|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$861.47 |
$861.47 |
$904.56 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$812.40 |
$812.40 |
$852.78 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$783.95 |
$845.90 |
$888.18 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,324.91 |
$1,324.91 |
$1,457.40 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,152.12 |
$1,152.12 |
$1,209.72 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$930.30 |
$976.83 |
$1,001.88 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$987.66 |
$987.66 |
$1,037.03 |
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$858.83 |
$858.83 |
$901.76 |
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$746.79 |
$930.08 |
$976.59 |
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$0.90 |
$5.37 |
$5.37 |
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$189.75 |
$199.26 |
$199.26 |
|
|
Neurolysis celiac plexus
|
$1,076.61 |
$1,076.61 |
$1,076.61 |
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
|
|
N-invas est c ffr sw aly cta
|
$2,413.53 |
$2,413.53 |
$2,413.53 |
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.86 |
$4.86 |
$4.86 |
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$68.37 |
$68.37 |
$68.37 |
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,466.84 |
$1,466.84 |
$1,466.84 |
|
|
Nm imaging bone/joint 3 phase study
|
$738.60 |
$995.70 |
$995.72 |
|
|
Nm imaging bone/joint whole body
|
$556.26 |
$845.64 |
$845.66 |
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$801.98 |
$801.98 |
$801.99 |
|
|
Nm imaging gastric emptying study
|
$418.34 |
$681.48 |
$681.51 |
|
|
Nm imaging gastrointestinal acute blood loss
|
$528.48 |
$649.53 |
$649.56 |
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$647.03 |
$906.36 |
$906.38 |
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$750.63 |
$750.63 |
$750.63 |
|
|
Nm imaging pulmonary ventilation/perfusion
|
$665.76 |
$783.81 |
$783.87 |
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$538.16 |
$801.02 |
$801.02 |
|
|
Nm radiopharmaceutical therapy oral administration
|
$584.60 |
$584.60 |
$584.61 |
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,646.52 |
$1,646.52 |
$1,646.52 |
|
|
Ntsty modul rad tx dlvr cplx
|
$653.55 |
$653.55 |
$653.55 |
|
|
Ntsty modul rad tx dlvr smpl
|
$653.55 |
$653.55 |
$653.55 |
|
|
Nuclear rx intra-arterial
|
$453.33 |
$453.33 |
$453.33 |
|
|
Nuclear Stress Test (Heart)
|
$1,179.27 |
$1,179.32 |
$2,450.22 |
|
|
Observation per hour
|
$365.67 |
$365.67 |
$365.67 |
|
|
Obstetrics panel
|
$97.91 |
$97.91 |
$97.91 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$94.23 |
$94.23 |
$94.23 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$5.34 |
$5.34 |
$5.34 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$757.25 |
$757.25 |
$757.25 |
|
|
Olanzapine 10 mg intramuscular solution
|
$3.81 |
$3.81 |
$3.81 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$99.23 |
$99.23 |
$99.23 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.48 |
$0.48 |
$0.48 |
|
|
Oral aprepitant
|
$10.71 |
$10.71 |
$10.71 |
|
|
Oral busulfan
|
$270.32 |
$270.32 |
$270.32 |
|
|
Organic acids total quant ea spec
|
$259.52 |
$259.52 |
$259.52 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$33.53 |
$33.53 |
$33.53 |
|
|
Orthopantogram
|
$137.07 |
$137.07 |
$137.07 |
|
|
Oscillation chest wall mechanical per session
|
$229.95 |
$229.95 |
$229.95 |
|
|
Osmolality blood
|
$48.39 |
$48.57 |
$48.57 |
|
|
Osmolality urine
|
$43.53 |
$43.53 |
$43.53 |
|
|
Ot evaluation high complexity patient/family
|
$69.56 |
$123.42 |
$129.60 |
|
|
