|
Neck (Cervical Spine) MRI (without contrast)
|
$1,259.44 |
$1,259.44 |
$1,259.44 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,361.92 |
$1,361.92 |
$1,361.92 |
$1,741.80
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$204.40 |
$204.40 |
$204.40 |
$269.35
|
|
New Patient Office Visit (level 2)
|
$54.88 |
$54.88 |
$54.88 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$95.20 |
$95.20 |
$95.20 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$154.00 |
$154.00 |
$154.00 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$210.00 |
$210.00 |
$210.00 |
$367.20
|
|
Njx aa&/strd nrv nrvtg si jt
|
$815.36 |
$815.36 |
$815.36 |
$1,035.20
|
|
Njx aa&/strd sc nrv nfs img
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,644.28
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,150.96 |
$2,150.96 |
$2,150.96 |
$1,580.80
|
|
Nm imaging bone/joint 3 phase study
|
$901.60 |
$901.60 |
$901.60 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$775.60 |
$775.60 |
$775.60 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$802.48 |
$802.48 |
$802.48 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$685.44 |
$685.44 |
$685.44 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$685.44 |
$685.44 |
$685.44 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$459.76 |
$459.76 |
$459.76 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$822.64 |
$822.64 |
$822.64 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$496.16 |
$496.16 |
$496.16 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$665.84 |
$665.84 |
$665.84 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$744.24 |
$744.24 |
$744.24 |
$1,004.90
|
|
Noninv pace analysis
|
$1,740.48 |
$1,740.48 |
$1,740.48 |
$788.00
|
|
Npm1 gene
|
$276.08 |
$276.08 |
$276.08 |
$493.60
|
|
Nras gene variants exon 2&3
|
$223.44 |
$223.44 |
$223.44 |
$590.26
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,520.72 |
$3,520.72 |
$3,520.72 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$971.04 |
$971.04 |
$971.04 |
$2,591.00
|
|
Nuclear rx intra-arterial
|
$219.52 |
$219.52 |
$219.52 |
$761.95
|
|
Nuclear rx IV admin
|
$368.48 |
$368.48 |
$368.48 |
$806.38
|
|
Nuclear Stress Test (Heart)
|
$1,986.32 |
$1,986.32 |
$1,986.32 |
$3,739.20
|
|
Nushield 1 square cm
|
$164.08 |
$164.08 |
$164.08 |
$462.75
|
|
Observation per hour
|
$63.84 |
$63.84 |
$63.84 |
$75.15
|
|
Organic acids total quant ea spec
|
$47.04 |
$47.04 |
$47.04 |
$152.50
|
|
Osmolality blood
|
$22.96 |
$22.96 |
$22.96 |
$57.00
|
|
Osmolality urine
|
$22.40 |
$22.40 |
$22.40 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$128.24 |
$128.24 |
$128.24 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$128.24 |
$128.24 |
$128.24 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$128.24 |
$128.24 |
$128.24 |
$249.60
|
|
Oth resp proc, group
|
$168.56 |
$168.56 |
$168.56 |
$100.80
|
|
Oth resp proc, indiv
|
$150.08 |
$150.08 |
$150.08 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$30.24 |
$30.24 |
$30.24 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$63.84 |
$63.84 |
$63.84 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$62.72 |
$62.72 |
$62.72 |
$105.50
|
|
Ot re-evaluation patient/family
|
$79.52 |
$79.52 |
$79.52 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$60.48 |
$60.48 |
$60.48 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$52.08 |
$52.08 |
$52.08 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$52.08 |
$52.08 |
$52.08 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$62.16 |
$62.16 |
$62.16 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$61.04 |
$61.04 |
$61.04 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$54.32 |
$54.32 |
$54.32 |
$93.60
|
|
Parathormone (pth) intact
|
