|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,159.85 |
$2,159.85 |
$2,159.85 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,279.72 |
$2,279.72 |
$2,279.72 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,502.99 |
$1,502.99 |
$1,502.99 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,884.09 |
$2,884.09 |
$2,884.09 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,718.53 |
$2,718.53 |
$2,718.53 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,074.52 |
$2,074.52 |
$2,074.52 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$3,049.66 |
$3,049.66 |
$3,049.66 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,132.47 |
$2,132.47 |
$2,132.47 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$3,235.07 |
$3,235.07 |
$3,235.07 |
$608.56
|
|
Noninv pace analysis
|
$397.12 |
$397.12 |
$397.12 |
$761.60
|
|
Noonan spectrum disorders
|
$17,586.17 |
$17,586.17 |
$17,586.17 |
$2,357.96
|
|
Npm1 gene
|
$1,819.79 |
$1,819.79 |
$1,819.79 |
$430.95
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$168.74 |
$168.74 |
$168.74 |
$89.09
|
|
Npsy tst eval phsy/qhp 1st hr
|
$793.70 |
$793.70 |
$793.70 |
$407.40
|
|
Nras gene variants exon 2&3
|
$2,627.64 |
$2,627.64 |
$2,627.64 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$12,490.34 |
$12,490.34 |
$12,490.34 |
$7,875.40
|
|
Nsl/sins ndsc surg frnt sins
|
$32,323.47 |
$32,323.47 |
$32,323.47 |
$7,162.79
|
|
Nsl/sins ndsc total
|
$60,100.33 |
$60,100.33 |
$60,100.33 |
$6,128.86
|
|
Ntsty modul rad tx dlvr cplx
|
$6,830.30 |
$6,830.30 |
$6,830.30 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$5,254.41 |
$5,254.41 |
$5,254.41 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$1,124.68 |
$1,124.68 |
$1,124.68 |
$761.95
|
|
Nuclear rx IV admin
|
$2,516.68 |
$2,516.68 |
$2,516.68 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$8,729.81 |
$8,729.81 |
$8,729.81 |
$3,921.45
|
|
Nudt15 gene common variants
|
$2,390.49 |
$2,390.49 |
$2,390.49 |
$320.50
|
|
Nushield 1 square cm
|
$1,920.31 |
$1,920.31 |
$1,920.31 |
$2,342.13
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$4,753.23 |
$4,753.23 |
$4,753.23 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$196.31 |
$196.31 |
$196.31 |
$411.10
|
|
Observation per hour
|
$100.44 |
$100.44 |
$100.44 |
$79.30
|
|
Obstetrics panel
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$204.80
|
|
Obtaining screen pap smear
|
$132.22 |
$132.22 |
$132.22 |
$29.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$1,101.94 |
$1,101.94 |
$1,101.94 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$425.41 |
$425.41 |
$425.41 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$141,830.22 |
$141,830.22 |
$141,830.22 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$82.83 |
$82.83 |
$82.83 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$27,729.05 |
$27,729.05 |
$27,729.05 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$9,743.97 |
$9,743.97 |
$9,743.97 |
$4,797.94
|
|
Oncology prostate prob score
|
$5,962.80 |
$5,962.80 |
$5,962.80 |
$1,048.80
|
|
Onco (ovar) five proteins
|
$6,489.87 |
$6,489.87 |
$6,489.87 |
$897.00
|
|
Oncoprotein dcp
|
$576.99 |
$576.99 |
$576.99 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$39.55 |
$39.55 |
$39.55 |
$34.32
|
|
Optx acromclv dislc aqt/chrn
|
$36,229.65 |
$36,229.65 |
$36,229.65 |
$7,095.72
|
|
Optx clavicular fx w/int fix
|
$37,858.41 |
$37,858.41 |
$37,858.41 |
$8,453.60
|
|
Optx medial ankle fx
|
$35,788.76 |
$35,788.76 |
$35,788.76 |
$7,807.24
|
|
Optx radial shaft fracture
|
$32,586.14 |
$32,586.14 |
$32,586.14 |
$5,287.97
|
|
Optx rdl&uln shft fx rds&uln
|
$36,229.65 |
$36,229.65 |
$36,229.65 |
$6,839.00
|
|
Optx ulnar shft fx int fixj
|
$31,370.27 |
$31,370.27 |
$31,370.27 |
$7,913.97
|
|
Optx ulnar styloid fracture
|
$36,909.67 |
$36,909.67 |
$36,909.67 |
$5,886.74
|
|
Organic acids total quant ea spec
|
$734.13 |
$734.13 |
$734.13 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$15,981.75 |
