|
Nm imaging gastrointestinal acute blood loss
|
$1,211.60 |
$1,211.60 |
$1,211.60 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,523.20 |
$1,523.20 |
$1,523.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,421.60 |
$1,421.60 |
$1,421.60 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,542.40 |
$1,542.40 |
$1,542.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$689.60 |
$689.60 |
$689.60 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$865.20 |
$865.20 |
$865.20 |
$1,056.33
|
|
Non-corrosive finish
|
$52.80 |
$52.80 |
$52.80 |
$126.65
|
|
Noonan spectrum disorders
|
$2,582.40 |
$2,582.40 |
$2,582.40 |
$2,582.40
|
|
Npm1 gene
|
$453.20 |
$453.20 |
$453.20 |
$457.50
|
|
Nras gene variants exon 2&3
|
$407.60 |
$407.60 |
$407.60 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$5,080.40 |
$5,080.40 |
$5,080.40 |
$6,737.40
|
|
Ntrk translocation analysis
|
$475.60 |
$475.60 |
$475.60 |
$873.60
|
|
Nuclear matrix protein 22
|
$43.60 |
$43.60 |
$43.60 |
$44.00
|
|
Nuclear rx intra-arterial
|
$865.20 |
$865.20 |
$865.20 |
$765.00
|
|
Nuclear rx IV admin
|
$891.60 |
$891.60 |
$891.60 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,658.00 |
$3,658.00 |
$3,658.00 |
$3,804.45
|
|
Nudt15 gene common variants
|
$234.00 |
$234.00 |
$234.00 |
$301.62
|
|
Observation direct referral from physician office for admission
|
$904.40 |
$904.40 |
$904.40 |
$384.00
|
|
Observation per hour
|
$168.40 |
$168.40 |
$168.40 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$130.00 |
$130.00 |
$130.00 |
$264.60
|
|
Obstetrics panel
|
$97.60 |
$97.60 |
$97.60 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$359.20 |
$359.20 |
$359.20 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$253.60 |
$253.60 |
$253.60 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$114.00 |
$114.00 |
$114.00 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$15.94 |
$15.94 |
$15.94 |
$90.00
|
|
Offset knee joint each
|
$64.00 |
$64.00 |
$64.00 |
$221.31
|
|
Offset knee joint heavy duty
|
$89.60 |
$89.60 |
$89.60 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$7.07 |
$7.07 |
$7.07 |
$109.58
|
|
Oncology prostate prob score
|
$952.00 |
$952.00 |
$952.00 |
$952.00
|
|
Oncology tum unknown origin
|
$3,936.00 |
$3,936.00 |
$3,936.00 |
$4,125.00
|
|
Onco (ovar) five proteins
|
$902.40 |
$902.40 |
$902.40 |
$986.70
|
|
Oncoprotein dcp
|
$149.60 |
$149.60 |
$149.60 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$30.16 |
$30.16 |
$30.16 |
$22.62
|
|
One-way allow prorated trip
|
$5.20 |
$5.20 |
$5.20 |
$18.57
|
|
Open bx/exc inguinofem nodes
|
$8,245.20 |
$8,245.20 |
$8,245.20 |
$4,992.00
|
|
Opioids & opiate analogs 3/4
|
$124.00 |
$124.00 |
$124.00 |
$24.00
|
|
Organic acids total quant ea spec
|
$45.20 |
$45.20 |
$45.20 |
$151.36
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$160.80 |
$160.80 |
$160.80 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$419.20 |
$419.20 |
$419.20 |
$536.90
|
|
Ortho ewhf rigd without jnt cstm w
|
$713.60 |
$713.60 |
$713.60 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$18.40 |
$18.40 |
$18.40 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$150.80 |
$150.80 |
$150.80 |
$238.34
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$174.40 |
$174.40 |
$174.40 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$150.80 |
$150.80 |
$150.80 |
$231.00
|
|
Ortho sidebar disconnect
|
$79.60 |
$79.60 |
$79.60 |
$145.60
|
|
Orthosis lso rigd frm hyperex
|
$282.80 |
$282.80 |
$282.80 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$200.40 |
$200.40 |
$200.40 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$165.60 |
