|
Multiple sleep latency test
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,466.00
|
|
Mumps antibody igg
|
$124.80 |
$124.80 |
$124.80 |
$78.00
|
|
Mycoplasma antibody igm
|
$123.20 |
$123.20 |
$123.20 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$146.40 |
$146.40 |
$146.40 |
$130.80
|
|
Nafcillin 2 gram solution for injection
|
$64.42 |
$64.42 |
$64.42 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$65.06 |
$65.06 |
$65.06 |
$70.87
|
|
Natriuretic peptide
|
$174.40 |
$174.40 |
$174.40 |
$176.15
|
|
Natural killer cells total count
|
$124.80 |
$124.80 |
$124.80 |
$135.00
|
|
Nebulizer Breathing Treatment
|
$252.80 |
$252.80 |
$252.80 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$289.60 |
$289.60 |
$289.60 |
$237.43
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,472.80 |
$2,472.80 |
$2,472.80 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,723.20 |
$4,723.20 |
$4,723.20 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,225.60 |
$3,225.60 |
$3,225.60 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$368.00 |
$368.00 |
$368.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$636.80 |
$636.80 |
$636.80 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$796.00 |
$796.00 |
$796.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,848.00 |
$3,848.00 |
$3,848.00 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,960.80 |
$2,960.80 |
$2,960.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,622.40 |
$2,622.40 |
$2,622.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$3,061.60 |
$3,061.60 |
$3,061.60 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,409.60 |
$2,409.60 |
$2,409.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,136.80 |
$2,136.80 |
$2,136.80 |
$1,312.00
|
|
Nerve conduction 7-8 studies
|
$899.20 |
$899.20 |
$899.20 |
$750.00
|
|
Nerve conduction studies 11-12
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$503.20 |
$503.20 |
$503.20 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,183.20 |
$2,183.20 |
$2,183.20 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$812.80 |
$812.80 |
$812.80 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$617.24
|
|
Nerve conduction studies 9-10
|
$1,784.00 |
$1,784.00 |
$1,784.00 |
$1,100.00
|
|
New Patient Office Visit (level 2)
|
$151.20 |
$151.20 |
$151.20 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$194.40 |
$194.40 |
$194.40 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$232.00 |
$232.00 |
$232.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$302.40 |
$302.40 |
$302.40 |
$355.80
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$345.91 |
$345.91 |
$345.91 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$62.56 |
$62.56 |
$62.56 |
$74.56
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,959.20 |
$1,959.20 |
$1,959.20 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,479.20 |
$1,479.20 |
$1,479.20 |
$1,091.00
|
|
No pt prsnt train add 15
|
$61.60 |
$61.60 |
$61.60 |
$47.60
|
|
No pt prsnt train initial 30
|
$123.20 |
$123.20 |
$123.20 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$403.20 |
$403.20 |
$403.20 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,746.40 |
$4,746.40 |
$4,746.40 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$436.00 |
$436.00 |
$436.00 |
$384.00
|
|
Observation per hour
|
$65.60 |
$65.60 |
$65.60 |
$82.50
|
|
Obstetrics panel
|
$212.80 |
$212.80 |
$212.80 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$348.80 |
$348.80 |
$348.80 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$280.00 |
$280.00 |
$280.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$313.60 |
$313.60 |
$313.60 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$62.52 |
$62.52 |
$62.52 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$7,044.77 |
$7,044.77 |
$7,044.77 |
$12,080.43
|
|
Off/op cnsltj new/est low 30
|
$233.60 |
$233.60 |
$233.60 |
$183.00
|
|
Off/op consltj new/est sf 20
|
$146.40 |
$146.40 |
$146.40 |
$137.80
|
|
Olanzapine 10 mg intramuscular solution
|
$89.23 |
$89.23 |
$89.23 |
$109.62
|
|
Olanzapine long-acting inj
|
$1,407.84 |
$1,407.84 |
$1,407.84 |
$1,847.66
|
|
Onco (ovar) five proteins
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$986.70
|
|
Ondansetron 4 mg s0119
|
$4.46 |
$4.46 |
$4.46 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.56 |
$60.56 |
$60.56 |
$22.62
|
|
Osmolality blood
|
$80.00 |
$80.00 |
$80.00 |
$70.85
|
|
Osmolality urine
|
$80.00 |
$80.00 |
$80.00 |
$65.52
|
|
Ot re-evaluation patient/family
|
$232.80 |
$232.80 |
$232.80 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$121.60 |
$121.60 |
$121.60 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$93.12
|
|
Oxytocin 10 unit/ml injection solution
|
$60.73 |
$60.73 |
$60.73 |
$50.40
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,749.04 |
$1,749.04 |
$1,749.04 |
$6,238.82
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$62.79 |
$62.79 |
$62.79 |
$28.90
|
|
Parathormone (pth) intact
|
$230.40 |
$230.40 |
$230.40 |
$206.18
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$267.20 |
$267.20 |
$267.20 |
$245.67
|
|
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)
|
$2,741.60 |
$2,741.60 |
$2,741.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,378.40 |
$2,378.40 |
$2,378.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,042.40 |
$4,042.40 |
$4,042.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,011.20 |
$4,011.20 |
$4,011.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,064.00 |
$3,064.00 |
$3,064.00 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$921.60 |
$921.60 |
$921.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$712.00 |
$712.00 |
$712.00 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$337.60 |
$337.60 |
$337.60 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$440.80 |
$440.80 |
$440.80 |
$351.75
|
|
Pemivibart infusion
|
$760.00 |
$760.00 |
$760.00 |
$533.10
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$471.48 |
$471.48 |
$471.48 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$217.86 |
$217.86 |
$217.86 |
$97.85
|
|
Ph body fluid
|
$46.40 |
$46.40 |
$46.40 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$71.58 |
$71.58 |
$71.58 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$92.00 |
$92.00 |
$92.00 |
$105.00
|
|
Phentolaine mesylate inj
|
$722.55 |
$722.55 |
$722.55 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$95.17 |
$95.17 |
$95.17 |
$62.98
|
|
Phenytoin total therapeutic drug level
|
$121.60 |
$121.60 |
$121.60 |
$111.27
|
|
Phlebotomy therapeutic
|
$258.40 |
$258.40 |
$258.40 |
$231.40
|
|
Phosphorus
|
$54.40 |
$54.40 |
$54.40 |
$49.20
|
|
Phosphorus 24 hour urine
|
$36.00 |
$36.00 |
$36.00 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$323.20 |
$323.20 |
$323.20 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$256.80 |
$256.80 |
$256.80 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$280.00 |
$280.00 |
$280.00 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$145.60 |
$145.60 |
$145.60 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$86.50 |
$86.50 |
$86.50 |
$90.25
|
|
Pinworm exam
|
$33.60 |
$33.60 |
$33.60 |
$39.62
|