|
Nm radiopharmaceutical therapy oral administration
|
$356.67 |
$356.67 |
$603.05 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$945.90 |
$945.90 |
$1,599.33 |
$608.56
|
|
Non-ophthalmic fva
|
$406.53 |
$406.53 |
$406.53 |
$422.61
|
|
Npm1 gene
|
$504.63 |
$504.63 |
$981.23 |
$430.95
|
|
Nras gene variants exon 2&3
|
$396.18 |
$396.18 |
$589.05 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,390.76 |
$11,390.76 |
$11,390.76 |
$7,875.40
|
|
Nuclear rx intra-arterial
|
$1,040.40 |
$1,040.40 |
$1,759.10 |
$761.95
|
|
Nuclear rx intracav admin
|
$776.97 |
$776.97 |
$1,313.73 |
$675.63
|
|
Nuclear rx IV admin
|
$877.50 |
$877.50 |
$877.50 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$1,798.38 |
$1,798.38 |
$3,496.85 |
$3,921.45
|
|
Nudt15 gene common variants
|
$223.38 |
$223.38 |
$434.35 |
$320.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$9,788.58 |
$9,788.58 |
$19,033.35 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$303.98 |
$303.98 |
$303.98 |
$411.10
|
|
Observation per hour
|
$80.73 |
$80.73 |
$156.98 |
$79.30
|
|
Obtaining screen pap smear
|
$31.68 |
$32.04 |
$32.04 |
$29.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$331.29 |
$331.29 |
$331.29 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$222.75 |
$222.75 |
$222.75 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$28,416.96 |
$28,416.96 |
$55,255.20 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$80.64 |
$80.64 |
$156.80 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$4,485.06 |
$4,485.06 |
$8,720.95 |
$14,506.60
|
|
Oncoprotein her-2/neu
|
$155.97 |
$155.97 |
$420.70 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.12 |
$6.12 |
$170.19 |
$34.32
|
|
Oph Ultrasound dx quan a-scan only
|
$298.98 |
$298.98 |
$581.35 |
$189.75
|
|
Oprelvekin injection
|
$327.87 |
$327.87 |
$637.53 |
$848.31
|
|
Oral aprepitant
|
$613.98 |
$613.98 |
$1,193.85 |
$374.43
|
|
Organic acids total quant ea spec
|
$187.74 |
$208.53 |
$570.85 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$6.12 |
$6.12 |
$11.90 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$284.85 |
$553.88 |
$772.65 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$355.32 |
$355.32 |
$355.32 |
$717.62
|
|
Ortho ewhf rigd without jnt cstm w
|
$725.31 |
$725.31 |
$1,410.33 |
$782.70
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$539.73 |
$3,351.78 |
$3,427.83 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$213.39 |
$213.39 |
$414.93 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$249.12 |
$249.12 |
$484.40 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$210.96 |
$210.96 |
$485.45 |
$240.24
|
|
Orthopantogram
|
$94.23 |
$94.23 |
$201.08 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$267.57 |
$267.57 |
$656.46 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$585.45 |
$585.45 |
$1,138.38 |
$532.80
|
|
Oscillation chest wall mechanical per session
|
$33.30 |
$33.30 |
$65.28 |
$221.34
|
|
Osmolality blood
|
$103.50 |
$103.50 |
$201.25 |
$67.60
|
|
Osmolality urine
|
$84.51 |
$84.51 |
$164.33 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$161.64 |
$161.64 |
$314.30 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$121.23 |
$121.23 |
$235.73 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$141.39 |
$141.39 |
$274.93 |
$270.58
|
|
Other immunoelectrophoresis
|
$92.70 |
$92.70 |
$397.08 |
$46.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$110.52 |
$110.52 |
$214.90 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$91.62 |
$91.62 |
$179.20 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$66.51 |
$66.51 |
$139.65 |
$107.32
|
|
Ot re-evaluation patient/family
|
$70.74 |
$70.74 |
$137.55 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$76.05 |
$76.05 |
$148.23 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$44.73 |
$44.73 |
$102.73 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$46.53 |
$46.53 |
$106.93 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$57.24 |