Ot evaluation low complexity patient/family
|
$69.56 |
$123.42 |
$129.60 |
|
|
Ot evaluation moderate complexity patient/family
|
$69.56 |
$123.42 |
$129.60 |
|
|
Oth resp proc, group
|
$69.30 |
$102.12 |
$102.12 |
|
|
Oth resp proc, indiv
|
$69.30 |
$69.30 |
$69.30 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$42.50 |
$50.48 |
$50.48 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$51.95 |
$54.56 |
$64.04 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$52.62 |
$54.83 |
$57.02 |
|
|
Ot re-evaluation patient/family
|
$43.22 |
$45.95 |
$48.26 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$46.82 |
$55.44 |
$58.22 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$28.16 |
$28.16 |
$28.16 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$42.78 |
$42.78 |
$42.78 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$51.00 |
$53.57 |
$106.61 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$46.65 |
$46.65 |
$52.62 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$42.78 |
$42.78 |
$44.01 |
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1.04 |
$1.04 |
$1.04 |
|
|
Oxytocin 10 unit/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.66 |
$0.66 |
$0.66 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$33.96 |
$33.96 |
$33.96 |
|
|
Paliperidone 117 mg/0.75 ml inj
|
$31.95 |
$31.95 |
$32.78 |
|
|
Palivizumab 50 mg/0.5 ml inj
|
$3,912.96 |
$3,912.96 |
$3,912.96 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$26.07 |
$58.04 |
$58.04 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$370.82 |
$370.82 |
$370.82 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$10.61 |
$10.61 |
$10.61 |
|
|
Papaverin hcl injection
|
$86.46 |
$86.46 |
$86.46 |
|
|
Parathormone (pth) intact
|
$138.12 |
$138.12 |
$138.12 |
|
|
Parathyroid planar imaging
|
$538.83 |
$579.72 |
$579.72 |
|
|
Parathyroid planar img w/tomo spect
|
$1,311.71 |
$1,311.71 |
$1,311.71 |
|
|
Paricalcitol
|
$6.53 |
$6.53 |
$6.53 |
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$373.74 |
$373.74 |
$373.74 |
|
|
Pegaspargase injection
|
$24,400.02 |
$24,400.02 |
$24,400.02 |
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$1,149.47 |
$1,149.47 |
$1,149.47 |
|
|
Pegloticase 8 mg/ml intravenous solution
|
$3,551.93 |
$3,551.93 |
$3,551.93 |
|
|
Pelvic CT scan (with and without contrast)
|
$926.10 |
$926.10 |
$926.10 |
|
|
Pelvic CT scan (with contrast)
|
$818.49 |
$838.05 |
$838.05 |
|
|
Pelvic CT scan (without contrast)
|
$625.58 |
$817.49 |
$817.49 |
|
|
Pelvic MRI (with and without contrast)
|
$1,090.56 |
$1,270.25 |
$1,333.79 |
|
|
Pelvic MRI (with contrast)
|
$930.30 |
$976.83 |
$976.83 |
|
|
Pelvic MRI (without contrast)
|
$824.63 |
$840.23 |
$882.27 |
|
|
Pelvic ring fracture uni/bil
|
$3,023.64 |
$3,023.64 |
$3,023.64 |
|
|
Pelvic Ultrasound (complete)
|
$286.94 |
$353.40 |
$371.07 |
|
|
Pelvic Ultrasound (limited)
|
$151.50 |
$151.50 |
$156.05 |
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$82.91 |
$82.91 |
$82.91 |
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$173.78 |
$173.78 |
$173.78 |
|
|
Peng benzathine/procaine inj
|
$43.55 |
$43.55 |
$43.55 |
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$54.63 |
$63.08 |
$63.08 |
|
|
Pentamidine non-comp unit
|
$314.07 |
$314.07 |
$314.07 |
|
|
Pentobarbital sodium inj
|
$150.45 |
$150.45 |
$150.45 |
|
|
Perc cryo ablate renal tum
|
$3,958.92 |
$3,958.92 |
$3,958.92 |
|
|
Perc d-e cor revasc chro add
|
$23,357.04 |
$23,357.04 |
$23,357.04 |
|
|
Perc d-e cor revasc chro sin
|
$20,854.53 |
$20,854.53 |
$20,854.53 |
|
|
Perc d-e cor revasc t cabg b
|
$20,854.53 |
$20,854.53 |
$20,854.53 |
|