|
New Patient Office Visit (level 5)
|
$2,573.88 |
$2,573.88 |
$2,573.88 |
$355.80
|
|
N-invas est c ffr sw aly cta
|
$735.13 |
$735.13 |
$735.13 |
$2,293.20
|
|
Njx cath slct p-art angrp bi
|
$493.92 |
$493.92 |
$493.92 |
$1,300.00
|
|
Njx cth slct p-art angrp uni
|
$246.87 |
$246.87 |
$246.87 |
$1,242.38
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,112.67 |
$1,112.67 |
$1,112.67 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$556.71 |
$556.71 |
$556.71 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$411.92 |
$411.92 |
$411.92 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$369.94 |
$369.94 |
$369.94 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$393.26 |
$393.26 |
$393.26 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$351.50 |
$351.50 |
$351.50 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$477.51 |
$477.51 |
$477.51 |
$1,024.56
|
|
Nose (Nasal Bone) X-ray (complete)
|
$70.13 |
$70.13 |
$70.13 |
$274.65
|
|
Npm1 gene
|
$211.46 |
$211.46 |
$211.46 |
$457.50
|
|
Nras gene variants exon 2&3
|
$158.06 |
$158.06 |
$158.06 |
$593.45
|
|
Nuclear rx IV admin
|
$499.33 |
$499.33 |
$499.33 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$909.69 |
$909.69 |
$909.69 |
$3,859.98
|
|
Nudt15 gene common variants
|
$249.91 |
$249.91 |
$249.91 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$302.80 |
$302.80 |
$302.80 |
$384.00
|
|
Observation per hour
|
$61.12 |
$61.12 |
$61.12 |
$82.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$108.58 |
$108.58 |
$108.58 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$65.31 |
$65.31 |
$65.31 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$86.74 |
$86.74 |
$86.74 |
$263.90
|
|
Onco (ovar) five proteins
|
$479.00 |
$479.00 |
$479.00 |
$986.70
|
|
Oncoprotein dcp
|
$29.88 |
$29.88 |
$29.88 |
$167.91
|
|
Opn ax/subcla art expos
|
$1,827.87 |
$1,827.87 |
$1,827.87 |
$1,464.00
|
|
Organic acids total quant ea spec
|
$15.55 |
$15.55 |
$15.55 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$104.40 |
$104.40 |
$104.40 |
$196.30
|
|
Osmolality blood
|
$8.62 |
$8.62 |
$8.62 |
$70.85
|
|
Osmolality urine
|
$8.62 |
$8.62 |
$8.62 |
$65.52
|
|
Oth resp proc, group
|
$54.00 |
$54.00 |
$54.00 |
$126.00
|
|
Oth resp proc, indiv
|
$42.60 |
$42.60 |
$42.60 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$21.29 |
$21.29 |
$21.29 |
$97.80
|
|
Ot re-evaluation patient/family
|
$56.58 |
$56.58 |
$56.58 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$21.04 |
$21.04 |
$21.04 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$23.71 |
$23.71 |
$23.71 |
$93.12
|
|
P-32 sod phosphate ther per mci
|
$888.48 |
$888.48 |
$888.48 |
$469.34
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$35,588.80 |
$35,588.80 |
$35,588.80 |
$47,880.00
|
|
Palingen or palingen xplus
|
$60.53 |
$60.53 |
$60.53 |
$171.12
|
|
Palingen or promatrx
|
$325.81 |
$325.81 |
$325.81 |
$691.88
|
|
Parathormone (pth) intact
|
$19.10 |
$19.10 |
$19.10 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$576.85 |
$576.85 |
$576.85 |
$1,574.40
|
|
Parathyroid planar imaging
|
$411.92 |
$411.92 |
$411.92 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$470.43 |
$470.43 |
$470.43 |
$1,374.75
|
|
Pdgfra gene
|
$176.04 |
$176.04 |
$176.04 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$513.80 |
$513.80 |
$513.80 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$428.22 |
$428.22 |
$428.22 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$342.47 |
$342.47 |
$342.47 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$440.89 |
$440.89 |
$440.89 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$367.48 |
$367.48 |
$367.48 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$293.93 |
$293.93 |
$293.93 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$267.03 |
