|
Neck (Cervical Spine) MRI (with contrast)
|
$4,534.60 |
$4,534.60 |
$4,534.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$4,171.30 |
$4,171.30 |
$4,171.30 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,370.10 |
$4,370.10 |
$4,370.10 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,843.00 |
$3,843.00 |
$3,843.00 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,378.90 |
$3,378.90 |
$3,378.90 |
$1,790.58
|
|
Neisseria meningitidis
|
$106.40 |
$106.40 |
$106.40 |
$75.00
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$805.00 |
$805.00 |
$805.00 |
$397.44
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$805.00 |
$805.00 |
$805.00 |
$349.20
|
|
Nerve conduction 7-8 studies
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$719.39
|
|
Nerve conduction studies 11-12
|
$1,890.70 |
$1,890.70 |
$1,890.70 |
$1,080.04
|
|
Nerve conduction studies 13+
|
$2,402.40 |
$2,402.40 |
$2,402.40 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$745.50 |
$745.50 |
$745.50 |
$469.98
|
|
Nerve conduction studies 5-6
|
$974.40 |
$974.40 |
$974.40 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,631.70 |
$1,631.70 |
$1,631.70 |
$1,051.96
|
|
Nerve teasing preparations
|
$842.80 |
$842.80 |
$842.80 |
$698.49
|
|
New Patient Office Visit (level 2)
|
$215.60 |
$215.60 |
$215.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$380.10 |
$380.10 |
$380.10 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$438.20 |
$438.20 |
$438.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$640.50 |
$640.50 |
$640.50 |
$349.70
|
|
Njx aa&/strd lmbr plex nfs
|
$2,783.90 |
$2,783.90 |
$2,783.90 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$2,487.80 |
$2,487.80 |
$2,487.80 |
$1,772.02
|
|
Njx cath slct p-art angrp bi
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$1,300.00
|
|
Njx cth slct p-art angrp uni
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
$1,063.68
|
|
Njx interlaminar crv/thrc
|
$2,818.20 |
$2,818.20 |
$2,818.20 |
$1,586.71
|
|
Njx px nfrosgrm &/urtrgrm
|
$871.50 |
$871.50 |
$871.50 |
$1,440.80
|
|
Non-blind interatrial shunt
|
$60,200.70 |
$60,200.70 |
$60,200.70 |
$32,542.99
|
|
Noonan spectrum disorders
|
$5,298.30 |
$5,298.30 |
$5,298.30 |
$2,582.40
|
|
Npsy tst eval phsy/qhp 1st hr
|
$805.00 |
$805.00 |
$805.00 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$805.00 |
$805.00 |
$805.00 |
$244.95
|
|
Ob Ultrasound nuchal meas 1 gest
|
$940.80 |
$940.80 |
$940.80 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$766.50 |
$766.50 |
$766.50 |
$249.60
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$11.90 |
$11.90 |
$11.90 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$143.85 |
$143.85 |
$143.85 |
$109.58
|
|
Onco (ovar) two proteins
|
$547.40 |
$547.40 |
$547.40 |
$341.54
|
|
Oncoprotein dcp
|
$219.80 |
$219.80 |
$219.80 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$4.37 |
$4.37 |
$4.37 |
$22.62
|
|
Open bx/exc inguinofem nodes
|
$7,700.00 |
$7,700.00 |
$7,700.00 |
$4,992.00
|
|
Organic acids total quant ea spec
|
$225.40 |
$225.40 |
$225.40 |
$151.36
|
|
Ortho ewhf rigd without jnt cstm w
|
$2,359.70 |
$2,359.70 |
$2,359.70 |
$1,288.00
|
|
Orthopantogram
|
$692.30 |
$692.30 |
$692.30 |
$241.50
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$718.40
|
|
Oscillation chest wall mechanical per session
|
$134.40 |
$134.40 |
$134.40 |
$195.00
|
|
Osmolality blood
|
$30.10 |
$30.10 |
$30.10 |
$67.60
|
|
Osmolality urine
|
$72.80 |
$72.80 |
$72.80 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$731.50 |
$731.50 |
$731.50 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$486.50 |
$486.50 |
$486.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$611.10 |
$611.10 |
$611.10 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$126.70 |
$126.70 |
$126.70 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$126.70 |
