|
Nuclr rx interstit colloid
|
$479.05 |
$479.05 |
$479.05 |
$372.06
|
|
Nudt15 gene common variants
|
$660.00 |
$660.00 |
$660.00 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$572.00 |
$572.00 |
$572.00 |
$395.00
|
|
Observation per hour
|
$0.65 |
$0.65 |
$0.65 |
$79.30
|
|
Obstetrics panel
|
$57.20 |
$57.20 |
$57.20 |
$204.80
|
|
Oncology prostate prob score
|
$831.60 |
$831.60 |
$831.60 |
$1,048.80
|
|
Oncoprotein dcp
|
$167.75 |
$167.75 |
$167.75 |
$167.75
|
|
Oncoprotein her-2/neu
|
$407.00 |
$407.00 |
$407.00 |
$161.60
|
|
Opn fem art expos cndt crtj 34714
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$2,041.65
|
|
Organic acids total quant ea spec
|
$283.25 |
$283.25 |
$283.25 |
$151.36
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$252.06 |
$252.06 |
$252.06 |
$407.50
|
|
Oscillation chest wall mechanical per session
|
$128.70 |
$128.70 |
$128.70 |
$221.34
|
|
Osmolality blood
|
$142.45 |
$142.45 |
$142.45 |
$67.60
|
|
Osmolality urine
|
$145.20 |
$145.20 |
$145.20 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$342.65 |
$342.65 |
$342.65 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$263.45 |
$263.45 |
$263.45 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$265.10 |
$265.10 |
$265.10 |
$270.58
|
|
Oth resp proc, group
|
$55.55 |
$55.55 |
$55.55 |
$143.13
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$112.75 |
$112.75 |
$112.75 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$102.85 |
$102.85 |
$102.85 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$131.45 |
$131.45 |
$131.45 |
$107.32
|
|
Ot re-evaluation patient/family
|
$239.25 |
$239.25 |
$239.25 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$107.25 |
$107.25 |
$107.25 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$62.70 |
$62.70 |
$62.70 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$97.90 |
$97.90 |
$97.90 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$112.75 |
$112.75 |
$112.75 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$100.10 |
$100.10 |
$100.10 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$100.65 |
$100.65 |
$100.65 |
$93.75
|
|
P-32 sod phosphate ther per mci
|
$719.95 |
$719.95 |
$719.95 |
$436.00
|
|
Palb2 gene full gene seq
|
$611.05 |
$611.05 |
$611.05 |
$649.44
|
|
Parathormone (pth) intact
|
$302.50 |
$302.50 |
$302.50 |
$200.23
|
|
Parathyroid planar imaging
|
$1,529.00 |
$1,529.00 |
$1,529.00 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,629.10 |
$1,629.10 |
$1,629.10 |
$1,398.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$210.65 |
$210.65 |
$210.65 |
$270.00
|
|
Passy muir valve metal trach
|
$214.93 |
$214.93 |
$214.93 |
$242.38
|
|
Pdgfra gene
|
$479.05 |
$479.05 |
$479.05 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$2,642.20 |
$2,642.20 |
$2,642.20 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$2,161.50 |
$2,161.50 |
$2,161.50 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,965.70 |
$1,965.70 |
$1,965.70 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$4,220.15 |
$4,220.15 |
$4,220.15 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$3,305.50 |
$3,305.50 |
$3,305.50 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$3,012.35 |
$3,012.35 |
$3,012.35 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,009.25 |
$1,009.25 |
$1,009.25 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$668.25 |
$668.25 |
$668.25 |
$445.00
|
|
Penile vascular study
|
$991.65 |
$991.65 |
$991.65 |
$561.00
|
|
Perc cryo ablate renal tum
|
$8,564.60 |
$8,564.60 |
$8,564.60 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$12,367.85 |
$12,367.85 |
$12,367.85 |
$12,141.09
|
|
Perc d-e cor revasc chro sin
|
$21,133.20 |
$21,133.20 |
$21,133.20 |
$18,160.98
|
|
Perc d-e cor revasc t cabg b
|
$12,287.00 |
$12,287.00 |
$12,287.00 |
$11,072.05
|
|
Perc d-e cor revasc t cabg s
|
$23,588.40 |
$23,588.40 |
$23,588.40 |
$13,475.37
|
|
Perc d-e cor stent ather br
|
$12,287.00 |
$12,287.00 |
$12,287.00 |
$12,199.20
