|
New Patient Office Visit (level 4)
|
$72.50 |
$72.50 |
$72.50 |
$291.06
|
|
Nfct ds bv&vaginitis dna alg
|
$445.50 |
$445.50 |
$445.50 |
$400.00
|
|
N-invas est c ffr sw aly cta
|
$3,296.00 |
$3,296.00 |
$3,296.00 |
$2,194.83
|
|
Nipple/areola reconst 19350
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$4,531.42
|
|
Nipple exploration
|
$5,405.50 |
$5,405.50 |
$5,405.50 |
$3,986.00
|
|
Nitrogen n-13 ammonia
|
$648.00 |
$648.00 |
$648.00 |
$914.25
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$31,772.36 |
$31,772.36 |
$31,772.36 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$53,976.93 |
$53,976.93 |
$53,976.93 |
$41,635.10
|
|
Njx aa&/strd lmbr plex nfs
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,559.40
|
|
Njx aa&/strd nrv nrvtg si jt
|
$901.50 |
$901.50 |
$901.50 |
$1,159.00
|
|
Njx aa&/strd sc nrv nfs img
|
$1,761.50 |
$1,761.50 |
$1,761.50 |
$1,772.02
|
|
Njx aa&/strd vagus nrv
|
$834.00 |
$834.00 |
$834.00 |
$405.60
|
|
Njx cath slct p angrph mapca
|
$10,002.00 |
$10,002.00 |
$10,002.00 |
$1,301.25
|
|
Njx cath slct p-art angrp bi
|
$3,322.50 |
$3,322.50 |
$3,322.50 |
$1,300.00
|
|
Njx cath slct pulm vn angrph
|
$2,500.50 |
$2,500.50 |
$2,500.50 |
$927.00
|
|
Njx cth slct p-art angrp uni
|
$1,661.50 |
$1,661.50 |
$1,661.50 |
$1,063.68
|
|
Njx interlaminar crv/thrc
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,586.71
|
|
Njx interlaminar crv/thrc
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$1,440.80
|
|
Nl rmvl lg staghorn calculus
|
$14,803.50 |
$14,803.50 |
$14,803.50 |
$7,043.40
|
|
Nm imaging bone/joint 3 phase study
|
$1,283.50 |
$1,283.50 |
$1,283.50 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,159.50 |
$1,159.50 |
$1,159.50 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,906.50 |
$1,906.50 |
$1,906.50 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$864.50 |
$864.50 |
$864.50 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$992.00 |
$992.00 |
$992.00 |
$1,056.33
|
|
Non-blind interatrial shunt
|
$39,878.00 |
$39,878.00 |
$39,878.00 |
$32,542.99
|
|
Non-card vasc flow imaging
|
$574.00 |
$574.00 |
$574.00 |
$608.56
|
|
Noninv pace analysis
|
$757.00 |
$757.00 |
$757.00 |
$761.60
|
|
Non-ophthalmic fva
|
$793.50 |
$793.50 |
$793.50 |
$609.12
|
|
Noonan spectrum disorders
|
$964.50 |
$964.50 |
$964.50 |
$2,582.40
|
|
Novachor 1 sq cm
|
$758.00 |
$758.00 |
$758.00 |
$796.00
|
|
Npm1 gene
|
$457.50 |
$457.50 |
$457.50 |
$457.50
|
|
Nps surg dilat eust tube bi
|
$9,998.51 |
$9,998.51 |
$9,998.51 |
$6,372.80
|
|
Nps surg dilat eust tube uni
|
$3,772.50 |
$3,772.50 |
$3,772.50 |
$7,000.36
|
|
Npsy fam hlth interv ea addl 15 min
|
$32.00 |
$32.00 |
$32.00 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$32.00 |
$32.00 |
$32.00 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$366.00 |
$366.00 |
$366.00 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$541.50 |
$541.50 |
$541.50 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$998.00 |
$998.00 |
$998.00 |
$244.95
|
|
Nras gene variants exon 2&3
|
$373.50 |
$373.50 |
$373.50 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$6,737.40
|
|
Nrv grf mltst arm/leg >4 cm
|
$29,784.00 |
$29,784.00 |
$29,784.00 |
$6,839.00
|
|
Nrv rpr w/nrv algrft 1st
|
$24,470.67 |
$24,470.67 |
$24,470.67 |
$7,541.82
|
|
Nrv rpr w/nrv algrft ea addl
|
$13,308.75 |
$13,308.75 |
$13,308.75 |
$444.80
|
|
Nsl/sins ndsc med&inf dcmprn
|
$7,374.00 |
$7,374.00 |
$7,374.00 |
$7,565.43
|
|
Nsl/sins ndsc med/inf dcmprn
|
$21,278.00 |
$21,278.00 |
$21,278.00 |
$7,668.85
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$12,214.00 |