$15,981.75 |
$15,981.75 |
$1,855.10
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.48 |
$63.48 |
$63.48 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$1,616.58 |
$1,616.58 |
$1,616.58 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$2,799.47 |
$2,799.47 |
$2,799.47 |
$717.62
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$3,919.14 |
$3,919.14 |
$3,919.14 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$1,516.22 |
$1,516.22 |
$1,516.22 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$1,797.95 |
$1,797.95 |
$1,797.95 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$1,516.22 |
$1,516.22 |
$1,516.22 |
$240.24
|
|
Orthopantogram
|
$811.90 |
$811.90 |
$811.90 |
$219.22
|
|
Orthovisc inj per dose
|
$404.75 |
$404.75 |
$404.75 |
$498.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,870.70 |
$1,870.70 |
$1,870.70 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$527.26 |
$527.26 |
$527.26 |
$221.34
|
|
Osmolality blood
|
$144.07 |
$144.07 |
$144.07 |
$67.60
|
|
Osmolality urine
|
$171.26 |
$171.26 |
$171.26 |
$65.65
|
|
Ostectomy complete 1st metatarsal head 28111
|
$18,821.15 |
$18,821.15 |
$18,821.15 |
$3,821.05
|
|
Osteopath manip tx/5-6 body region 98927
|
$83.27 |
$83.27 |
$83.27 |
$67.84
|
|
Osteopath manip tx/7-8 body region 98928
|
$83.27 |
$83.27 |
$83.27 |
$72.80
|
|
Osteopath manip tx/9-10 body region98929
|
$83.27 |
$83.27 |
$83.27 |
$95.16
|
|
Osteotomy/graft tarsal/calcaneus/talus 28305
|
$31,370.27 |
$31,370.27 |
$31,370.27 |
$5,855.00
|
|
Ot evaluation high complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$301.41 |
$301.41 |
$301.41 |
$270.58
|
|
Oth resp proc, group
|
$222.57 |
$222.57 |
$222.57 |
$154.00
|
|
Oth resp proc, indiv
|
$294.84 |
$294.84 |
$294.84 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$100.62 |
$100.62 |
$100.62 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$243.21 |
$243.21 |
$243.21 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$274.71 |
$274.71 |
$274.71 |
$107.32
|
|
Otolaryngo binocular microscopy 92504
|
$232.91 |
$232.91 |
$232.91 |
$63.20
|
|
Ot re-evaluation patient/family
|
$301.41 |
$301.41 |
$301.41 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$203.01 |
$203.01 |
$203.01 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$273.40 |
$273.40 |
$273.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$287.09 |
$287.09 |
$287.09 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$295.82 |
$295.82 |
$295.82 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$258.14 |
$258.14 |
$258.14 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$171.13 |
$171.13 |
$171.13 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$385.86 |
$385.86 |
$385.86 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,335.86 |
$1,335.86 |
$1,335.86 |
$231.46
|
|
Palonosetron hcl
|
$980.66 |
$980.66 |
$980.66 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$202.44 |
$202.44 |
$202.44 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$27,806.91 |
$27,806.91 |
$27,806.91 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$71.92 |
$71.92 |
$71.92 |
$44.25
|
|
Papaverin hcl injection
|
$109.99 |
$109.99 |
$109.99 |
$76.40
|
|
Parathormone (pth) intact
|
$656.33 |
$656.33 |
$656.33 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,838.87 |
$1,838.87 |
$1,838.87 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,800.04 |
$1,800.04 |
$1,800.04 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$318.12 |
$318.12 |
$318.12 |
$270.00
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$19,079.50 |
$19,079.50 |
$19,079.50 |
$3,881.50
|
|
Partial removal of eye fluid
|
$14,281.97 |
$14,281.97 |
$14,281.97 |
$2,698.92
|
|
Partial removal of foot bone
|
$19,079.50 |
$19,079.50 |
$19,079.50 |
$3,839.54
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$12.72 |
$12.72 |
$12.72 |
$4,418.62
|
|
Part removal of metatarsal
|
$19,032.53 |
$19,032.53 |
$19,032.53 |
$3,795.71
|