|
Nm imaging bone/joint whole body
|
$452.25 |
$452.25 |
$452.25 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$430.65 |
$430.65 |
$430.65 |
$1,422.00
|
|
Nm imaging gastric emptying study
|
$452.25 |
$452.25 |
$452.25 |
$1,363.98
|
|
Nm imaging gastrointestinal acute blood loss
|
$452.25 |
$452.25 |
$452.25 |
$1,207.59
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$452.25 |
$452.25 |
$452.25 |
$1,615.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$452.25 |
$452.25 |
$452.25 |
$1,550.95
|
|
Nm imaging pulmonary ventilation/perfusion
|
$452.25 |
$452.25 |
$452.25 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$452.25 |
$452.25 |
$452.25 |
$1,091.50
|
|
Nm radiopharmaceutical therapy oral administration
|
$452.25 |
$452.25 |
$452.25 |
$1,063.86
|
|
Noninv pace analysis
|
$513.90 |
$513.90 |
$513.90 |
$788.00
|
|
Npm1 gene
|
$317.25 |
$317.25 |
$317.25 |
$454.35
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,930.25 |
$2,930.25 |
$2,930.25 |
$7,426.37
|
|
Ntrk1 translocation analysis
|
$265.95 |
$265.95 |
$265.95 |
$228.04
|
|
Ntrk2 translocation analysis
|
$265.95 |
$265.95 |
$265.95 |
$261.28
|
|
Ntrk3 translocation analysis
|
$265.95 |
$265.95 |
$265.95 |
$261.28
|
|
Ntrk translocation analysis
|
$665.10 |
$665.10 |
$665.10 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$696.00 |
$696.00 |
$696.00 |
$2,493.60
|
|
Ntsty modul rad tx dlvr smpl
|
$580.05 |
$580.05 |
$580.05 |
$2,165.29
|
|
Nuclear rx intra-arterial
|
$452.25 |
$452.25 |
$452.25 |
$761.95
|
|
Nuclear rx IV admin
|
$452.25 |
$452.25 |
$452.25 |
$855.00
|
|
Nuclear Stress Test (Heart)
|
$452.25 |
$452.25 |
$452.25 |
$3,842.40
|
|
Nudt15 gene common variants
|
$252.30 |
$252.30 |
$252.30 |
$306.07
|
|
Observation direct referral from physician office for admission
|
$138.00 |
$138.00 |
$138.00 |
$385.00
|
|
Observation per hour
|
$11.10 |
$11.10 |
$11.10 |
$80.73
|
|
Obstetrics panel
|
$71.85 |
$71.85 |
$71.85 |
$216.92
|
|
Obtaining screen pap smear
|
$5.55 |
$5.55 |
$5.55 |
$37.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$126.15 |
$126.15 |
$126.15 |
$356.59
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$164.58 |
$164.58 |
$164.58 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$7,070.42 |
$7,070.42 |
$7,070.42 |
$12,080.43
|
|
Onc cutan mlnma mrna 31 gene
|
$9,230.85 |
$9,230.85 |
$9,230.85 |
$9,230.85
|
|
Oncology tum unknown origin
|
$2,530.20 |
$2,530.20 |
$2,530.20 |
$4,125.00
|
|
Oncoprotein her-2/neu
|
$69.00 |
$69.00 |
$69.00 |
$216.36
|
|
Onc thyr mrna 10,196 gen alg
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$4,320.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$2.93 |
$2.93 |
$2.93 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$29.55 |
$29.55 |
$29.55 |
$24.00
|
|
Organic acids total quant ea spec
|
$27.75 |
$27.75 |
$27.75 |
$151.05
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$38.15 |
$38.15 |
$38.15 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$59.55 |
$59.55 |
$59.55 |
$284.85
|
|
Ortho elbow w/lock w/ft&adj
|
$217.50 |
$217.50 |
$217.50 |
$550.50
|
|
Ortho ewhf rigd without jnt cstm w
|
$270.45 |
$270.45 |
$270.45 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$163.50 |
$163.50 |
$163.50 |
$763.50
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$56.10 |
$56.10 |
$56.10 |
$247.80
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$66.30 |
$66.30 |
$66.30 |
$315.01
|
|
Ortho hnd without jnt w/fit&adj
|
$56.10 |
$56.10 |
$56.10 |
$228.60
|
|
Orthopantogram
|
$65.85 |
$65.85 |
$65.85 |
$237.90
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$68.85 |
$68.85 |
$68.85 |
$468.21
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$243.75 |
$243.75 |
$243.75 |
$686.79
|
|
Osmolality blood
