|
Npsy indiv hlth intrv ea addl 15 min
|
$80.50 |
$80.50 |
$80.50 |
$102.71
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$6,737.40
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$5,066.25 |
$5,066.25 |
$5,066.25 |
$7,668.85
|
|
Nsl/sins ndsc total
|
$3,617.51 |
$3,617.51 |
$3,617.51 |
$6,622.00
|
|
Nsl/sins ndsc tot w/sphendt
|
$3,693.50 |
$3,693.50 |
$3,693.50 |
$7,227.00
|
|
Nsl/sns ndsc lig sphnptn art
|
$4,656.00 |
$4,656.00 |
$4,656.00 |
$2,288.00
|
|
Ntrk translocation analysis
|
$498.00 |
$498.00 |
$498.00 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$350.50 |
$350.50 |
$350.50 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$350.50 |
$350.50 |
$350.50 |
$2,235.00
|
|
Nuclear Stress Test (Heart)
|
$3,809.00 |
$3,809.00 |
$3,809.00 |
$3,804.45
|
|
Nudt15 gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$301.62
|
|
Nushield 1 square cm
|
$2,019.38 |
$2,019.38 |
$2,019.38 |
$937.50
|
|
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
|
$303.00 |
$303.00 |
$303.00 |
$384.00
|
|
Observation per hour
|
$936.00 |
$936.00 |
$936.00 |
$81.22
|
|
Obtaining screen pap smear
|
$18.00 |
$18.00 |
$18.00 |
$39.00
|
|
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
|
$13,207.82 |
$13,207.82 |
$13,207.82 |
$12,080.43
|
|
Ocular instrumnt screen bil
|
$37.50 |
$37.50 |
$37.50 |
$37.50
|
|
Off/op cnsltj new/est low 30
|
$98.50 |
$98.50 |
$98.50 |
$180.00
|
|
Off/op consltj new/est hi 55
|
$63.00 |
$63.00 |
$63.00 |
$339.30
|
|
Olanzapine 10 mg intramuscular solution
|
$77.81 |
$77.81 |
$77.81 |
$109.58
|
|
Ol dig e/m svc 5-10 min
|
$12.50 |
$12.50 |
$12.50 |
$22.26
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,232.32 |
$6,232.32 |
$6,232.32 |
$4,595.01
|
|
Onco (ovar) two proteins
|
$521.00 |
$521.00 |
$521.00 |
$341.54
|
|
Oncoprotein dcp
|
$195.00 |
$195.00 |
$195.00 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$5.93 |
$5.93 |
$5.93 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$4.73 |
$4.73 |
$4.73 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$6,740.50 |
$6,740.50 |
$6,740.50 |
$4,992.00
|
|
Ophthalmic mitomycin
|
$848.50 |
$848.50 |
$848.50 |
$775.44
|
|
Optx clavicular fx w/int fix
|
$15,039.00 |
$15,039.00 |
$15,039.00 |
$9,013.88
|
|
Optx crpl fx oth/thn scph ea
|
$8,556.50 |
$8,556.50 |
$8,556.50 |
$3,953.60
|
|
Optx medial ankle fx
|
$5,142.34 |
$5,142.34 |
$5,142.34 |
$7,807.24
|
|
Optx rdl&uln shft fx rds&uln
|
$6,915.75 |
$6,915.75 |
$6,915.75 |
$6,915.75
|
|
Optx ulnar shft fx int fixj
|
$11,384.00 |
$11,384.00 |
$11,384.00 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$2,397.17 |
$2,397.17 |
$2,397.17 |
$4,627.00
|
|
Oral aprepitant
|
$194.20 |
$194.20 |
$194.20 |
$410.20
|
|
Orchiopexy ingun/scrot appr
|
$4,866.00 |
$4,866.00 |
$4,866.00 |
$4,176.15
|
|
Organic acids total quant ea spec
|
$279.00 |
$279.00 |
$279.00 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$92.00 |
$92.00 |
$92.00 |
$10,393.98
|
|
Oritavancin 400 mg intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$3,082.73
|
|
Oropharyngeal biopsy 42800
|
$2,201.00 |
$2,201.00 |
$2,201.00 |
$2,218.86
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$9.50 |
$9.50 |
$9.50 |
$50.63
|
|
Orthovisc inj per dose
|
$269.50 |
$269.50 |
$269.50 |
$537.58
|
|
Osmolality blood
|
$34.00 |
$34.00 |
$34.00 |
$67.60
|
|
Osmolality urine
|
$35.00 |
$35.00 |
$35.00 |
$65.00
|
|
Osteopath manip tx/5-6 body region 98927
|
$46.00 |
$46.00 |
$46.00 |
$68.25
|
|
Ot evaluation high complexity patient/family
|
$315.00 |
$315.00 |
$315.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$315.00 |
$315.00 |
$315.00 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$315.00 |
$315.00 |
$315.00 |
$263.50
|
|
Oth resp proc, group
|
$64.00 |
$64.00 |
$64.00 |
