|
Nerve conduction studies 9-10
|
$657.60 |
$1,664.80 |
$1,784.00 |
|
|
Neurolysis trigeminal nerve
|
$2,796.80 |
$2,796.80 |
$3,401.60 |
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$332.80 |
$332.80 |
$332.80 |
|
|
Neuroplasty digital 1/both same digit
|
$3,404.00 |
$3,404.00 |
$3,404.00 |
|
|
Neuroplasty nerve of hand or foot 64704
|
$3,536.80 |
$3,536.80 |
$3,536.80 |
|
|
New Patient Office Visit (level 2)
|
$128.80 |
$145.60 |
$324.80 |
|
|
New Patient Office Visit (level 3)
|
$194.40 |
$217.60 |
$540.80 |
|
|
New Patient Office Visit (level 4)
|
$232.00 |
$315.20 |
$740.80 |
|
|
New Patient Office Visit (level 5)
|
$302.40 |
$390.40 |
$962.40 |
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$173.76 |
$345.91 |
$423.58 |
|
|
Nintedanib 150 mg capsule
|
$1.20 |
$3.64 |
$429.22 |
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$62.56 |
$62.56 |
$319.91 |
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$6,998.99 |
$7,010.67 |
$18,352.94 |
|
|
Njx cath slct p-art angrp bi
|
$1,973.60 |
$1,973.60 |
$1,973.60 |
|
|
Njx cath slct pulm vn angrph
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
|
|
Njx cth slct p-art angrp uni
|
$2,513.60 |
$2,513.60 |
$2,513.60 |
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,359.20 |
$1,934.40 |
$2,220.00 |
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,544.80 |
$1,603.20 |
$1,955.20 |
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,824.80 |
$2,126.40 |
$2,408.80 |
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,580.00 |
$1,959.20 |
$2,028.80 |
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,368.00 |
$1,464.00 |
$1,609.60 |
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
|
|
Non-card vasc flow imaging
|
$902.40 |
$902.40 |
$1,017.60 |
|
|
Noninv pace analysis
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
|
|
No pt prsnt train add 15
|
$60.00 |
$61.60 |
$63.20 |
|
|
No pt prsnt train initial 30
|
$120.80 |
$123.20 |
$127.20 |
|
|
Nose (Nasal Bone) X-ray (complete)
|
$287.20 |
$372.00 |
$473.60 |
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,344.80 |
$11,344.80 |
$11,344.80 |
|
|
Nuclear rx intra-arterial
|
$1,530.40 |
$1,530.40 |
$1,530.40 |
|
|
Nuclear rx IV admin
|
$1,462.40 |
$1,462.40 |
$1,462.40 |
|
|
Nuclear Stress Test (Heart)
|
$3,851.20 |
$4,556.00 |
$5,011.20 |
|
|
Nuclr rx interstit colloid
|
$896.00 |
$896.00 |
$896.00 |
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$63,870.00 |
$63,870.00 |
$63,870.00 |
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$24,192.64 |
$24,192.64 |
$24,192.64 |
|
|
Observation direct referral from physician office for admission
|
$111.20 |
$212.00 |
$436.00 |
|
|
Observation per hour
|
$56.00 |
$65.60 |
$89.60 |
|
|
Obstetric panel inc HIV tstg
|
$360.80 |
$360.80 |
$360.80 |
|
|
Obstetrics panel
|
$147.20 |
$204.80 |
$243.20 |
|
|
Ob Ultrasound nuchal meas 1 gest
|
$491.20 |
$491.20 |
$512.00 |
|
|
Ob Ultrasound nuchal meas add-on
|
$307.20 |
$307.20 |
$307.20 |
|
|
Occupational Therapy Evaluation (high complexity)
|
$306.40 |
$348.80 |
$381.60 |
|
|
Occupational Therapy Evaluation (low complexity)
|
$237.60 |
$268.00 |
$280.00 |
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$267.20 |
$295.20 |
$336.80 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$26,060.16 |
$32,903.89 |
$47,202.96 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$60.94 |
$61.75 |
$313.48 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,171.19 |
$7,044.77 |
$16,134.36 |
|
|
Off/op cnsltj new/est low 30
|
$233.60 |
$233.60 |
$277.60 |
|
|
Off/op cnsltj new/est mod 40
|
$447.20 |
$447.20 |
