|
Noninv pace analysis
|
$116.77 |
$116.77 |
$116.77 |
$761.60
|
|
Noonan spectrum disorders
|
$1,562.73 |
$1,562.73 |
$1,562.73 |
$2,582.40
|
|
Nose (Nasal Bone) X-ray (complete)
|
$130.80 |
$130.80 |
$134.29 |
$274.65
|
|
Npm1 gene
|
$172.88 |
$172.88 |
$245.67 |
$457.50
|
|
Nras gene variants exon 2&3
|
$207.59 |
$207.59 |
$295.00 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,173.45 |
$2,173.45 |
$2,173.45 |
$6,930.00
|
|
Ntsty modul rad tx dlvr cplx
|
$693.74 |
$693.74 |
$693.74 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$659.02 |
$659.02 |
$659.02 |
$2,165.29
|
|
Nuclear rx intra-arterial
|
$334.96 |
$334.96 |
$334.96 |
$765.00
|
|
Nuclear rx IV admin
|
$392.03 |
$392.03 |
$392.03 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$687.69 |
$687.69 |
$1,154.64 |
$3,859.98
|
|
Nudt15 gene common variants
|
$204.35 |
$204.35 |
$290.38 |
$304.50
|
|
Obecbtge autol up to 400 mil
|
$327,679.09 |
$327,679.09 |
$327,679.09 |
$1,625,690.40
|
|
Observation direct referral from physician office for admission
|
$228.90 |
$228.90 |
$426.41 |
$384.00
|
|
Observation per hour
|
$27.43 |
$27.43 |
$31.85 |
$82.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$45.22 |
$45.22 |
$56.74 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$36.58 |
$36.58 |
$45.90 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$38.78 |
$38.78 |
$48.66 |
$263.90
|
|
Onco (ovar) five proteins
|
$460.16 |
$460.16 |
$653.91 |
$986.70
|
|
Oncoprotein dcp
|
$30.26 |
$30.26 |
$31.43 |
$167.91
|
|
Ophth Ultrasound b & quant a
|
$209.06 |
$209.06 |
$209.06 |
$301.60
|
|
Optokinetic nystagmus test
|
$51.10 |
$51.10 |
$51.10 |
$40.80
|
|
Organic acids total quant ea spec
|
$15.76 |
$15.76 |
$16.36 |
$152.50
|
|
Orthopantogram
|
$82.50 |
$82.50 |
$84.70 |
$241.50
|
|
Oscillation chest wall mechanical per session
|
$97.58 |
$97.58 |
$97.58 |
$196.30
|
|
Osmolality blood
|
$8.74 |
$8.74 |
$9.07 |
$70.85
|
|
Osmolality urine
|
$8.74 |
$8.74 |
$9.07 |
$65.52
|
|
Other immunoelectrophoresis
|
$9.52 |
$9.52 |
$15.05 |
$107.52
|
|
Oth resp proc, group
|
$70.72 |
$70.72 |
$70.72 |
$126.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$37.04 |
$37.04 |
$52.72 |
$97.80
|
|
Ot re-evaluation patient/family
|
$29.20 |
$29.20 |
$36.64 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$23.06 |
$23.06 |
$31.35 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$23.81 |
$23.81 |
$32.38 |
$93.12
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$27,485.50 |
$27,485.50 |
$27,485.50 |
$47,880.00
|
|
Palb2 gene full gene seq
|
$493.29 |
$493.29 |
$493.29 |
$672.50
|
|
Palingen or palingen xplus
|
$27.97 |
$27.97 |
$29.16 |
$171.12
|
|
Palingen or promatrx
|
$334.13 |
$334.13 |
$334.13 |
$691.88
|
|
Parathormone (pth) intact
|
$19.34 |
$19.34 |
$20.09 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$582.35 |
$582.35 |
$582.35 |
$1,574.40
|
|
Parathyroid planar imaging
|
$374.82 |
$374.82 |
$374.82 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$474.37 |
$474.37 |
$474.37 |
$1,374.75
|
|
Pdgfra gene
|
$169.12 |
$169.12 |
$240.33 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$440.44 |
$440.44 |
$450.84 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$367.03 |
$367.03 |
$375.70 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$293.62 |
$293.62 |
$300.56 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$673.55 |
$673.55 |
$788.66 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$561.37 |
$561.37 |
$657.30 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$449.04 |
$449.04 |
$525.77 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$296.74 |
$296.74 |
$351.65 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$222.55 |
$222.55 |
$263.74 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$129.60 |
$129.60 |
$133.06 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$138.90 |
