|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,890.50 |
$1,890.50 |
$1,890.50 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,214.00 |
$2,214.00 |
$2,214.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,892.50 |
$1,892.50 |
$1,892.50 |
$1,056.33
|
|
Npm1 gene
|
$378.00 |
$378.00 |
$378.00 |
$457.50
|
|
Npsy fam hlth interv ea addl 15 min
|
$12.50 |
$12.50 |
$12.50 |
$82.25
|
|
Npsy grp hlth intrv ea addl 15 min
|
$12.50 |
$12.50 |
$12.50 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$36.50 |
$36.50 |
$36.50 |
$102.71
|
|
Nras gene variants exon 2&3
|
$378.00 |
$378.00 |
$378.00 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,577.50 |
$2,577.50 |
$2,577.50 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$2,235.00
|
|
Nuclear rx IV admin
|
$3,009.00 |
$3,009.00 |
$3,009.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$5,615.00 |
$5,615.00 |
$5,615.00 |
$3,804.45
|
|
Nushield 1 square cm
|
$475.00 |
$475.00 |
$475.00 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$580.50 |
$580.50 |
$580.50 |
$384.00
|
|
Observation per hour
|
$49.00 |
$49.00 |
$49.00 |
$81.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$5,026.50 |
$5,026.50 |
$5,026.50 |
$359.20
|
|
Ophthalmic biometry
|
$256.50 |
$256.50 |
$256.50 |
$182.95
|
|
Ortho elbow w/lock w/ft&adj
|
$1,095.50 |
$1,095.50 |
$1,095.50 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$409.00 |
$409.00 |
$409.00 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$283.00 |
$283.00 |
$283.00 |
$238.34
|
|
Orthopantogram
|
$371.50 |
$371.50 |
$371.50 |
$241.50
|
|
Orthosis lso rigd frm hyperex
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$736.50 |
$736.50 |
$736.50 |
$420.76
|
|
Osmolality blood
|
$146.00 |
$146.00 |
$146.00 |
$67.60
|
|
Osmolality urine
|
$146.00 |
$146.00 |
$146.00 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$496.00 |
$496.00 |
$496.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$458.50 |
$458.50 |
$458.50 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$504.50 |
$504.50 |
$504.50 |
$263.50
|
|
Oth resp proc, group
|
$145.00 |
$145.00 |
$145.00 |
$123.05
|
|
Oth resp proc, indiv
|
$77.50 |
$77.50 |
$77.50 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$160.00 |
$160.00 |
$160.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$233.00 |
$233.00 |
$233.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$342.00 |
$342.00 |
$342.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$205.00 |
$205.00 |
$205.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$185.50 |
$185.50 |
$185.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$38.50 |
$38.50 |
$38.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$77.50 |
$77.50 |
$77.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$146.00 |
$146.00 |
$146.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$319.50 |
$319.50 |
$319.50 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$139.50 |
$139.50 |
$139.50 |
$94.25
|
|
Ovulation tests
|
$30.50 |
$30.50 |
$30.50 |
$29.60
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$18,635.00 |
$18,635.00 |
$18,635.00 |
$47,880.00
|
|
Parathormone (pth) intact
|
$544.00 |
$544.00 |
$544.00 |
$204.87
|
|
Parathyrd planar w/spect&ct
|
$1,505.50 |
$1,505.50 |
$1,505.50 |
$1,574.40
|
|
Parathyroid planar imaging
|
$838.50 |
$838.50 |
$838.50 |
$1,129.91
|
|
Parathyroid planar img w/tomo spect
|
$1,505.50 |
$1,505.50 |
$1,505.50 |
$1,350.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$755.50 |
$755.50 |
$755.50 |
$245.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$6.00 |
$6.00 |
$6.00 |
$4,921.76
|
|
Passy muir valve metal trach
|
$264.00 |
$264.00 |
$264.00 |
$275.75
|
|
Pdgfra gene
