|
MRI tmj
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,012.04 |
$2,012.04 |
$2,012.04 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,528.72 |
$3,528.72 |
$3,528.72 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,024.40
|
|
Msh2 gene known variants
|
$121.58 |
$121.58 |
$121.58 |
$466.07
|
|
Msh6 gene known variants
|
$110.88 |
$110.88 |
$110.88 |
$338.80
|
|
Mthfr gene analy common variants
|
$23.52 |
$23.52 |
$23.52 |
$180.48
|
|
Mucopolysaccharides
|
$54.09 |
$54.09 |
$54.09 |
$178.36
|
|
Multiple sleep latency test
|
$3,138.84 |
$3,138.84 |
$3,138.84 |
$2,466.00
|
|
Mumps antibody igg
|
$59.76 |
$59.76 |
$59.76 |
$78.00
|
|
Mycoplasma antibody igm
|
$31.68 |
$31.68 |
$31.68 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$108.00 |
$108.00 |
$108.00 |
$388.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$103.05 |
$103.05 |
$103.05 |
$131.07
|
|
Nalbuphine 10 mg/ml injection solution
|
$1.57 |
$1.57 |
$1.57 |
$38.69
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$75.13 |
$75.13 |
$75.13 |
$70.87
|
|
Natriuretic peptide
|
$149.40 |
$149.40 |
$149.40 |
$176.15
|
|
Natural killer cells total count
|
$12.01 |
$12.01 |
$12.01 |
$132.60
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,831.68 |
$1,831.68 |
$1,831.68 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,457.36 |
$2,457.36 |
$2,457.36 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,359.08 |
$2,359.08 |
$2,359.08 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,575.16 |
$3,575.16 |
$3,575.16 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,088.00 |
$2,088.00 |
$2,088.00 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,608.84 |
$1,608.84 |
$1,608.84 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,428.56 |
$2,428.56 |
$2,428.56 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,741.32 |
$1,741.32 |
$1,741.32 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,752.84 |
$1,752.84 |
$1,752.84 |
$1,824.90
|
|
Neisseria meningitidis
|
$4.22 |
$4.22 |
$4.22 |
$60.00
|
|
Nfct ds bv&vaginitis dna alg
|
$644.76 |
$644.76 |
$644.76 |
$435.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$180.92 |
$180.92 |
$180.92 |
$264.31
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$54.31 |
$54.31 |
$54.31 |
$74.56
|
|
Nm imaging bone/joint 3 phase study
|
$1,730.52 |
$1,730.52 |
$1,730.52 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,685.16 |
$1,685.16 |
$1,685.16 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,271.16 |
$1,271.16 |
$1,271.16 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,229.76 |
$1,229.76 |
$1,229.76 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,245.24 |
$1,245.24 |
$1,245.24 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,520.64 |
$1,520.64 |
$1,520.64 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,585.44 |
$1,585.44 |
$1,585.44 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,265.04 |
$1,265.04 |
$1,265.04 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$703.80 |
$703.80 |
$703.80 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$911.52 |
$911.52 |
$911.52 |
$1,057.20
|
|
Npm1 gene
|
$77.40 |
$77.40 |
$77.40 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$2,720.16 |
$2,720.16 |
$2,720.16 |
$3,804.45
|
|
Nudt15 gene common variants
|
$83.91 |
$83.91 |
$83.91 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$753.84 |
$753.84 |
$753.84 |
$392.45
|
|
Observation per hour
|
$341.64 |
$341.64 |
$341.64 |
$79.95
|
|
Obstetrics panel
|
$201.24 |
$201.24 |
$201.24 |
$214.50
|
|
Obtaining screen pap smear
|
$32.76 |
$32.76 |
$32.76 |
$38.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$388.08 |
$388.08 |
$388.08 |
$338.17
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$21.87 |
$21.87 |