|
|
Perc d-e cor stent ather s
|
$25,386.90 |
$25,386.90 |
$25,386.90 |
$17,589.11
|
|
Perc drug-el cor stent bran
|
$14,759.80 |
$14,759.80 |
$14,759.80 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$20,359.35 |
$20,359.35 |
$20,359.35 |
$13,546.62
|
|
Percut ablate liver rf
|
$5,504.95 |
$5,504.95 |
$5,504.95 |
$7,024.12
|
|
Pericardiocentesis wwo imaging
|
$1,808.40 |
$1,808.40 |
$1,808.40 |
$2,573.60
|
|
Pericardiotomy/clot/for bod remove 33020
|
$3,651.45 |
$3,651.45 |
$3,651.45 |
$2,013.60
|
|
Peritoneogram rs&i
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$648.84
|
|
Perit-vens shunt pat tst
|
$862.40 |
$862.40 |
$862.40 |
$695.40
|
|
Perq dev breast 1st strtctc
|
$1,481.70 |
$1,481.70 |
$1,481.70 |
$1,548.60
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$392.15 |
$392.15 |
$392.15 |
$625.93
|
|
Perq transcath closure each
|
$454.85 |
$454.85 |
$454.85 |
$10,244.02
|
|
Pet CT skull-mid thgh initial
|
$4,385.70 |
$4,385.70 |
$4,385.70 |
$4,854.75
|
|
Pet CT whole body initial
|
$4,723.40 |
$4,723.40 |
$4,723.40 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$3,062.95 |
$3,062.95 |
$3,062.95 |
$3,559.05
|
|
Pfc sigma fem post aug sz3 8mm
|
$959.81 |
$959.81 |
$959.81 |
$30,838.33
|
|
Ph body fluid
|
$75.35 |
$75.35 |
$75.35 |
$39.20
|
|
Phencyclidine (pcp)
|
$211.75 |
$211.75 |
$211.75 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$371.80 |
$371.80 |
$371.80 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$243.10 |
$243.10 |
$243.10 |
$111.27
|
|
Phlebotomy therapeutic
|
$190.85 |
$190.85 |
$190.85 |
$249.00
|
|
Phosphorus
|
$59.95 |
$59.95 |
$59.95 |
$47.81
|
|
Phosphorus 24 hour urine
|
$16.50 |
$16.50 |
$16.50 |
$42.81
|
|
Phys blood bank serv reactj
|
$266.20 |
$266.20 |
$266.20 |
$219.94
|
|
Piflu f-18, dia 1 millicurie
|
$679.35 |
$679.35 |
$679.35 |
$1,035.81
|
|
Pinworm exam
|
$47.30 |
$47.30 |
$47.30 |
$39.75
|
|
Place cath xtrnl carotid
|
$14,863.20 |
$14,863.20 |
$14,863.20 |
$4,202.65
|
|
Place duod/jej tube perc
|
$1,634.05 |
$1,634.05 |
$1,634.05 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$1,715.45 |
$1,715.45 |
$1,715.45 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$2,586.65 |
$2,586.65 |
$2,586.65 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$209.00 |
$209.00 |
$209.00 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$779.90 |
$779.90 |
$779.90 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$4,617.25 |
$4,617.25 |
$4,617.25 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$650.65 |
$650.65 |
$650.65 |
$723.10
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$23,184.70 |
$23,184.70 |
$23,184.70 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$6,455.90 |
$6,455.90 |
$6,455.90 |
$5,110.00
|
|
Place right device/marker pros
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$1,903.23
|
|
Place slctv cath carotd art uni
|
$20,918.15 |
$20,918.15 |
$20,918.15 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$15,507.80 |
$15,507.80 |
$15,507.80 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$19,586.60 |
$19,586.60 |
$19,586.60 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$10,986.25 |
$10,986.25 |
$10,986.25 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$19,155.40 |
$19,155.40 |
$19,155.40 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$113.85 |
$113.85 |
$113.85 |
$147.96
|
|
Platelet automated
|
$56.10 |
$56.10 |
$56.10 |
$44.00
|
|
Platelet pheresis each unit
|
$1,074.70 |
$1,074.70 |
$1,074.70 |
$943.15
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,676.40 |
$1,676.40 |
$1,676.40 |
$1,467.76
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,555.40 |
$1,555.40 |
$1,555.40 |
$397.15
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,146.75 |
$1,146.75 |
$1,146.75 |
$1,146.75
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,574.65 |
$1,574.65 |
$1,574.65 |
$1,278.55
|
|
Platelets pheresis pathogen-reduced each unit
|
$920.15 |
$920.15 |
$920.15 |
$1,032.85
|
