|
Mycophenolate mofetil 250 mg capsule
|
$7.11 |
$7.11 |
$7.11 |
$5.76
|
|
Mycophenolic acid
|
$14.58 |
$14.58 |
$14.58 |
$8.40
|
|
Mycoplasma antibody igm
|
$47.06 |
$47.06 |
$47.06 |
$87.50
|
|
Myelography via inj w/s&i 2+ regions
|
$1,884.42 |
$1,884.42 |
$1,884.42 |
$2,178.36
|
|
Myelography via inj w/s&i cervical
|
$1,687.37 |
$1,687.37 |
$1,687.37 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$1,403.30 |
$1,403.30 |
$1,403.30 |
$1,923.03
|
|
Myelography via inj w/s&i thoracic
|
$2,078.07 |
$2,078.07 |
$2,078.07 |
$2,042.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$452.69 |
$452.69 |
$452.69 |
$115.05
|
|
Nafcillin 2 gram solution for injection
|
$0.53 |
$0.53 |
$0.53 |
$65.13
|
|
Nalbuphine 10 mg/ml injection solution
|
$9.59 |
$9.59 |
$9.59 |
$22.20
|
|
Nasopharyngoscopy w/endoscope
|
$127.26 |
$127.26 |
$127.26 |
$285.55
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$40.82 |
$40.82 |
$40.82 |
$39.09
|
|
Natriuretic peptide
|
$113.60 |
$113.60 |
$113.60 |
$161.60
|
|
Navigational bronchoscopy 31627
|
$5,827.86 |
$5,827.86 |
$5,827.86 |
$1,055.60
|
|
N block inj hypogas plxs
|
$1,406.79 |
$1,406.79 |
$1,406.79 |
$2,031.75
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$861.47 |
$861.47 |
$861.47 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$812.40 |
$812.40 |
$812.40 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$783.95 |
$783.95 |
$783.95 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,324.91 |
$1,324.91 |
$1,324.91 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,152.12 |
$1,152.12 |
$1,152.12 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,001.88 |
$1,001.88 |
$1,001.88 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$987.66 |
$987.66 |
$987.66 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$858.83 |
$858.83 |
$858.83 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$746.79 |
$746.79 |
$746.79 |
$1,741.80
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$5.37 |
$5.37 |
$5.37 |
$34.13
|
|
Neurolysis celiac plexus
|
$1,076.61 |
$1,076.61 |
$1,076.61 |
$1,721.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
$251.32
|
|
N-invas est c ffr sw aly cta
|
$2,413.53 |
$2,413.53 |
$2,413.53 |
$2,246.83
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.86 |
$4.86 |
$4.86 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$68.37 |
$68.37 |
$68.37 |
$60.11
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,466.84 |
$1,466.84 |
$1,466.84 |
$1,580.80
|
|
Nm imaging bone/joint 3 phase study
|
$738.60 |
$738.60 |
$738.60 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$556.26 |
$556.26 |
$556.26 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$801.98 |
$801.98 |
$801.98 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$418.34 |
$418.34 |
$418.34 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$528.48 |
$528.48 |
$528.48 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$647.03 |
$647.03 |
$647.03 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$750.63 |
$750.63 |
$750.63 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$665.76 |
$665.76 |
$665.76 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$538.16 |
$538.16 |
$538.16 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$584.60 |
$584.60 |
$584.60 |
$1,004.90
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,646.52 |
$1,646.52 |
$1,646.52 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$653.55 |
$653.55 |
$653.55 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$653.55 |
$653.55 |
$653.55 |
$2,591.00
|
|
Nuclear rx intra-arterial
|
$453.33 |
$453.33 |
$453.33 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$2,450.22 |
$2,450.22 |
$2,450.22 |
$3,739.20
|
|
Observation per hour
|
$365.67 |
$365.67 |
$365.67 |
$75.15
|
|
Obstetrics panel
|
$97.91 |
$97.91 |
$97.91 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$94.23 |