$165.60 |
$165.60 |
$195.00
|
|
Osmolality blood
|
$16.40 |
$16.40 |
$16.40 |
$67.60
|
|
Osmolality urine
|
$16.40 |
$16.40 |
$16.40 |
$65.00
|
|
Osteopath manip tx/5-6 body region 98927
|
$72.40 |
$72.40 |
$72.40 |
$68.25
|
|
Osteopath manip tx/7-8 body region 98928
|
$75.20 |
$75.20 |
$75.20 |
$84.22
|
|
Osteopath manip tx/9-10 body region98929
|
$75.20 |
$75.20 |
$75.20 |
$92.42
|
|
Ot evaluation high complexity patient/family
|
$167.20 |
$167.20 |
$167.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$144.00 |
$144.00 |
$144.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$156.40 |
$156.40 |
$156.40 |
$263.50
|
|
Oth resp proc, group
|
$86.80 |
$86.80 |
$86.80 |
$123.05
|
|
Oth resp proc, indiv
|
$77.60 |
$77.60 |
$77.60 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$75.20 |
$75.20 |
$75.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$64.80 |
$64.80 |
$64.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$53.20 |
$53.20 |
$53.20 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$60.80 |
$60.80 |
$60.80 |
$60.45
|
|
Ot re-evaluation patient/family
|
$90.80 |
$90.80 |
$90.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$62.40 |
$62.40 |
$62.40 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$51.60 |
$51.60 |
$51.60 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$51.60 |
$51.60 |
$51.60 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$52.40 |
$52.40 |
$52.40 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$54.00 |
$54.00 |
$54.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$55.20 |
$55.20 |
$55.20 |
$94.25
|
|
Palb2 gene full gene seq
|
$572.00 |
$572.00 |
$572.00 |
$672.50
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$28.84 |
$28.84 |
$28.84 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$31.94 |
$31.94 |
$31.94 |
$29.31
|
|
Parathormone (pth) intact
|
$95.60 |
$95.60 |
$95.60 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,553.60 |
$1,553.60 |
$1,553.60 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,174.40 |
$1,174.40 |
$1,174.40 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$180.00 |
$180.00 |
$180.00 |
$245.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,674.00 |
$5,674.00 |
$5,674.00 |
$4,921.76
|
|
Passy muir valve metal trach
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$275.75
|
|
Path clin consltj sf 5-20
|
$149.60 |
$149.60 |
$149.60 |
$97.14
|
|
Pdgfra gene
|
$624.40 |
$624.40 |
$624.40 |
$717.23
|
|
Pd hl 3.5in 4d med rbr mld 6432
|
$27.60 |
$27.60 |
$27.60 |
$49.45
|
|
Pelv band/spread bar thigh c
|
$282.80 |
$282.80 |
$282.80 |
$802.87
|
|
Pelvic band & belt thigh fla
|
$204.00 |
$204.00 |
$204.00 |
$504.00
|
|
Pelvic control band & belt b
|
$238.80 |
$238.80 |
$238.80 |
$566.16
|
|
Pelvic control band & belt u
|
$153.20 |
$153.20 |
$153.20 |
$500.58
|
|
Pelvic control pelvic sling
|
$321.20 |
$321.20 |
$321.20 |
$912.18
|
|
Pelvic CT scan (with and without contrast)
|
$1,405.20 |
$1,405.20 |
$1,405.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$831.20 |
$831.20 |
$831.20 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,815.60 |
$1,815.60 |
$1,815.60 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$420.00 |
$420.00 |
$420.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$358.40 |
$358.40 |
$358.40 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$43.86 |
$43.86 |
$43.86 |
$826.47
|
|
Penile rear tip xtnd 0.5cm
|
$21,658.00 |
$21,658.00 |
$21,658.00 |
$18,764.94
|
|
Penile vascular study
|
$576.40 |
$576.40 |
$576.40 |
$576.40
|
|
Penis study
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$368.50
|