|
Neck (Cervical Spine) CT scan (without contrast)
|
$799.74 |
$799.74 |
$799.74 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$682.25 |
$682.25 |
$682.25 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$568.54 |
$568.54 |
$568.54 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$454.83 |
$454.83 |
$454.83 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$211.50 |
$211.50 |
$211.50 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$291.15 |
$291.15 |
$291.15 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$343.35 |
$343.35 |
$343.35 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,008.51 |
$1,008.51 |
$1,008.51 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$840.52 |
$840.52 |
$840.52 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$672.34 |
$672.34 |
$672.34 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$667.17 |
$667.17 |
$667.17 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$555.93 |
$555.93 |
$555.93 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$444.69 |
$444.69 |
$444.69 |
$1,312.00
|
|
New Patient Office Visit (level 2)
|
$421.09 |
$421.09 |
$421.09 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$631.26 |
$631.26 |
$631.26 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$758.27 |
$758.27 |
$758.27 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$1,016.06 |
$1,016.06 |
$1,016.06 |
$355.80
|
|
N-invas est c ffr sw aly cta
|
$3,290.38 |
$3,290.38 |
$3,290.38 |
$2,293.20
|
|
Njx px nfrosgrm &/urtrgrm
|
$832.83 |
$832.83 |
$832.83 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$756.20 |
$756.20 |
$756.20 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$710.83 |
$710.83 |
$710.83 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$317.21 |
$317.21 |
$317.21 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$725.16 |
$725.16 |
$725.16 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$526.55 |
$526.55 |
$526.55 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$509.76 |
$509.76 |
$509.76 |
$1,024.56
|
|
Nose (Nasal Bone) X-ray (complete)
|
$154.80 |
$154.80 |
$154.80 |
$274.65
|
|
Npm1 gene
|
$227.92 |
$227.92 |
$227.92 |
$457.50
|
|
Ntsty modul rad tx dlvr cplx
|
$1,298.44 |
$1,298.44 |
$1,298.44 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$915.77 |
$915.77 |
$915.77 |
$2,165.29
|
|
Nuclear rx IV admin
|
$348.73 |
$348.73 |
$348.73 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$2,120.94 |
$2,120.94 |
$2,120.94 |
$3,859.98
|
|
Nudt15 gene common variants
|
$269.50 |
$269.50 |
$269.50 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$683.43 |
$683.43 |
$683.43 |
$384.00
|
|
Observation per hour
|
$48.93 |
$48.93 |
$48.93 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$239.13 |
$239.13 |
$239.13 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$157.90 |
$157.90 |
$157.90 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$108.47 |
$108.47 |
$108.47 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$108.05 |
$108.05 |
$108.05 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$104.33 |
$104.33 |
$104.33 |
$263.90
|
|
Onco (ovar) five proteins
|
$828.83 |
$828.83 |
$828.83 |
$986.70
|
|
Organic acids total quant ea spec
|
$33.33 |
$33.33 |
$33.33 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$156.26 |
$156.26 |
$156.26 |
$196.30
|
|
Osmolality blood
|
$18.48 |
$18.48 |
$18.48 |
$70.85
|
|
Osmolality urine
|
$18.48 |
$18.48 |
$18.48 |
$65.52
|
|
Oth resp proc, group
|
$108.93 |
$108.93 |
$108.93 |
$126.00
|
|
Oth resp proc, indiv
|
$35.12 |
$35.12 |
$35.12 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$89.87 |
$89.87 |
$89.87 |
$97.80
|
|
Ot re-evaluation patient/family
|
$93.15 |
$93.15 |
$93.15 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$80.72 |
$80.72 |
$80.72 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$85.93 |
