,470.40 |
$2,470.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$1,312.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$296.36 |
$296.36 |
$296.36 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$1.20 |
$1.20 |
$1.20 |
$262.93
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,544.80 |
$1,544.80 |
$1,544.80 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,824.80 |
$1,824.80 |
$1,824.80 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,704.80 |
$1,704.80 |
$1,704.80 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,091.00
|
|
No pt prsnt train add 15
|
$60.80 |
$60.80 |
$60.80 |
$47.60
|
|
No pt prsnt train initial 30
|
$122.40 |
$122.40 |
$122.40 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$331.20 |
$331.20 |
$331.20 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$222.40 |
$222.40 |
$222.40 |
$384.00
|
|
Observation per hour
|
$57.60 |
$57.60 |
$57.60 |
$82.50
|
|
Obstetrics panel
|
$204.80 |
$204.80 |
$204.80 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$320.00 |
$320.00 |
$320.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$237.60 |
$237.60 |
$237.60 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$288.00 |
$288.00 |
$288.00 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$60.94 |
$60.94 |
$60.94 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$9,633.08 |
$9,633.08 |
$9,633.08 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$69.76 |
$69.76 |
$69.76 |
$109.62
|
|
Ondansetron 4 mg s0119
|
$1.20 |
$1.20 |
$1.20 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$23.72 |
$23.72 |
$23.72 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.30 |
$60.30 |
$60.30 |
$22.62
|
|
Osmolality blood
|
$40.80 |
$40.80 |
$40.80 |
$70.85
|
|
Osmolality urine
|
$44.80 |
$44.80 |
$44.80 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$122.40 |
$122.40 |
$122.40 |
$97.80
|
|
Ot re-evaluation patient/family
|
$208.80 |
$208.80 |
$208.80 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$97.60 |
$97.60 |
$97.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$112.80 |
$112.80 |
$112.80 |
$93.12
|
|
Oxytocin 10 unit/ml injection solution
|
$60.72 |
$60.72 |
$60.72 |
$50.40
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$60.85 |
$60.85 |
$60.85 |
$28.90
|
|
Parathormone (pth) intact
|
$200.80 |
$200.80 |
$200.80 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$1,574.40
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,217.04 |
$3,217.04 |
$3,217.04 |
$6,370.52
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,616.16 |
$6,616.16 |
$6,616.16 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$2,133.36 |
$2,133.36 |
$2,133.36 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,815.20 |
$1,815.20 |
$1,815.20 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,956.80 |
$3,956.80 |
$3,956.80 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$2,768.80 |
$2,768.80 |
$2,768.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$779.20 |
$779.20 |
$779.20 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$638.40 |
$638.40 |
$638.40 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$275.20 |
$275.20 |
$275.20 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$405.60 |
$405.60 |
$405.60 |
$351.75
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$903.20 |
$903.20 |
$903.20 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$64.66 |
$64.66 |
$64.66 |
$97.85
|
|
Pfc sigma fem post aug sz3 8mm
|
$819.20 |
$819.20 |
$819.20 |
$39,920.50
|
|
Ph body fluid
|
$22.40 |
$22.40 |
$22.40 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$76.04 |
$76.04 |
$76.04 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$60.92 |
$60.92 |
$60.92 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$111.27
|
|
Phlebotomy therapeutic
|
$258.40 |
$258.40 |
$258.40 |
$231.40
|
|
Phosphorus
|
$36.80 |
$36.80 |
$36.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$32.00 |
$32.00 |
$32.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$320.00 |
$320.00 |
$320.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$237.60 |
$237.60 |
$237.60 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$267.20 |
$267.20 |
$267.20 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$182.40 |
$182.40 |
$182.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.04 |
$79.04 |
$79.04 |
$90.25
|
|
Pinworm exam
|
$33.60 |
$33.60 |
$33.60 |
$39.62
|