$267.03 |
$267.03 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$225.63 |
$225.63 |
$225.63 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$82.95 |
$82.95 |
$82.95 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$102.75 |
$102.75 |
$102.75 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$10,819.64 |
$10,819.64 |
$10,819.64 |
$18,764.94
|
|
Pentostatin 10 mg intravenous solution
|
$703.42 |
$703.42 |
$703.42 |
$5,181.67
|
|
Perc d-e cor revasc chro add
|
$4,368.03 |
$4,368.03 |
$4,368.03 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$5,823.79 |
$5,823.79 |
$5,823.79 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$5,187.14 |
$5,187.14 |
$5,187.14 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$4,363.45 |
$4,363.45 |
$4,363.45 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$5,817.94 |
$5,817.94 |
$5,817.94 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$5,187.14 |
$5,187.14 |
$5,187.14 |
$16,258.50
|
|
Percut ablate liver rf
|
$2,588.68 |
$2,588.68 |
$2,588.68 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$796.22 |
$796.22 |
$796.22 |
$2,375.00
|
|
Peripheral vascular rehab
|
$24.79 |
$24.79 |
$24.79 |
$132.50
|
|
Perq dev breast 1st mr guide
|
$764.96 |
$764.96 |
$764.96 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$749.33 |
$749.33 |
$749.33 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$2,280.21 |
$2,280.21 |
$2,280.21 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$2,588.68 |
$2,588.68 |
$2,588.68 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$3,392.25 |
$3,392.25 |
$3,392.25 |
$7,020.00
|
|
Pertussis ag if
|
$7.24 |
$7.24 |
$7.24 |
$66.23
|
|
Pfc sigma fem post aug sz3 8mm
|
$39,859.04 |
$39,859.04 |
$39,859.04 |
$39,920.50
|
|
Ph body fluid
|
$16.02 |
$16.02 |
$16.02 |
$42.00
|
|
Phencyclidine (pcp)
|
$10.32 |
$10.32 |
$10.32 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$9.09 |
$9.09 |
$9.09 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$8.16 |
$8.16 |
$8.16 |
$111.27
|
|
Phosphorus
|
$18.63 |
$18.63 |
$18.63 |
$49.20
|
|
Phosphorus 24 hour urine
|
$11.40 |
$11.40 |
$11.40 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$105.97 |
$105.97 |
$105.97 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$63.74 |
$63.74 |
$63.74 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$84.65 |
$84.65 |
$84.65 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$55.22 |
$55.22 |
$55.22 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$146.85 |
$146.85 |
$146.85 |
$463.20
|
|
Pin caspar distraction 12mm
|
$9,111.44 |
$9,111.44 |
$9,111.44 |
$11,759.36
|
|
Pinworm exam
|
$2.61 |
$2.61 |
$2.61 |
$39.62
|
|
Place cath xtrnl carotid
|
$1,592.13 |
$1,592.13 |
$1,592.13 |
$4,202.90
|
|
Place duod/jej tube perc
|
$969.44 |
$969.44 |
$969.44 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$813.13 |
$813.13 |
$813.13 |
$2,289.60
|
|
Placement bile duct support
|
$3,235.62 |
$3,235.62 |
$3,235.62 |
$2,732.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$741.68 |
$741.68 |
$741.68 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$237.02 |
$237.02 |
$237.02 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$543.26 |
$543.26 |
$543.26 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$1,788.63 |
$1,788.63 |
$1,788.63 |
$3,933.00
|
|
Placement occlusive device venous/arterial access site post procedure
|
$226.17 |
$226.17 |
$226.17 |
$572.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,547.03 |
$4,547.03 |
$4,547.03 |
$13,879.25
|
|
Place non-slctv cath thoracic arta
|
$1,800.76 |
$1,800.76 |
$1,800.76 |
$5,271.46
|
|
Place slctv cath carotd art uni
|
$4,823.28 |
$4,823.28 |
$4,823.28 |
$10,150.40
|
|
Place slctv cath carotid/inom art excrn uni
|
$3,810.46 |
$3,810.46 |
$3,810.46 |
$6,498.00
|
