|
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, 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
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,080.04
|
|
Nerve conduction studies 13+
|
$2,283.20 |
$2,283.20 |
$2,283.20 |
$1,278.62
|
|
Nerve conduction studies 5-6
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,051.96
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$82.40 |
$82.40 |
$82.40 |
$250.14
|
|
New Patient Office Visit (level 3)
|
$467.20 |
$467.20 |
$467.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$608.00 |
$608.00 |
$608.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$754.40 |
$754.40 |
$754.40 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$86.40 |
$86.40 |
$86.40 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$74.40 |
$74.40 |
$74.40 |
$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 gastric emptying study
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,340.15
|
|
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
|
|
Nuclear Stress Test (Heart)
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$173.60 |
$173.60 |
$173.60 |
$384.00
|
|
Observation per hour
|
$173.60 |
$173.60 |
$173.60 |
$81.22
|
|
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)
|
$9.20 |
$9.20 |
$9.20 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$46.20 |
$46.20 |
$46.20 |
$109.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$13.20 |
$13.20 |
$13.20 |
$22.62
|
|
Organic acids total quant ea spec
|
$118.40 |
$118.40 |
$118.40 |
$151.36
|
|
Ortho dvc repair per 15 min
|
$158.40 |
$158.40 |
$158.40 |
$53.43
|
|
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
|
$454.40 |
$454.40 |
$454.40 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$612.80 |
$612.80 |
$612.80 |
$195.00
|
|
Osmolality blood
|
$33.60 |
$33.60 |
$33.60 |
$67.60
|
|
Osmolality urine
|
$34.40 |
$34.40 |
$34.40 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$576.00 |
$576.00 |
$576.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$335.20 |
$335.20 |
$335.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$440.00 |
$440.00 |
$440.00 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$84.00 |
$84.00 |
$84.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$156.00 |
$156.00 |
$156.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$140.00 |
$140.00 |
$140.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$206.40 |
$206.40 |
$206.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$187.20 |
$187.20 |
$187.20 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$162.40 |
$162.40 |
$162.40 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$162.40 |
$162.40 |
$162.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$160.00 |
$160.00 |
$160.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$170.40 |
$170.40 |
$170.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$162.40 |
$162.40 |
$162.40 |
$94.25
|
|
Oxytocin 10 unit/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$50.40
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$57.80 |
$57.80 |
$57.80 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$21.40 |
$21.40 |
$21.40 |
$29.31
|
|
Parathormone (pth) intact
|
$248.80 |
$248.80 |
$248.80 |
$204.87
|
|
Parathyroid planar imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,129.91
|
|
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
|
|
Pelvic MRI (with and without contrast)
|
$706.00 |
$706.00 |
$706.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$639.00 |
$639.00 |
$639.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$455.50 |
$455.50 |
$455.50 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$517.60 |
$517.60 |
$517.60 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$468.00 |
$468.00 |
$468.00 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$979.60 |
$979.60 |
$979.60 |
$826.47
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$400.00 |
$400.00 |
$400.00 |
$321.71
|
|
Ph body fluid
|
$15.20 |
$15.20 |
$15.20 |
$41.28
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$39.60 |
$39.60 |
$39.60 |
$112.72
|
|
Phenobarbital therapeutic drug level
|
$64.00 |
$64.00 |
$64.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$796.40 |
$796.40 |
$796.40 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$13.00 |
$13.00 |
$13.00 |
$67.89
|
|
Phenytoin total therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$110.88
|
|
Phlebotomy therapeutic
|
$110.00 |
$110.00 |
$110.00 |
$231.66
|
|
Phosphorus
|
$15.00 |
$15.00 |
$15.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$139.80 |
$139.80 |
$139.80 |
$87.50
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$37.00 |
$37.00 |
$37.00 |
$83.03
|
|
Placement occlusive device venous/arterial access site post procedure
|
$196.80 |
$196.80 |
$196.80 |
$571.45
|
|
Platelet automated
|
$64.80 |
$64.80 |
$64.80 |
$45.60
|
|
Platelets leukocytes reduced each unit
|
$565.60 |
$565.60 |
$565.60 |
$302.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$411.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,944.00 |
$2,944.00 |
$2,944.00 |
$1,139.20
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$3,188.00 |
$3,188.00 |
$3,188.00 |
$1,278.55
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,201.60 |
$1,201.60 |
$1,201.60 |
$1,230.00
|
|
Plcmt sft tiss loc pq w/img ea addl lsn
|
$600.80 |
$600.80 |
$600.80 |
$751.30
|
|
Plethysmography lung volumes/airway resistance
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$405.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$129.60 |
$129.60 |
$129.60 |
$187.32
|
|
Potassium 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$50.40
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$27.00 |
$27.00 |
$27.00 |
$63.35
|
|
Potassium serum/plasma/whole blood
|
$25.60 |
$25.60 |
$25.60 |
$46.75
|
|
Pq kyphplsty 1 bdy lumb w/img
|
$27,863.20 |
$27,863.20 |
$27,863.20 |
$9,977.57
|
|
Pr application of long arm splint
|
$568.80 |
$568.80 |
$568.80 |
$329.00
|
|
Pr application splint static short arm
|
$604.80 |
$604.80 |
$604.80 |
$287.70
|
|
Pr biopsy skin punch single lesion
|
$756.00 |
$756.00 |
$756.00 |
$458.25
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$712.00 |
$712.00 |
$712.00 |
$351.60
|
|
Prealbumin
|
$73.60 |
$73.60 |
$73.60 |
$93.36
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$164.00 |
$164.00 |
$164.00 |
$13.87
|
|
Prednisone 1 mg tablet
|
$1.60 |
$1.60 |
$1.60 |
$3.00
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$888.80 |
$888.80 |
$888.80 |
$590.27
|