|
Mopath procedure level 6
|
$1,826.30 |
$1,826.30 |
$1,826.30 |
$879.70
|
|
Mopath procedure level 7
|
$3,042.20 |
$3,042.20 |
$3,042.20 |
$1,136.80
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$389.40
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$676.90 |
$676.90 |
$676.90 |
$330.89
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$862.40 |
$862.40 |
$862.40 |
$316.20
|
|
M/phmtrc alys ishquant/semiq
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$479.70
|
|
MRA chest w IV cont
|
$3,159.10 |
$3,159.10 |
$3,159.10 |
$1,813.48
|
|
MRA chest wo IV cont
|
$2,124.50 |
$2,124.50 |
$2,124.50 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$3,334.10 |
$3,334.10 |
$3,334.10 |
$2,479.80
|
|
MRA pelvis w IV cont
|
$3,159.10 |
$3,159.10 |
$3,159.10 |
$1,527.60
|
|
MRA pelvis wo IV cont
|
$2,124.50 |
$2,124.50 |
$2,124.50 |
$1,420.27
|
|
MRA spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,994.20
|
|
MRA upper extremity post contrast-bil
|
$3,559.50 |
$3,559.50 |
$3,559.50 |
$2,482.20
|
|
MRA w/cont, abd
|
$3,159.10 |
$3,159.10 |
$3,159.10 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$6,318.20 |
$6,318.20 |
$6,318.20 |
$1,691.95
|
|
Mra, w/dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$537.15
|
|
MRA without cont, abd
|
$2,124.50 |
$2,124.50 |
$2,124.50 |
$1,764.03
|
|
MRA without cont, lwr ext
|
$4,249.00 |
$4,249.00 |
$4,249.00 |
$1,656.00
|
|
Mra, without dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$632.97
|
|
MRA without fol w/cont, abd
|
$3,334.10 |
$3,334.10 |
$3,334.10 |
$2,497.30
|
|
MRA without fol w/cont, lwr ext
|
$6,668.20 |
$6,668.20 |
$6,668.20 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$3,334.10 |
$3,334.10 |
$3,334.10 |
$2,356.90
|
|
Mra, w/o&w/dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$715.00
|
|
MRI breast without cont bi
|
$4,090.10 |
$4,090.10 |
$4,090.10 |
$1,871.10
|
|
MRI chest without contrast
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,829.00 |
$3,829.00 |
$3,829.00 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,176.20
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,024.40
|
|
MRI without fol w/cont, breast
|
$5,685.40 |
$5,685.40 |
$5,685.40 |
$2,301.04
|
|
MRI without fol w/cont, brst, un
|
$3,686.20 |
$3,686.20 |
$3,686.20 |
$1,610.50
|
|
Mthfr gene analy common variants
|
$716.10 |
$716.10 |
$716.10 |
$180.48
|
|
Multiple sleep latency test
|
$2,860.20 |
$2,860.20 |
$2,860.20 |
$2,466.00
|
|
Mumps antibody igg
|
$144.20 |
$144.20 |
$144.20 |
$78.00
|
|
Mycoplasma antibody igm
|
$124.60 |
$124.60 |
$124.60 |
$78.40
|
|
Myelogphy 2/> spine regions
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$1,459.50
|
|
Myelography l-s spine
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$1,315.60
|
|
Myelography neck spine
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$1,213.80
|
|
Myelography thoracic spine
|
$3,594.50 |
$3,594.50 |
$3,594.50 |
$1,255.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$192.50 |
$192.50 |
$192.50 |
$131.07
|
|
Natriuretic peptide
|
$241.50 |
$241.50 |
$241.50 |
$176.15
|
|
Natural killer cells total count
|
$241.50 |
$241.50 |
$241.50 |
$132.60
|
|
N block inj hypogas plxs
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,927.75
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,245.20 |
$3,245.20 |
$3,245.20 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,743.30 |
$2,743.30 |
$2,743.30 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,840.90 |
$3,840.90 |
$3,840.90 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,824.90
|
|
Nfct ds bv&vaginitis dna alg
|
$567.70 |
$567.70 |
$567.70 |
$435.00
|
|
Nm imaging bone/joint 3 phase study
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,968.40 |
$1,968.40 |
$1,968.40 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,091.00
|
|
Nuclear Stress Test (Heart)
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$521.50 |
$521.50 |
$521.50 |
$392.45
|
|
Observation per hour
|
$79.10 |
$79.10 |
$79.10 |
$79.95
|
|
Obstetric panel inc HIV tstg
|
$1,063.30 |
$1,063.30 |
$1,063.30 |
$288.01
|
|
Obstetrics panel
|
$441.70 |
$441.70 |
$441.70 |
$214.50
|
|
Oral hiv-1/hiv-2 screen
|
$140.70 |
$140.70 |
$140.70 |
$38.58
|
|
Oscillation chest wall mechanical per session
|
$213.50 |
$213.50 |
$213.50 |
$195.00
|
|
Osmolality blood
|
$84.00 |
$84.00 |
$84.00 |
$69.55
|
|
Osmolality urine
|
$58.10 |
$58.10 |
$58.10 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$455.00 |
$455.00 |
$455.00 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$375.90 |
$375.90 |
$375.90 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$415.10 |
$415.10 |
$415.10 |
$263.50
|
|
Oth resp proc, group
|
$39.90 |
$39.90 |
$39.90 |
$127.40
|
|
Oth resp proc, indiv
|
$30.10 |
$30.10 |
$30.10 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$205.80 |
$205.80 |
$205.80 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$191.80 |
$191.80 |
$191.80 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$148.40 |
$148.40 |
$148.40 |
$105.00
|
|
Ot re-evaluation patient/family
|
$296.10 |
$296.10 |
$296.10 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$167.30 |
$167.30 |
$167.30 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$100.80 |
$100.80 |
$100.80 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$111.30 |
$111.30 |
$111.30 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$152.60 |
$152.60 |
$152.60 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$161.70 |
$161.70 |
$161.70 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$151.20 |
$151.20 |
$151.20 |
$93.60
|
|
Parathormone (pth) intact
|
$278.60 |
$278.60 |
$278.60 |
$201.50
|
|
Parathyroid planar imaging
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,073.82
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$453.60 |
$453.60 |
$453.60 |
$242.88
|
|
Pelvic CT scan (with and without contrast)
|
$2,729.30 |
$2,729.30 |
$2,729.30 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,330.30 |
$2,330.30 |
$2,330.30 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$2,870.36
|