|
Neck MRA (blood vessel MRI, with contrast)
|
$282.11 |
$282.11 |
$282.11 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$225.67 |
$225.67 |
$225.67 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$392.13 |
$392.13 |
$392.13 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$326.83 |
$326.83 |
$326.83 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$261.36 |
$261.36 |
$261.36 |
$1,312.00
|
|
Nerve teasing preparations
|
$469.09 |
$469.09 |
$469.09 |
$698.49
|
|
Neuromatrix nerve cuff, cm
|
$116.67 |
$116.67 |
$116.67 |
$2,924.10
|
|
New Patient Office Visit (level 2)
|
$1,107.72 |
$1,107.72 |
$1,107.72 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$1,659.71 |
$1,659.71 |
$1,659.71 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$2,673.56 |
$2,673.56 |
$2,673.56 |
$355.80
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,346.37 |
$1,346.37 |
$1,346.37 |
$1,461.60
|
|
Nose (Nasal Bone) X-ray (complete)
|
$70.74 |
$70.74 |
$70.74 |
$274.65
|
|
Npm1 gene
|
$291.06 |
$291.06 |
$291.06 |
$457.50
|
|
Nras gene variants exon 2&3
|
$217.56 |
$217.56 |
$217.56 |
$593.45
|
|
Nudt15 gene common variants
|
$343.98 |
$343.98 |
$343.98 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$191.62 |
$191.62 |
$191.62 |
$384.00
|
|
Observation per hour
|
$32.24 |
$32.24 |
$32.24 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$186.90 |
$186.90 |
$186.90 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$133.14 |
$133.14 |
$133.14 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$158.17 |
$158.17 |
$158.17 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$95.14 |
$95.14 |
$95.14 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$126.35 |
$126.35 |
$126.35 |
$263.90
|
|
Onco (ovar) five proteins
|
$659.30 |
$659.30 |
$659.30 |
$986.70
|
|
Oncoprotein dcp
|
$33.56 |
$33.56 |
$33.56 |
$167.91
|
|
Organic acids total quant ea spec
|
$17.47 |
$17.47 |
$17.47 |
$152.50
|
|
Orthopantogram
|
$68.62 |
$68.62 |
$68.62 |
$241.50
|
|
Oscillation chest wall mechanical per session
|
$115.88 |
$115.88 |
$115.88 |
$196.30
|
|
Osmolality blood
|
$9.69 |
$9.69 |
$9.69 |
$70.85
|
|
Osmolality urine
|
$9.69 |
$9.69 |
$9.69 |
$65.52
|
|
Other immunoelectrophoresis
|
$14.56 |
$14.56 |
$14.56 |
$107.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$12.55 |
$12.55 |
$12.55 |
$97.80
|
|
Ot re-evaluation patient/family
|
$82.42 |
$82.42 |
$82.42 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$11.84 |
$11.84 |
$11.84 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$13.35 |
$13.35 |
$13.35 |
$93.12
|
|
Palingen or promatrx
|
$293.14 |
$293.14 |
$293.14 |
$691.88
|
|
Parathormone (pth) intact
|
$21.45 |
$21.45 |
$21.45 |
$206.18
|
|
Paricalcitol
|
$0.01 |
$0.01 |
$0.01 |
$47.15
|
|
Pdgfra gene
|
$242.30 |
$242.30 |
$242.30 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$531.42 |
$531.42 |
$531.42 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$442.91 |
$442.91 |
$442.91 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$354.22 |
$354.22 |
$354.22 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$551.12 |
$551.12 |
$551.12 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$459.36 |
$459.36 |
$459.36 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$367.41 |
$367.41 |
$367.41 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$325.08 |
$325.08 |
$325.08 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$274.68 |
$274.68 |
$274.68 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$83.66 |
$83.66 |
$83.66 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$103.63 |
$103.63 |
$103.63 |
$351.75
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$0.41 |
$0.41 |
$0.41 |
$97.85
|
|
Penile rear tip xtnd 0.5cm
