|
Myelography neck spine
|
$1,375.63 |
$1,375.63 |
$1,375.63 |
$1,241.50
|
|
Myelography via inj w/s&i lumbosacral
|
$626.92 |
$626.92 |
$626.92 |
$1,850.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$67.82 |
$67.82 |
$67.82 |
$130.80
|
|
Natriuretic peptide
|
$73.87 |
$73.87 |
$73.87 |
$176.15
|
|
Natural killer cells total count
|
$9.55 |
$9.55 |
$9.55 |
$135.00
|
|
Ndl round specialty proguide
|
$274.01 |
$274.01 |
$274.01 |
$329.50
|
|
Neck Airway (Soft Tissue) X-ray
|
$311.60 |
$311.60 |
$311.60 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,712.12 |
$1,712.12 |
$1,712.12 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,427.05 |
$1,427.05 |
$1,427.05 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,141.41 |
$1,141.41 |
$1,141.41 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,070.36 |
$2,070.36 |
$2,070.36 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,725.58 |
$1,725.58 |
$1,725.58 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,380.24 |
$1,380.24 |
$1,380.24 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$378.51 |
$378.51 |
$378.51 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$490.69 |
$490.69 |
$490.69 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$619.26 |
$619.26 |
$619.26 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,407.51 |
$1,407.51 |
$1,407.51 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,172.88 |
$1,172.88 |
$1,172.88 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$938.25 |
$938.25 |
$938.25 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,105.45 |
$1,105.45 |
$1,105.45 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$921.12 |
$921.12 |
$921.12 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$736.78 |
$736.78 |
$736.78 |
$1,312.00
|
|
New Patient Office Visit (level 2)
|
$1,479.42 |
$1,479.42 |
$1,479.42 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$2,216.63 |
$2,216.63 |
$2,216.63 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$2,667.98 |
$2,667.98 |
$2,667.98 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$3,570.68 |
$3,570.68 |
$3,570.68 |
$355.80
|
|
Njx aa&/strd lmbr plex nfs
|
$237.11 |
$237.11 |
$237.11 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$226.03 |
$226.03 |
$226.03 |
$1,772.02
|
|
Njx interlaminar lmbr/sac
|
$222.15 |
$222.15 |
$222.15 |
$1,523.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,867.39 |
$1,867.39 |
$1,867.39 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,264.84 |
$1,264.84 |
$1,264.84 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$623.36 |
$623.36 |
$623.36 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$728.71 |
$728.71 |
$728.71 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$817.28 |
$817.28 |
$817.28 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$726.40 |
$726.40 |
$726.40 |
$1,024.56
|
|
Nose (Nasal Bone) X-ray (complete)
|
$213.20 |
$213.20 |
$213.20 |
$274.65
|
|
Npm1 gene
|
$122.30 |
$122.30 |
$122.30 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$4,154.83 |
$4,154.83 |
$4,154.83 |
$3,859.98
|
|
Nudt15 gene common variants
|
$261.99 |
$261.99 |
$261.99 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$738.37 |
$738.37 |
$738.37 |
$384.00
|
|
Observation per hour
|
$66.74 |
$66.74 |
$66.74 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$514.96 |
$514.96 |
$514.96 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$300.66 |
$300.66 |
$300.66 |
$249.60
|
|
Onco (ovar) two proteins
|
$26.37 |
$26.37 |
$26.37 |
$359.49
|
|
Oncoprotein dcp
|
$28.17 |
$28.17 |
$28.17 |
$167.91
|
|
Organic acids total quant ea spec
|
$98.28 |
$98.28 |
$98.28 |
$152.50
|
|
Osmolality blood
|
$10.64 |
$10.64 |
$10.64 |
$70.85
|
|
Osmolality urine
|
$13.77 |
$13.77 |
$13.77 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$108.45 |
$108.45 |
