|
Nm imaging bone/joint whole body
|
$3,127.02 |
$3,127.02 |
$3,127.02 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,181.96 |
$2,181.96 |
$2,181.96 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$767.22 |
$767.22 |
$767.22 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$921.69 |
$921.69 |
$921.69 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$954.18 |
$954.18 |
$954.18 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,092.12 |
$1,092.12 |
$1,092.12 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,439.25 |
$1,439.25 |
$1,439.25 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$657.21 |
$657.21 |
$657.21 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$727.32 |
$727.32 |
$727.32 |
$1,020.34
|
|
Nras gene variants exon 2&3
|
$621.87 |
$621.87 |
$621.87 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$4,456.26 |
$4,456.26 |
$4,456.26 |
$7,875.40
|
|
Nuclear rx IV admin
|
$727.32 |
$727.32 |
$727.32 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$2,461.26 |
$2,461.26 |
$2,461.26 |
$3,921.45
|
|
Nushield 1 square cm
|
$2,342.13 |
$2,342.13 |
$2,342.13 |
$937.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$6.06 |
$6.06 |
$6.06 |
$70.66
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.98 |
$2.98 |
$2.98 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.04 |
$1.04 |
$1.04 |
$30.15
|
|
Organic acids total quant ea spec
|
$46.74 |
$46.74 |
$46.74 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$16.87 |
$16.87 |
$16.87 |
$3,745.44
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$722.19 |
$722.19 |
$722.19 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$3,205.68 |
$3,205.68 |
$3,205.68 |
$830.31
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$1,870.74 |
$1,870.74 |
$1,870.74 |
$772.99
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$677.16 |
$677.16 |
$677.16 |
$231.00
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$803.13 |
$803.13 |
$803.13 |
$306.00
|
|
Ortho hnd without jnt w/fit&adj
|
$677.16 |
$677.16 |
$677.16 |
$225.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$890.34 |
$890.34 |
$890.34 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$2,479.50 |
$2,479.50 |
$2,479.50 |
$410.92
|
|
Osmolality blood
|
$26.79 |
$26.79 |
$26.79 |
$67.60
|
|
Osmolality urine
|
$27.36 |
$27.36 |
$27.36 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$230.28 |
$230.28 |
$230.28 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$153.33 |
$153.33 |
$153.33 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$184.68 |
$184.68 |
$184.68 |
$270.58
|
|
Oth resp proc, group
|
$284.43 |
$284.43 |
$284.43 |
$137.05
|
|
Oth resp proc, indiv
|
$64.41 |
$64.41 |
$64.41 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$78.09 |
$78.09 |
$78.09 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$75.81 |
$75.81 |
$75.81 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$74.10 |
$74.10 |
$74.10 |
$107.32
|
|
Ot re-evaluation patient/family
|
$93.48 |
$93.48 |
$93.48 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$69.54 |
$69.54 |
$69.54 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.22 |
$26.22 |
$26.22 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$52.44 |
$52.44 |
$52.44 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$74.10 |
$74.10 |
$74.10 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$69.54 |
$69.54 |
$69.54 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$63.84 |
$63.84 |
$63.84 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$0.89 |
$0.89 |
$0.89 |
$342.84
|
|
Oxytocin 10 unit/ml injection solution
|
$7.10 |
$7.10 |
$7.10 |
$48.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$0.61 |
$0.61 |
$0.61 |
$231.63
|
|
Palonosetron hcl
|
$9.32 |
$9.32 |
$9.32 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$53.25 |
$53.25 |
$53.25 |
$131.62
|
|
Papaverin hcl injection
|
$89.06 |
$89.06 |
$89.06 |
$83.77
|
|
Parathormone (pth) intact
|
$97.47 |