|
$378.00 |
$378.00 |
$378.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,111.50 |
$2,111.50 |
$2,111.50 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,111.50 |
$2,111.50 |
$2,111.50 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$5,122.00 |
$5,122.00 |
$5,122.00 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$4,705.50 |
$4,705.50 |
$4,705.50 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$4,409.00 |
$4,409.00 |
$4,409.00 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$832.50 |
$832.50 |
$832.50 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$622.00 |
$622.00 |
$622.00 |
$430.00
|
|
Penile rear tip xtnd 0.5cm
|
$16,683.50 |
$16,683.50 |
$16,683.50 |
$18,764.94
|
|
Perc cryo ablate renal tum
|
$16,831.50 |
$16,831.50 |
$16,831.50 |
$11,458.04
|
|
Perc rf ablate renal tumor
|
$16,831.50 |
$16,831.50 |
$16,831.50 |
$7,243.60
|
|
Pericardiocentesis wwo imaging
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$2,251.20
|
|
Peripheral vascular rehab
|
$56.50 |
$56.50 |
$56.50 |
$132.50
|
|
Peri-proc device eval icd
|
$32.50 |
$32.50 |
$32.50 |
$192.40
|
|
Peritoneogram rs&i
|
$1,731.50 |
$1,731.50 |
$1,731.50 |
$695.89
|
|
Perq art m-thrombect &/nfs
|
$5,105.00 |
$5,105.00 |
$5,105.00 |
$7,559.55
|
|
Perq dev breast 1st mr guide
|
$2,352.50 |
$2,352.50 |
$2,352.50 |
$1,837.20
|
|
Perq dev breast 1st strtctc
|
$7,277.50 |
$7,277.50 |
$7,277.50 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$9,711.00 |
$9,711.00 |
$9,711.00 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$6,606.00 |
$6,606.00 |
$6,606.00 |
$6,738.60
|
|
Perq plmt bile duct stent
|
$9,412.00 |
$9,412.00 |
$9,412.00 |
$6,904.15
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$524.00 |
$524.00 |
$524.00 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$6,982.00 |
$6,982.00 |
$6,982.00 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,982.00 |
$6,982.00 |
$6,982.00 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,753.50 |
$5,753.50 |
$5,753.50 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,982.00 |
$6,982.00 |
$6,982.00 |
$4,305.60
|
|
Pfc sigma fem post aug sz3 8mm
|
$28,764.00 |
$28,764.00 |
$28,764.00 |
$38,834.22
|
|
Ph body fluid
|
$121.50 |
$121.50 |
$121.50 |
$41.28
|
|
Phencyclidine (pcp)
|
$161.00 |
$161.00 |
$161.00 |
$96.00
|
|
Phenobarbital therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$152.00 |
$152.00 |
$152.00 |
$110.88
|
|
Phlebotomy therapeutic
|
$445.00 |
$445.00 |
$445.00 |
$231.66
|
|
Phosphorus
|
$73.00 |
$73.00 |
$73.00 |
$48.80
|
|
Phosphorus 24 hour urine
|
$104.00 |
$104.00 |
$104.00 |
$41.51
|
|
Pik3ca gene trgt seq alys
|
$378.00 |
$378.00 |
$378.00 |
$463.20
|
|
Pin caspar distraction 12mm
|
$15,020.50 |
$15,020.50 |
$15,020.50 |
$11,925.00
|
|
Pinworm exam
|
$34.50 |
$34.50 |
$34.50 |
$39.75
|
|
Place cath xtrnl carotid
|
$13,940.50 |
$13,940.50 |
$13,940.50 |
$4,202.90
|
|
Place duod/jej tube perc
|
$3,241.50 |
$3,241.50 |
$3,241.50 |
$2,473.10
|
|
Place gastrostomy tube perc
|
$5,527.00 |
$5,527.00 |
$5,527.00 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$4,494.50 |
$4,494.50 |
$4,494.50 |
$1,517.21
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$798.50 |
$798.50 |
$798.50 |
$795.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
$1,332.43
|
|
Placement nephrostomy catheter (both sides)
|
$27,041.50 |
$27,041.50 |
$27,041.50 |
$3,873.65
|
|
Placement occlusive device venous/arterial access site post procedure
|
$437.50 |
$437.50 |
$437.50 |
$571.45
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$25,961.50 |
$25,961.50 |
$25,961.50 |
$13,964.50
|
|
Place non-slctv cath thoracic arta
|
$13,117.00 |
$13,117.00 |
$13,117.00 |
$5,053.33
|
