|
MRI lower extremity other than joint without contrast (both sides)
|
$437.72 |
$437.72 |
$437.72 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$656.59 |
$656.59 |
$656.59 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$448.88 |
$448.88 |
$448.88 |
$2,203.50
|
|
MRI tmj
|
$604.04 |
$604.04 |
$604.04 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$494.05 |
$494.05 |
$494.05 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$741.26 |
$741.26 |
$741.26 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$617.65 |
$617.65 |
$617.65 |
$2,061.15
|
|
Mr safety determination physician/other qhp
|
$69.29 |
$69.29 |
$69.29 |
$160.20
|
|
Mr safety implant elec prepj
|
$106.81 |
$106.81 |
$106.81 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$95.34 |
$95.34 |
$95.34 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$163.07 |
$163.07 |
$163.07 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$19.80 |
$19.80 |
$19.80 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$253.73 |
$253.73 |
$253.73 |
$439.80
|
|
Mthfr gene analy common variants
|
$27.38 |
$27.38 |
$27.38 |
$184.00
|
|
Mumps antibody igg
|
$11.47 |
$11.47 |
$11.47 |
$78.00
|
|
Mycobacteria dna amp probe
|
$65.25 |
$65.25 |
$65.25 |
$234.00
|
|
Mycoplasma antibody igm
|
$10.18 |
$10.18 |
$10.18 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$73.25 |
$73.25 |
$73.25 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$769.00 |
$769.00 |
$769.00 |
$1,494.22
|
|
Myelography l-s spine
|
$756.49 |
$756.49 |
$756.49 |
$1,334.09
|
|
Myelography neck spine
|
$860.17 |
$860.17 |
$860.17 |
$1,241.50
|
|
Myelography thoracic spine
|
$794.52 |
$794.52 |
$794.52 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,234.01 |
$1,234.01 |
$1,234.01 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,007.06 |
$1,007.06 |
$1,007.06 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$971.60 |
$971.60 |
$971.60 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,007.06 |
$1,007.06 |
$1,007.06 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$44.00 |
$44.00 |
$44.00 |
$130.80
|
|
Natriuretic peptide
|
$26.79 |
$26.79 |
$26.79 |
$176.15
|
|
Natural killer cells total count
|
$21.09 |
$21.09 |
$21.09 |
$135.00
|
|
N block inj hypogas plxs
|
$913.69 |
$913.69 |
$913.69 |
$1,912.00
|
|
Ndl round specialty proguide
|
$137.00 |
$137.00 |
$137.00 |
$329.50
|
|
Neck Airway (Soft Tissue) X-ray
|
$91.17 |
$91.17 |
$91.17 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$668.30 |
$668.30 |
$668.30 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$557.05 |
$557.05 |
$557.05 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$445.41 |
$445.41 |
$445.41 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$504.32 |
$504.32 |
$504.32 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$420.21 |
$420.21 |
$420.21 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$336.10 |
$336.10 |
$336.10 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$79.71 |
$79.71 |
$79.71 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$112.54 |
$112.54 |
$112.54 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$128.17 |
$128.17 |
$128.17 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$753.09 |
$753.09 |
$753.09 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$627.67 |
$627.67 |
$627.67 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$501.96 |
$501.96 |
$501.96 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$470.94 |
$470.94 |
$470.94 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$392.45 |
$392.45 |
$392.45 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$313.96 |
$313.96 |
$313.96 |
$1,312.00
|
|
Neurolysis trigeminal nerve
|
$1,132.75 |
$1,132.75 |
$1,132.75 |
$2,188.39
|
|
New Patient Office Visit (level 2)
|
$378.21 |
$378.21 |
$378.21 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$565.18 |
$565.18 |
$565.18 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$683.71 |
$683.71 |
$683.71 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$912.83 |
$912.83 |
$912.83 |
$355.80
|
|
N-invas est c ffr sw aly cta
|
$1,356.99 |
$1,356.99 |
$1,356.99 |
$2,293.20
|
|
Njx cath slct p-art angrp bi
|
$1,054.08 |
$1,054.08 |
$1,054.08 |
$1,300.00
|
|
Njx cth slct p-art angrp uni
|
$1,063.68 |
$1,063.68 |
$1,063.68 |
$1,242.38
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,163.06 |
$2,163.06 |
$2,163.06 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,031.14 |
$1,031.14 |
$1,031.14 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,007.16 |
$1,007.16 |
$1,007.16 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$820.77 |
$820.77 |
$820.77 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,684.60 |
$1,684.60 |
$1,684.60 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,315.63 |
$1,315.63 |
$1,315.63 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,530.22 |
$1,530.22 |
$1,530.22 |
$1,024.56
|
|
Noonan spectrum disorders
|
$893.91 |
$893.91 |
$893.91 |
$2,582.40
|
|
Nose (Nasal Bone) X-ray (complete)
|
$81.28 |
$81.28 |
$81.28 |
$274.65
|
|
Npm1 gene
|
$102.86 |
$102.86 |
$102.86 |
$457.50
|
|
Nras gene variants exon 2&3
|
$123.43 |
$123.43 |
$123.43 |
$593.45
|
|
Nuclear rx IV admin
|
$1,358.66 |
$1,358.66 |
$1,358.66 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$870.91 |
$870.91 |
$870.91 |
$3,859.98
|
|
Nudt15 gene common variants
|
$121.63 |
$121.63 |
$121.63 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$202.74 |
$202.74 |
$202.74 |
$384.00
|
|
Observation per hour
|
$52.52 |
$52.52 |
$52.52 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$280.90 |
$280.90 |
$280.90 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$119.68 |
$119.68 |
$119.68 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$175.15 |
$175.15 |
$175.15 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$124.96 |
$124.96 |
$124.96 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$139.55 |
$139.55 |
$139.55 |
$263.90
|
|
Onco (ovar) five proteins
|
$374.05 |
$374.05 |
$374.05 |
$986.70
|
|
Oral aprepitant
|
$0.21 |
$0.21 |
$0.21 |
$410.20
|
|
Organic acids total quant ea spec
|
$22.93 |
$22.93 |
$22.93 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$120.78 |
$120.78 |
$120.78 |
$196.30
|
|
Osmolality blood
|
$12.71 |
$12.71 |
$12.71 |
$70.85
|
|
Osmolality urine
|
$12.71 |
$12.71 |
$12.71 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$23.32 |
$23.32 |
$23.32 |
$97.80
|
|
Ot re-evaluation patient/family
|
$105.02 |
$105.02 |
$105.02 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$37.41 |
$37.41 |
$37.41 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$38.99 |
$38.99 |
$38.99 |
$93.12
|
|
Parathormone (pth) intact
|
$28.15 |
$28.15 |
$28.15 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$832.22 |
$832.22 |
$832.22 |
$1,574.40
|
|
Parathyroid planar imaging
|
$594.60 |
$594.60 |
$594.60 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$763.00 |
$763.00 |
$763.00 |
$1,374.75
|
|
Pdgfra gene
|
$137.47 |
$137.47 |
$137.47 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$595.17 |
$595.17 |
$595.17 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$495.98 |
$495.98 |
$495.98 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$396.78 |
$396.78 |
$396.78 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$605.18 |
$605.18 |
$605.18 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$504.25 |
$504.25 |
$504.25 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$403.33 |
$403.33 |
$403.33 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$279.49 |
$279.49 |
$279.49 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$249.22 |
$249.22 |
$249.22 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$83.88 |
$83.88 |
$83.88 |
$281.82
|