|
$8,903.43 |
$8,903.43 |
$8,903.43 |
$18,764.94
|
|
Penile vascular study
|
$182.09 |
$182.09 |
$182.09 |
$561.00
|
|
Penile vascular study
|
$156.02 |
$156.02 |
$156.02 |
$574.60
|
|
Penis study
|
$182.58 |
$182.58 |
$182.58 |
$368.50
|
|
Pericardiocentesis wwo imaging
|
$963.46 |
$963.46 |
$963.46 |
$2,375.00
|
|
Peritoneogram rs&i
|
$194.34 |
$194.34 |
$194.34 |
$698.50
|
|
Pertussis ag if
|
$9.65 |
$9.65 |
$9.65 |
$66.23
|
|
Pfc sigma fem post aug sz3 8mm
|
$36,797.46 |
$36,797.46 |
$36,797.46 |
$39,920.50
|
|
Ph body fluid
|
$17.99 |
$17.99 |
$17.99 |
$42.00
|
|
Phencyclidine (pcp)
|
$11.59 |
$11.59 |
$11.59 |
$96.39
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$2.66 |
$2.66 |
$2.66 |
$114.56
|
|
Phenobarbital therapeutic drug level
|
$10.21 |
$10.21 |
$10.21 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$9.17 |
$9.17 |
$9.17 |
$111.27
|
|
Phlebotomy therapeutic
|
$234.00 |
$234.00 |
$234.00 |
$231.40
|
|
Phosphorus
|
$20.93 |
$20.93 |
$20.93 |
$49.20
|
|
Phosphorus 24 hour urine
|
$12.80 |
$12.80 |
$12.80 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$131.02 |
$131.02 |
$131.02 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$78.81 |
$78.81 |
$78.81 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$104.67 |
$104.67 |
$104.67 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$68.27 |
$68.27 |
$68.27 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$202.12 |
$202.12 |
$202.12 |
$463.20
|
|
Pin caspar distraction 12mm
|
$9,496.92 |
$9,496.92 |
$9,496.92 |
$11,759.36
|
|
Pinworm exam
|
$3.48 |
$3.48 |
$3.48 |
$39.62
|
|
Place duod/jej tube perc
|
$1,173.05 |
$1,173.05 |
$1,173.05 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$983.91 |
$983.91 |
$983.91 |
$2,289.60
|
|
Placement nephrostomy catheter (both sides)
|
$2,164.30 |
$2,164.30 |
$2,164.30 |
$3,933.00
|
|
Plasma cryoprecipitate reduced each unit
|
$119.78 |
$119.78 |
$119.78 |
$163.04
|
|
Platelet aggregation each agent teg
|
$51.30 |
$51.30 |
$51.30 |
$148.98
|
|
Platelet automated
|
$3.16 |
$3.16 |
$3.16 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$198.10 |
$198.10 |
$198.10 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$253.11 |
$253.11 |
$253.11 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$508.13 |
$508.13 |
$508.13 |
$1,005.65
|
|
Plcmnt ureteral stent pq w/img exstng trct
|
$2,788.08 |
$2,788.08 |
$2,788.08 |
$5,087.15
|
|
Plcmnt ureteral stent pq w/img new w/cath
|
$3,898.99 |
$3,898.99 |
$3,898.99 |
$5,589.75
|
|
Plmt nephroureteral catheter
|
$2,568.44 |
$2,568.44 |
$2,568.44 |
$4,128.81
|
|
Plmt ureteral stent prq
|
$3,639.21 |
$3,639.21 |
$3,639.21 |
$5,128.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$55.71 |
$55.71 |
$55.71 |
$187.32
|
|
Potassium 24 hour urine
|
$12.11 |
$12.11 |
$12.11 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$20.76 |
$20.76 |
$20.76 |
$47.85
|
|
Pq thr inj ext pse
|
$297.22 |
$297.22 |
$297.22 |
$781.62
|
|
Pr application splint static short arm
|
$32.82 |
$32.82 |
$32.82 |
$288.00
|
|
Prealbumin
|
$9.34 |
$9.34 |
$9.34 |
$94.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$301.56 |
$301.56 |
$301.56 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$224.70 |
$224.70 |
$224.70 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$212.10 |
$212.10 |
$212.10 |
$459.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$75.92 |
$75.92 |
$75.92 |
$161.40
|
|
Pretreat rbc absorption reference
|
$57.62 |
$57.62 |
$57.62 |
$150.00
|
|
Pretreat rbc w chem/drugs reference
|
$36.00 |
$36.00 |
$36.00 |
$114.00
|
|
Pretreat rbc w enzyme reference
|
$104.88 |
$104.88 |
$104.88 |
$168.50
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$154.85 |
$154.85 |
$154.85 |
$253.55
|
