|
Nm imaging pulmonary ventilation/perfusion
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$950.40 |
$950.40 |
$950.40 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$1,063.00
|
|
Non-card vasc flow imaging
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$608.56
|
|
Noninv pace analysis
|
$271.20 |
$271.20 |
$271.20 |
$788.00
|
|
Noonan spectrum disorders
|
$3,943.80 |
$3,943.80 |
$3,943.80 |
$2,412.00
|
|
Npm1 gene
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
$453.20
|
|
Nras gene variants exon 2&3
|
$616.20 |
$616.20 |
$616.20 |
$621.87
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,713.80 |
$11,713.80 |
$11,713.80 |
$7,421.70
|
|
Nuclear rx IV admin
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$6,540.60 |
$6,540.60 |
$6,540.60 |
$3,818.25
|
|
Nushield 1 square cm
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$601.80 |
$601.80 |
$601.80 |
$386.40
|
|
Observation per hour
|
$157.20 |
$157.20 |
$157.20 |
$80.73
|
|
Obstetric panel inc HIV tstg
|
$822.00 |
$822.00 |
$822.00 |
$347.50
|
|
Obstetrics panel
|
$694.80 |
$694.80 |
$694.80 |
$215.20
|
|
Off/op cnsltj new/est low 30
|
$221.40 |
$221.40 |
$221.40 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$329.40 |
$329.40 |
$329.40 |
$268.20
|
|
Off/op consltj new/est hi 55
|
$403.80 |
$403.80 |
$403.80 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$159.00 |
$159.00 |
$159.00 |
$133.80
|
|
Organic acids total quant ea spec
|
$342.00 |
$342.00 |
$342.00 |
$150.70
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$585.60 |
$585.60 |
$585.60 |
$174.40
|
|
Orthopantogram
|
$154.80 |
$154.80 |
$154.80 |
$237.90
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$85.20 |
$85.20 |
$85.20 |
$461.28
|
|
Oscillation chest wall mechanical per session
|
$98.40 |
$98.40 |
$98.40 |
$196.70
|
|
Osmolality blood
|
$104.40 |
$104.40 |
$104.40 |
$70.85
|
|
Osmolality urine
|
$124.20 |
$124.20 |
$124.20 |
$66.30
|
|
Ot evaluation high complexity patient/family
|
$278.40 |
$278.40 |
$278.40 |
$292.80
|
|
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
|
|
Oth resp proc, group
|
$89.40 |
$89.40 |
$89.40 |
$124.20
|
|
Oth resp proc, indiv
|
$100.20 |
$100.20 |
$100.20 |
$81.73
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$98.80
|
|
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 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$99.72
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$93.60
|
|
Ovulation tests
|
$214.20 |
$214.20 |
$214.20 |
$29.60
|
|
Parathormone (pth) intact
|
$491.40 |
$491.40 |
$491.40 |
$204.87
|
|
Parathyroid planar imaging
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$177.00 |
$177.00 |
$177.00 |
$245.89
|
|
Ped crit care transport
|
$437.40 |
$437.40 |
$437.40 |
$434.40
|
|
Ped crit care transport addl
|
$218.40 |
$218.40 |
$218.40 |
$217.60
|
|
Ped critical care initial
|
$1,467.60 |
$1,467.60 |
$1,467.60 |
$1,446.40
|
|
Ped critical care subsq
|
$733.80 |
$733.80 |
$733.80 |
$724.00
|
|
Pelvic CT scan (with and without contrast)
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$3,577.20 |
$3,577.20 |
$3,577.20 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,920.60 |
$4,920.60 |
$4,920.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$659.15
|
|
Pelvic Ultrasound (limited)
|
$660.60 |
$660.60 |
$660.60 |
$435.13
|
|
Penile injection
|
$2,308.20 |
$2,308.20 |
$2,308.20 |
$418.86
|
|
Penile vascular study
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$590.00
|
|
Percut ablate liver rf
|
$5,646.60 |
$5,646.60 |
$5,646.60 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$2,300.48
|
|
Peripheral vascular rehab
|
$151.20 |
$151.20 |
$151.20 |
$132.50
|
|
Peri-proc device eval icd
|
$93.00 |
$93.00 |
$93.00 |
$192.40
|
|
Peri-proc device eval pm
|
$114.00 |
$114.00 |
$114.00 |
$163.00
|
|
Peritoneogram rs&i
|
$514.20 |
$514.20 |
$514.20 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$851.40
|
|
Perq plmt bile duct stent
|
$13,779.60 |
$13,779.60 |
$13,779.60 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$13,779.60 |
$13,779.60 |
$13,779.60 |
$6,857.50
|
|
Perq plmt bile duct stent
|
$13,779.60 |
$13,779.60 |
$13,779.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$492.60 |
$492.60 |
$492.60 |
$625.93
|
|
Pertussis ag if
|
$111.00 |
$111.00 |
$111.00 |
$69.05
|
|
Pet CT skull-mid thgh initial
|
$6,313.80 |
$6,313.80 |
$6,313.80 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$7,005.00 |
$7,005.00 |
$7,005.00 |
$3,861.90
|
|
Pet image w/ct lmtd
|
$5,411.40 |
$5,411.40 |
$5,411.40 |
$4,409.00
|
|
Pet scan brain perf study
|
$4,741.80 |
$4,741.80 |
$4,741.80 |
$3,832.80
|
|
Ph1 assmt&mgmt nqhp 11-20
|
$94.20 |
$94.20 |
$94.20 |
$60.80
|
|
Ph1 assmt&mgmt nqhp 21-30
|
$139.20 |
$139.20 |
$139.20 |
$91.50
|
|
Ph1 assmt&mgmt nqhp 5-10
|
$48.60 |
$48.60 |
$48.60 |
$31.20
|
|
Ph body fluid
|
$81.00 |
$81.00 |
$81.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$376.80 |
$376.80 |
$376.80 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$182.40 |
$182.40 |
$182.40 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$254.40 |
$254.40 |
$254.40 |
$112.93
|
|
Phlebotomy therapeutic
|
$566.40 |
$566.40 |
$566.40 |
$237.00
|
|
Phosphorus
|
$73.20 |
$73.20 |
$73.20 |
$50.25
|
|
Phosphorus 24 hour urine
|
$186.60 |
$186.60 |
$186.60 |
$42.25
|
|
Phys blood bank serv reactj
|
$20.40 |
$20.40 |
$20.40 |
$208.73
|
|
Pillow shldr abduc inflat univ
|
$307.80 |
$307.80 |
$307.80 |
$537.66
|
|
Pin service 60m per month
|
$156.60 |
$156.60 |
$156.60 |
$114.00
|
|
Pinworm exam
|
$73.20 |
$73.20 |
$73.20 |
$40.00
|
|
Place cath xtrnl carotid
|
$7,498.20 |
$7,498.20 |
$7,498.20 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$2,361.00 |
$2,361.00 |
$2,361.00 |
$2,247.84
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,203.00 |
$1,203.00 |
$1,203.00 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$2,067.60 |
$2,067.60 |
$2,067.60 |
$3,946.56
|
|
Placement occlusive device venous/arterial access site post procedure
|
$516.00 |
$516.00 |
$516.00 |
$591.00
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$15,107.40 |
$15,107.40 |
$15,107.40 |
$13,964.50
|