|
$11.70 |
$11.70 |
$11.70 |
$71.40
|
|
Osmolality urine
|
$12.00 |
$12.00 |
$12.00 |
$66.50
|
|
Ot evaluation high complexity patient/family
|
$79.20 |
$79.20 |
$79.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$71.70 |
$71.70 |
$71.70 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$75.45 |
$75.45 |
$75.45 |
$263.50
|
|
Oth resp proc, group
|
$79.05 |
$79.05 |
$79.05 |
$126.26
|
|
Oth resp proc, indiv
|
$79.05 |
$79.05 |
$79.05 |
$81.79
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$46.20 |
$46.20 |
$46.20 |
$99.00
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$36.60 |
$36.60 |
$36.60 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$28.95 |
$28.95 |
$28.95 |
$105.00
|
|
Ot re-evaluation patient/family
|
$45.90 |
$45.90 |
$45.90 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$100.75
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$22.65 |
$22.65 |
$22.65 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$23.70 |
$23.70 |
$23.70 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$30.90 |
$30.90 |
$30.90 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$32.25 |
$32.25 |
$32.25 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$33.60 |
$33.60 |
$33.60 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$204.95 |
$204.95 |
$204.95 |
$366.36
|
|
Oxytocin 10 unit/ml injection solution
|
$7.62 |
$7.62 |
$7.62 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$124.98 |
$124.98 |
$124.98 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,754.38 |
$1,754.38 |
$1,754.38 |
$3,420.45
|
|
Palb2 gene full gene seq
|
$222.30 |
$222.30 |
$222.30 |
$672.50
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$88.99 |
$88.99 |
$88.99 |
$129.80
|
|
Parathormone (pth) intact
|
$72.30 |
$72.30 |
$72.30 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$452.25 |
$452.25 |
$452.25 |
$1,641.50
|
|
Parathyroid planar imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$452.25 |
$452.25 |
$452.25 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$39.15 |
$39.15 |
$39.15 |
$245.89
|
|
Partial removal finger bone
|
$692.25 |
$692.25 |
$692.25 |
$2,018.00
|
|
Partial removal foot fascia
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$3,762.00
|
|
Passy muir valve metal trach
|
$682.50 |
$682.50 |
$682.50 |
$275.75
|
|
Path clin consltj sf 5-20
|
$22.20 |
$22.20 |
$22.20 |
$82.15
|
|
Pcv21 vaccine im
|
$415.01 |
$415.01 |
$415.01 |
$384.24
|
|
Ped crit care transport
|
$32.70 |
$32.70 |
$32.70 |
$434.40
|
|
Ped crit care transport addl
|
$16.50 |
$16.50 |
$16.50 |
$217.60
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,105.68 |
$7,105.68 |
$7,105.68 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$4,345.56 |
$4,345.56 |
$4,345.56 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,622.35 |
$4,622.35 |
$4,622.35 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,622.35 |
$4,622.35 |
$4,622.35 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$648.00 |
$648.00 |
$648.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$617.10 |
$617.10 |
$617.10 |
$1,610.00
|
|
Pelvic CT scan (without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$662.40
|
|
Pelvic Ultrasound (limited)
|
$101.55 |
$101.55 |
$101.55 |
$435.13
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$5,803.20 |
$5,803.20 |
$5,803.20 |
$11,589.18
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$1,804.43 |
$1,804.43 |
$1,804.43 |
$6,582.76
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$184.92 |
$184.92 |
$184.92 |
$826.47
|
|
Penile injection
|
$1,412.85 |
$1,412.85 |
$1,412.85 |
$418.86
|
|
Perc cryo ablate renal tum
|
$1,502.85 |
$1,502.85 |
$1,502.85 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$14,268.80
|