|
Non-molded lacer
|
$360.00 |
$360.00 |
$360.00 |
$327.17
|
|
Non-sterile gauze<=16 sq in
|
$33.46 |
$33.46 |
$33.46 |
$32.08
|
|
Noonan spectrum disorders
|
$357.79 |
$357.79 |
$357.79 |
$2,582.40
|
|
Nose (Nasal Bone) X-ray (complete)
|
$257.89 |
$257.89 |
$274.65 |
$274.65
|
|
Npm1 gene
|
$577.61 |
$577.61 |
$664.20 |
$457.50
|
|
Nps surg dilat eust tube bi
|
$3,092.04 |
$3,092.04 |
$3,092.04 |
$6,547.81
|
|
Nps surg dilat eust tube uni
|
$2,061.36 |
$2,061.36 |
$2,061.36 |
$7,000.36
|
|
Npsy fam hlth interv ea addl 15 min
|
$82.25 |
$82.25 |
$82.25 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$73.18 |
$73.18 |
$73.18 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$102.71 |
$102.71 |
$102.71 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$407.40 |
$407.40 |
$407.40 |
$412.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$317.36 |
$317.36 |
$317.36 |
$252.54
|
|
Nras gene variants exon 2&3
|
$590.26 |
$590.26 |
$727.55 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$8,344.87 |
$8,344.87 |
$8,344.87 |
$6,930.00
|
|
Nsl/sinus ndsc cryoabltj pnn
|
$6,695.65 |
$6,695.65 |
$6,695.65 |
$6,921.00
|
|
Ntrk translocation analysis
|
$1,171.20 |
$1,171.20 |
$1,200.00 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$1,334.85 |
$1,334.85 |
$2,594.96 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$1,334.85 |
$1,334.85 |
$2,594.96 |
$2,165.29
|
|
Nuclear localization/abscess
|
$1,171.74 |
$1,171.74 |
$1,171.74 |
$1,200.00
|
|
Nuclear rx intra-arterial
|
$1,172.68 |
$1,172.68 |
$1,172.68 |
$765.00
|
|
Nuclear rx intracav admin
|
$749.55 |
$749.55 |
$749.55 |
$776.97
|
|
Nuclear rx IV admin
|
$755.45 |
$755.45 |
$755.45 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$4,138.95 |
$4,138.95 |
$4,393.64 |
$3,859.98
|
|
Nudt15 gene common variants
|
$277.50 |
$277.50 |
$277.50 |
$304.50
|
|
Nushield 1 square cm
|
$485.85 |
$485.85 |
$833.29 |
$931.43
|
|
Obecbtge autol up to 400 mil
|
$1,625,690.40 |
$1,625,690.40 |
$1,625,690.40 |
$1,625,690.40
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$14,865.31 |
$14,865.31 |
$16,318.83 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$384.00 |
$384.00 |
$554.33 |
$384.00
|
|
Observation per hour
|
$75.00 |
$75.00 |
$107.81 |
$82.50
|
|
Obstetric panel inc HIV tstg
|
$487.97 |
$487.97 |
$487.97 |
$263.65
|
|
Obstetrics panel
|
$253.73 |
$253.73 |
$988.35 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$374.12 |
$374.12 |
$508.20 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$268.24 |
$268.24 |
$508.20 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$352.05 |
$352.05 |
$508.20 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$35,485.88 |
$35,485.88 |
$35,485.88 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$983.82 |
$983.82 |
$1,341.58 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,839.60 |
$6,839.60 |
$6,839.60 |
$12,080.43
|
|
Ocular function screen
|
$16.22 |
$16.22 |
$16.22 |
$41.60
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,194.68 |
$1,194.68 |
$1,194.68 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,440.03 |
$1,440.03 |
$1,574.18 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$117.61 |
$117.61 |
$135.70 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,742.21 |
$2,742.21 |
$2,742.21 |
$4,595.01
|
|
Onc breast mrna 58 genes
|
$3,012.25 |
$3,012.25 |
$3,012.25 |
$3,464.09
|
|
Oncology lung
|
$357.79 |
$357.79 |
$357.79 |
$3,158.10
|
|
Oncology prostate prob score
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$952.00
|
|
Oncology thyroid
|
$357.79 |
$357.79 |
$357.79 |
$357.79
|
|
Oncology tum unknown origin
|
$5,700.00 |
$5,700.00 |
$5,700.00 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$682.50 |
$682.50 |
$682.50 |
$986.70
|
|
Oncoprotein dcp
|
$159.60 |
$159.60 |
$159.60 |
$167.91
|
|
Onc thyr mrna 10,196 gen alg
