|
Npm1 gene
|
$391.00 |
$391.00 |
$391.00 |
$457.50
|
|
Npsy fam hlth interv ea addl 15 min
|
$81.50 |
$81.50 |
$81.50 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$14.50 |
$14.50 |
$14.50 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$74.00 |
$74.00 |
$74.00 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$412.00 |
$412.00 |
$412.00 |
$410.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$295.00 |
$295.00 |
$295.00 |
$252.54
|
|
Nras gene variants exon 2&3
|
$727.00 |
$727.00 |
$727.00 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$14,818.00 |
$14,818.00 |
$14,818.00 |
$6,930.00
|
|
Ntrk translocation analysis
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$873.60
|
|
Nuclear matrix protein 22
|
$134.50 |
$134.50 |
$134.50 |
$44.00
|
|
Nuclear rx intra-arterial
|
$851.50 |
$851.50 |
$851.50 |
$765.00
|
|
Nuclear rx intracav admin
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$776.97
|
|
Nuclear rx IV admin
|
$681.00 |
$681.00 |
$681.00 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$3,728.50 |
$3,728.50 |
$3,728.50 |
$3,858.20
|
|
Nuclr rx interstit colloid
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$581.25
|
|
Nudt15 gene common variants
|
$831.00 |
$831.00 |
$831.00 |
$304.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$120.11 |
$120.11 |
$120.11 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$395.00 |
$395.00 |
$395.00 |
$385.00
|
|
Observation per hour
|
$268.50 |
$268.50 |
$268.50 |
$82.55
|
|
Obstetrics panel
|
$508.00 |
$508.00 |
$508.00 |
$214.50
|
|
Obtaining screen pap smear
|
$45.50 |
$45.50 |
$45.50 |
$38.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$436.00 |
$436.00 |
$436.00 |
$356.59
|
|
Ob Ultrasound nuchal meas add-on
|
$345.50 |
$345.50 |
$345.50 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$246.00 |
$246.00 |
$246.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$212.00 |
$212.00 |
$212.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$212.50 |
$212.50 |
$212.50 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$95.54 |
$95.54 |
$95.54 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$6.16 |
$6.16 |
$6.16 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$449.37 |
$449.37 |
$449.37 |
$12,080.43
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,057.89 |
$1,057.89 |
$1,057.89 |
$1,220.80
|
|
Onc brst mrna 11 genes
|
$13,251.00 |
$13,251.00 |
$13,251.00 |
$5,344.74
|
|
Onc brst mrna 70 cnt 31 gene
|
$10,039.00 |
$10,039.00 |
$10,039.00 |
$4,260.30
|
|
Oncology colorectal scr
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$740.01
|
|
Oncology gynecologic
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$799.65
|
|
Oncology gynecologic
|
$683.50 |
$683.50 |
$683.50 |
$195.32
|
|
Oncology prostate prob score
|
$494.00 |
$494.00 |
$494.00 |
$952.00
|
|
Oncology tum unknown origin
|
$9,720.00 |
$9,720.00 |
$9,720.00 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$986.70
|
|
Onco (ovar) two proteins
|
$675.50 |
$675.50 |
$675.50 |
$359.49
|
|
Oncoprotein dcp
|
$891.50 |
$891.50 |
$891.50 |
$171.25
|
|
Oncoprotein her-2/neu
|
$964.50 |
$964.50 |
$964.50 |
$216.00
|
|
Onc thyr mrna 10,196 gen alg
|
$9,331.00 |
$9,331.00 |
$9,331.00 |
$4,320.00
|
|
Ondansetron 4 mg s0119
|
$6.12 |
$6.12 |
$6.12 |
$2.52
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$5.11 |
$5.11 |
$5.11 |
$22.62
|
|
Open ablate liver tumor rf
|
$2,320.50 |
$2,320.50 |
$2,320.50 |
$2,968.00
|
|
Open tx nose fx w/skele fixj
|
$11,111.50 |
$11,111.50 |
$11,111.50 |
$5,977.18
|
|
Ophthalmic mitomycin
|
$89.71 |
$89.71 |
$89.71 |
$775.44
|
|
Oral aprepitant
|
$11.72 |
$11.72 |
$11.72 |
$410.20
|
|
Oral everolimus
|
$11.26 |
$11.26 |
$11.26 |
$30.30
|
|
Organic acids total quant ea spec
|
$196.00 |
$196.00 |
$196.00 |
$152.50
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$318.50 |
