|
Mumps antibody igg
|
$149.60 |
$149.60 |
$149.60 |
$78.00
|
|
Mycoplasma antibody igm
|
$98.40 |
$98.40 |
$98.40 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$188.00 |
$188.00 |
$188.00 |
$130.80
|
|
Nafcillin 2 gram solution for injection
|
$63.87 |
$63.87 |
$63.87 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$63.12 |
$63.12 |
$63.12 |
$70.87
|
|
Natriuretic peptide
|
$202.40 |
$202.40 |
$202.40 |
$176.15
|
|
Natural killer cells total count
|
$146.40 |
$146.40 |
$146.40 |
$135.00
|
|
Ndl insj without njx 1 or 2 musc
|
$41.60 |
$41.60 |
$41.60 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$68.00 |
$68.00 |
$68.00 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$263.20 |
$263.20 |
$263.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$268.80 |
$268.80 |
$268.80 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,253.60 |
$2,253.60 |
$2,253.60 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,566.40 |
$4,566.40 |
$4,566.40 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,585.60 |
$3,585.60 |
$3,585.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$444.00 |
$444.00 |
$444.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$597.60 |
$597.60 |
$597.60 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$816.80 |
$816.80 |
$816.80 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,992.80 |
$2,992.80 |
$2,992.80 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,501.60 |
$2,501.60 |
$2,501.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,064.80 |
$2,064.80 |
$2,064.80 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$60.08 |
$60.08 |
$60.08 |
$60.16
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$173.76 |
$173.76 |
$173.76 |
$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
|
$2,072.80 |
$2,072.80 |
$2,072.80 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,226.40 |
$2,226.40 |
$2,226.40 |
$1,541.32
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$1,091.00
|
|
No pt prsnt train add 15
|
$63.20 |
$63.20 |
$63.20 |
$47.60
|
|
No pt prsnt train initial 30
|
$127.20 |
$127.20 |
$127.20 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$372.00 |
$372.00 |
$372.00 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,810.40 |
$4,810.40 |
$4,810.40 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$212.00 |
$212.00 |
$212.00 |
$384.00
|
|
Observation per hour
|
$56.80 |
$56.80 |
$56.80 |
$82.50
|
|
Obstetrics panel
|
$147.20 |
$147.20 |
$147.20 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$327.20 |
$327.20 |
$327.20 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$268.00 |
$268.00 |
$268.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$295.20 |
$295.20 |
$295.20 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$32,904.00 |
$32,904.00 |
$32,904.00 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$61.75 |
$61.75 |
$61.75 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,838.44 |
$6,838.44 |
$6,838.44 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$69.76 |
$69.76 |
$69.76 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$5.64 |
$5.64 |
$5.64 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.31 |
$60.31 |
$60.31 |
$22.62
|
|
Osmolality blood
|
$65.60 |
$65.60 |
$65.60 |
$70.85
|
|
Osmolality urine
|
$68.00 |
$68.00 |
$68.00 |
$65.52
|
|
Oth resp proc, group
|
$176.00 |
$176.00 |
$176.00 |
$126.00
|
|
Oth resp proc, indiv
|
$138.40 |
$138.40 |
$138.40 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$130.40 |
$130.40 |
$130.40 |
$97.80
|
|
Ot re-evaluation patient/family
|
$225.60 |
$225.60 |
$225.60 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$128.80 |
$128.80 |
$128.80 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$233.60 |
$233.60 |
$233.60 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$62.24 |
$62.24 |
$62.24 |
$76.52
|
|
Oxytocin 10 unit/ml injection solution
|
$60.75 |
$60.75 |
$60.75 |
$50.40
|
|
Palivizumab 50 mg/0.5 ml inj
|
$5,533.72 |
$5,533.72 |
$5,533.72 |
$5,580.28
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$60.85 |
$60.85 |
$60.85 |
$28.90
|
|
Parathormone (pth) intact
|
$153.60 |
$153.60 |
$153.60 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,774.40 |
$1,774.40 |
$1,774.40 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$2,033.60 |
$2,033.60 |
$2,033.60 |
$1,374.75
|
|
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)
|
$2,809.60 |
$2,809.60 |
$2,809.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,926.40 |
$1,926.40 |
$1,926.40 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,349.60 |
$4,349.60 |
$4,349.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,053.60 |
$3,053.60 |
$3,053.60 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$720.00 |
$720.00 |
$720.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$548.80 |
$548.80 |
$548.80 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$360.80 |
$360.80 |
$360.80 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$428.80 |
$428.80 |
$428.80 |
$351.75
|
|
Pemivibart infusion
|
$790.40 |
$790.40 |
$790.40 |
$533.10
|
|
Peng benzathine/procaine inj
|
$94.58 |
$94.58 |
$94.58 |
$375.32
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$89.96 |
$89.96 |
$89.96 |
$824.70
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$64.80 |
$64.80 |
$64.80 |
$97.85
|
|
Peripheral vascular rehab
|
$135.20 |
$135.20 |
$135.20 |
$132.50
|
|
Ph body fluid
|
$48.00 |
$48.00 |
$48.00 |
$42.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$77.82 |
$77.82 |
$77.82 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$80.80 |
$80.80 |
$80.80 |
$105.00
|
|
Phenylephrine 10 mg/ml injection solution
|
$67.92 |
$67.92 |
$67.92 |
$62.98
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$60.63 |
$60.63 |
$60.63 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$109.60 |
$109.60 |
$109.60 |
$111.27
|
|
Phlebotomy therapeutic
|
$260.00 |
$260.00 |
$260.00 |
$231.40
|
|
Phosphorus
|
$58.40 |
$58.40 |
$58.40 |
$49.20
|
|
Phosphorus 24 hour urine
|
$37.60 |
$37.60 |
$37.60 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$360.80 |
$360.80 |
$360.80 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$263.20 |
$263.20 |
$263.20 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$289.60 |
$289.60 |
$289.60 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$190.40 |
$190.40 |
$190.40 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.04 |
$79.04 |
$79.04 |
$90.25
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$64.04 |
$64.04 |
$64.04 |
$81.36
|
|
Platelet automated
|
$48.00 |
$48.00 |
$48.00 |
$46.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$216.00 |
$216.00 |
$216.00 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,889.60 |
$4,889.60 |
$4,889.60 |
$3,790.61
|
|
Potassium 24 hour urine
|
$44.00 |
$44.00 |
$44.00 |
$51.17
|