|
MRA without fol w/cont, abd
|
$22,357.22 |
$22,357.22 |
$22,357.22 |
$3,331.46
|
|
MRI chest without contrast
|
$9,990.11 |
$9,990.11 |
$9,990.11 |
$1,810.38
|
|
MRI orbit/face/neck without contrast
|
$10,657.04 |
$10,657.04 |
$10,657.04 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$10,657.04 |
$10,657.04 |
$10,657.04 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$10,962.58 |
$10,962.58 |
$10,962.58 |
$2,120.25
|
|
Mr spectroscopy
|
$4,971.81 |
$4,971.81 |
$4,971.81 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$302.83 |
$302.83 |
$302.83 |
$211.70
|
|
Myelogphy 2/> spine regions
|
$16,837.96 |
$16,837.96 |
$16,837.96 |
$1,366.30
|
|
Myelography l-s spine
|
$12,735.14 |
$12,735.14 |
$12,735.14 |
$1,334.09
|
|
Myelography neck spine
|
$12,735.09 |
$12,735.09 |
$12,735.09 |
$1,103.70
|
|
Myelography thoracic spine
|
$21,122.64 |
$21,122.64 |
$21,122.64 |
$1,085.32
|
|
Natural killer cells total count
|
$32.72 |
$32.72 |
$32.72 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$8,104.55 |
$8,104.55 |
$8,104.55 |
$2,055.15
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$10,717.55 |
$10,717.55 |
$10,717.55 |
$2,301.53
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$10,656.99 |
$10,656.99 |
$10,656.99 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.95 |
$1.95 |
$1.95 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$2,528.15 |
$2,528.15 |
$2,528.15 |
$761.48
|
|
Nerve conduction studies 1-2
|
$1,473.65 |
$1,473.65 |
$1,473.65 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,340.90 |
$2,340.90 |
$2,340.90 |
$1,550.00
|
|
Nerve conduction studies 9-10
|
$2,705.12 |
$2,705.12 |
$2,705.12 |
$1,244.90
|
|
Nerve teasing preparations
|
$3,797.01 |
$3,797.01 |
$3,797.01 |
$698.49
|
|
Nesiritide injection
|
$5,512.61 |
$5,512.61 |
$5,512.61 |
$2,365.81
|
|
New Patient Office Visit (level 2)
|
$851.07 |
$851.07 |
$851.07 |
$161.12
|
|
New Patient Office Visit (level 4)
|
$1,472.79 |
$1,472.79 |
$1,472.79 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,472.79 |
$1,472.79 |
$1,472.79 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$166.11 |
$166.11 |
$166.11 |
$356.09
|
|
Nm imaging bone/joint 3 phase study
|
$6,454.35 |
$6,454.35 |
$6,454.35 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$15,184.16 |
$15,184.16 |
$15,184.16 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$8,687.70 |
$8,687.70 |
$8,687.70 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,675.70 |
$2,675.70 |
$2,675.70 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$3,307.16 |
$3,307.16 |
$3,307.16 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$11,366.93 |
$11,366.93 |
$11,366.93 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$11,589.12 |
$11,589.12 |
$11,589.12 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$11,950.08 |
$11,950.08 |
$11,950.08 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$3,320.75 |
$3,320.75 |
$3,320.75 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,384.23 |
$2,384.23 |
$2,384.23 |
$1,020.34
|
|
Nuclear Stress Test (Heart)
|
$8,563.05 |
$8,563.05 |
$8,563.05 |
$3,921.45
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$26.04 |
$26.04 |
$26.04 |
$34.32
|
|
Oral busulfan
|
$152.44 |
$152.44 |
$152.44 |
$84.21
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$213.75 |
$213.75 |
$213.75 |
$65.07
|
|
Osmolality blood
|
$250.88 |
$250.88 |
$250.88 |
$67.60
|
|
Osmolality urine
|
$406.03 |
$406.03 |
$406.03 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,346.11 |
$1,346.11 |
$1,346.11 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$960.97 |
$960.97 |
$960.97 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,151.91 |
$1,151.91 |
$1,151.91 |
$270.58
|
|
Other immunoelectrophoresis
|
$198.40 |
$198.40 |
$198.40 |
$46.40
|
|
Oth resp proc, indiv
|
$81.73 |
$81.73 |
$81.73 |
$87.45
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$277.02 |
$277.02 |
$277.02 |
$107.32
|
|
Ot re-evaluation patient/family
|