$108.45 |
$97.80
|
|
Palb2 gene full gene seq
|
$353.43 |
$353.43 |
$353.43 |
$672.50
|
|
Parathormone (pth) intact
|
$77.62 |
$77.62 |
$77.62 |
$206.18
|
|
Parathyroid planar imaging
|
$724.68 |
$724.68 |
$724.68 |
$1,126.00
|
|
Pdgfra gene
|
$117.81 |
$117.81 |
$117.81 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,314.69 |
$2,314.69 |
$2,314.69 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,928.91 |
$1,928.91 |
$1,928.91 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,543.13 |
$1,543.13 |
$1,543.13 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,470.72 |
$2,470.72 |
$2,470.72 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,059.28 |
$2,059.28 |
$2,059.28 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,647.15 |
$1,647.15 |
$1,647.15 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$826.60 |
$826.60 |
$826.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$655.48 |
$655.48 |
$655.48 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$336.53 |
$336.53 |
$336.53 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$402.78 |
$402.78 |
$402.78 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$13,295.73 |
$13,295.73 |
$13,295.73 |
$18,764.94
|
|
Penile vascular study
|
$472.68 |
$472.68 |
$472.68 |
$561.00
|
|
Penile vascular study
|
$288.46 |
$288.46 |
$288.46 |
$574.60
|
|
Pericardiocentesis wwo imaging
|
$920.00 |
$920.00 |
$920.00 |
$2,375.00
|
|
Peritoneogram rs&i
|
$409.34 |
$409.34 |
$409.34 |
$698.50
|
|
Perit-vens shunt pat tst
|
$556.93 |
$556.93 |
$556.93 |
$752.49
|
|
Pertussis ag if
|
$10.60 |
$10.60 |
$10.60 |
$66.23
|
|
Pfc sigma fem post aug sz3 8mm
|
$82,420.89 |
$82,420.89 |
$82,420.89 |
$39,920.50
|
|
Ph body fluid
|
$33.80 |
$33.80 |
$33.80 |
$42.00
|
|
Phencyclidine (pcp)
|
$50.71 |
$50.71 |
$50.71 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$28.80 |
$28.80 |
$28.80 |
$105.00
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$0.66 |
$0.66 |
$0.66 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$5.63 |
$5.63 |
$5.63 |
$111.27
|
|
Phlebotomy therapeutic
|
$157.14 |
$157.14 |
$157.14 |
$231.40
|
|
Phosphorus
|
$29.42 |
$29.42 |
$29.42 |
$49.20
|
|
Phosphorus 24 hour urine
|
$15.02 |
$15.02 |
$15.02 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$356.24 |
$356.24 |
$356.24 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$218.43 |
$218.43 |
$218.43 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$288.07 |
$288.07 |
$288.07 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$218.43 |
$218.43 |
$218.43 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$86.96 |
$86.96 |
$86.96 |
$463.20
|
|
Pin caspar distraction 12mm
|
$21,271.71 |
$21,271.71 |
$21,271.71 |
$11,759.36
|
|
Pinworm exam
|
$11.16 |
$11.16 |
$11.16 |
$39.62
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$0.24 |
$0.24 |
$0.24 |
$81.36
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$509.99 |
$509.99 |
$509.99 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$303.80 |
$303.80 |
$303.80 |
$795.00
|
|
Platelet automated
|
$8.34 |
$8.34 |
$8.34 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$361.84 |
$361.84 |
$361.84 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$389.56 |
$389.56 |
$389.56 |
$1,284.80
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$49.45 |
$49.45 |
$49.45 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$2,966.22 |
$2,966.22 |
$2,966.22 |
$3,790.61
|
|
Potassium 24 hour urine
|
$34.43 |
$34.43 |
$34.43 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$24.41 |
$24.41 |
$24.41 |
$47.85
|
|
Prealbumin
|
$5.63 |
$5.63 |
$5.63 |
$94.00
|
|
Pr ecg 12 lead report only
|
$9.16 |
$9.16 |
$9.16 |
$21.00
|
|
Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp
|
$28.00 |
$28.00 |
$28.00 |
$60.00
|
|
Prednisone 1 mg tablet
|
$0.50 |
$0.50 |
$0.50 |
$2.88
|