|
MRI tmj
|
$1,978.60 |
$1,978.60 |
$1,978.60 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,174.90 |
$2,174.90 |
$2,174.90 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,127.50 |
$4,127.50 |
$4,127.50 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$2,113.15 |
$2,113.15 |
$2,113.15 |
$1,854.07
|
|
MRI without fol w/cont, breast
|
$3,034.85 |
$3,034.85 |
$3,034.85 |
$1,312.08
|
|
MRI without fol w/cont, brst, un
|
$2,084.55 |
$2,084.55 |
$2,084.55 |
$1,225.98
|
|
Mthfr gene analy common variants
|
$246.35 |
$246.35 |
$246.35 |
$248.82
|
|
Multiple sleep latency test
|
$1,922.70 |
$1,922.70 |
$1,922.70 |
$2,672.68
|
|
Mumps antibody igg
|
$79.95 |
$79.95 |
$79.95 |
$81.45
|
|
Mycophenolate mofetil 250 mg capsule
|
$4.87 |
$4.87 |
$4.87 |
$5.76
|
|
Mycoplasma antibody igm
|
$92.30 |
$92.30 |
$92.30 |
$87.50
|
|
Myd88 gene p.leu265pro vrnt
|
$451.75 |
$451.75 |
$451.75 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$1,389.13
|
|
Myelography l-s spine
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,275.75
|
|
Myelography neck spine
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,103.70
|
|
Myelography thoracic spine
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,077.92
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$93.60 |
$93.60 |
$93.60 |
$115.05
|
|
Nafcillin 2 gram solution for injection
|
$105.79 |
$105.79 |
$105.79 |
$65.13
|
|
Nalbuphine 10 mg/ml injection solution
|
$37.81 |
$37.81 |
$37.81 |
$22.20
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$19.30 |
$19.30 |
$19.30 |
$51.72
|
|
Natriuretic peptide
|
$130.65 |
$130.65 |
$130.65 |
$161.60
|
|
Natural killer cells total count
|
$106.60 |
$106.60 |
$106.60 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,687.75 |
$2,687.75 |
$2,687.75 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,978.60 |
$1,978.60 |
$1,978.60 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,873.95 |
$1,873.95 |
$1,873.95 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,357.90 |
$3,357.90 |
$3,357.90 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,334.80 |
$2,334.80 |
$2,334.80 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,118.35 |
$2,118.35 |
$2,118.35 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,842.45 |
$2,842.45 |
$2,842.45 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,248.35 |
$2,248.35 |
$2,248.35 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$1,741.80
|
|
New Patient Office Visit (level 2)
|
$146.90 |
$146.90 |
$146.90 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$205.40 |
$205.40 |
$205.40 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$270.40 |
$270.40 |
$270.40 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$355.55 |
$355.55 |
$355.55 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$396.82 |
$396.82 |
$396.82 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$109.69 |
$109.69 |
$109.69 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$1,642.55 |
$1,642.55 |
$1,642.55 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$1,642.55 |
$1,642.55 |
$1,642.55 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,514.50 |
$1,514.50 |
$1,514.50 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,457.30 |
$1,457.30 |
$1,457.30 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,028.95 |
$1,028.95 |
$1,028.95 |
$1,125.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,517.10 |
$1,517.10 |
$1,517.10 |
$1,574.40
|
|
Nm radiopharmaceutical therapy oral administration
|
$856.70 |
$856.70 |
$856.70 |
$1,004.90
|
|
Npm1 gene
|
$516.10 |
$516.10 |
$516.10 |
$493.60
|
|
Nras gene variants exon 2&3
|
$572.65 |
$572.65 |
$572.65 |
$590.26
|
|
Nuclear Stress Test (Heart)
|
$1,989.65 |
$1,989.65 |
$1,989.65 |
$3,739.20
|
|
Nursing facility discharge management > 30 min 99316
|
$161.20 |
$161.20 |
$161.20 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$119.60 |