$12,214.00 |
$12,214.00 |
$7,668.85
|
|
Nsl/sins ndsc surg frnt sins
|
$5,156.76 |
$5,156.76 |
$5,156.76 |
$5,156.76
|
|
Nsl/sins ndsc surg max sins
|
$1,612.25 |
$1,612.25 |
$1,612.25 |
$5,695.20
|
|
Nsl/sins ndsc surg sphn sins
|
$13,061.00 |
$13,061.00 |
$13,061.00 |
$4,881.00
|
|
Nsl/sins ndsc total
|
$13,662.00 |
$13,662.00 |
$13,662.00 |
$6,622.00
|
|
Nsl/sins ndsc tot w/sphendt
|
$6,966.75 |
$6,966.75 |
$6,966.75 |
$7,227.00
|
|
Nsl/sinus endoscopy surg dcr
|
$7,508.00 |
$7,508.00 |
$7,508.00 |
$4,111.51
|
|
Nsl/sns ndsc lig sphnptn art
|
$4,718.34 |
$4,718.34 |
$4,718.34 |
$2,288.00
|
|
Ntrk translocation analysis
|
$902.50 |
$902.50 |
$902.50 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$2,351.00 |
$2,351.00 |
$2,351.00 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$2,235.00
|
|
Nuclear rx intra-arterial
|
$936.50 |
$936.50 |
$936.50 |
$765.00
|
|
Nuclear rx intracav admin
|
$936.50 |
$936.50 |
$936.50 |
$776.97
|
|
Nuclear rx IV admin
|
$684.50 |
$684.50 |
$684.50 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,084.50 |
$3,084.50 |
$3,084.50 |
$3,804.45
|
|
Nudt15 gene common variants
|
$189.50 |
$189.50 |
$189.50 |
$301.62
|
|
Nushield 1 square cm
|
$2,481.88 |
$2,481.88 |
$2,481.88 |
$937.50
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$142,037.83 |
$142,037.83 |
$142,037.83 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$17,225.44 |
$17,225.44 |
$17,225.44 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$304.50 |
$304.50 |
$304.50 |
$384.00
|
|
Observation per hour
|
$9,210.00 |
$9,210.00 |
$9,210.00 |
$81.22
|
|
Obstetrical care 59410
|
$3,653.50 |
$3,653.50 |
$3,653.50 |
$2,112.80
|
|
Obstetrics panel
|
$215.00 |
$215.00 |
$215.00 |
$214.50
|
|
Obtaining screen pap smear
|
$82.00 |
$82.00 |
$82.00 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$482.50 |
$482.50 |
$482.50 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$544.00 |
$544.00 |
$544.00 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$72,243.36 |
$72,243.36 |
$72,243.36 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$15.50 |
$15.50 |
$15.50 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$17,640.76 |
$17,640.76 |
$17,640.76 |
$12,080.43
|
|
Ocular function screen
|
$80.50 |
$80.50 |
$80.50 |
$41.60
|
|
Ocular instrumnt screen bil
|
$40.50 |
$40.50 |
$40.50 |
$37.50
|
|
Ocular photodynamic ther
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$1,050.40
|
|
Ocular reconst transplant
|
$5,591.00 |
$5,591.00 |
$5,591.00 |
$4,462.45
|
|
Ocular reconst transplant
|
$2,305.67 |
$2,305.67 |
$2,305.67 |
$5,339.00
|
|
Off/op cnsltj new/est low 30
|
$106.00 |
$106.00 |
$106.00 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$241.50 |
$241.50 |
$241.50 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$257.50 |
$257.50 |
$257.50 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$45.50 |
$45.50 |
$45.50 |
$133.80
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,137.37 |
$1,137.37 |
$1,137.37 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$62.78 |
$62.78 |
$62.78 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$9,360.00 |
$9,360.00 |
$9,360.00 |
$4,595.01
|
|
Onco (ovar) two proteins
|
$523.00 |
$523.00 |
$523.00 |
$341.54
|
|
Oncoprotein dcp
|
$195.00 |
$195.00 |
$195.00 |
$161.60
|
|
Oncoprotein her-2/neu
|
$216.00 |
$216.00 |
$216.00 |
$219.00
|
|
Ondansetron 8 mg disintegrating tablet
|
$14.59 |
$14.59 |
$14.59 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$4.61 |
$4.61 |
$4.61 |
$22.62
|
|
One-way allow prorated trip
|
$4.00 |
$4.00 |
$4.00 |
$18.57
|
