|
Ndl round specialty proguide
|
$410.40 |
$410.40 |
$410.40 |
$392.50
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,330.40 |
$3,330.40 |
$3,330.40 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,157.60 |
$3,157.60 |
$3,157.60 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,042.40 |
$5,042.40 |
$5,042.40 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,540.80 |
$4,540.80 |
$4,540.80 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,876.80 |
$3,876.80 |
$3,876.80 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,650.40 |
$4,650.40 |
$4,650.40 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,856.80 |
$2,856.80 |
$2,856.80 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,063.20 |
$4,063.20 |
$4,063.20 |
$1,824.90
|
|
New Patient Office Visit (level 2)
|
$164.80 |
$164.80 |
$164.80 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$241.60 |
$241.60 |
$241.60 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$372.00 |
$372.00 |
$372.00 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$486.40 |
$486.40 |
$486.40 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$650.40 |
$650.40 |
$650.40 |
$435.00
|
|
Njx aa&/strd lmbr plex nfs
|
$5,368.80 |
$5,368.80 |
$5,368.80 |
$1,555.85
|
|
Njx aa&/strd sc nrv nfs img
|
$5,368.80 |
$5,368.80 |
$5,368.80 |
$1,715.40
|
|
Nm imaging bone/joint 3 phase study
|
$3,196.00 |
$3,196.00 |
$3,196.00 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$3,491.20 |
$3,491.20 |
$3,491.20 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,767.20 |
$1,767.20 |
$1,767.20 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$3,246.40 |
$3,246.40 |
$3,246.40 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,011.20 |
$3,011.20 |
$3,011.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$9,596.00 |
$9,596.00 |
$9,596.00 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,983.20 |
$1,983.20 |
$1,983.20 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$1,091.00
|
|
Noonan spectrum disorders
|
$5,156.00 |
$5,156.00 |
$5,156.00 |
$2,412.00
|
|
Npm1 gene
|
$1,666.40 |
$1,666.40 |
$1,666.40 |
$457.50
|
|
Nras gene variants exon 2&3
|
$939.20 |
$939.20 |
$939.20 |
$592.00
|
|
Nuclear Stress Test (Heart)
|
$6,214.40 |
$6,214.40 |
$6,214.40 |
$3,804.45
|
|
Nushield 1 square cm
|
$1,569.60 |
$1,569.60 |
$1,569.60 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$528.80 |
$528.80 |
$528.80 |
$392.45
|
|
Observation per hour
|
$248.80 |
$248.80 |
$248.80 |
$79.95
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$780.80 |
$780.80 |
$780.80 |
$162.99
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$113.60 |
$113.60 |
$113.60 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$165.60 |
$165.60 |
$165.60 |
$195.00
|
|
Osmolality blood
|
$136.00 |
$136.00 |
$136.00 |
$69.55
|
|
Osmolality urine
|
$149.60 |
$149.60 |
$149.60 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$371.20 |
$371.20 |
$371.20 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$308.80 |
$308.80 |
$308.80 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$329.60 |
$329.60 |
$329.60 |
$263.50
|
|
Oth resp proc, group
|
$126.40 |
$126.40 |
$126.40 |
$127.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$214.40 |
$214.40 |
$214.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$93.60
|
|
Ovulation tests
|
$303.20 |
$303.20 |
$303.20 |
$29.60
|
|
Parathormone (pth) intact
|
$349.60 |
$349.60 |
$349.60 |
$201.50
|
|
Parathyroid planar imaging
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$1,073.82
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$296.00 |
$296.00 |
$296.00 |
$242.88
|
|
Pelvic CT scan (with and without contrast)
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$2,962.40 |
$2,962.40 |
$2,962.40 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$2,573.60 |
$2,573.60 |
$2,573.60 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$4,437.60 |
$4,437.60 |
$4,437.60 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$3,940.00 |
$3,940.00 |
$3,940.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,568.80 |
$3,568.80 |
$3,568.80 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$732.80 |
$732.80 |
$732.80 |
$430.00
|
|
Pericardiocentesis wwo imaging
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$2,341.50
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$625.93
|
|
Pertussis ag if
|
$222.40 |
$222.40 |
$222.40 |
$65.00
|
|
Pet CT skull-mid thgh initial
|
$5,889.60 |
$5,889.60 |
$5,889.60 |
$4,711.20
|
|
Pet CT whole body initial
|
$5,968.80 |
$5,968.80 |
$5,968.80 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,293.60 |
$5,293.60 |
$5,293.60 |
$3,789.00
|
|
Pet image w/ct lmtd
|
$5,582.40 |
$5,582.40 |
$5,582.40 |
$4,366.50
|
|
Ph body fluid
|
$112.00 |
$112.00 |
$112.00 |
$40.04
|
|
Phencyclidine (pcp)
|
$488.80 |
$488.80 |
$488.80 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$276.80 |
$276.80 |
$276.80 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$303.20 |
$303.20 |
$303.20 |
$112.50
|
|
Phlebotomy therapeutic
|
$420.00 |
$420.00 |
$420.00 |
$231.66
|
|
Phosphorus
|
$104.80 |
$104.80 |
$104.80 |
$49.60
|
|
Phosphorus 24 hour urine
|
$201.60 |
$201.60 |
$201.60 |
$41.58
|
|
Pillow shldr abduc inflat univ
|
$410.40 |
$410.40 |
$410.40 |
$446.60
|
|
Pin service 60m per month
|
$180.00 |
$180.00 |
$180.00 |
$114.00
|
|
Pinworm exam
|
$181.60 |
$181.60 |
$181.60 |
$40.00
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,542.40
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$2,134.40 |
$2,134.40 |
$2,134.40 |
$1,332.43
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$9,509.60 |
$9,509.60 |
$9,509.60 |
$13,964.50
|
|
Platelet aggregation each agent teg
|
$825.60 |
$825.60 |
$825.60 |
$136.80
|
|
Platelet automated
|
$85.60 |
$85.60 |
$85.60 |
$45.00
|
|
Platelets leukocytes reduced each unit
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$4,351.20 |
$4,351.20 |
$4,351.20 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$4,168.00 |
$4,168.00 |
$4,168.00 |
$970.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$2,358.40 |
$2,358.40 |
$2,358.40 |
$754.00
|
|
Plethysmography lung volumes/airway resistance
|
$835.20 |
$835.20 |
$835.20 |
$399.50
|
|
Plmt nephroureteral catheter
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$4,225.00
|
|
Pmp22 gene dup/delet
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$1,029.75
|
|
Pms2 gene dup/delet variants
|
$797.60 |
$797.60 |
$797.60 |
$407.20
|
|
Pms2 gene full seq analysis
|
$1,649.60 |
$1,649.60 |
$1,649.60 |
$984.17
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$388.00 |
$388.00 |
$388.00 |
$187.04
|
|
Polysom any age 1-3> param
|
$3,819.20 |
$3,819.20 |
$3,819.20 |
$1,424.80
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,394.40 |
$4,394.40 |
$4,394.40 |
$3,751.48
|
|
Potassium 24 hour urine
|
$108.00 |
$108.00 |
$108.00 |
$50.70
|