$119.60 |
$119.60 |
$136.40
|
|
Observation direct referral from physician office for admission
|
$444.60 |
$444.60 |
$444.60 |
$359.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$643.50 |
$643.50 |
$643.50 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$287.30 |
$287.30 |
$287.30 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$471.90 |
$471.90 |
$471.90 |
$340.80
|
|
Observation per hour
|
$82.55 |
$82.55 |
$82.55 |
$75.15
|
|
Obstetrics panel
|
$228.80 |
$228.80 |
$228.80 |
$214.50
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Organic acids total quant ea spec
|
$131.95 |
$131.95 |
$131.95 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$76.05 |
$76.05 |
$76.05 |
$40.92
|
|
Ortho elbow w/lock w/ft&adj
|
$536.90 |
$536.90 |
$536.90 |
$183.60
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.65 |
$13.65 |
$13.65 |
$1,739.46
|
|
Orthopantogram
|
$237.90 |
$237.90 |
$237.90 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$68.90 |
$68.90 |
$68.90 |
$267.57
|
|
Oscillation chest wall mechanical per session
|
$147.55 |
$147.55 |
$147.55 |
$204.89
|
|
Osmolality blood
|
$79.30 |
$79.30 |
$79.30 |
$57.00
|
|
Osmolality urine
|
$71.50 |
$71.50 |
$71.50 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$584.35 |
$584.35 |
$584.35 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$533.65 |
$533.65 |
$533.65 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$562.25 |
$562.25 |
$562.25 |
$249.60
|
|
Oth resp proc, group
|
$53.95 |
$53.95 |
$53.95 |
$100.80
|
|
Oth resp proc, indiv
|
$68.25 |
$68.25 |
$68.25 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$105.95 |
$105.95 |
$105.95 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$109.20 |
$109.20 |
$109.20 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$103.35 |
$103.35 |
$103.35 |
$105.50
|
|
Ot re-evaluation patient/family
|
$523.25 |
$523.25 |
$523.25 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$79.30 |
$79.30 |
$79.30 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$27.30 |
$27.30 |
$27.30 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$87.75 |
$87.75 |
$87.75 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$82.55 |
$82.55 |
$82.55 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$91.00 |
$91.00 |
$91.00 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$90.35 |
$90.35 |
$90.35 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$16.82 |
$16.82 |
$16.82 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.29 |
$8.29 |
$8.29 |
$18.49
|
|
Parathormone (pth) intact
|
$195.65 |
$195.65 |
$195.65 |
$204.00
|
|
Parathyroid planar imaging
|
$1,142.70 |
$1,142.70 |
$1,142.70 |
$1,041.95
|
|
Pdgfra gene
|
$570.70 |
$570.70 |
$570.70 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,237.30 |
$2,237.30 |
$2,237.30 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,921.40 |
$1,921.40 |
$1,921.40 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,637.35 |
$1,637.35 |
$1,637.35 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,152.50 |
$3,152.50 |
$3,152.50 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,312.70 |
$2,312.70 |
$2,312.70 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$636.35 |
$636.35 |
$636.35 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$298.35 |
$298.35 |
$298.35 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$989.48 |
$989.48 |
$989.48 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$62.02 |
$62.02 |
$62.02 |
$53.75
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$165.10 |
$165.10 |
$165.10 |
$636.09
|
|
Pet CT skull-mid thgh initial
|
$5,523.05 |
$5,523.05 |
$5,523.05 |
$4,850.00
|
|
Pet CT whole body initial
|
$5,770.70 |
$5,770.70 |
$5,770.70 |
$4,915.50
|
|
Pet image skull-thigh
|
$4,247.10 |
$4,247.10 |
$4,247.10 |
$2,783.07
|
|
Pet image w/ct lmtd
|
$5,370.30 |
$5,370.30 |
$5,370.30 |
$4,422.60
|