$138.90 |
$142.60 |
$351.75
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$0.14 |
$0.14 |
$0.14 |
$7,089.13
|
|
Pemivibart infusion
|
$201.92 |
$201.92 |
$211.80 |
$533.10
|
|
Penile rear tip xtnd 0.5cm
|
$9,264.83 |
$9,264.83 |
$16,097.68 |
$18,764.94
|
|
Penile vascular study
|
$254.72 |
$254.72 |
$254.72 |
$561.00
|
|
Penile vascular study
|
$230.23 |
$230.23 |
$230.23 |
$574.60
|
|
Perc cryo ablate renal tum
|
$6,835.29 |
$6,835.29 |
$9,923.41 |
$11,523.76
|
|
Perc d-e cor revasc chro add
|
$2,647.88 |
$2,647.88 |
$4,858.27 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$3,530.39 |
$3,530.39 |
$6,477.49 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$2,358.42 |
$2,358.42 |
$4,327.19 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$3,144.45 |
$3,144.45 |
$5,769.37 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$2,645.00 |
$2,645.00 |
$4,853.00 |
$12,449.00
|
|
Perc d-e cor stent ather s
|
$3,526.70 |
$3,526.70 |
$6,470.74 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$2,358.42 |
$2,358.42 |
$4,327.19 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$3,144.45 |
$3,144.45 |
$5,769.37 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$4,418.80 |
$4,418.80 |
$4,418.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$2,945.74 |
$2,945.74 |
$4,276.61 |
$6,904.15
|
|
Pericardial drain w/cath pq w/ct guid
|
$482.79 |
$482.79 |
$700.91 |
$2,440.31
|
|
Pericardiocentesis wwo imaging
|
$628.35 |
$628.35 |
$912.24 |
$2,375.00
|
|
Peri-proc device eval icd
|
$45.86 |
$45.86 |
$103.10 |
$192.40
|
|
Peri-proc device eval pm
|
$45.86 |
$45.86 |
$103.10 |
$156.00
|
|
Peritoneal cath sub q resv per
|
$2,484.74 |
$2,484.74 |
$3,607.32 |
$5,625.74
|
|
Peritoneogram rs&i
|
$245.70 |
$245.70 |
$252.25 |
$698.50
|
|
Perit-vens shunt pat tst
|
$176.90 |
$176.90 |
$297.02 |
$752.49
|
|
Perq art m-thrombect &/nfs
|
$3,828.92 |
$3,828.92 |
$5,558.80 |
$7,559.55
|
|
Perq clsr tcat l atr apndge
|
$11,214.16 |
$11,214.16 |
$16,280.61 |
$9,309.08
|
|
Perq dev breast 1st strtctc
|
$709.30 |
$709.30 |
$709.30 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$8,216.14 |
$8,216.14 |
$8,216.14 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$5,477.31 |
$5,477.31 |
$5,477.31 |
$22,559.00
|
|
Perq p-art revsc 1 nm nt uni
|
$4,315.71 |
$4,315.71 |
$4,315.71 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$2,168.92 |
$2,168.92 |
$2,168.92 |
$8,824.30
|
|
Perq plmt bile duct stent
|
$1,564.89 |
$1,564.89 |
$2,271.90 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$2,803.81 |
$2,803.81 |
$4,070.55 |
$6,810.50
|
|
Perq plmt bile duct stent
|
$2,914.89 |
$2,914.89 |
$4,231.81 |
$7,020.00
|
|
Perq transcath closure each
|
$6,354.68 |
$6,354.68 |
$6,354.68 |
$9,204.00
|
|
Perq transcath closure pda
|
$2,688.78 |
$2,688.78 |
$6,044.00 |
$18,408.00
|
|
Perq transcath cls aortic
|
$18,751.85 |
$18,751.85 |
$18,751.85 |
$22,633.26
|
|
Perq transcath cls mitral
|
$19,063.67 |
$19,063.67 |
$19,063.67 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$2,789.64 |
$2,789.64 |
$2,789.64 |
$8,999.20
|
|
Perq trluml angp nt/recr coa
|
$10,903.79 |
$10,903.79 |
$10,903.79 |
$7,398.00
|
|
Pertussis ag if
|
$6.01 |
$6.01 |
$8.42 |
$66.23
|
|
Pertuzu, trastuzu, 10 mg
|
$12.70 |
$12.70 |
$12.70 |
$27,858.08
|
|
Pet CT skull-mid thgh initial
|
$2,215.03 |
$2,215.03 |
$2,215.03 |
$4,707.00
|
|
Pet CT whole body initial
|
$2,259.14 |
$2,259.14 |
$2,259.14 |
$4,850.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$38,291.09 |
$38,291.09 |
$39,920.50 |
$39,920.50
|
|
Ph body fluid
|
$16.22 |
$16.22 |
$16.85 |
$42.00
|
|
Phencyclidine (pcp)
|
$10.45 |
$10.45 |
$10.85 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$9.20 |
$9.20 |
$9.56 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$8.27 |
$8.27 |
$8.59 |
$111.27
|
