|
Neuromatrix nerve cuff, cm
|
$4,740.77 |
$4,740.77 |
$4,740.77 |
$3,138.16
|
|
New Patient Office Visit (level 2)
|
$914.10 |
$914.10 |
$914.10 |
$152.82
|
|
New Patient Office Visit (level 3)
|
$963.60 |
$963.60 |
$963.60 |
$208.20
|
|
New Patient Office Visit (level 4)
|
$1,034.25 |
$1,034.25 |
$1,034.25 |
$291.05
|
|
New Patient Office Visit (level 5)
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$348.60
|
|
N-invas est c ffr sw aly cta
|
$3,535.65 |
$3,535.65 |
$3,535.65 |
$2,246.83
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$91.95 |
$91.95 |
$91.95 |
$73.12
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$14,820.18 |
$14,820.18 |
$14,820.18 |
$14,820.18
|
|
Njx aa&/strd lmbr plex nfs
|
$1,277.55 |
$1,277.55 |
$1,277.55 |
$1,555.85
|
|
Njx aa&/strd nrv nrvtg si jt
|
$463.65 |
$463.65 |
$463.65 |
$1,159.00
|
|
Njx interlaminar crv/thrc
|
$1,261.20 |
$1,261.20 |
$1,261.20 |
$1,586.71
|
|
Njx interlaminar lmbr/sac
|
$1,261.95 |
$1,261.95 |
$1,261.95 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$2,141.85 |
$2,141.85 |
$2,141.85 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,657.05 |
$1,657.05 |
$1,657.05 |
$1,518.50
|
|
Nm imaging bone/joint 3 phase study
|
$1,570.65 |
$1,570.65 |
$1,570.65 |
$1,703.45
|
|
Nm imaging bone/joint whole body
|
$1,570.65 |
$1,570.65 |
$1,570.65 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,518.75 |
$1,518.75 |
$1,518.75 |
$1,401.00
|
|
Nm imaging gastric emptying study
|
$995.40 |
$995.40 |
$995.40 |
$1,345.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,099.65 |
$1,099.65 |
$1,099.65 |
$1,208.93
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,602.75 |
$1,602.75 |
$1,602.75 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,491.60 |
$1,491.60 |
$1,491.60 |
$1,547.04
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,199.15 |
$2,199.15 |
$2,199.15 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,044.15 |
$1,044.15 |
$1,044.15 |
$1,091.00
|
|
Non-corrosive finish
|
$126.65 |
$126.65 |
$126.65 |
$126.65
|
|
Non-sterile gauze<=16 sq in
|
$33.46 |
$33.46 |
$33.46 |
$32.08
|
|
Nras gene variants exon 2&3
|
$727.55 |
$727.55 |
$727.55 |
$621.87
|
|
Ntrk translocation analysis
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$4,138.95 |
$4,138.95 |
$4,138.95 |
$3,801.60
|
|
Nushield 1 square cm
|
$485.85 |
$485.85 |
$485.85 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$16,318.83 |
$16,318.83 |
$16,318.83 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$384.00 |
$384.00 |
$384.00 |
$387.00
|
|
Observation per hour
|
$75.00 |
$75.00 |
$75.00 |
$80.73
|
|
Obstetrics panel
|
$988.35 |
$988.35 |
$988.35 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$983.82 |
$983.82 |
$983.82 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,839.60 |
$6,839.60 |
$6,839.60 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$1,194.68 |
$1,194.68 |
$1,194.68 |
$1,810.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,574.18 |
$1,574.18 |
$1,574.18 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$117.61 |
$117.61 |
$117.61 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,742.21 |
$2,742.21 |
$2,742.21 |
$4,595.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$22.78
|
|
Ophthalmic mitomycin
|
$775.44 |
$775.44 |
$775.44 |
$775.44
|
|
Oral aprepitant
|
$286.55 |
$286.55 |
$286.55 |
$410.20
|
|
Oral busulfan
|
$29.52 |
$29.52 |
$29.52 |
$176.80
|
|
Oral everolimus
|
$720.08 |
$720.08 |
$720.08 |
$33.34
|
|
Organic acids total quant ea spec
|
$135.60 |
$135.60 |
$135.60 |
$149.40
|
|
Oritavancin 400 mg intravenous solution
|
$2,298.41 |
$2,298.41 |
$2,298.41 |
$3,354.72
|
|
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 |
$169.72 |
$550.50
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,097.19 |
