|
MRI chest without & w/contrast
|
$6,533.58 |
$6,533.58 |
$6,533.58 |
$2,575.00
|
|
MRI guid ndl plc s&i
|
$3,919.06 |
$3,919.06 |
$3,919.06 |
$1,129.44
|
|
MRI orbit/face/neck without contrast
|
$4,081.04 |
$4,081.04 |
$4,081.04 |
$1,883.20
|
|
MRI orbit/face/neck without & w/contrast
|
$5,987.85 |
$5,987.85 |
$5,987.85 |
$2,680.00
|
|
MRI orbit fac&nck w IV cont
|
$4,534.37 |
$4,534.37 |
$4,534.37 |
$2,098.78
|
|
MRI tmj
|
$4,635.47 |
$4,635.47 |
$4,635.47 |
$1,855.70
|
|
MRI without fol w/cont, breast
|
$4,316.95 |
$4,316.95 |
$4,316.95 |
$2,071.85
|
|
Mthfr gene analy common variants
|
$57.02 |
$57.02 |
$57.02 |
$213.20
|
|
Mucin synovial fluid
|
$3.58 |
$3.58 |
$3.58 |
$26.00
|
|
Myelogphy 2/> spine regions
|
$10,406.83 |
$10,406.83 |
$10,406.83 |
$1,330.40
|
|
Myelography l-s spine
|
$9,034.96 |
$9,034.96 |
$9,034.96 |
$1,275.75
|
|
Myelography neck spine
|
$8,835.85 |
$8,835.85 |
$8,835.85 |
$1,095.20
|
|
Myelography thoracic spine
|
$8,364.40 |
$8,364.40 |
$8,364.40 |
$1,077.92
|
|
Natriuretic peptide
|
$720.34 |
$720.34 |
$720.34 |
$174.85
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$16,858.94 |
$16,858.94 |
$16,858.94 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$15,930.50 |
$15,930.50 |
$15,930.50 |
$1,786.00
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$13,466.26 |
$13,466.26 |
$13,466.26 |
$1,526.40
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$8,035.98 |
$8,035.98 |
$8,035.98 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$7,489.16 |
$7,489.16 |
$7,489.16 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$7,085.84 |
$7,085.84 |
$7,085.84 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$7,977.28 |
$7,977.28 |
$7,977.28 |
$2,679.30
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,485.45 |
$4,485.45 |
$4,485.45 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$44.25 |
$44.25 |
$44.25 |
$58.66
|
|
Nerve conduction 7-8 studies
|
$1,089.90 |
$1,089.90 |
$1,089.90 |
$756.32
|
|
Nerve conduction studies 11-12
|
$1,857.10 |
$1,857.10 |
$1,857.10 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$547.61 |
$547.61 |
$547.61 |
$341.10
|
|
Nerve conduction studies 13+
|
$1,857.10 |
$1,857.10 |
$1,857.10 |
$1,622.70
|
|
Nerve conduction studies 3-4
|
$1,089.90 |
$1,089.90 |
$1,089.90 |
$490.10
|
|
Nerve conduction studies 5-6
|
$1,089.90 |
$1,089.90 |
$1,089.90 |
$676.12
|
|
Nerve conduction studies 9-10
|
$1,857.10 |
$1,857.10 |
$1,857.10 |
$1,244.90
|
|
Nerve teasing preparations
|
$720.00 |
$720.00 |
$720.00 |
$698.49
|
|
Nesiritide injection
|
$6,202.50 |
$6,202.50 |
$6,202.50 |
$2,365.81
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$183.74 |
$183.74 |
$183.74 |
$342.50
|
|
N-invas est c ffr sw aly cta
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,020.50
|
|
Nm imaging bone/joint 3 phase study
|
$7,670.40 |
$7,670.40 |
$7,670.40 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$8,292.82 |
$8,292.82 |
$8,292.82 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$8,038.39 |
$8,038.39 |
$8,038.39 |
$1,446.64
|
|
Nm imaging gastric emptying study
|
$6,359.41 |
$6,359.41 |
$6,359.41 |
$1,457.30
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,441.81 |
$4,441.81 |
$4,441.81 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$8,532.89 |
$8,532.89 |
$8,532.89 |
$1,813.50
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$8,432.26 |
$8,432.26 |
$8,432.26 |
$1,600.20
|
|
Nm imaging pulmonary ventilation/perfusion
|
$13,506.57 |
$13,506.57 |
$13,506.57 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$2,896.52 |
$2,896.52 |
$2,896.52 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,150.48 |
$2,150.48 |
$2,150.48 |
$1,030.07
|
|
Nuclear rx IV admin
|
$5,170.62 |
$5,170.62 |
$5,170.62 |
$854.96
|
|
Nuclear Stress Test (Heart)
|
$14,841.98 |
$14,841.98 |
$14,841.98 |
$3,921.45
|
|
Olanzapine 10 mg intramuscular solution
|
$284.34 |
$284.34 |
$284.34 |
$122.78
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$30.75 |
$30.75 |
$30.75 |
$33.40
|
|
Oprelvekin injection
|
$3,362.25 |
$3,362.25 |
$3,362.25 |
$848.31