$94.23 |
$94.23 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$5.34 |
$5.34 |
$5.34 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$757.25 |
$757.25 |
$757.25 |
$8,720.95
|
|
Olanzapine 10 mg intramuscular solution
|
$3.81 |
$3.81 |
$3.81 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.48 |
$0.48 |
$0.48 |
$12.51
|
|
Oral aprepitant
|
$10.71 |
$10.71 |
$10.71 |
$260.40
|
|
Oral busulfan
|
$270.32 |
$270.32 |
$270.32 |
$84.21
|
|
Organic acids total quant ea spec
|
$259.52 |
$259.52 |
$259.52 |
$152.50
|
|
Orthopantogram
|
$137.07 |
$137.07 |
$137.07 |
$219.22
|
|
Oscillation chest wall mechanical per session
|
$229.95 |
$229.95 |
$229.95 |
$204.89
|
|
Osmolality blood
|
$48.39 |
$48.39 |
$48.39 |
$57.00
|
|
Osmolality urine
|
$43.53 |
$43.53 |
$43.53 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$69.56 |
$69.56 |
$69.56 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$69.56 |
$69.56 |
$69.56 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$69.56 |
$69.56 |
$69.56 |
$249.60
|
|
Oth resp proc, group
|
$69.30 |
$69.30 |
$69.30 |
$100.80
|
|
Oth resp proc, indiv
|
$69.30 |
$69.30 |
$69.30 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$42.50 |
$42.50 |
$42.50 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$64.04 |
$64.04 |
$64.04 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$57.02 |
$57.02 |
$57.02 |
$105.50
|
|
Ot re-evaluation patient/family
|
$43.22 |
$43.22 |
$43.22 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$46.82 |
$46.82 |
$46.82 |
$96.11
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$106.61 |
$106.61 |
$106.61 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$52.62 |
$52.62 |
$52.62 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$42.78 |
$42.78 |
$42.78 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1.04 |
$1.04 |
$1.04 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.66 |
$0.66 |
$0.66 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$33.96 |
$33.96 |
$33.96 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$31.95 |
$31.95 |
$31.95 |
$4,898.66
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,912.96 |
$3,912.96 |
$3,912.96 |
$5,156.88
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$58.04 |
$58.04 |
$58.04 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$370.82 |
$370.82 |
$370.82 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.61 |
$10.61 |
$10.61 |
$18.49
|
|
Papaverin hcl injection
|
$86.46 |
$86.46 |
$86.46 |
$85.02
|
|
Parathormone (pth) intact
|
$138.12 |
$138.12 |
$138.12 |
$204.00
|
|
Parathyroid planar imaging
|
$538.83 |
$538.83 |
$538.83 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,311.71 |
$1,311.71 |
$1,311.71 |
$1,317.94
|
|
Paricalcitol
|
$6.53 |
$6.53 |
$6.53 |
$41.14
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$373.74 |
$373.74 |
$373.74 |
$270.00
|
|
Pegaspargase injection
|
$24,400.02 |
$24,400.02 |
$24,400.02 |
$39,780.27
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,149.47 |
$1,149.47 |
$1,149.47 |
$9,121.58
|
|
Pegloticase 8 mg/ml intravenous solution
|
$3,551.93 |
$3,551.93 |
$3,551.93 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$926.10 |
$926.10 |
$926.10 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$818.49 |
$818.49 |
$818.49 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$625.58 |
$625.58 |
$625.58 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,090.56 |
$1,090.56 |
$1,090.56 |
$2,603.25
|
|
Pelvic MRI (without contrast)
|
$824.63 |
$824.63 |
$824.63 |
$1,702.00
|
|
Pelvic ring fracture uni/bil
|
$3,023.64 |
$3,023.64 |
$3,023.64 |
$7,907.11
|
|
Pelvic Ultrasound (complete)
|
$286.94 |
$286.94 |
$286.94 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$156.05 |
$156.05 |
$156.05 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$82.91 |
$82.91 |
$82.91 |
$86.90
|