$1,097.19 |
$1,097.19 |
$772.99
|
|
Orthopantogram
|
$285.15 |
$285.15 |
$285.15 |
$237.43
|
|
Orthosis lso rigd frm hyperex
|
$873.43 |
$873.43 |
$873.43 |
$837.25
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$609.50 |
$609.50 |
$609.50 |
$461.28
|
|
Oscillation chest wall mechanical per session
|
$155.55 |
$155.55 |
$155.55 |
$196.70
|
|
Osmolality blood
|
$188.70 |
$188.70 |
$188.70 |
$68.40
|
|
Osmolality urine
|
$188.70 |
$188.70 |
$188.70 |
$65.52
|
|
Ostomy clamp, replacement
|
$2.79 |
$2.79 |
$2.79 |
$4.66
|
|
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 |
$7.80
|
|
Ost skn barr extnd >4 sq
|
$1.01 |
$1.01 |
$1.01 |
$2.78
|
|
Ost urine pch w b/bltin conv
|
$2.90 |
$2.90 |
$2.90 |
$2.90
|
|
Ot evaluation high complexity patient/family
|
$306.75 |
$306.75 |
$306.75 |
$292.00
|
|
Ot evaluation low complexity patient/family
|
$407.55 |
$407.55 |
$407.55 |
$228.58
|
|
Ot evaluation moderate complexity patient/family
|
$306.75 |
$306.75 |
$306.75 |
$257.74
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$134.70 |
$134.70 |
$134.70 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$128.10 |
$128.10 |
$128.10 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$115.20 |
$115.20 |
$115.20 |
$104.97
|
|
Ot re-evaluation patient/family
|
$205.20 |
$205.20 |
$205.20 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$117.45 |
$117.45 |
$117.45 |
$99.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$123.90 |
$123.90 |
$123.90 |
$97.44
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$113.70 |
$113.70 |
$113.70 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$225.45 |
$225.45 |
$225.45 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$76.52 |
$76.52 |
$76.52 |
$80.90
|
|
Oxaliplatin 5 mg/ml desensitization
|
$432.00 |
$432.00 |
$432.00 |
$347.26
|
|
Oxytocin 10 unit/ml injection solution
|
$94.05 |
$94.05 |
$94.05 |
$50.04
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$216.00 |
$216.00 |
$216.00 |
$216.00
|
|
Pad repl cerv collr univ adult
|
$192.01 |
$192.01 |
$192.01 |
$192.01
|
|
Palingen or palingen xplus
|
$656.01 |
$656.01 |
$656.01 |
$656.01
|
|
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
|
|
Palonosetron hcl
|
$432.00 |
$432.00 |
$432.00 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$202.09 |
$202.09 |
$202.09 |
$129.02
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,051.61 |
$13,051.61 |
$13,051.61 |
$13,051.61
|
|
Papaverin hcl injection
|
$52.18 |
$52.18 |
$52.18 |
$76.40
|
|
Parathormone (pth) intact
|
$273.30 |
$273.30 |
$273.30 |
$200.85
|
|
Parathyroid planar imaging
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,883.70 |
$1,883.70 |
$1,883.70 |
$1,345.00
|
|
Paricalcitol
|
$41.45 |
$41.45 |
$41.45 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$235.35 |
$235.35 |
$235.35 |
$249.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6,448.80 |
$6,448.80 |
$6,448.80 |
$4,921.76
|
|
Passy muir valve metal trach
|
$275.75 |
$275.75 |
$275.75 |
$275.75
|
|
Paste skin barrier .5oz adapt
|
$5.73 |
$5.73 |
$5.73 |
$5.73
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$61.50 |
$61.50 |
$61.50 |
$49.45
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,707.63 |
$12,707.63 |
$12,707.63 |
$11,216.31
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,133.25 |
$4,133.25 |
$4,133.25 |
$4,133.25
|
|
Pegloticase 8 mg/ml intravenous solution
|
$56,690.57 |
$56,690.57 |
$56,690.57 |
$49,585.09
|
|
Pelvic CT scan (with and without contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,881.00
|
|
Pelvic CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,081.55 |
$2,081.55 |
$2,081.55 |
$1,350.25
|
|
Pelvic & hip control thigh c
|
$2,637.58 |
$2,637.58 |
$2,637.58 |
$2,512.27
|