$97.47 |
$97.47 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$988.95 |
$988.95 |
$988.95 |
$1,574.40
|
|
Parathyroid planar imaging
|
$550.62 |
$550.62 |
$550.62 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$674.31 |
$674.31 |
$674.31 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$245.67 |
$245.67 |
$245.67 |
$270.00
|
|
Passy muir valve metal trach
|
$245.10 |
$245.10 |
$245.10 |
$242.47
|
|
Path clin consltj high 41-60
|
$278.16 |
$278.16 |
$278.16 |
$187.28
|
|
Path clin consltj mod 21-40
|
$278.16 |
$278.16 |
$278.16 |
$192.11
|
|
Path clin consltj sf 5-20
|
$88.35 |
$88.35 |
$88.35 |
$82.15
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$879.08 |
$879.08 |
$879.08 |
$11,569.18
|
|
Pelvic CT scan (with and without contrast)
|
$475.38 |
$475.38 |
$475.38 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$428.64 |
$428.64 |
$428.64 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$333.45 |
$333.45 |
$333.45 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$905.16 |
$905.16 |
$905.16 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$633.84 |
$633.84 |
$633.84 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$253.08 |
$253.08 |
$253.08 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$197.22 |
$197.22 |
$197.22 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$93.73 |
$93.73 |
$93.73 |
$13,809.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$48.79 |
$48.79 |
$48.79 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$3.44 |
$3.44 |
$3.44 |
$90.35
|
|
Perc cryo ablate renal tum
|
$25,737.21 |
$25,737.21 |
$25,737.21 |
$12,320.22
|
|
Perc d-e cor revasc chro sin
|
$35,795.43 |
$35,795.43 |
$35,795.43 |
$21,249.26
|
|
Perc d-e cor revasc t cabg s
|
$23,192.16 |
$23,192.16 |
$23,192.16 |
$17,162.50
|
|
Perc d-e cor stent ather s
|
$23,192.16 |
$23,192.16 |
$23,192.16 |
$21,249.26
|
|
Perc drug-el cor stent sing
|
$23,213.82 |
$23,213.82 |
$23,213.82 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$9,311.52 |
$9,311.52 |
$9,311.52 |
$6,949.48
|
|
Percut ablate liver rf
|
$25,105.08 |
$25,105.08 |
$25,105.08 |
$7,024.12
|
|
Pericardial drain w/cath pq w/ct guid
|
$9,190.68 |
$9,190.68 |
$9,190.68 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$3,409.17 |
$3,409.17 |
$3,409.17 |
$2,573.60
|
|
Peripheral vascular rehab
|
$95.76 |
$95.76 |
$95.76 |
$128.69
|
|
Perq art m-thrombect &/nfs
|
$16,178.31 |
$16,178.31 |
$16,178.31 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$18,971.31 |
$18,971.31 |
$18,971.31 |
$12,032.67
|
|
Perq p-art revsc 1 abnor bi
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,916.29
|
|
Perq p-art revsc 1 abnor uni
|
$31,723.92 |
$31,723.92 |
$31,723.92 |
$20,544.05
|
|
Perq p-art revsc 1 nm nt bi
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,217.89
|
|
Perq p-art revsc 1 nm nt uni
|
$19,604.58 |
$19,604.58 |
$19,604.58 |
$15,145.00
|
|
Perq p-art revsc each addl
|
$9,802.29 |
$9,802.29 |
$9,802.29 |
$9,442.02
|
|
Perq plmt bile duct stent
|
$9,513.87 |
$9,513.87 |
$9,513.87 |
$7,082.99
|
|
Perq transcath septal reduxn
|
$50,628.54 |
$50,628.54 |
$50,628.54 |
$8,828.16
|
|
Pet CT skull-mid thgh initial
|
$1,898.67 |
$1,898.67 |
$1,898.67 |
$4,854.75
|
|
Pet CT whole body initial
|
$1,931.16 |
$1,931.16 |
$1,931.16 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$1,274.52 |
$1,274.52 |
$1,274.52 |
$3,559.05
|
|
Ph body fluid
|
$11.97 |
$11.97 |
$11.97 |
$39.20
|
|
Phencyclidine (pcp)
|
$39.90 |
$39.90 |
$39.90 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$51.98 |
$51.98 |
$51.98 |
$115.32
|
|
Phenobarbital therapeutic drug level
|
$27.93 |
$27.93 |
$27.93 |
$104.50
|
|
Phentolaine mesylate inj
|
$966.32 |
$966.32 |
$966.32 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$13.24 |
$13.24 |
$13.24 |
$57.09
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.49 |
$0.49 |
$0.49 |
$12.06
|
|
Phenytoin total therapeutic drug level
|
$43.32 |
$43.32 |
$43.32 |
$111.27
|