|
MRA pelvis
|
$2,277.26 |
$2,277.26 |
$2,277.26 |
$2,277.26
|
|
MRA spinal canal
|
$94.72 |
$94.72 |
$94.72 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$2,091.98 |
$2,091.98 |
$2,091.98 |
$2,452.45
|
|
MRI chest without contrast
|
$2,112.55 |
$2,112.55 |
$2,112.55 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,168.83 |
$3,168.83 |
$3,168.83 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,641.06 |
$2,641.06 |
$2,641.06 |
$2,249.10
|
|
MRI loex nonjt w IV cont
|
$1,626.50 |
$1,626.50 |
$1,626.50 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,300.76 |
$1,300.76 |
$1,300.76 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,951.51 |
$1,951.51 |
$1,951.51 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$2,458.92 |
$2,458.92 |
$2,458.92 |
$2,203.50
|
|
MRI tmj
|
$3,400.87 |
$3,400.87 |
$3,400.87 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,698.24 |
$1,698.24 |
$1,698.24 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,547.36 |
$2,547.36 |
$2,547.36 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,122.80 |
$2,122.80 |
$2,122.80 |
$2,061.15
|
|
Mr safety determination physician/other qhp
|
$88.31 |
$88.31 |
$88.31 |
$160.20
|
|
Mr safety implant elec prepj
|
$136.12 |
$136.12 |
$136.12 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$121.51 |
$121.51 |
$121.51 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$207.83 |
$207.83 |
$207.83 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$25.23 |
$25.23 |
$25.23 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$323.37 |
$323.37 |
$323.37 |
$439.80
|
|
Mthfr gene analy common variants
|
$124.50 |
$124.50 |
$124.50 |
$184.00
|
|
Mumps antibody igg
|
$45.82 |
$45.82 |
$45.82 |
$78.00
|
|
Mycobacteria dna amp probe
|
$300.60 |
$300.60 |
$300.60 |
$234.00
|
|
Mycoplasma antibody igm
|
$40.64 |
$40.64 |
$40.64 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$333.06 |
$333.06 |
$333.06 |
$416.00
|
|
Myelography l-s spine
|
$1,460.14 |
$1,460.14 |
$1,460.14 |
$1,334.09
|
|
Myelography neck spine
|
$1,440.22 |
$1,440.22 |
$1,440.22 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,148.06 |
$1,148.06 |
$1,148.06 |
$1,255.00
|
|
Myelography via inj w/s&i lumbosacral
|
$844.42 |
$844.42 |
$844.42 |
$1,850.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$100.43 |
$100.43 |
$100.43 |
$130.80
|
|
Natriuretic peptide
|
$112.73 |
$112.73 |
$112.73 |
$176.15
|
|
Natural killer cells total count
|
$84.25 |
$84.25 |
$84.25 |
$135.00
|
|
Ndl insj without njx 1 or 2 musc
|
$48.92 |
$48.92 |
$48.92 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$53.17 |
$53.17 |
$53.17 |
$45.00
|
|
Ndl round specialty proguide
|
$292.24 |
$292.24 |
$292.24 |
$329.50
|
|
Neck Airway (Soft Tissue) X-ray
|
$206.50 |
$206.50 |
$206.50 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,648.03 |
$2,648.03 |
$2,648.03 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,206.99 |
$2,206.99 |
$2,206.99 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,765.35 |
$1,765.35 |
$1,765.35 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,585.84 |
$1,585.84 |
$1,585.84 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,321.53 |
$1,321.53 |
$1,321.53 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,057.22 |
$1,057.22 |
$1,057.22 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$312.08 |
$312.08 |
$312.08 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$429.61 |
$429.61 |
$429.61 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$506.63 |
$506.63 |
$506.63 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,797.08 |
$3,797.08 |
$3,797.08 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,164.58 |
$3,164.58 |
$3,164.58 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,531.39 |
$2,531.39 |
$2,531.39 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,403.53 |
$1,403.53 |
$1,403.53 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,169.51 |
