|
Neck MRA (blood vessel MRI, without contrast)
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$1,824.90
|
|
Nelarabine injection
|
$825.52 |
$825.52 |
$825.52 |
$975.00
|
|
Neutrlzg antb sarscov2 scr
|
$83.70 |
$83.70 |
$83.70 |
$58.14
|
|
Neutrlzg antb sarscov2 titer
|
$83.70 |
$83.70 |
$83.70 |
$160.00
|
|
New Patient Office Visit (level 2)
|
$224.10 |
$224.10 |
$224.10 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$182.70 |
$182.70 |
$182.70 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$219.15 |
$219.15 |
$219.15 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$289.35 |
$289.35 |
$289.35 |
$349.70
|
|
Nfct agt gntyp alys sarscov2
|
$210.60 |
$210.60 |
$210.60 |
$257.45
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$76.78 |
$76.78 |
$76.78 |
$74.56
|
|
Njx aa&/strd nrv nrvtg si jt
|
$413.10 |
$413.10 |
$413.10 |
$1,156.20
|
|
Nm imaging bone/joint 3 phase study
|
$574.20 |
$574.20 |
$574.20 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$652.50 |
$652.50 |
$652.50 |
$1,570.65
|
|
Nm imaging gastric emptying study
|
$405.45 |
$405.45 |
$405.45 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$417.15 |
$417.15 |
$417.15 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$710.55 |
$710.55 |
$710.55 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$652.50 |
$652.50 |
$652.50 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$947.70 |
$947.70 |
$947.70 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$473.40 |
$473.40 |
$473.40 |
$1,091.00
|
|
Ntrk translocation analysis
|
$787.05 |
$787.05 |
$787.05 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$1,302.75 |
$1,302.75 |
$1,302.75 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$289.35 |
$289.35 |
$289.35 |
$392.45
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$7,458.90 |
$7,458.90 |
$7,458.90 |
$12,151.03
|
|
Olanzapine 10 mg intramuscular solution
|
$129.77 |
$129.77 |
$129.77 |
$109.58
|
|
Onc brst mrna 70 cnt 31 gene
|
$5,881.50 |
$5,881.50 |
$5,881.50 |
$4,260.30
|
|
Organic acids total quant ea spec
|
$148.05 |
$148.05 |
$148.05 |
$151.36
|
|
Oscillation chest wall mechanical per session
|
$101.25 |
$101.25 |
$101.25 |
$195.00
|
|
Osmolality blood
|
$30.15 |
$30.15 |
$30.15 |
$69.55
|
|
Osmolality urine
|
$45.00 |
$45.00 |
$45.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$128.25 |
$128.25 |
$128.25 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$128.25 |
$128.25 |
$128.25 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$128.25 |
$128.25 |
$128.25 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$47.70 |
$47.70 |
$47.70 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$53.55 |
$53.55 |
$53.55 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$58.50 |
$58.50 |
$58.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$73.80 |
$73.80 |
$73.80 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$88.20 |
$88.20 |
$88.20 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$41.85 |
$41.85 |
$41.85 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$126.90 |
$126.90 |
$126.90 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$88.20 |
$88.20 |
$88.20 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$224.10 |
$224.10 |
$224.10 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$58.05 |
$58.05 |
$58.05 |
$93.60
|
|
P-32 sod phosphate ther per mci
|
$515.13 |
$515.13 |
$515.13 |
$469.34
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,799.66 |
$1,799.66 |
$1,799.66 |
$3,420.45
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$19.89 |
$19.89 |
$19.89 |
$27.16
|
|
Parathormone (pth) intact
|
$247.50 |
$247.50 |
$247.50 |
$201.50
|
|
Parathyroid planar imaging
|
$515.70 |
$515.70 |
$515.70 |
$1,073.82
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$153.45 |
$153.45 |
$153.45 |
$242.88
|
|
Pelvic CT scan (with and without contrast)
|
$1,124.55 |
$1,124.55 |
$1,124.55 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$947.70 |
$947.70 |
