|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$436.80 |
$436.80 |
$436.80 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$582.40 |
$582.40 |
$582.40 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$760.00 |
$760.00 |
$760.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,707.20 |
$3,707.20 |
$3,707.20 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,912.80 |
$2,912.80 |
$2,912.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,680.80 |
$2,680.80 |
$2,680.80 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,743.20 |
$2,743.20 |
$2,743.20 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$60.16 |
$60.16 |
$60.16 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$750.00
|
|
Nerve conduction studies 11-12
|
$1,950.40 |
$1,950.40 |
$1,950.40 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$567.20 |
$567.20 |
$567.20 |
$341.10
|
|
Nerve conduction studies 3-4
|
$915.20 |
$915.20 |
$915.20 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,021.60 |
$1,021.60 |
$1,021.60 |
$617.24
|
|
Nerve conduction studies 9-10
|
$1,664.80 |
$1,664.80 |
$1,664.80 |
$1,100.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$369.32 |
$369.32 |
$369.32 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$42.28 |
$42.28 |
$42.28 |
$262.93
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$7,010.67 |
$7,010.67 |
$7,010.67 |
$14,820.18
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,091.00
|
|
Non-card vasc flow imaging
|
$902.40 |
$902.40 |
$902.40 |
$608.56
|
|
No pt prsnt train add 15
|
$60.00 |
$60.00 |
$60.00 |
$47.60
|
|
No pt prsnt train initial 30
|
$120.80 |
$120.80 |
$120.80 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$350.40 |
$350.40 |
$350.40 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,322.40 |
$4,322.40 |
$4,322.40 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$192.00 |
$192.00 |
$192.00 |
$384.00
|
|
Observation per hour
|
$56.00 |
$56.00 |
$56.00 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$360.80 |
$360.80 |
$360.80 |
$263.65
|
|
Obstetrics panel
|
$243.20 |
$243.20 |
$243.20 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$381.60 |
$381.60 |
$381.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$276.00 |
$276.00 |
$276.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$324.00 |
$324.00 |
$324.00 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$32,903.89 |
$32,903.89 |
$32,903.89 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$62.42 |
$62.42 |
$62.42 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,171.19 |
$6,171.19 |
$6,171.19 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$84.71 |
$84.71 |
$84.71 |
$109.62
|
|
Ondansetron 4 mg s0119
|
$1.20 |
$1.20 |
$1.20 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.84 |
$60.84 |
$60.84 |
$22.62
|
|
Orthosis lso rigd frm hyperex
|
$816.00 |
$816.00 |
$816.00 |
$813.61
|
|
Osmolality blood
|
$95.20 |
$95.20 |
$95.20 |
$70.85
|
|
Osmolality urine
|
$95.20 |
$95.20 |
$95.20 |
$65.52
|
|
Oth resp proc, group
|
$171.20 |
$171.20 |
$171.20 |
$126.00
|
|
Oth resp proc, indiv
|
$118.40 |
$118.40 |
$118.40 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$126.40 |
$126.40 |
$126.40 |
$97.80
|
|
Ot re-evaluation patient/family
|
$232.00 |
$232.00 |
$232.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$98.40 |
$98.40 |
$98.40 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$141.60 |
$141.60 |
$141.60 |
$93.12
|
|
Oxytocin 10 unit/ml injection solution
|
$117.25 |
$117.25 |
$117.25 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$297.76 |
$297.76 |
$297.76 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,868.03 |
$1,868.03 |
$1,868.03 |
$3,435.42
|
|
Paliperidone 117 mg/0.75 ml inj
|
$5,212.12 |
$5,212.12 |
$5,212.12 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,760.66 |
$3,760.66 |
$3,760.66 |
$5,580.28
|
|
Palonosetron hcl
|
$86.80 |
$86.80 |
$86.80 |
$163.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$73.18 |
$73.18 |
$73.18 |
$123.55
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$63.76 |
$63.76 |
$63.76 |
$28.90
|
|
Parathormone (pth) intact
|
$234.40 |
$234.40 |
$234.40 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$1,856.80 |
$1,856.80 |
$1,856.80 |
$1,374.75
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$7.20 |
$7.20 |
$7.20 |
$4,921.76
|
|
Passy muir valve metal trach
|
$431.20 |
$431.20 |
$431.20 |
$275.75
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,933.38 |
$7,933.38 |
$7,933.38 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,519.24 |
$5,519.24 |
$5,519.24 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$6,616.16 |
$6,616.16 |
$6,616.16 |
$4,300.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$3,984.00 |
$3,984.00 |
$3,984.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,920.80 |
$3,920.80 |
$3,920.80 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,895.20 |
$2,895.20 |
$2,895.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$986.40 |
$986.40 |
$986.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$687.20 |
$687.20 |
$687.20 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$348.00 |
$348.00 |
$348.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$400.80 |
$400.80 |
$400.80 |
$351.75
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,965.04 |
$5,965.04 |
$5,965.04 |
$12,385.22
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$3,927.07 |
$3,927.07 |
$3,927.07 |
$7,089.13
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Peng benzathine/procaine inj
|
$84.34 |
$84.34 |
$84.34 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$636.66 |
$636.66 |
$636.66 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$83.89 |
$83.89 |
$83.89 |
$97.85
|
|
Pentamidine non-comp unit
|
$106.89 |
$106.89 |
$106.89 |
$294.39
|
|
Peripheral vascular rehab
|
$158.40 |
$158.40 |
$158.40 |
$132.50
|
|
Perit-vens shunt pat tst
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$752.49
|
|
Pertuzumab 30 mg/ml desensitization
|
$6,517.99 |
$6,517.99 |
$6,517.99 |
$14,272.91
|
|
Pfc sigma fem post aug sz3 8mm
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$39,920.50
|
|
Ph body fluid
|
$61.60 |
$61.60 |
$61.60 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$67.59 |
$67.59 |
$67.59 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$105.00
|
|
Phentolaine mesylate inj
|
$636.34 |
$636.34 |
$636.34 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$63.23 |
$63.23 |
$63.23 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.60 |
$60.60 |
$60.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$124.80 |
$124.80 |
$124.80 |
$111.27
|
|
Phlebotomy therapeutic
|
$249.60 |
$249.60 |
$249.60 |
$231.40
|
|
Phleb veins 1 extrm 10-20 stab
|
$5,199.20 |
$5,199.20 |
$5,199.20 |
$4,810.00
|
|
Phosphorus
|
$84.80 |
$84.80 |
$84.80 |
$49.20
|
|
Phosphorus 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$42.25
|