|
Multiple sleep latency test
|
$3,059.28 |
$3,059.28 |
$3,059.28 |
$2,486.88
|
|
Mumps antibody igg
|
$114.48 |
$114.48 |
$114.48 |
$79.95
|
|
Mycoplasma antibody igm
|
$612.72 |
$612.72 |
$612.72 |
$79.20
|
|
Myelography via inj w/s&i lumbosacral
|
$1,843.92 |
$1,843.92 |
$1,843.92 |
$1,850.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$124.56 |
$124.56 |
$124.56 |
$135.50
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
$70.66
|
|
Natriuretic peptide
|
$303.12 |
$303.12 |
$303.12 |
$176.15
|
|
Natural killer cells total count
|
$181.44 |
$181.44 |
$181.44 |
$132.60
|
|
Ndl insj without njx 3+ musc
|
$69.84 |
$69.84 |
$69.84 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,931.84 |
$2,931.84 |
$2,931.84 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,411.28 |
$2,411.28 |
$2,411.28 |
$1,506.05
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,682.08 |
$3,682.08 |
$3,682.08 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,340.08 |
$3,340.08 |
$3,340.08 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,143.52 |
$3,143.52 |
$3,143.52 |
$2,005.26
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,718.08 |
$3,718.08 |
$3,718.08 |
$2,715.70
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,034.08 |
$3,034.08 |
$3,034.08 |
$2,079.84
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,548.08 |
$2,548.08 |
$2,548.08 |
$1,802.40
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.62 |
$1.62 |
$1.62 |
$60.16
|
|
New Patient Office Visit (level 2)
|
$335.52 |
$335.52 |
$335.52 |
$151.50
|
|
New Patient Office Visit (level 3)
|
$424.80 |
$424.80 |
$424.80 |
$207.90
|
|
New Patient Office Visit (level 4)
|
$567.36 |
$567.36 |
$567.36 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$705.60 |
$705.60 |
$705.60 |
$347.82
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$7.78 |
$7.78 |
$7.78 |
$73.92
|
|
Njx interlaminar lmbr/sac
|
$1,748.16 |
$1,748.16 |
$1,748.16 |
$1,493.92
|
|
Nm imaging bone/joint 3 phase study
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$1,725.50
|
|
Nm imaging bone/joint whole body
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,594.08 |
$1,594.08 |
$1,594.08 |
$1,408.11
|
|
Nm imaging gastric emptying study
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,359.60
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,355.04 |
$1,355.04 |
$1,355.04 |
$1,211.60
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,892.16 |
$1,892.16 |
$1,892.16 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,694.16 |
$1,694.16 |
$1,694.16 |
$1,550.95
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,229.04 |
$1,229.04 |
$1,229.04 |
$1,091.00
|
|
Nuclear Stress Test (Heart)
|
$4,075.92 |
$4,075.92 |
$4,075.92 |
$3,818.25
|
|
Observation direct referral from physician office for admission
|
$662.40 |
$662.40 |
$662.40 |
$386.40
|
|
Observation per hour
|
$61.92 |
$61.92 |
$61.92 |
$80.73
|
|
Ob Ultrasound nuchal meas 1 gest
|
$280.08 |
$280.08 |
$280.08 |
$359.20
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.56 |
$34.56 |
$34.56 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$3.46 |
$3.46 |
$3.46 |
$109.62
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.24 |
$3.24 |
$3.24 |
$22.67
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$54.00 |
$54.00 |
$54.00 |
$50.63
|
|
Osmolality blood
|
$83.52 |
$83.52 |
$83.52 |
$70.85
|
|
Osmolality urine
|
$70.56 |
$70.56 |
$70.56 |
$66.30
|
|
Ot evaluation high complexity patient/family
|
$838.08 |
$838.08 |
$838.08 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$287.28 |
$287.28 |
$287.28 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$575.28 |
$575.28 |
$575.28 |
$263.50
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$526.32 |
$526.32 |
$526.32 |
$105.00
|
|
Ot re-evaluation patient/family
|
$166.32 |
$166.32 |
$166.32 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$117.36 |
$117.36 |