$947.70 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,314.45 |
$1,314.45 |
$1,314.45 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$2,131.65 |
$2,131.65 |
$2,131.65 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$1,818.45 |
$1,818.45 |
$1,818.45 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,111.05 |
$1,111.05 |
$1,111.05 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$281.25 |
$281.25 |
$281.25 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$313.65 |
$313.65 |
$313.65 |
$430.00
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$5,346.20 |
$5,346.20 |
$5,346.20 |
$6,202.54
|
|
Pemivibart infusion
|
$315.90 |
$315.90 |
$315.90 |
$533.10
|
|
Penile injection
|
$135.90 |
$135.90 |
$135.90 |
$418.00
|
|
Perc d-e cor revasc chro sin
|
$319.05 |
$319.05 |
$319.05 |
$18,808.65
|
|
Pericardiocentesis wwo imaging
|
$845.10 |
$845.10 |
$845.10 |
$2,341.50
|
|
Peritoneal cath sub q resv per
|
$6,711.75 |
$6,711.75 |
$6,711.75 |
$6,075.30
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$325.80 |
$325.80 |
$325.80 |
$625.93
|
|
Ph body fluid
|
$28.80 |
$28.80 |
$28.80 |
$40.04
|
|
Phenobarbital therapeutic drug level
|
$60.75 |
$60.75 |
$60.75 |
$104.50
|
|
Phentolaine mesylate inj
|
$1,453.31 |
$1,453.31 |
$1,453.31 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$83.25 |
$83.25 |
$83.25 |
$112.50
|
|
Phlebotomy therapeutic
|
$162.00 |
$162.00 |
$162.00 |
$231.66
|
|
Phosphorus
|
$29.70 |
$29.70 |
$29.70 |
$49.60
|
|
Phosphorus 24 hour urine
|
$34.20 |
$34.20 |
$34.20 |
$41.58
|
|
Pik3ca gene trgt seq alys
|
$417.15 |
$417.15 |
$417.15 |
$453.18
|
|
Platelet aggregation each agent teg
|
$62.55 |
$62.55 |
$62.55 |
$136.80
|
|
Platelet automated
|
$35.55 |
$35.55 |
$35.55 |
$45.00
|
|
Platelets leukocytes reduced irradiated each unit
|
$798.30 |
$798.30 |
$798.30 |
$413.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$591.75 |
$591.75 |
$591.75 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,139.85 |
$1,139.85 |
$1,139.85 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$922.50 |
$922.50 |
$922.50 |
$970.00
|
|
Plerixafor injection
|
$1,498.66 |
$1,498.66 |
$1,498.66 |
$16,079.30
|
|
Pml/raralpha 1 breakpoint
|
$315.00 |
$315.00 |
$315.00 |
$307.13
|
|
Pmp22 gene dup/delet
|
$1,197.45 |
$1,197.45 |
$1,197.45 |
$1,029.75
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$114.75 |
$114.75 |
$114.75 |
$187.04
|
|
Potassium 24 hour urine
|
$41.40 |
$41.40 |
$41.40 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$25.65 |
$25.65 |
$25.65 |
$46.00
|
|
Pq thr inj ext pse
|
$522.45 |
$522.45 |
$522.45 |
$843.97
|
|
Pralatrexate injection
|
$12,443.80 |
$12,443.80 |
$12,443.80 |
$20,353.38
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$885.15 |
$885.15 |
$885.15 |
$3,738.90
|
|
Pr application of long arm splint
|
$77.85 |
$77.85 |
$77.85 |
$328.78
|
|
Pr application splint static short arm
|
$71.55 |
$71.55 |
$71.55 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$267.75 |
$267.75 |
$267.75 |
$456.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$51.30 |
$51.30 |
$51.30 |
$48.43
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$640.35 |
$640.35 |
$640.35 |
$350.98
|
|
Prealbumin
|
$52.20 |
$52.20 |
$52.20 |
$93.60
|
|
Pr egd flexible transoral w/placement percutaneous gastrostomy tube
|
$1,119.60 |
$1,119.60 |
$1,119.60 |
$2,298.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$201.60 |
$201.60 |
$201.60 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$331.65 |
$331.65 |
$331.65 |
$537.00
|
|
Prep skin to 100cm2 other
|
$2,295.90 |
$2,295.90 |
$2,295.90 |
$1,151.50
|
|
Prep skin to 100cm2 trk/ext
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$2,164.64
|
|
Prep skn trk/ext adl 100cm2
|
$600.30 |
$600.30 |
$600.30 |
$979.44
|
|
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm
|
$1,226.25 |
$1,226.25 |
$1,226.25 |
$2,187.42
|
|
Pr excision nail/nail matrix partial/complete permanent removal
|
$551.70 |
$551.70 |
$551.70 |
$753.64
|