$55.44 |
$55.44 |
$55.44 |
$204.00
|
|
Parathyrd planar w/spect&ct
|
$685.44 |
$685.44 |
$685.44 |
$1,574.40
|
|
Parathyroid planar imaging
|
$607.04 |
$607.04 |
$607.04 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$685.44 |
$685.44 |
$685.44 |
$1,317.94
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$239.12 |
$239.12 |
$239.12 |
$270.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5.60 |
$5.60 |
$5.60 |
$5,901.00
|
|
Pdgfra gene
|
$369.04 |
$369.04 |
$369.04 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$860.72 |
$860.72 |
$860.72 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$808.08 |
$808.08 |
$808.08 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$730.24 |
$730.24 |
$730.24 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$1,434.72 |
$1,434.72 |
$1,434.72 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$1,259.44 |
$1,259.44 |
$1,259.44 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$1,126.72 |
$1,126.72 |
$1,126.72 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$322.00 |
$322.00 |
$322.00 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$190.96 |
$190.96 |
$190.96 |
$429.66
|
|
Penile vascular study
|
$707.28 |
$707.28 |
$707.28 |
$527.34
|
|
Perc cryo ablate renal tum
|
$8,506.40 |
$8,506.40 |
$8,506.40 |
$13,038.50
|
|
Perc d-e cor revasc chro add
|
$1,637.44 |
$1,637.44 |
$1,637.44 |
$17,898.00
|
|
Perc d-e cor revasc chro sin
|
$14,285.04 |
$14,285.04 |
$14,285.04 |
$21,146.91
|
|
Perc d-e cor revasc t cabg b
|
$4,919.60 |
$4,919.60 |
$4,919.60 |
$23,011.50
|
|
Perc d-e cor revasc t cabg s
|
$9,548.00 |
$9,548.00 |
$9,548.00 |
$18,917.20
|
|
Perc d-e cor stent ather br
|
$4,919.60 |
$4,919.60 |
$4,919.60 |
$23,282.40
|
|
Perc d-e cor stent ather s
|
$14,018.48 |
$14,018.48 |
$14,018.48 |
$21,146.91
|
|
Perc drug-el cor stent bran
|
$4,919.60 |
$4,919.60 |
$4,919.60 |
$15,130.40
|
|
Perc drug-el cor stent sing
|
$8,709.68 |
$8,709.68 |
$8,709.68 |
$16,258.50
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$54.32 |
$54.32 |
$54.32 |
$269.36
|
|
Pericardiocentesis wwo imaging
|
$562.80 |
$562.80 |
$562.80 |
$2,554.80
|
|
Peripheral vascular rehab
|
$76.16 |
$76.16 |
$76.16 |
$142.11
|
|
Peri-proc device eval icd
|
$267.12 |
$267.12 |
$267.12 |
$220.35
|
|
Peri-proc device eval pm
|
$267.12 |
$267.12 |
$267.12 |
$200.92
|
|
Perq art m-thrombect &/nfs
|
$4,995.20 |
$4,995.20 |
$4,995.20 |
$7,796.10
|
|
Perq clsr tcat l atr apndge
|
$3,928.40 |
$3,928.40 |
$3,928.40 |
$12,032.67
|
|
Perq dev breast 1st mr guide
|
$2,032.24 |
$2,032.24 |
$2,032.24 |
$2,153.40
|
|
Perq dev breast 1st strtctc
|
$3,077.76 |
$3,077.76 |
$3,077.76 |
$1,471.17
|
|
Perq nl/pl lithotrp smpl<2cm
|
$7,430.08 |
$7,430.08 |
$7,430.08 |
$9,009.60
|
|
Perq plmt bile duct stent
|
$7,922.32 |
$7,922.32 |
$7,922.32 |
$8,164.80
|
|
Perq plmt bile duct stent
|
$12,232.08 |
$12,232.08 |
$12,232.08 |
$7,082.99
|
|
Perq transcath closure pda
|
$30,556.96 |
$30,556.96 |
$30,556.96 |
$19,624.54
|
|
Perq transcath septal reduxn
|
$3,629.36 |
$3,629.36 |
$3,629.36 |
$6,003.27
|
|
Pertussis ag if
|
$10.64 |
$10.64 |
$10.64 |
$53.95
|
|
Pet CT skull-mid thgh initial
|
$2,546.32 |
$2,546.32 |
$2,546.32 |
$4,850.00
|
|
Pet CT whole body initial
|
$2,546.32 |
$2,546.32 |
$2,546.32 |
$4,915.50
|
|
Pet fdg brain metoblic eval sb
|
$2,546.32 |
$2,546.32 |
$2,546.32 |
$3,274.20
|
|
Ph body fluid
|
$16.80 |
$16.80 |
$16.80 |
$35.75
|
|
Phencyclidine (pcp)
|
$10.08 |
$10.08 |
$10.08 |
$74.40
|
|
Phenobarbital therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
$97.50
|
|
Phenytoin total therapeutic drug level
|
$38.08 |
$38.08 |
$38.08 |
$100.75
|
|
Phlebotomy therapeutic
|
$180.88 |
$180.88 |
$180.88 |
$240.24
|
|
Phosphorus
|
$8.40 |
$8.40 |
$8.40 |
$42.37
|