$117.36 |
$99.72
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$116.64 |
$116.64 |
$116.64 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$123.84 |
$123.84 |
$123.84 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$118.08 |
$118.08 |
$118.08 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$263.52 |
$263.52 |
$263.52 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$117.36 |
$117.36 |
$117.36 |
$93.60
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$107.88 |
$107.88 |
$107.88 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$12.96 |
$12.96 |
$12.96 |
$28.54
|
|
Parathormone (pth) intact
|
$95.76 |
$95.76 |
$95.76 |
$204.87
|
|
Parathyroid planar imaging
|
$1,229.04 |
$1,229.04 |
$1,229.04 |
$1,132.80
|
|
Parathyroid planar img w/tomo spect
|
$1,313.28 |
$1,313.28 |
$1,313.28 |
$1,350.60
|
|
Pelvic CT scan (with and without contrast)
|
$2,382.48 |
$2,382.48 |
$2,382.48 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,121.12 |
$2,121.12 |
$2,121.12 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,906.56 |
$1,906.56 |
$1,906.56 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$3,561.12 |
$3,561.12 |
$3,561.12 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,905.92 |
$2,905.92 |
$2,905.92 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,687.04 |
$2,687.04 |
$2,687.04 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$659.15
|
|
Pelvic Ultrasound (limited)
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$435.13
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$339.48 |
$339.48 |
$339.48 |
$329.04
|
|
Peripheral vascular rehab
|
$128.88 |
$128.88 |
$128.88 |
$132.50
|
|
Perq dev breast 1st mr guide
|
$1,348.56 |
$1,348.56 |
$1,348.56 |
$1,837.20
|
|
Ph body fluid
|
$22.32 |
$22.32 |
$22.32 |
$40.04
|
|
Phenobarbital therapeutic drug level
|
$118.80 |
$118.80 |
$118.80 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$171.36 |
$171.36 |
$171.36 |
$112.93
|
|
Phlebotomy therapeutic
|
$193.68 |
$193.68 |
$193.68 |
$237.00
|
|
Phosphorus
|
$95.04 |
$95.04 |
$95.04 |
$50.25
|
|
Phosphorus 24 hour urine
|
$138.96 |
$138.96 |
$138.96 |
$42.25
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$14.80 |
$14.80 |
$14.80 |
$85.79
|
|
Pinworm exam
|
$47.52 |
$47.52 |
$47.52 |
$40.00
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$12.06 |
$12.06 |
$12.06 |
$84.15
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$882.72 |
$882.72 |
$882.72 |
$1,332.43
|
|
Platelet automated
|
$44.64 |
$44.64 |
$44.64 |
$45.63
|
|
Platelets leukocytes reduced each unit
|
$851.76 |
$851.76 |
$851.76 |
$299.40
|
|
Platelets leukocytes reduced irradiated each unit
|
$776.88 |
$776.88 |
$776.88 |
$418.95
|
|
Platelets pheresis leukocytes reduced each unit
|
$884.88 |
$884.88 |
$884.88 |
$1,131.65
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$806.40 |
$806.40 |
$806.40 |
$1,237.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$801.36 |
$801.36 |
$801.36 |
$1,004.00
|
|
Plethysmography lung volumes/airway resistance
|
$371.52 |
$371.52 |
$371.52 |
$405.00
|
|
#pnh-flow cytometry interp
|
$172.80 |
$172.80 |
$172.80 |
$132.48
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$324.72 |
$324.72 |
$324.72 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$3,701.52 |
$3,701.52 |
$3,701.52 |
$3,751.48
|
|
Potassium 24 hour urine
|
$90.00 |
$90.00 |
$90.00 |
$51.35
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$65.52 |
$65.52 |
$65.52 |
$64.09
|
|
Potassium serum/plasma/whole blood
|
$62.64 |
$62.64 |
$62.64 |
$47.85
|
|
Pq thr inj ext pse
|
$1,393.20 |
$1,393.20 |
$1,393.20 |
$792.96
|
|
Pr application of long arm splint
|
$308.88 |
$308.88 |
$308.88 |
$328.78
|
|
Pr application splint static short arm
|
$306.00 |
$306.00 |
$306.00 |
$287.70
|
|
Prealbumin
|
$128.16 |
$128.16 |
$128.16 |
$94.00
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$2.16 |
$2.16 |
$2.16 |
$13.87
|