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,320.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$28.30 |
$22.62
|
|
Oocyte identification
|
$337.20 |
$337.20 |
$337.20 |
$401.60
|
|
Open thrombectomy of av fistula without revision 36831
|
$6,898.73 |
$6,898.73 |
$6,898.73 |
$6,366.08
|
|
Ophthalmic mitomycin
|
$775.44 |
$775.44 |
$775.44 |
$775.44
|
|
Oph Ultrasound dx quan a-scan only
|
$264.70 |
$264.70 |
$264.70 |
$298.98
|
|
Opn ilac art expos cndt crtj
|
$1,169.29 |
$1,169.29 |
$1,169.29 |
$1,169.29
|
|
Opn mpltj hpglsl nstm ary pg
|
$36,076.18 |
$36,076.18 |
$36,076.18 |
$36,076.18
|
|
Optx tmprmand dislocation
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$4,179.20
|
|
Oral aprepitant
|
$286.55 |
$286.55 |
$410.20 |
$410.20
|
|
Oral busulfan
|
$29.52 |
$29.52 |
$29.52 |
$176.80
|
|
Oral everolimus
|
$25.34 |
$25.34 |
$720.08 |
$30.30
|
|
Organic acids total quant ea spec
|
$231.47 |
$231.47 |
$513.30 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$2,298.41 |
$2,298.41 |
$2,298.41 |
$3,311.06
|
|
Oropharyngeal biopsy 42800
|
$1,698.19 |
$1,698.19 |
$1,698.19 |
$2,443.00
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.63 |
$50.63 |
$50.63 |
$50.63
|
|
Ortho elbow w/lock w/ft&adj
|
$169.72 |
$169.72 |
$348.29 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$881.50 |
$881.50 |
$1,097.19 |
$702.80
|
|
Ortho hnd without jnt w/fit&adj
|
$225.00 |
$225.00 |
$225.00 |
$229.45
|
|
Orthopantogram
|
$219.22 |
$219.22 |
$219.22 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$678.20 |
$678.20 |
$873.43 |
$813.61
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$420.76 |
$420.76 |
$609.50 |
$421.00
|
|
Oscillation chest wall mechanical per session
|
$155.55 |
$155.55 |
$333.90 |
$196.30
|
|
Osmolality blood
|
$91.31 |
$91.31 |
$188.70 |
$70.85
|
|
Osmolality urine
|
$88.31 |
$88.31 |
$188.70 |
$65.52
|
|
Osteochondral talus autogrft
|
$6,731.17 |
$6,731.17 |
$6,731.17 |
$7,807.24
|
|
Ostomy clamp, replacement
|
$2.79 |
$2.79 |
$2.79 |
$2.79
|
|
Ostomy irrigation set
|
$41.58 |
$41.58 |
$41.58 |
$41.58
|
|
Ost pch drain for barrier fl
|
$11.45 |
$11.45 |
$11.45 |
$11.45
|
|
Ost pch drain w bar & filter
|
$2.92 |
$2.92 |
$2.92 |
$2.92
|
|
Ost skn barr extnd >4 sq
|
$1.01 |
$1.01 |
$1.01 |
$1.01
|
|
Ost urine pch w b/bltin conv
|
$2.90 |
$2.90 |
$2.90 |
$2.90
|
|
Other immunoelectrophoresis
|
$173.50 |
$173.50 |
$173.50 |
$107.52
|
|
Oth resp proc, group
|
$173.23 |
$173.23 |
$173.23 |
$126.00
|
|
Oth resp proc, indiv
|
$119.59 |
$119.59 |
$119.59 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$124.35 |
$124.35 |
$134.70 |
$97.80
|
|
Ot re-evaluation patient/family
|
$227.06 |
$227.06 |
$508.20 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$115.19 |
$115.19 |
$123.90 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$114.69 |
$114.69 |
$123.90 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.52 |
$76.52 |
$76.52 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$289.20 |
$289.20 |
$432.00 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$50.40 |
$50.40 |
$94.05 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$48,945.60 |
$48,945.60 |
$48,945.60 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$216.00 |
$216.00 |
$222.51 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,874.11 |
$2,874.11 |
$2,874.11 |
$3,435.42
|
|
Pad repl cerv collr univ adult
|
$192.01 |
$192.01 |
$192.01 |
$192.01
|
|
Palb2 gene full gene seq
|
$290.46 |
$290.46 |
$290.46 |
$672.50
|
|
Palingen or palingen xplus
|
$656.01 |
$656.01 |
$656.01 |
$171.12
|
|
Palingen or promatrx
|
$691.88 |
$691.88 |
$691.88 |
$691.88
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,887.83 |
$6,887.83 |
$6,887.83 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$6,191.26 |
$6,191.26 |
$6,191.26 |
$5,580.28
|