$126.70 |
$126.70 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$131.60 |
$131.60 |
$131.60 |
$105.00
|
|
Ot re-evaluation patient/family
|
$286.30 |
$286.30 |
$286.30 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$126.00 |
$126.00 |
$126.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$158.20 |
$158.20 |
$158.20 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$158.20 |
$158.20 |
$158.20 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$126.70 |
$126.70 |
$126.70 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$126.70 |
$126.70 |
$126.70 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$126.70 |
$126.70 |
$126.70 |
$94.25
|
|
Pabpn1 gene detc abnor allel
|
$316.40 |
$316.40 |
$316.40 |
$225.42
|
|
Palb2 gene full gene seq
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$672.50
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$84.87 |
$84.87 |
$84.87 |
$128.07
|
|
Parathormone (pth) intact
|
$116.20 |
$116.20 |
$116.20 |
$204.87
|
|
Paricalcitol
|
$5.95 |
$5.95 |
$5.95 |
$47.15
|
|
Passy muir valve metal trach
|
$355.60 |
$355.60 |
$355.60 |
$275.75
|
|
Pdgfra gene
|
$761.60 |
$761.60 |
$761.60 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$3,318.00 |
$3,318.00 |
$3,318.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,907.80 |
$2,907.80 |
$2,907.80 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,156.70 |
$2,156.70 |
$2,156.70 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$4,765.60 |
$4,765.60 |
$4,765.60 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$1,509.90 |
$1,509.90 |
$1,509.90 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$862.40 |
$862.40 |
$862.40 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$14.70 |
$14.70 |
$14.70 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$404.77 |
$404.77 |
$404.77 |
$101.34
|
|
Perc d-e cor revasc chro add
|
$20,179.60 |
$20,179.60 |
$20,179.60 |
$12,886.61
|
|
Perc d-e cor revasc t cabg b
|
$19,483.80 |
$19,483.80 |
$19,483.80 |
$11,088.63
|
|
Pericardial drain w/cath pq w/ct guid
|
$3,194.80 |
$3,194.80 |
$3,194.80 |
$2,513.20
|
|
Peritoneal cath sub q resv per
|
$4,081.00 |
$4,081.00 |
$4,081.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$739.90 |
$739.90 |
$739.90 |
$695.89
|
|
Perq clsr tcat l atr apndge
|
$10,022.60 |
$10,022.60 |
$10,022.60 |
$9,509.53
|
|
Perq dev breast 1st mr guide
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$1,837.20
|
|
Perq p-art revsc 1 abnor uni
|
$42,242.20 |
$42,242.20 |
$42,242.20 |
$21,321.00
|
|
Perq p-art revsc 1 nm nt uni
|
$26,104.40 |
$26,104.40 |
$26,104.40 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$10,885.00 |
$10,885.00 |
$10,885.00 |
$8,627.68
|
|
Perq plmt bile duct stent
|
$11,519.20 |
$11,519.20 |
$11,519.20 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$2,047.50 |
$2,047.50 |
$2,047.50 |
$6,904.15
|
|
Perq transcath closure each
|
$12,824.70 |
$12,824.70 |
$12,824.70 |
$9,204.00
|
|
Perq transcath closure pda
|
$33,441.80 |
$33,441.80 |
$33,441.80 |
$18,408.00
|
|
Perq transcath cls mitral
|
$19,471.90 |
$19,471.90 |
$19,471.90 |
$23,617.60
|
|
Perq transcath septal reduxn
|
$8,999.20 |
$8,999.20 |
$8,999.20 |
$8,605.90
|
|
Pet image ltd area
|
$5,712.00 |
$5,712.00 |
$5,712.00 |
$3,677.40
|
|
Pet image skull-thigh
|
$5,630.10 |
$5,630.10 |
$5,630.10 |
$4,256.70
|
|
Ph body fluid
|
$42.00 |
$42.00 |
$42.00 |
$41.28
|
|
Phencyclidine (pcp)
|
$111.30 |
$111.30 |
$111.30 |
$96.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$123.20 |
$123.20 |
$123.20 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$118.30 |
$118.30 |
$118.30 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$116.90 |
$116.90 |
$116.90 |
$110.88
|
|
Phlebotomy therapeutic
|
$316.40 |
$316.40 |
$316.40 |
$231.66
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$4,599.65
|