$447.20 |
|
|
Off/op consltj new/est hi 55
|
$493.60 |
$493.60 |
$493.60 |
|
|
Off/op consltj new/est sf 20
|
$146.40 |
$146.40 |
$146.40 |
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$3,583.20 |
$3,583.20 |
$3,583.20 |
|
|
Olanzapine 10 mg intramuscular solution
|
$69.76 |
$84.16 |
$340.43 |
|
|
Olanzapine long-acting inj
|
$1,407.84 |
$1,407.84 |
$1,407.84 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,102.10 |
$3,978.96 |
$4,470.16 |
|
|
Onco (ovar) five proteins
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
|
|
Ondansetron 4 mg s0119
|
$1.20 |
$1.60 |
$5.64 |
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.20 |
$20.64 |
$23.72 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.30 |
$60.44 |
$312.04 |
|
|
Open thrombectomy of av fistula without revision 36831
|
$11,643.20 |
$11,643.20 |
$11,643.20 |
|
|
Ophthalmic mitomycin
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
|
|
Opn ax/subcla art expos
|
$2,507.20 |
$2,507.20 |
$2,507.20 |
|
|
Optx rad/uln dislc aqt/chrnc
|
$2,607.20 |
$2,607.20 |
$2,607.20 |
|
|
Oral aprepitant
|
$191.49 |
$191.49 |
$191.49 |
|
|
Oral busulfan
|
$8.80 |
$8.80 |
$8.80 |
|
|
Oral methotrexate (xatmep)
|
$32.04 |
$32.04 |
$32.04 |
|
|
Oritavancin 400 mg intravenous solution
|
$2,722.77 |
$2,722.77 |
$2,722.77 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$322.22 |
$322.22 |
$322.22 |
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$339.20 |
$339.20 |
$339.20 |
|
|
Ortho elbow w/lock w/ft&adj
|
$162.40 |
$162.40 |
$162.40 |
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$780.00 |
$780.00 |
$780.00 |
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$667.20 |
$667.20 |
$667.20 |
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$375.20 |
$375.20 |
$375.20 |
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$200.80 |
$200.80 |
$200.80 |
|
|
Ortho hnd without jnt w/fit&adj
|
$284.00 |
$284.00 |
$284.00 |
|
|
Orthopantogram
|
$432.80 |
$432.80 |
$432.80 |
|
|
Orthosis lso rigd frm hyperex
|
$325.60 |
$368.00 |
$816.00 |
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$384.00 |
$384.00 |
$384.00 |
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
|
|
Osmolality blood
|
$40.80 |
$65.60 |
$95.20 |
|
|
Osmolality urine
|
$44.80 |
$68.00 |
$95.20 |
|
|
Oth resp proc, group
|
$160.00 |
$171.20 |
$177.60 |
|
|
Oth resp proc, indiv
|
$105.60 |
$128.00 |
$138.40 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$122.40 |
$127.20 |
$130.40 |
|
|
Ot re-evaluation patient/family
|
$208.00 |
$225.60 |
$256.00 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$54.40 |
$97.60 |
$128.80 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$104.00 |
$112.80 |
$233.60 |
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$62.24 |
$62.24 |
$319.62 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$80.71 |
$80.71 |
$460.40 |
|
|
Oxytocin 10 unit/ml injection solution
|
$60.72 |
$60.75 |
$311.92 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$231.59 |
$297.76 |
$351.76 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,868.03 |
$1,868.03 |
$3,386.68 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,749.04 |
$5,212.12 |
$5,529.99 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,760.66 |
$5,533.72 |
$9,331.67 |
|
|
Palonosetron hcl
|
$86.80 |
$121.28 |
$322.16 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$73.18 |
$73.18 |
$334.96 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$60.85 |
$62.52 |
$314.94 |
|
|
Papaverin hcl injection
|
$332.92 |
$332.92 |
$332.92 |
|
|
Parathormone (pth) intact
|
$153.60 |
$209.60 |
$234.40 |
|