$318.50 |
$318.50 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$550.50 |
$550.50 |
$550.50 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$1,393.50 |
$1,393.50 |
$1,393.50 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$763.50 |
$763.50 |
$763.50 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$294.50 |
$294.50 |
$294.50 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$351.00 |
$351.00 |
$351.00 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$115.00 |
$115.00 |
$115.00 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$294.50 |
$294.50 |
$294.50 |
$229.45
|
|
Orthopantogram
|
$241.50 |
$241.50 |
$241.50 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$407.50 |
$407.50 |
$407.50 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,078.50 |
$1,078.50 |
$1,078.50 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$309.50 |
$309.50 |
$309.50 |
$196.70
|
|
Osmolality blood
|
$57.00 |
$57.00 |
$57.00 |
$69.55
|
|
Osmolality urine
|
$81.50 |
$81.50 |
$81.50 |
$65.50
|
|
Other immunoelectrophoresis
|
$179.00 |
$179.00 |
$179.00 |
$107.52
|
|
Oth resp proc, group
|
$137.00 |
$137.00 |
$137.00 |
$126.00
|
|
Oth resp proc, indiv
|
$137.00 |
$137.00 |
$137.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$230.50 |
$230.50 |
$230.50 |
$98.40
|
|
Ot re-evaluation patient/family
|
$181.00 |
$181.00 |
$181.00 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$48.50 |
$48.50 |
$48.50 |
$94.81
|
|
Oxytocin 10 unit/ml injection solution
|
$24.14 |
$24.14 |
$24.14 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.74 |
$0.74 |
$0.74 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$20.37 |
$20.37 |
$20.37 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$672.50 |
$672.50 |
$672.50 |
$672.50
|
|
Palb2 gene known famil vrnt
|
$716.00 |
$716.00 |
$716.00 |
$496.86
|
|
Palonosetron hcl
|
$3.12 |
$3.12 |
$3.12 |
$162.89
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$23.15 |
$23.15 |
$23.15 |
$122.00
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$240.93 |
$240.93 |
$240.93 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$39.69 |
$39.69 |
$39.69 |
$28.90
|
|
Papaverin hcl injection
|
$33.97 |
$33.97 |
$33.97 |
$78.75
|
|
Parathormone (pth) intact
|
$324.50 |
$324.50 |
$324.50 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$1,360.50 |
$1,360.50 |
$1,360.50 |
$1,574.40
|
|
Parathyroid planar imaging
|
$867.00 |
$867.00 |
$867.00 |
$1,125.60
|
|
Parathyroid planar img w/tomo spect
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$1,350.60
|
|
Paricalcitol
|
$8.68 |
$8.68 |
$8.68 |
$47.15
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$191.50 |
$191.50 |
$191.50 |
$245.67
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$9,458.00 |
$9,458.00 |
$9,458.00 |
$4,914.00
|
|
Partial removal finger bone
|
$2,757.00 |
$2,757.00 |
$2,757.00 |
$2,134.33
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,024.46 |
$2,024.46 |
$2,024.46 |
$4,921.76
|
|
Passy muir valve metal trach
|
$93.00 |
$93.00 |
$93.00 |
$275.75
|
|
Pdgfra gene
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$717.23
|
|
Pdt dstr prmlg les phys/qhp
|
$1,731.50 |
$1,731.50 |
$1,731.50 |
$294.77
|
|
Pegaspargase injection
|
$30,955.39 |
$30,955.39 |
$30,955.39 |
$41,065.49
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$483.79 |
$483.79 |
$483.79 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$212.48 |
$212.48 |
$212.48 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$364.22 |
$364.22 |
$364.22 |
$7,297.36
|
|
Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe
|
$476.31 |
$476.31 |
$476.31 |
$4,300.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$192.38 |
$192.38 |
$192.38 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$946.50 |
$946.50 |
$946.50 |
$1,890.36
|