$85.93 |
$85.93 |
$93.12
|
|
Parathormone (pth) intact
|
$40.92 |
$40.92 |
$40.92 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$569.54 |
$569.54 |
$569.54 |
$1,574.40
|
|
Parathyroid planar imaging
|
$458.10 |
$458.10 |
$458.10 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$522.97 |
$522.97 |
$522.97 |
$1,374.75
|
|
Pdgfra gene
|
$304.61 |
$304.61 |
$304.61 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$1,208.25 |
$1,208.25 |
$1,208.25 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,006.83 |
$1,006.83 |
$1,006.83 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$805.41 |
$805.41 |
$805.41 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$1,429.56 |
$1,429.56 |
$1,429.56 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,191.22 |
$1,191.22 |
$1,191.22 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$952.89 |
$952.89 |
$952.89 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$593.56 |
$593.56 |
$593.56 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$435.09 |
$435.09 |
$435.09 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$111.15 |
$111.15 |
$111.15 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$166.50 |
$166.50 |
$166.50 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$10,207.26 |
$10,207.26 |
$10,207.26 |
$18,764.94
|
|
Penile vascular study
|
$224.91 |
$224.91 |
$224.91 |
$561.00
|
|
Penile vascular study
|
$137.21 |
$137.21 |
$137.21 |
$574.60
|
|
Pericardiocentesis wwo imaging
|
$845.45 |
$845.45 |
$845.45 |
$2,375.00
|
|
Perit-vens shunt pat tst
|
$336.71 |
$336.71 |
$336.71 |
$752.49
|
|
Pet CT skull-mid thgh initial
|
$3,188.04 |
$3,188.04 |
$3,188.04 |
$4,707.00
|
|
Pet CT whole body initial
|
$3,207.01 |
$3,207.01 |
$3,207.01 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$2,075.02 |
$2,075.02 |
$2,075.02 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$1,867.44 |
$1,867.44 |
$1,867.44 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$63,275.34 |
$63,275.34 |
$63,275.34 |
$39,920.50
|
|
Ph body fluid
|
$34.32 |
$34.32 |
$34.32 |
$42.00
|
|
Phencyclidine (pcp)
|
$52.80 |
$52.80 |
$52.80 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$19.47 |
$19.47 |
$19.47 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$17.82 |
$17.82 |
$17.82 |
$111.27
|
|
Phlebotomy therapeutic
|
$112.05 |
$112.05 |
$112.05 |
$231.40
|
|
Phosphorus
|
$15.51 |
$15.51 |
$15.51 |
$49.20
|
|
Phosphorus 24 hour urine
|
$24.42 |
$24.42 |
$24.42 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$129.43 |
$129.43 |
$129.43 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$128.93 |
$128.93 |
$128.93 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$124.49 |
$124.49 |
$124.49 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$111.15 |
$111.15 |
$111.15 |
$154.80
|
|
Piflu f-18, dia 1 millicurie
|
$625.25 |
$625.25 |
$625.25 |
$1,038.40
|
|
Pik3ca gene trgt seq alys
|
$254.10 |
$254.10 |
$254.10 |
$463.20
|
|
Pin caspar distraction 12mm
|
$16,330.50 |
$16,330.50 |
$16,330.50 |
$11,759.36
|
|
Pinworm exam
|
$5.59 |
$5.59 |
$5.59 |
$39.62
|
|
Place device/marker, non pro
|
$339.95 |
$339.95 |
$339.95 |
$1,969.20
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$724.63 |
$724.63 |
$724.63 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$214.70 |
$214.70 |
$214.70 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$554.65 |
$554.65 |
$554.65 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,447.37 |
$2,447.37 |
$2,447.37 |
$3,933.00
|
|
Place right device/marker pros
|
$138.88 |
$138.88 |
$138.88 |
$2,402.50
|
|
Platelet aggregation each agent teg
|
$25.12 |
$25.12 |
$25.12 |
$148.98
|
|
Platelet automated
|
$4.69 |
$4.69 |
$4.69 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$334.80 |
$334.80 |
$334.80 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$360.45 |
$360.45 |
$360.45 |
$1,284.80
|