$123.05
|
|
Oth resp proc, indiv
|
$36.50 |
$36.50 |
$36.50 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$138.00 |
$138.00 |
$138.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$276.00 |
$276.00 |
$276.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$330.00 |
$330.00 |
$330.00 |
$105.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$382.50 |
$382.50 |
$382.50 |
$101.38
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$360.00 |
$360.00 |
$360.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$372.00 |
$372.00 |
$372.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$387.00 |
$387.00 |
$387.00 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$2.00 |
$2.00 |
$2.00 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$102.32 |
$102.32 |
$102.32 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$14.18 |
$14.18 |
$14.18 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$171.08 |
$171.08 |
$171.08 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,547.57 |
$7,547.57 |
$7,547.57 |
$3,435.42
|
|
Palb2 gene full gene seq
|
$126.00 |
$126.00 |
$126.00 |
$672.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$32.00 |
$32.00 |
$32.00 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$4,096.50 |
$4,096.50 |
$4,096.50 |
$5,569.20
|
|
Palonosetron hcl
|
$112.50 |
$112.50 |
$112.50 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$46.67 |
$46.67 |
$46.67 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,318.60 |
$13,318.60 |
$13,318.60 |
$13,051.61
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$29.31
|
|
Parathormone (pth) intact
|
$213.00 |
$213.00 |
$213.00 |
$204.87
|
|
Parathyroid planar imaging
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$1,350.60
|
|
Parial mast w/lymph removal 19302
|
$4,937.67 |
$4,937.67 |
$4,937.67 |
$5,509.55
|
|
Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah)
|
$3,151.34 |
$3,151.34 |
$3,151.34 |
$4,914.00
|
|
Partial removal finger bone
|
$5,867.00 |
$5,867.00 |
$5,867.00 |
$2,049.27
|
|
Partial removal foot fascia
|
$3,663.00 |
$3,663.00 |
$3,663.00 |
$3,762.00
|
|
Partial removal of foot bone
|
$1,075.38 |
$1,075.38 |
$1,075.38 |
$3,839.54
|
|
Partial removal of thyroid
|
$17,799.00 |
$17,799.00 |
$17,799.00 |
$6,457.82
|
|
Partial removal of toe
|
$2,058.83 |
$2,058.83 |
$2,058.83 |
$3,674.58
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$8.00 |
$8.00 |
$8.00 |
$4,921.76
|
|
Part removal of metatarsal
|
$1,575.67 |
$1,575.67 |
$1,575.67 |
$3,795.71
|
|
Part removal of metatarsal
|
$6,544.50 |
$6,544.50 |
$6,544.50 |
$3,134.00
|
|
Part removal of metatarsal 28112
|
$4,271.00 |
$4,271.00 |
$4,271.00 |
$3,839.54
|
|
Pcv21 vaccine im
|
$222.50 |
$222.50 |
$222.50 |
$410.26
|
|
Pdt dstr prmlg les phys/qhp
|
$231.00 |
$231.00 |
$231.00 |
$294.77
|
|
Pedicle enel/ntroral 15576
|
$2,918.33 |
$2,918.33 |
$2,918.33 |
$2,501.10
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,522.59 |
$9,522.59 |
$9,522.59 |
$11,216.31
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$7,265.37 |
$7,265.37 |
$7,265.37 |
$7,297.36
|
|
Pelvic CT scan (with and without contrast)
|
$1,395.50 |
$1,395.50 |
$1,395.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$112.00 |
$112.00 |
$112.00 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$712.00 |
$712.00 |
$712.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,783.50 |
$2,783.50 |
$2,783.50 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,817.50 |
$1,817.50 |
$1,817.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$600.00 |
$600.00 |
$600.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$335.00 |
$335.00 |
$335.00 |
$430.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$46,256.64 |
$46,256.64 |
$46,256.64 |
$12,385.22
|