$1,169.51 |
$1,169.51 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$935.50 |
$935.50 |
$935.50 |
$1,312.00
|
|
New Patient Office Visit (level 2)
|
$513.00 |
$513.00 |
$513.00 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$769.04 |
$769.04 |
$769.04 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$923.76 |
$923.76 |
$923.76 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$1,237.82 |
$1,237.82 |
$1,237.82 |
$355.80
|
|
N-invas est c ffr sw aly cta
|
$4,486.00 |
$4,486.00 |
$4,486.00 |
$2,293.20
|
|
Njx interlaminar lmbr/sac
|
$234.99 |
$234.99 |
$234.99 |
$1,523.65
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,386.10 |
$1,386.10 |
$1,386.10 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,035.88 |
$1,035.88 |
$1,035.88 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$462.26 |
$462.26 |
$462.26 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,056.76 |
$1,056.76 |
$1,056.76 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$767.34 |
$767.34 |
$767.34 |
$1,091.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$228.42 |
$228.42 |
$228.42 |
$274.65
|
|
Npm1 gene
|
$467.68 |
$467.68 |
$467.68 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$3,090.82 |
$3,090.82 |
$3,090.82 |
$3,859.98
|
|
Nudt15 gene common variants
|
$553.00 |
$553.00 |
$553.00 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$430.99 |
$430.99 |
$430.99 |
$384.00
|
|
Observation per hour
|
$103.36 |
$103.36 |
$103.36 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$327.96 |
$327.96 |
$327.96 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$216.56 |
$216.56 |
$216.56 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$204.62 |
$204.62 |
$204.62 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$203.84 |
$203.84 |
$203.84 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$196.81 |
$196.81 |
$196.81 |
$263.90
|
|
Onco (ovar) five proteins
|
$1,700.71 |
$1,700.71 |
$1,700.71 |
$986.70
|
|
Organic acids total quant ea spec
|
$62.22 |
$62.22 |
$62.22 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$163.63 |
$163.63 |
$163.63 |
$196.30
|
|
Osmolality blood
|
$34.50 |
$34.50 |
$34.50 |
$70.85
|
|
Osmolality urine
|
$34.50 |
$34.50 |
$34.50 |
$65.52
|
|
Oth resp proc, group
|
$114.06 |
$114.06 |
$114.06 |
$126.00
|
|
Oth resp proc, indiv
|
$36.78 |
$36.78 |
$36.78 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$91.04 |
$91.04 |
$91.04 |
$97.80
|
|
Ot re-evaluation patient/family
|
$175.72 |
$175.72 |
$175.72 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$62.03 |
$62.03 |
$62.03 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$66.03 |
$66.03 |
$66.03 |
$93.12
|
|
Parathormone (pth) intact
|
$76.38 |
$76.38 |
$76.38 |
$206.18
|
|
Parathyroid planar imaging
|
$667.58 |
$667.58 |
$667.58 |
$1,126.00
|
|
Pelvic CT scan (with and without contrast)
|
$2,667.10 |
$2,667.10 |
$2,667.10 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,222.48 |
$2,222.48 |
$2,222.48 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,777.87 |
$1,777.87 |
$1,777.87 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,269.93 |
$2,269.93 |
$2,269.93 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,891.49 |
$1,891.49 |
$1,891.49 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,513.04 |
$1,513.04 |
$1,513.04 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$814.06 |
$814.06 |
$814.06 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$596.71 |
$596.71 |
$596.71 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$164.01 |
$164.01 |
$164.01 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$245.68 |
$245.68 |
$245.68 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$11,718.64 |
$11,718.64 |
$11,718.64 |
$18,764.94
|
|
Pericardiocentesis wwo imaging
|
$842.13 |
$842.13 |
$842.13 |
$2,375.00
|
|
Perineoplasty rpr per nonob
|
$280.67 |
$280.67 |
$280.67 |
$3,720.50
|