|
MRI loex nonjt w IV cont
|
$3,262.80 |
$3,262.80 |
$3,262.80 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,725.00 |
$4,725.00 |
$4,725.00 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,655.60 |
$5,655.60 |
$5,655.60 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$3,522.60 |
$3,522.60 |
$3,522.60 |
$2,811.21
|
|
MRI orbit fac&nck w IV cont
|
$3,265.20 |
$3,265.20 |
$3,265.20 |
$2,165.00
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$5,249.40 |
$5,249.40 |
$5,249.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,386.20 |
$5,386.20 |
$5,386.20 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$5,325.00 |
$5,325.00 |
$5,325.00 |
$2,021.30
|
|
Mr safety determination physician/other qhp
|
$134.40 |
$134.40 |
$134.40 |
$156.42
|
|
Mr safety implant elec prepj
|
$194.40 |
$194.40 |
$194.40 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$75.60 |
$75.60 |
$75.60 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$90.60 |
$90.60 |
$90.60 |
$117.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$37.80 |
$37.80 |
$37.80 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$369.60 |
$369.60 |
$369.60 |
$419.20
|
|
Msh2 gene full seq
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$764.00
|
|
Msh6 gene full seq
|
$1,829.40 |
$1,829.40 |
$1,829.40 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$598.20 |
$598.20 |
$598.20 |
$180.78
|
|
Mucopolysaccharides
|
$750.00 |
$750.00 |
$750.00 |
$178.36
|
|
Multiple sleep latency test
|
$2,420.40 |
$2,420.40 |
$2,420.40 |
$2,440.50
|
|
Mumps antibody igg
|
$224.40 |
$224.40 |
$224.40 |
$77.35
|
|
Mycoplasma antibody igm
|
$129.60 |
$129.60 |
$129.60 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$948.00 |
$948.00 |
$948.00 |
$397.50
|
|
Myelography via inj w/s&i 2+ regions
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$798.60 |
$798.60 |
$798.60 |
$135.50
|
|
Nasal endoscopy dx uni/bi separate proc
|
$254.40 |
$254.40 |
$254.40 |
$353.62
|
|
Natriuretic peptide
|
$172.80 |
$172.80 |
$172.80 |
$176.15
|
|
Natural killer cells total count
|
$381.60 |
$381.60 |
$381.60 |
$132.60
|
|
N block inj hypogas plxs
|
$3,632.40 |
$3,632.40 |
$3,632.40 |
$1,912.00
|
|
Ndl insj without njx 1 or 2 musc
|
$30.00 |
$30.00 |
$30.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Ndl round specialty proguide
|
$307.80 |
$307.80 |
$307.80 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,152.40 |
$3,152.40 |
$3,152.40 |
$2,011.35
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$1,498.25
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,027.20 |
$4,027.20 |
$4,027.20 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,558.60 |
$3,558.60 |
$3,558.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,291.00 |
$3,291.00 |
$3,291.00 |
$2,000.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,439.60 |
$2,439.60 |
$2,439.60 |
$2,644.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,487.40 |
$1,487.40 |
$1,487.40 |
$1,790.58
|
|
Nerve conduction 7-8 studies
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$708.98
|
|
Nerve conduction studies 11-12
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$685.80 |
$685.80 |
$685.80 |
$339.00
|
|
Nerve conduction studies 13+
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$1,370.40 |
$1,370.40 |
$1,370.40 |
$466.05
|
|
Nerve conduction studies 5-6
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$570.00
|
|
Nerve conduction studies 9-10
|
$2,428.20 |
$2,428.20 |
$2,428.20 |
$1,051.96
|
|
Neurolysis celiac plexus
|
$1,992.60 |
$1,992.60 |
$1,992.60 |
$1,754.00
|
|
New Patient Office Visit (level 2)
|
$144.60 |
$144.60 |
$144.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$205.20 |
$205.20 |
$205.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$326.40 |
$326.40 |
$326.40 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$427.20 |
$427.20 |
$427.20 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$492.60 |
$492.60 |
$492.60 |
$400.00
|
|
Njx interlaminar crv/thrc
|
$2,613.60 |
$2,613.60 |
$2,613.60 |
$1,586.71
|
|
Njx interlaminar crv/thrc
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$2,613.60 |
$2,613.60 |
$2,613.60 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$2,627.40 |
$2,627.40 |
$2,627.40 |
$1,672.56
|
|
Nm imaging bone/joint whole body
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$2,943.60 |
$2,943.60 |
$2,943.60 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,385.80 |
$3,385.80 |
$3,385.80 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$1,512.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,056.33
|
|
Noonan spectrum disorders
|
$3,666.60 |
$3,666.60 |
$3,666.60 |
$2,582.40
|
|
Npm1 gene
|
$888.00 |
$888.00 |
$888.00 |
$454.35
|
|
Npsy grp hlth intrv ea addl 15 min
|
$64.20 |
$64.20 |
$64.20 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$124.20 |
$124.20 |
$124.20 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$376.20 |
$376.20 |
$376.20 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$376.20 |
$376.20 |
$376.20 |
$244.95
|
|
Nras gene variants exon 2&3
|
$556.20 |
$556.20 |
$556.20 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,599.20 |
$11,599.20 |
$11,599.20 |
$6,737.40
|
|
Nuclear rx IV admin
|
$382.20 |
$382.20 |
$382.20 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$6,490.20 |
$6,490.20 |
$6,490.20 |
$3,801.60
|
|
Nushield 1 square cm
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$386.40 |
$386.40 |
$386.40 |
$384.00
|
|
Observation per hour
|
$328.80 |
$328.80 |
$328.80 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$904.20 |
$904.20 |
$904.20 |
$262.01
|
|
Obstetrics panel
|
$111.00 |
$111.00 |
$111.00 |
$214.50
|
|
Organic acids total quant ea spec
|
$318.60 |
$318.60 |
$318.60 |
$150.70
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$585.60 |
$585.60 |
$585.60 |
$174.40
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$85.20 |
$85.20 |
$85.20 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$144.00 |
$144.00 |
$144.00 |
$195.00
|
|
Osmolality blood
|
$57.60 |
$57.60 |
$57.60 |
$67.60
|
|
Osmolality urine
|
$64.20 |
$64.20 |
$64.20 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$231.60 |
$231.60 |
$231.60 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$247.20 |
$247.20 |
$247.20 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$101.38
|