$57.24 |
$131.43 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$63.27 |
$63.27 |
$123.03 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$149.67 |
$190.17 |
$369.78 |
$93.75
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$15.57 |
$15.57 |
$30.28 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$1,976.76 |
$1,976.76 |
$3,843.70 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$30.78 |
$30.78 |
$59.85 |
$45.86
|
|
P-32 sod phosphate ther per mci
|
$300.96 |
$300.96 |
$565.08 |
$436.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$191.70 |
$191.70 |
$372.75 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$10.98 |
$10.98 |
$51.10 |
$4,014.63
|
|
Palifermin injection
|
$2,281.59 |
$2,281.59 |
$4,436.43 |
$10,941.16
|
|
Paliperidone 117 mg/0.75 ml inj
|
$1,541.88 |
$1,541.88 |
$2,998.10 |
$6,493.54
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,242.60 |
$4,242.60 |
$8,249.50 |
$5,156.88
|
|
Palonosetron hcl
|
$613.71 |
$613.71 |
$1,193.33 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$305.91 |
$305.91 |
$594.83 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$41.40 |
$41.40 |
$80.50 |
$18,554.59
|
|
Papaverin hcl injection
|
$15.75 |
$15.75 |
$15.75 |
$76.40
|
|
Parathormone (pth) intact
|
$220.86 |
$245.43 |
$429.45 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$808.92 |
$808.92 |
$1,367.80 |
$1,574.40
|
|
Parathyroid planar imaging
|
$465.75 |
$465.75 |
$905.63 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$604.98 |
$604.98 |
$1,176.35 |
$1,398.75
|
|
Paricalcitol
|
$54.90 |
$54.90 |
$106.75 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$275.49 |
$275.49 |
$275.49 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$12.25 |
$32.58 |
$34.11 |
$4,418.62
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$8,594.73 |
$8,594.73 |
$16,711.98 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$1,695.60 |
$1,695.60 |
$3,297.00 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$2,074.14 |
$2,074.14 |
$8,172.18 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$8,172.18 |
$8,172.18 |
$15,890.35 |
$5,908.68
|
|
Pegloticase 8 mg/ml intravenous solution
|
$8,535.42 |
$8,535.42 |
$8,535.42 |
$41,940.84
|
|
Pelvic CT scan (with and without contrast)
|
$1,503.18 |
$1,503.18 |
$2,922.85 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,358.64 |
$1,358.64 |
$2,641.80 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,180.89 |
$1,180.89 |
$2,296.18 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,763.01 |
$1,763.01 |
$3,693.20 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,676.61 |
$1,676.61 |
$3,542.70 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$1,350.99 |
$1,350.99 |
$2,690.98 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$256.95 |
$256.95 |
$499.63 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$330.84 |
$330.84 |
$643.30 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$3,144.87 |
$3,144.87 |
$6,115.03 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,052.46 |
$1,052.46 |
$2,046.45 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$21.51 |
$21.51 |
$41.83 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$67.50 |
$67.50 |
$131.25 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$5.13 |
$5.13 |
$35.73 |
$100.50
|
|
Pentobarbital sodium inj
|
$138.96 |
$138.96 |
$3,159.80 |
$167.64
|
|
Pentostatin 10 mg intravenous solution
|
$2,581.74 |
$2,581.74 |
$5,020.05 |
$6,112.62
|
|
Perc d-e cor revasc chro add
|
$32,170.68 |
$32,170.68 |
$48,314.70 |
$12,250.08
|
|
Perc d-e cor revasc chro sin
|
$34,843.41 |
$34,843.41 |
$52,328.50 |
$19,992.17
|
|
Perc d-e cor revasc t cabg b
|
$32,170.68 |
$32,170.68 |
$48,314.70 |
$12,287.00
|
|
Perc d-e cor revasc t cabg s
|
$34,843.41 |
$34,843.41 |
$52,328.50 |
$15,337.30
|
|
Perc d-e cor stent ather br
|
$32,170.68 |
$32,170.68 |
$48,314.70 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$34,843.41 |
$34,843.41 |
$52,328.50 |
$19,892.81
|