$524.84 |
$524.84 |
$524.84 |
$174.00
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$95.48 |
$95.48 |
$95.48 |
$50.50
|
|
Oxytocin 10 unit/ml injection solution
|
$233.28 |
$233.28 |
$233.28 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$3.26 |
$3.26 |
$3.26 |
$231.46
|
|
Paliperidone 117 mg/0.75 ml inj
|
$6,964.07 |
$6,964.07 |
$6,964.07 |
$6,493.54
|
|
Palonosetron hcl
|
$2,483.57 |
$2,483.57 |
$2,483.57 |
$372.41
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$46.11 |
$46.11 |
$46.11 |
$44.25
|
|
Parathyroid planar imaging
|
$3,757.47 |
$3,757.47 |
$3,757.47 |
$1,166.00
|
|
Paricalcitol
|
$247.38 |
$247.38 |
$247.38 |
$47.38
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$10,871.70 |
$10,871.70 |
$10,871.70 |
$5,908.68
|
|
Peng benzathine/procaine inj
|
$893.50 |
$893.50 |
$893.50 |
$258.72
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$71.61 |
$71.61 |
$71.61 |
$100.50
|
|
Pentamidine non-comp unit
|
$801.82 |
$801.82 |
$801.82 |
$299.25
|
|
Pentobarbital sodium inj
|
$244.94 |
$244.94 |
$244.94 |
$167.64
|
|
Pentostatin 10 mg intravenous solution
|
$8,488.50 |
$8,488.50 |
$8,488.50 |
$6,112.62
|
|
Peri-proc device eval icd
|
$313.67 |
$313.67 |
$313.67 |
$220.35
|
|
Perphenazine 4mg oral
|
$30.65 |
$30.65 |
$30.65 |
$9.93
|
|
Pertuzumab 30 mg/ml desensitization
|
$20,804.88 |
$20,804.88 |
$20,804.88 |
$18,443.20
|
|
Phentolaine mesylate inj
|
$2,321.90 |
$2,321.90 |
$2,321.90 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$853.69 |
$853.69 |
$853.69 |
$111.27
|
|
Phys blood bank serv reactj
|
$443.68 |
$443.68 |
$443.68 |
$219.94
|
|
Platelet automated
|
$685.42 |
$685.42 |
$685.42 |
$44.00
|
|
Porfimer sodium injection
|
$46,980.50 |
$46,980.50 |
$46,980.50 |
$26,682.81
|
|
Potassium 24 hour urine
|
$331.94 |
$331.94 |
$331.94 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$319.73 |
$319.73 |
$319.73 |
$44.64
|
|
Pq dr cath chg w cont s&i
|
$3,335.31 |
$3,335.31 |
$3,335.31 |
$711.36
|
|
Pralidoxime 1 gram solution for injection
|
$564.47 |
$564.47 |
$564.47 |
$374.55
|
|
Pr application of long arm splint
|
$367.44 |
$367.44 |
$367.44 |
$332.75
|
|
Pr application splint static short arm
|
$293.18 |
$293.18 |
$293.18 |
$301.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$134.18 |
$134.18 |
$134.18 |
$48.71
|
|
Prealbumin
|
$446.96 |
$446.96 |
$446.96 |
$87.20
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$46.66 |
$46.66 |
$46.66 |
$16.30
|
|
Pressure max expiratory/inspiratory
|
$374.69 |
$374.69 |
$374.69 |
$253.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$754.22 |
$754.22 |
$754.22 |
$141.00
|
|
Prgr stim/pace a/iv drug
|
$8,673.97 |
$8,673.97 |
$8,673.97 |
$4,889.30
|
|
Procalcitonin
|
$105.41 |
$105.41 |
$105.41 |
$144.10
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$9.77 |
$9.77 |
$9.77 |
$46.50
|
|
Progesterone
|
$185.65 |
$185.65 |
$185.65 |
$105.00
|
|
Prolactin
|
$457.06 |
$457.06 |
$457.06 |
$127.50
|
|
Promethazine hcl injection
|
$14.11 |
$14.11 |
$14.11 |
$33.34
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$91.14 |
$91.14 |
$91.14 |
$39.59
|
|
Prost sock sgl ply blw knee ea
|
$346.00 |
$346.00 |
$346.00 |
$46.77
|
|
Protein c activity
|
$16.52 |
$16.52 |
$16.52 |
$115.00
|
|
Protein electrophoretic fractionation & quantitation serum
|
$81.97 |
$81.97 |
$81.97 |
$85.20
|
|
Protein s total
|
$25.22 |
$25.22 |
$25.22 |
$78.87
|
|
Protein total serum plasma whole blood
|
$458.84 |
$458.84 |
$458.84 |
$42.81
|
|
Prothrombin complex kcentra
|
$16.28 |
$16.28 |
$16.28 |
$5.50
|
|
Pt application of modality traction mechanical
|
$411.36 |
$411.36 |
$411.36 |
$88.20
|
|
Pt evaluation high complexity patient/family
|
$1,346.11 |
$1,346.11 |
$1,346.11 |
$297.00
|
|
Pt evaluation low complexity patient/family
|
$960.97 |
$960.97 |
$960.97 |
$226.00
|
|
Pt evaluation moderate complexity patient/family
|
$1,151.91 |
$1,151.91 |
$1,151.91 |
$263.90
|
|
Pt re-evaluation patient/family
|
$524.84 |
$524.84 |
$524.84 |
$157.30
|
