|
MRA chest wo IV cont
|
$761.02 |
$761.02 |
$761.02 |
$1,656.00
|
|
MRA chest wwo IV cont
|
$1,017.98 |
$1,017.98 |
$1,017.98 |
$2,548.00
|
|
MRA spinal canal
|
$832.13 |
$832.13 |
$832.13 |
$1,984.50
|
|
MRA upper extremity post contrast-bil
|
$832.13 |
$832.13 |
$832.13 |
$2,400.00
|
|
MRA w/cont, abd
|
$831.42 |
$831.42 |
$831.42 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$904.64 |
$904.64 |
$904.64 |
$1,691.95
|
|
MRA without cont, abd
|
$761.02 |
$761.02 |
$761.02 |
$1,764.03
|
|
MRA without cont, lwr ext
|
$834.24 |
$834.24 |
$834.24 |
$1,656.00
|
|
MRA without fol w/cont, abd
|
$1,069.12 |
$1,069.12 |
$1,069.12 |
$2,561.65
|
|
MRA without fol w/cont, lwr ext
|
$971.84 |
$971.84 |
$971.84 |
$2,299.58
|
|
MRA without fol w/cont, pelvis
|
$873.92 |
$873.92 |
$873.92 |
$2,356.90
|
|
MRI breast c- unilateral
|
$800.00 |
$800.00 |
$800.00 |
$1,084.20
|
|
MRI breast without cont bi
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$1,599.36 |
$1,599.36 |
$1,599.36 |
$1,875.95
|
|
MRI chest without contrast
|
$799.36 |
$799.36 |
$799.36 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$1,018.18 |
$1,018.18 |
$1,018.18 |
$2,652.73
|
|
MRI chest w IV cont
|
$831.42 |
$831.42 |
$831.42 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$904.64 |
$904.64 |
$904.64 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$876.16 |
$876.16 |
$876.16 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,145.92 |
$1,145.92 |
$1,145.92 |
$2,851.80
|
|
MRI orbit/face/neck without contrast
|
$967.36 |
$967.36 |
$967.36 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$942.78 |
$942.78 |
$942.78 |
$2,165.00
|
|
MRI tmj
|
$761.73 |
$761.73 |
$761.73 |
$1,778.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$876.16 |
$876.16 |
$876.16 |
$2,005.50
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,145.92 |
$1,145.92 |
$1,145.92 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$950.08 |
$950.08 |
$950.08 |
$2,017.05
|
|
MRI without fol w/cont, brst, un
|
$1,178.88 |
$1,178.88 |
$1,178.88 |
$1,610.50
|
|
Mthfr gene analy common variants
|
$115.20 |
$115.20 |
$115.20 |
$166.68
|
|
Multiple sleep latency test
|
$1,654.40 |
$1,654.40 |
$1,654.40 |
$2,481.00
|
|
Mumps antibody igg
|
$25.60 |
$25.60 |
$25.60 |
$78.00
|
|
Myelography via inj w/s&i 2+ regions
|
$774.40 |
$774.40 |
$774.40 |
$2,250.60
|
|
Myelography via inj w/s&i cervical
|
$388.10 |
$388.10 |
$388.10 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$608.00 |
$608.00 |
$608.00 |
$1,816.20
|
|
Myelography via inj w/s&i thoracic
|
$388.10 |
$388.10 |
$388.10 |
$1,740.80
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$83.52 |
$83.52 |
$83.52 |
$135.50
|
|
Nasal endoscopy dx uni/bi separate proc
|
$274.56 |
$274.56 |
$274.56 |
$353.62
|
|
Natriuretic peptide
|
$112.00 |
$112.00 |
$112.00 |
$176.15
|
|
N block inj hypogas plxs
|
$280.00 |
$280.00 |
$280.00 |
$1,912.00
|
|
Ndl insj without njx 1 or 2 musc
|
$19.20 |
$19.20 |
$19.20 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$32.00 |
$32.00 |
$32.00 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$752.51 |
$752.51 |
$752.51 |
$2,032.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$873.60 |
$873.60 |
$873.60 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$800.00 |
$800.00 |
$800.00 |
$1,506.05
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,093.76 |
$1,093.76 |
$1,093.76 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$846.72 |
$846.72 |
$846.72 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$836.48 |
$836.48 |
$836.48 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,069.12 |
$1,069.12 |
$1,069.12 |
$2,712.45
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$873.28 |
$873.28 |
$873.28 |
$2,055.60
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$799.36 |
$799.36 |
$799.36 |
$1,806.75
|
|
Nerve conduction 7-8 studies
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$705.18
|
|