$21.87 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$8,212.12 |
$8,212.12 |
$8,212.12 |
$12,151.03
|
|
Off/op cnsltj new/est low 30
|
$46.80 |
$46.80 |
$46.80 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$62.28 |
$62.28 |
$62.28 |
$268.20
|
|
Off/op consltj new/est sf 20
|
$37.44 |
$37.44 |
$37.44 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$83.89 |
$83.89 |
$83.89 |
$109.58
|
|
Oncology prostate prob score
|
$277.20 |
$277.20 |
$277.20 |
$865.80
|
|
Onco (ovar) five proteins
|
$223.20 |
$223.20 |
$223.20 |
$986.70
|
|
Oncoprotein dcp
|
$20.61 |
$20.61 |
$20.61 |
$161.60
|
|
Oncoprotein her-2/neu
|
$122.13 |
$122.13 |
$122.13 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$19.08 |
$19.08 |
$19.08 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$3.60 |
$3.60 |
$3.60 |
$24.00
|
|
Organic acids total quant ea spec
|
$51.84 |
$51.84 |
$51.84 |
$151.36
|
|
Oropharyngeal biopsy 42800
|
$1,333.08 |
$1,333.08 |
$1,333.08 |
$1,869.53
|
|
Orthovisc inj per dose
|
$146.16 |
$146.16 |
$146.16 |
$521.29
|
|
Osmolality blood
|
$74.16 |
$74.16 |
$74.16 |
$69.55
|
|
Osmolality urine
|
$67.32 |
$67.32 |
$67.32 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$196.92 |
$196.92 |
$196.92 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$157.32 |
$157.32 |
$157.32 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$177.84 |
$177.84 |
$177.84 |
$263.50
|
|
Oth resp proc, group
|
$120.24 |
$120.24 |
$120.24 |
$127.40
|
|
Oth resp proc, indiv
|
$99.36 |
$99.36 |
$99.36 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$90.36 |
$90.36 |
$90.36 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$77.76 |
$77.76 |
$77.76 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$62.28 |
$62.28 |
$62.28 |
$105.00
|
|
Otolaryngo binocular microscopy 92504
|
$17.64 |
$17.64 |
$17.64 |
$59.40
|
|
Ot re-evaluation patient/family
|
$101.88 |
$101.88 |
$101.88 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$77.76 |
$77.76 |
$77.76 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$14.40 |
$14.40 |
$14.40 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$46.08 |
$46.08 |
$46.08 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$63.36 |
$63.36 |
$63.36 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$64.08 |
$64.08 |
$64.08 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$153.36 |
$153.36 |
$153.36 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$12.32 |
$12.32 |
$12.32 |
$50.40
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,216.44 |
$1,216.44 |
$1,216.44 |
$5,481.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$11.95 |
$11.95 |
$11.95 |
$27.16
|
|
Parathormone (pth) intact
|
$189.00 |
$189.00 |
$189.00 |
$201.50
|
|
Parathyroid planar imaging
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,073.82
|
|
Path clin consltj sf 5-20
|
$50.04 |
$50.04 |
$50.04 |
$82.15
|
|
Pdgfra gene
|
$189.00 |
$189.00 |
$189.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,106.36 |
$2,106.36 |
$2,106.36 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,855.44 |
$1,855.44 |
$1,855.44 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,536.64 |
$3,536.64 |
$3,536.64 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$1,656.36 |
$1,656.36 |
$1,656.36 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,594.80 |
$1,594.80 |
$1,594.80 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$515.88 |
$515.88 |
$515.88 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$340.20 |
$340.20 |
$340.20 |
$430.00
|
|
Peng benzathine/procaine inj
|
$6.12 |
$6.12 |
$6.12 |
$338.23
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$6.84 |
$6.84 |
$6.84 |
$826.47
|
|
Peripheral vascular rehab
|
$75.60 |
$75.60 |
$75.60 |
$129.60
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$76.32 |
$76.32 |
$76.32 |
$141.60
|