|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,729.20 |
$1,729.20 |
$1,729.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,871.00 |
$2,871.00 |
$2,871.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,936.80 |
$1,936.80 |
$1,936.80 |
$1,056.33
|
|
Non-card vasc flow imaging
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$608.56
|
|
Noninv pace analysis
|
$1,547.40 |
$1,547.40 |
$1,547.40 |
$761.60
|
|
Noonan spectrum disorders
|
$3,906.60 |
$3,906.60 |
$3,906.60 |
$2,582.40
|
|
Npm1 gene
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$457.50
|
|
Npsy fam hlth interv ea addl 15 min
|
$26.40 |
$26.40 |
$26.40 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$10.20 |
$10.20 |
$10.20 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$108.00 |
$108.00 |
$108.00 |
$102.71
|
|
Npsy tst eval phsy/qhp 1st hr
|
$414.60 |
$414.60 |
$414.60 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$309.00 |
$309.00 |
$309.00 |
$244.95
|
|
Nras gene variants exon 2&3
|
$594.00 |
$594.00 |
$594.00 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$12,028.80 |
$12,028.80 |
$12,028.80 |
$6,737.40
|
|
Nuclear exam of tear flow
|
$552.60 |
$552.60 |
$552.60 |
$583.70
|
|
Nuclear rx intra-arterial
|
$504.00 |
$504.00 |
$504.00 |
$765.00
|
|
Nuclear rx intracav admin
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$776.97
|
|
Nuclear rx IV admin
|
$814.80 |
$814.80 |
$814.80 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$5,721.60 |
$5,721.60 |
$5,721.60 |
$3,804.45
|
|
Nushield 1 square cm
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$538.20 |
$538.20 |
$538.20 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$331.20 |
$331.20 |
$331.20 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$431.40 |
$431.40 |
$431.40 |
$303.20
|
|
Observation per hour
|
$142.20 |
$142.20 |
$142.20 |
$81.22
|
|
Obstetrical care 59410
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$2,112.80
|
|
Obstetric panel inc HIV tstg
|
$1,073.40 |
$1,073.40 |
$1,073.40 |
$264.60
|
|
Obstetrics panel
|
$760.80 |
$760.80 |
$760.80 |
$214.50
|
|
Obtaining screen pap smear
|
$78.00 |
$78.00 |
$78.00 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$807.00 |
$807.00 |
$807.00 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$807.00 |
$807.00 |
$807.00 |
$249.60
|
|
Off/op cnsltj new/est low 30
|
$399.60 |
$399.60 |
$399.60 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$566.40 |
$566.40 |
$566.40 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$756.00 |
$756.00 |
$756.00 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$316.80 |
$316.80 |
$316.80 |
$133.80
|
|
Open ablate liver tumor cryo
|
$10,595.40 |
$10,595.40 |
$10,595.40 |
$3,046.40
|
|
Open ablate liver tumor rf
|
$10,595.40 |
$10,595.40 |
$10,595.40 |
$2,968.00
|
|
Open aortic tube prosth repair 34830
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$4,289.60
|
|
Open aortofemor prosth repr
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$3,942.84
|
|
Open aortoiliac prosth repr 34831
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$3,678.92
|
|
Open thrombectomy of av fistula without revision 36831
|
$8,857.80 |
$8,857.80 |
$8,857.80 |
$6,366.08
|
|
Opn ilac art expos cndt crtj
|
$1,888.20 |
$1,888.20 |
$1,888.20 |
$1,169.29
|
|
Opps service,sched team conf
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$503.90
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$226.20 |
$226.20 |
$226.20 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$583.20 |
$583.20 |
$583.20 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$396.60 |
$396.60 |
$396.60 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$424.20 |
$424.20 |
$424.20 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$176.40 |
$176.40 |
$176.40 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$148.20 |
$148.20 |
$148.20 |
$231.00
|
|
Orthopantogram
|
$213.60 |
$213.60 |
$213.60 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$277.20 |
$277.20 |
$277.20 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$538.80 |
$538.80 |
$538.80 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$271.20 |
$271.20 |
$271.20 |
$195.00
|
|
Osmolality blood
|
$141.00 |
$141.00 |
$141.00 |
$67.60
|
|
Osmolality urine
|
$67.20 |
$67.20 |
$67.20 |
$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
|
|
Oth resp proc, group
|
$80.40 |
$80.40 |
$80.40 |
$123.05
|
|
Oth resp proc, indiv
|
$79.80 |
$79.80 |
$79.80 |
$82.50
|
|
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
|
$133.20 |
$133.20 |
$133.20 |
$101.38
|
|
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 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$105.00 |
$105.00 |
$105.00 |
$94.25
|
|
Ovulation tests
|
$83.40 |
$83.40 |
$83.40 |
$29.60
|
|
Parathormone (pth) intact
|
$295.80 |
$295.80 |
$295.80 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,203.80 |
$2,203.80 |
$2,203.80 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$276.00 |
$276.00 |
$276.00 |
$245.00
|
|
Ped critical care initial
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,446.40
|
|
Ped critical care subsq
|
$504.60 |
$504.60 |
$504.60 |
$724.00
|
|
Ped home apnea mntr dl&alys
|
$280.20 |
$280.20 |
$280.20 |
$296.92
|
|
Pelvic CT scan (with and without contrast)
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,209.20 |
$2,209.20 |
$2,209.20 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,067.60 |
$2,067.60 |
$2,067.60 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,324.60 |
$3,324.60 |
$3,324.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,955.00 |
$2,955.00 |
$2,955.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,871.00 |
$2,871.00 |
$2,871.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$729.00 |
$729.00 |
$729.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$729.00 |
$729.00 |
$729.00 |
$430.00
|
|
Penile injection
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$418.00
|
|
Penile vascular study
|
$729.00 |
$729.00 |
$729.00 |
$576.40
|
|
Penile vascular study
|
$729.00 |
$729.00 |
$729.00 |
$574.60
|
|
Perc cryo ablate renal tum
|
$15,184.80 |
$15,184.80 |
$15,184.80 |
$11,458.04
|
|
Perc rf ablate renal tumor
|
$10,954.20 |
$10,954.20 |
$10,954.20 |
$7,243.60
|
|
Percut ablate liver rf
|
$8,455.80 |
$8,455.80 |
$8,455.80 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$2,251.20
|
|
Peripheral vascular rehab
|
$138.60 |
$138.60 |
$138.60 |
$132.50
|
|
Peri-proc device eval icd
|
$423.00 |
$423.00 |
$423.00 |
$192.40
|
|
Peri-proc device eval pm
|
$400.20 |
$400.20 |
$400.20 |
$159.90
|
|
Peritoneal cath sub q resv per
|
$6,840.00 |
$6,840.00 |
$6,840.00 |
$5,625.74
|