Nerve conduction studies 11-12
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,079.08
|
|
Nerve conduction studies 1-2
|
$246.40 |
$246.40 |
$246.40 |
$331.10
|
|
Nerve conduction studies 13+
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$1,264.20
|
|
Nerve conduction studies 3-4
|
$304.00 |
$304.00 |
$304.00 |
$454.35
|
|
Nerve conduction studies 5-6
|
$581.76 |
$581.76 |
$581.76 |
$568.50
|
|
Nerve conduction studies 9-10
|
$544.00 |
$544.00 |
$544.00 |
$1,051.96
|
|
New Patient Office Visit (level 2)
|
$149.12 |
$149.12 |
$149.12 |
$151.50
|
|
New Patient Office Visit (level 3)
|
$196.48 |
$196.48 |
$196.48 |
$207.90
|
|
New Patient Office Visit (level 4)
|
$260.48 |
$260.48 |
$260.48 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$356.42 |
$356.42 |
$356.42 |
$347.82
|
|
Nm imaging bone/joint 3 phase study
|
$577.28 |
$577.28 |
$577.28 |
$1,710.00
|
|
Nm imaging bone/joint whole body
|
$528.00 |
$528.00 |
$528.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$687.04 |
$687.04 |
$687.04 |
$1,401.00
|
|
Nm imaging gastric emptying study
|
$577.28 |
$577.28 |
$577.28 |
$1,357.00
|
|
Nm imaging gastrointestinal acute blood loss
|
$451.84 |
$451.84 |
$451.84 |
$1,211.60
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$577.28 |
$577.28 |
$577.28 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$443.01 |
$443.01 |
$443.01 |
$1,550.95
|
|
Nm imaging pulmonary ventilation/perfusion
|
$533.76 |
$533.76 |
$533.76 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$465.28 |
$465.28 |
$465.28 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$470.40 |
$470.40 |
$470.40 |
$1,061.94
|
|
Nuclear Stress Test (Heart)
|
$1,924.48 |
$1,924.48 |
$1,924.48 |
$3,809.00
|
|
Nursing facility discharge management > 30 min 99316
|
$85.76 |
$85.76 |
$85.76 |
$166.25
|
|
Observation care discharge
|
$75.20 |
$75.20 |
$75.20 |
$144.00
|
|
Observation direct referral from physician office for admission
|
$371.20 |
$371.20 |
$371.20 |
$387.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$204.80 |
$204.80 |
$204.80 |
$390.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$163.20 |
$163.20 |
$163.20 |
$303.20
|
|
Obstetrical care 59410
|
$1,488.79 |
$1,488.79 |
$1,488.79 |
$2,112.80
|
|
Off/op cnsltj new/est low 30
|
$107.52 |
$107.52 |
$107.52 |
$183.00
|
|
Off/op cnsltj new/est mod 40
|
$158.72 |
$158.72 |
$158.72 |
$268.20
|
|
Off/op consltj new/est hi 55
|
$195.20 |
$195.20 |
$195.20 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$80.64 |
$80.64 |
$80.64 |
$133.80
|
|
Open bx/exc inguinofem nodes
|
$450.40 |
$450.40 |
$450.40 |
$4,531.42
|
|
Optx acromclv dislc aqt/chrn
|
$1,048.32 |
$1,048.32 |
$1,048.32 |
$6,721.67
|
|
Optx clavicular fx w/int fix
|
$1,068.80 |
$1,068.80 |
$1,068.80 |
$8,819.16
|
|
Optx crpl fx oth/thn scph ea
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
$3,953.60
|
|
Optx gr hmrl tbrs fx int fix
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$7,157.53
|
|
Optx medial ankle fx
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$7,807.24
|
|
Optx prox humrl fx w/int fix
|
$1,338.24 |
$1,338.24 |
$1,338.24 |
$13,938.00
|
|
Optx radial shaft fracture
|
$1,163.52 |
$1,163.52 |
$1,163.52 |
$5,301.66
|
|
Optx sho dislc fx
|
$981.12 |
$981.12 |
$981.12 |
$5,339.00
|
|
Optx thigh fx
|
$1,767.20 |
$1,767.20 |
$1,767.20 |
$1,767.20
|
|
Optx ulnar shft fx int fixj
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$8,453.60
|
|
Optx ulnar styloid fracture
|
$821.76 |
$821.76 |
$821.76 |
$4,627.00
|
|
Osmolality blood
|
$40.32 |
$40.32 |
$40.32 |
$69.55
|
|
Osmolality urine
|
$40.32 |
$40.32 |
$40.32 |
$66.13
|
|
Ot evaluation high complexity patient/family
|
$83.20 |
$83.20 |
$83.20 |
$292.00
|
|
Ot evaluation low complexity patient/family
|
$83.20 |
$83.20 |
$83.20 |
$229.45
|
|
Ot evaluation moderate complexity patient/family
|
$83.20 |
$83.20 |
$83.20 |
$263.50
|
|
Oth resp proc, group
|
$107.52 |
$107.52 |
$107.52 |
$123.05
|