|
MRI chest without contrast
|
$2,977.00 |
$2,977.00 |
$2,977.00 |
$1,661.55
|
|
MRI chest without & w/contrast
|
$3,467.00 |
$3,467.00 |
$3,467.00 |
$2,321.61
|
|
MRI chest w IV cont
|
$3,232.00 |
$3,232.00 |
$3,232.00 |
$2,105.25
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,885.00 |
$4,885.00 |
$4,885.00 |
$2,051.28
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$7,657.00 |
$7,657.00 |
$7,657.00 |
$2,614.43
|
|
MRI orbit/face/neck without contrast
|
$3,071.00 |
$3,071.00 |
$3,071.00 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$3,886.00 |
$3,886.00 |
$3,886.00 |
$2,552.60
|
|
MRI orbit fac&nck w IV cont
|
$3,205.00 |
$3,205.00 |
$3,205.00 |
$2,002.00
|
|
MRI tmj
|
$3,044.00 |
$3,044.00 |
$3,044.00 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,346.00 |
$3,346.00 |
$3,346.00 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$6,350.00 |
$6,350.00 |
$6,350.00 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$3,251.00 |
$3,251.00 |
$3,251.00 |
$1,854.07
|
|
Mthfr gene analy common variants
|
$211.00 |
$211.00 |
$211.00 |
$248.82
|
|
M.tuberculo dna dir probe
|
$109.00 |
$109.00 |
$109.00 |
$58.40
|
|
Multiple sleep latency test
|
$2,958.00 |
$2,958.00 |
$2,958.00 |
$2,672.68
|
|
Mumps antibody igg
|
$48.00 |
$48.00 |
$123.00 |
$81.45
|
|
Mycoplasma antibody igm
|
$142.00 |
$142.00 |
$142.00 |
$87.50
|
|
Myd88 gene p.leu265pro vrnt
|
$695.00 |
$695.00 |
$695.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,389.13
|
|
Myelography l-s spine
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$1,275.75
|
|
Myelography neck spine
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$1,103.70
|
|
Myelography thoracic spine
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$1,077.92
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$144.00 |
$144.00 |
$144.00 |
$115.05
|
|
Nalbuphine 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$22.20
|
|
Natriuretic peptide
|
$83.00 |
$83.00 |
$127.00 |
$161.60
|
|
Natural killer cells total count
|
$164.00 |
$164.00 |
$164.00 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$4,135.00 |
$4,135.00 |
$4,135.00 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,044.00 |
$3,044.00 |
$3,044.00 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,883.00 |
$2,883.00 |
$2,883.00 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,166.00 |
$5,166.00 |
$5,166.00 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,592.00 |
$3,592.00 |
$3,592.00 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,259.00 |
$3,259.00 |
$3,259.00 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,373.00 |
$4,373.00 |
$4,373.00 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,741.80
|
|
New Patient Office Visit (level 2)
|
$126.00 |
$126.00 |
$226.00 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$175.00 |
$175.00 |
$273.00 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$225.00 |
$225.00 |
$347.00 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$454.00 |
$454.00 |
$454.00 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$610.50 |
$610.50 |
$610.50 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$168.75 |
$168.75 |
$168.75 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,583.00 |
$1,583.00 |
$1,583.00 |
$1,125.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,574.40
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,318.00 |
$1,318.00 |
$1,318.00 |
$1,004.90
|
|
Npm1 gene
|
$794.00 |
$794.00 |
$794.00 |
$493.60
|
|
Nras gene variants exon 2&3
|
$881.00 |
$881.00 |
$881.00 |
$590.26
|
|
Nuclear Stress Test (Heart)
|
$3,061.00 |
$3,061.00 |
$3,061.00 |
$3,739.20
|
|
Nursing facility discharge management > 30 min 99316
|
$131.00 |
$131.00 |
$248.00 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$95.00 |
$95.00 |
$184.00 |
$136.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$245.00 |
$245.00 |
$990.00 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$157.00 |
$157.00 |
$442.00 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$193.00 |
$193.00 |
$726.00 |
$340.80
|
|
Obstetrics panel
|
$352.00 |
$352.00 |
$352.00 |
$214.50
|
|
Olanzapine 10 mg intramuscular solution
|
$296.18 |
$296.18 |
$296.18 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$11.00 |
$11.00 |
$42.00 |
$12.51
|
|
Organic acids total quant ea spec
|
$203.00 |
$203.00 |
$203.00 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$117.00 |
$117.00 |
$117.00 |
$40.92
|
|
Orthopantogram
|
$366.00 |
$366.00 |
$366.00 |
$219.22
|
|
Osmolality blood
|
$30.00 |
$30.00 |
$36.00 |
$57.00
|
|
Osmolality urine
|
$30.00 |
$30.00 |
$37.00 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$899.00 |
$899.00 |
$899.00 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$821.00 |
$821.00 |
$821.00 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$865.00 |
$865.00 |
$865.00 |
$249.60
|
|
Other immunoelectrophoresis
|
$26.00 |
$26.00 |
$149.00 |
$92.70
|
|
Oth resp proc, group
|
$83.00 |
$83.00 |
$83.00 |
$100.80
|
|
Oth resp proc, indiv
|
$105.00 |
$105.00 |
$105.00 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$163.00 |
$163.00 |
$163.00 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$168.00 |
$168.00 |
$168.00 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$159.00 |
$159.00 |
$159.00 |
$105.50
|
|
Ot re-evaluation patient/family
|
$805.00 |
$805.00 |
$805.00 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$122.00 |
$122.00 |
$122.00 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$42.00 |
$42.00 |
$42.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$135.00 |
$135.00 |
$135.00 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$127.00 |
$127.00 |
$127.00 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$139.00 |
$139.00 |
$139.00 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$11.00 |
$11.00 |
$11.00 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$12.75 |
$12.75 |
$12.75 |
$18.49
|
|
Parathormone (pth) intact
|
$142.00 |
$142.00 |
$170.00 |
$204.00
|
|
Parathyroid autotransplantation 60512
|
$273.00 |
$273.00 |
$273.00 |
$598.40
|
|
Parathyroid planar imaging
|
$1,758.00 |
$1,758.00 |
$1,758.00 |
$1,041.95
|
|
Pdgfra gene
|
$878.00 |
$878.00 |
$878.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$3,442.00 |
$3,442.00 |
$3,442.00 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$2,956.00 |
$2,956.00 |
$2,956.00 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$2,519.00 |
$2,519.00 |
$2,519.00 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$4,850.00 |
$4,850.00 |
$4,850.00 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$3,558.00 |
$3,558.00 |
$3,558.00 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$979.00 |
$979.00 |
$979.00 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$459.00 |
$459.00 |
$459.00 |
$429.66
|
|
Peritoneogram rs&i
|
$31.00 |
$31.00 |
$31.00 |
$510.85
|
|
Pet CT skull-mid thgh initial
|
$8,497.00 |
$8,497.00 |
$8,497.00 |
$4,850.00
|
|
Pet CT whole body initial
|
$8,878.00 |
$8,878.00 |
$8,878.00 |
$4,915.50
|
|
Pet image skull-thigh
|
$6,534.00 |
$6,534.00 |
$6,534.00 |
$2,783.07
|
|
Pet image w/ct lmtd
|
$8,262.00 |
$8,262.00 |
$8,262.00 |
$4,422.60
|
|
Ph body fluid
|
$79.00 |
$79.00 |
$79.00 |
$35.75
|