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$93.60 |
$93.60 |
$93.60 |
$63.72
|
|
Oscillation chest wall mechanical per session
|
$373.35 |
$373.35 |
$373.35 |
$222.28
|
|
Osmolality blood
|
$818.43 |
$818.43 |
$818.43 |
$67.60
|
|
Osmolality urine
|
$814.04 |
$814.04 |
$814.04 |
$66.50
|
|
Oxytocin 10 unit/ml injection solution
|
$30.75 |
$30.75 |
$30.75 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$3.50 |
$3.50 |
$3.50 |
$218.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$7,598.25 |
$7,598.25 |
$7,598.25 |
$4,072.50
|
|
Paliperidone 117 mg/0.75 ml inj
|
$13,107.69 |
$13,107.69 |
$13,107.69 |
$6,272.41
|
|
Palonosetron hcl
|
$4,698.75 |
$4,698.75 |
$4,698.75 |
$472.46
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$287.50 |
$287.50 |
$287.50 |
$148.35
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$17.82 |
$17.82 |
$17.82 |
$36.87
|
|
Parathyroid planar imaging
|
$4,572.62 |
$4,572.62 |
$4,572.62 |
$1,166.00
|
|
Paricalcitol
|
$178.50 |
$178.50 |
$178.50 |
$47.38
|
|
Paste skin barrier .5oz adapt
|
$11.68 |
$11.68 |
$11.68 |
$7.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,897.00 |
$12,897.00 |
$12,897.00 |
$12,932.25
|
|
Pelvic CT scan (with and without contrast)
|
$23,447.00 |
$23,447.00 |
$23,447.00 |
$1,891.05
|
|
Pelvic CT scan (with contrast)
|
$21,710.05 |
$21,710.05 |
$21,710.05 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$19,047.23 |
$19,047.23 |
$19,047.23 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$6,805.36 |
$6,805.36 |
$6,805.36 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$4,422.40 |
$4,422.40 |
$4,422.40 |
$1,878.41
|
|
Pelvic Ultrasound (complete)
|
$4,592.89 |
$4,592.89 |
$4,592.89 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$2,903.31 |
$2,903.31 |
$2,903.31 |
$442.65
|
|
Peng benzathine/procaine inj
|
$1,303.00 |
$1,303.00 |
$1,303.00 |
$243.38
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$979.00 |
$979.00 |
$979.00 |
$626.67
|
|
Penile vascular study
|
$5,791.98 |
$5,791.98 |
$5,791.98 |
$561.00
|
|
Peri-proc device eval pm
|
$5,774.36 |
$5,774.36 |
$5,774.36 |
$196.30
|
|
Perit-vens shunt pat tst
|
$6,477.28 |
$6,477.28 |
$6,477.28 |
$685.38
|
|
Perphenazine 4mg oral
|
$11.25 |
$11.25 |
$11.25 |
$14.04
|
|
Pet fdg brain metoblic eval sb
|
$4,524.07 |
$4,524.07 |
$4,524.07 |
$3,504.60
|
|
Pet image full body
|
$4,524.07 |
$4,524.07 |
$4,524.07 |
$4,567.11
|
|
Pet image ltd area
|
$4,524.07 |
$4,524.07 |
$4,524.07 |
$2,519.20
|
|
Pet image skull-thigh
|
$4,524.07 |
$4,524.07 |
$4,524.07 |
$4,024.80
|
|
Ph body fluid
|
$433.38 |
$433.38 |
$433.38 |
$38.97
|
|
Phenobarbital therapeutic drug level
|
$1,310.38 |
$1,310.38 |
$1,310.38 |
$104.25
|
|
Phentolaine mesylate inj
|
$252.00 |
$252.00 |
$252.00 |
$961.38
|
|
Phenytoin total therapeutic drug level
|
$1,390.90 |
$1,390.90 |
$1,390.90 |
$110.00
|
|
Pinworm exam
|
$632.49 |
$632.49 |
$632.49 |
$39.75
|
|
Placement occlusive device venous/arterial access site post procedure
|
$1,281.09 |
$1,281.09 |
$1,281.09 |
$555.33
|
|
Platelet automated
|
$578.33 |
$578.33 |
$578.33 |
$43.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$1,084.90 |
$1,084.90 |
$1,084.90 |
$173.00
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$7,014.50 |
$7,014.50 |
$7,014.50 |
$4,293.60
|
|
Potassium 24 hour urine
|
$509.51 |
$509.51 |
$509.51 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$814.04 |
$814.04 |
$814.04 |
$44.22
|
|
Pq biliary strict dil s&i
|
$16,576.54 |
$16,576.54 |
$16,576.54 |
$984.40
|
|
Pq dr cath chg w cont s&i
|
$6,768.53 |
$6,768.53 |
$6,768.53 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$1,191.75 |
$1,191.75 |
$1,191.75 |
$366.31
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$150.04 |
$150.04 |
$150.04 |
$48.71
|
|
Prealbumin
|
$862.36 |
$862.36 |
$862.36 |
$87.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$4,134.61 |
$4,134.61 |
$4,134.61 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$2,437.73 |
$2,437.73 |
$2,437.73 |
$541.45
|
|
Pretreat rbc absorption reference
|
$200.00 |
$200.00 |
$200.00 |
$137.80
|