|
Nm imaging bone/joint 3 phase study
|
$1,006.95 |
$1,006.95 |
$1,006.95 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$853.48 |
$853.48 |
$853.48 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$591.33 |
$591.33 |
$591.33 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$786.80 |
$786.80 |
$786.80 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$476.18 |
$476.18 |
$476.18 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$621.95 |
$621.95 |
$621.95 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$620.20 |
$620.20 |
$620.20 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$421.40 |
$421.40 |
$421.40 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$415.98 |
$415.98 |
$415.98 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$590.63 |
$590.63 |
$590.63 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$315.35 |
$315.35 |
$315.35 |
$608.56
|
|
Noninv pace analysis
|
$241.85 |
$241.85 |
$241.85 |
$761.60
|
|
Nras gene variants exon 2&3
|
$254.98 |
$254.98 |
$254.98 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$4,166.75 |
$4,166.75 |
$4,166.75 |
$7,875.40
|
|
Nsl/sins ndsc surg frnt sins
|
$448.88 |
$448.88 |
$448.88 |
$7,162.79
|
|
Nsl/sins ndsc surg max sins
|
$415.10 |
$415.10 |
$415.10 |
$7,668.85
|
|
Nsl/sins ndsc surg sphn sins
|
$415.63 |
$415.63 |
$415.63 |
$7,565.43
|
|
Nsl/sins ndsc total
|
$107.45 |
$107.45 |
$107.45 |
$6,128.86
|
|
Ntrk translocation analysis
|
$378.00 |
$378.00 |
$378.00 |
$727.74
|
|
Ntsty modul rad tx dlvr cplx
|
$1,261.58 |
$1,261.58 |
$1,261.58 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,122.98 |
$1,122.98 |
$1,122.98 |
$2,364.96
|
|
Nuclear rx IV admin
|
$354.20 |
$354.20 |
$354.20 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$1,755.78 |
$1,755.78 |
$1,755.78 |
$3,921.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$1,129.49 |
$1,129.49 |
$1,129.49 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$272.65 |
$272.65 |
$272.65 |
$411.10
|
|
Observation per hour
|
$52.85 |
$52.85 |
$52.85 |
$79.30
|
|
Obstetrics panel
|
$159.43 |
$159.43 |
$159.43 |
$204.80
|
|
Obtaining screen pap smear
|
$9.98 |
$9.98 |
$9.98 |
$29.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$3,285.73 |
$3,285.73 |
$3,285.73 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$7.05 |
$7.05 |
$7.05 |
$73.13
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,873.38 |
$1,873.38 |
$1,873.38 |
$1,180.20
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.11 |
$0.11 |
$0.11 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$0.35 |
$0.35 |
$0.35 |
$34.32
|
|
Oropharyngeal biopsy 42800
|
$35.53 |
$35.53 |
$35.53 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$0.55 |
$0.55 |
$0.55 |
$65.07
|
|
Ortho elbow w/lock w/ft&adj
|
$52.15 |
$52.15 |
$52.15 |
$717.62
|
|
Orthosis lso rigd frm hyperex
|
$358.93 |
$358.93 |
$358.93 |
$920.03
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$5.95 |
$5.95 |
$5.95 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$60.03 |
$60.03 |
$60.03 |
$221.34
|
|
Osmolality blood
|
$44.80 |
$44.80 |
$44.80 |
$67.60
|
|
Osmolality urine
|
$31.15 |
$31.15 |
$31.15 |
$65.65
|
|
Oth resp proc, group
|
$44.80 |
$44.80 |
$44.80 |
$154.00
|
|
Oth resp proc, indiv
|
$35.53 |
$35.53 |
$35.53 |
$87.45
|
|
Otolaryngo binocular microscopy 92504
|
$9.45 |
$9.45 |
$9.45 |
$63.20
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$1.48 |
$1.48 |
$1.48 |
$50.50
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3.53 |
$3.53 |
$3.53 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$0.44 |
$0.44 |
$0.44 |
$45.86
|
|
P-32 chromic phos ther per mci
|
$158.38 |
$158.38 |
$158.38 |
$1,730.00
|
|
P-32 sod phosphate ther per mci
|
$86.10 |
$86.10 |
$86.10 |
$436.00
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$44,100.00 |
