|
M/phmtrc alys ishquant/semiq
|
$234.40 |
$234.40 |
$234.40 |
$487.50
|
|
MRA abdomen post contrast
|
$735.50 |
$735.50 |
$735.50 |
$2,176.20
|
|
MRI breast c-+ w/cad uni
|
$680.00 |
$680.00 |
$680.00 |
$1,880.00
|
|
MRI breast without cont bi
|
$448.85 |
$448.85 |
$448.85 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$705.34 |
$705.34 |
$705.34 |
$1,875.95
|
|
MRI chest without contrast
|
$457.00 |
$457.00 |
$457.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$706.00 |
$706.00 |
$706.00 |
$2,652.73
|
|
MRI loex nonjt w IV cont
|
$645.50 |
$645.50 |
$645.50 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$463.00 |
$463.00 |
$463.00 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$712.50 |
$712.50 |
$712.50 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$463.50 |
$463.50 |
$463.50 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$713.00 |
$713.00 |
$713.00 |
$2,812.50
|
|
MRI tmj
|
$658.00 |
$658.00 |
$658.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$463.50 |
$463.50 |
$463.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$712.50 |
$712.50 |
$712.50 |
$2,637.60
|
|
Mthfr gene analy common variants
|
$254.40 |
$254.40 |
$254.40 |
$184.00
|
|
Multiple sleep latency test
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$2,440.50
|
|
Mumps antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$77.35
|
|
Muscle test cran nerv unilat
|
$309.60 |
$309.60 |
$309.60 |
$385.07
|
|
Mycophenolate mofetil 250 mg capsule
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
$10.79
|
|
Mycophenolic acid
|
$24.20 |
$24.20 |
$24.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$55.20 |
$55.20 |
$55.20 |
$76.59
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$48.00 |
$48.00 |
$48.00 |
$135.50
|
|
Nafcillin 2 gram solution for injection
|
$277.00 |
$277.00 |
$277.00 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$469.60 |
$469.60 |
$469.60 |
$70.87
|
|
Natriuretic peptide
|
$80.00 |
$80.00 |
$80.00 |
$176.15
|
|
Natural killer cells total count
|
$157.60 |
$157.60 |
$157.60 |
$132.63
|
|
N block inj hypogas plxs
|
$1,278.40 |
$1,278.40 |
$1,278.40 |
$1,912.00
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$472.00 |
$472.00 |
$472.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$282.00 |
$282.00 |
$282.00 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$701.50 |
$701.50 |
$701.50 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$633.50 |
$633.50 |
$633.50 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$735.00 |
$735.00 |
$735.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$473.00 |
$473.00 |
$473.00 |
$1,790.58
|
|
Nerve conduction 7-8 studies
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$719.39
|
|
Nerve conduction studies 11-12
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$1,080.04
|
|
Nerve conduction studies 13+
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$771.20 |
$771.20 |
$771.20 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$1,051.96
|
|
Neurolysis celiac plexus
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,754.00
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$82.40 |
$82.40 |
$82.40 |
$250.14
|
|
New Patient Office Visit (level 3)
|
$239.20 |
$239.20 |
$239.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$388.80 |
$388.80 |
$388.80 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$413.60 |
$413.60 |
$413.60 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$332.40 |
$332.40 |
$332.40 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$286.20 |
$286.20 |
$286.20 |
$74.47
|
|
Nm imaging bone/joint 3 phase study
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,079.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$4,364.80 |
$4,364.80 |
$4,364.80 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$4,231.20 |
$4,231.20 |
$4,231.20 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$4,231.20 |
$4,231.20 |
$4,231.20 |
$2,235.00
|
|
Nuclear Stress Test (Heart)
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$156.80 |
$156.80 |
$156.80 |
$384.00
|
|
Obstetric panel inc HIV tstg
|
$230.00 |
$230.00 |
$230.00 |
$264.60
|
|
Obstetrics panel
|
$190.00 |
$190.00 |
$190.00 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$88.20 |
$88.20 |
$88.20 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$177.20 |
$177.20 |
$177.20 |
$109.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$75.20 |
$75.20 |
$75.20 |
$22.62
|
|
Organic acids total quant ea spec
|
$98.40 |
$98.40 |
$98.40 |
$151.36
|
|
Ortho dvc repair per 15 min
|
$158.40 |
$158.40 |
$158.40 |
$53.43
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$157.60 |
$157.60 |
$157.60 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$148.00 |
$148.00 |
$148.00 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$283.20 |
$283.20 |
$283.20 |
$310.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$152.80 |
$152.80 |
$152.80 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$566.40 |
$566.40 |
$566.40 |
$195.00
|
|
Osmolality blood
|
$27.20 |
$27.20 |
$27.20 |
$67.60
|
|
Osmolality urine
|
$28.00 |
$28.00 |
$28.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$319.20 |
$319.20 |
$319.20 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$335.20 |
$335.20 |
$335.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$319.20 |
$319.20 |
$319.20 |
$263.50
|
|
Oth resp proc, group
|
$288.80 |
$288.80 |
$288.80 |
$123.05
|
|
Oth resp proc, indiv
|
$140.00 |
$140.00 |
$140.00 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$148.80 |
$148.80 |
$148.80 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$144.80 |
$144.80 |
$144.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$219.20 |
$219.20 |
$219.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$206.40 |
$206.40 |
$206.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$214.40 |
$214.40 |
$214.40 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$154.40 |
$154.40 |
$154.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$154.40 |
$154.40 |
$154.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$204.00 |
$204.00 |
$204.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$200.00 |
$200.00 |
$200.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$144.80 |
$144.80 |
$144.80 |
$94.25
|
|
Palonosetron hcl
|
$115.40 |
$115.40 |
$115.40 |
$170.48
|
|
Parathormone (pth) intact
|
$171.20 |
$171.20 |
$171.20 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$300.00 |
$300.00 |
$300.00 |
$245.00
|
|
Passy muir valve metal trach
|
$97.60 |
$97.60 |
$97.60 |
$275.75
|
|
Pelvic CT scan (with and without contrast)
|
$572.00 |
$572.00 |
$572.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$475.50 |
$475.50 |
$475.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$281.00 |
$281.00 |
$281.00 |
$1,363.11
|