$44,100.00 |
$44,100.00 |
$44,654.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.10 |
$0.10 |
$0.10 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$268.22 |
$268.22 |
$268.22 |
$4,014.63
|
|
Palivizumab 50 mg/0.5 ml inj
|
$243.30 |
$243.30 |
$243.30 |
$5,156.88
|
|
Palonosetron hcl
|
$0.45 |
$0.45 |
$0.45 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$14.99 |
$14.99 |
$14.99 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$1,065.56 |
$1,065.56 |
$1,065.56 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$0.33 |
$0.33 |
$0.33 |
$44.25
|
|
Papaverin hcl injection
|
$5.00 |
$5.00 |
$5.00 |
$76.40
|
|
Parathormone (pth) intact
|
$70.35 |
$70.35 |
$70.35 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$587.65 |
$587.65 |
$587.65 |
$1,574.40
|
|
Parathyroid planar imaging
|
$380.45 |
$380.45 |
$380.45 |
$1,166.00
|
|
Paricalcitol
|
$0.34 |
$0.34 |
$0.34 |
$47.38
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$77.53 |
$77.53 |
$77.53 |
$270.00
|
|
Partial excision of lip
|
$37.80 |
$37.80 |
$37.80 |
$3,837.72
|
|
Partial removal finger bone
|
$477.93 |
$477.93 |
$477.93 |
$2,211.05
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,469.58 |
$6,469.58 |
$6,469.58 |
$4,418.62
|
|
Passy muir valve metal trach
|
$4.38 |
$4.38 |
$4.38 |
$241.20
|
|
Path clin consltj sf 5-20
|
$72.80 |
$72.80 |
$72.80 |
$82.15
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$4,968.43 |
$4,968.43 |
$4,968.43 |
$12,556.80
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$269.99 |
$269.99 |
$269.99 |
$5,908.68
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$139.66 |
$139.66 |
$139.66 |
$1,194.98
|
|
Pelvic CT scan (with and without contrast)
|
$692.30 |
$692.30 |
$692.30 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$537.43 |
$537.43 |
$537.43 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$484.23 |
$484.23 |
$484.23 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,100.93 |
$1,100.93 |
$1,100.93 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$880.78 |
$880.78 |
$880.78 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$649.60 |
$649.60 |
$649.60 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$295.40 |
$295.40 |
$295.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$138.95 |
$138.95 |
$138.95 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$863.62 |
$863.62 |
$863.62 |
$16,340.69
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$602.77 |
$602.77 |
$602.77 |
$4,181.29
|
|
Peng benzathine/procaine inj
|
$26.59 |
$26.59 |
$26.59 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$68.35 |
$68.35 |
$68.35 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$5.27 |
$5.27 |
$5.27 |
$100.50
|
|
Penile injection
|
$125.30 |
$125.30 |
$125.30 |
$418.00
|
|
Penile rear tip xtnd 0.5cm
|
$9,195.38 |
$9,195.38 |
$9,195.38 |
$19,235.57
|
|
Perc cryo ablate renal tum
|
$3,986.15 |
$3,986.15 |
$3,986.15 |
$12,320.22
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$80.68 |
$80.68 |
$80.68 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$205.28 |
$205.28 |
$205.28 |
$2,573.60
|
|
Peripheral vascular rehab
|
$43.58 |
$43.58 |
$43.58 |
$128.69
|
|
Peri-proc device eval pm
|
$270.20 |
$270.20 |
$270.20 |
$195.80
|
|
Perphenazine 4mg oral
|
$0.17 |
$0.17 |
$0.17 |
$9.93
|
|
Perq art m-thrombect &/nfs
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$4,335.10 |
$4,335.10 |
$4,335.10 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$1,548.60
|
|
Perq plmt bile duct stent
|
$3,167.15 |
$3,167.15 |
$3,167.15 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$1,310.23 |
$1,310.23 |
$1,310.23 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$3,117.98 |
$3,117.98 |
$3,117.98 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$402.68 |
$402.68 |
$402.68 |
$625.93
|
