|
Myocrd img pet 1std rst/strs
|
$5,665.60 |
$5,665.60 |
$5,665.60 |
$3,627.73
|
|
Myocrd img pet mlt rst&strs
|
$6,296.80 |
$6,296.80 |
$6,296.80 |
$4,060.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$847.20 |
$847.20 |
$847.20 |
$973.39
|
|
Nasopharyngoscopy w/endoscope
|
$308.80 |
$308.80 |
$308.80 |
$293.58
|
|
Ndl insj without njx 1 or 2 musc
|
$38.40 |
$38.40 |
$38.40 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$63.20 |
$63.20 |
$63.20 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$151.20 |
$151.20 |
$151.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$316.80 |
$316.80 |
$316.80 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,704.80 |
$2,704.80 |
$2,704.80 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,402.40 |
$2,402.40 |
$2,402.40 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,199.20 |
$2,199.20 |
$2,199.20 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,230.40 |
$4,230.40 |
$4,230.40 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,223.20 |
$3,223.20 |
$3,223.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,253.60 |
$3,253.60 |
$3,253.60 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$432.00 |
$432.00 |
$432.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$514.40 |
$514.40 |
$514.40 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$673.60 |
$673.60 |
$673.60 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,592.80 |
$3,592.80 |
$3,592.80 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,656.00 |
$2,656.00 |
$2,656.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,427.20 |
$2,427.20 |
$2,427.20 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,358.40 |
$2,358.40 |
$2,358.40 |
$1,312.00
|
|
Neurolysis trigeminal nerve
|
$2,796.80 |
$2,796.80 |
$2,796.80 |
$2,188.39
|
|
New Patient Office Visit (level 2)
|
$145.60 |
$145.60 |
$145.60 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$217.60 |
$217.60 |
$217.60 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$315.20 |
$315.20 |
$315.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$390.40 |
$390.40 |
$390.40 |
$355.80
|
|
Nintedanib 150 mg capsule
|
$7.01 |
$7.01 |
$7.01 |
$262.93
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,925.60 |
$1,925.60 |
$1,925.60 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,590.40 |
$1,590.40 |
$1,590.40 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,126.40 |
$2,126.40 |
$2,126.40 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,028.80 |
$2,028.80 |
$2,028.80 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$1,091.00
|
|
No pt prsnt train add 15
|
$60.00 |
$60.00 |
$60.00 |
$47.60
|
|
No pt prsnt train initial 30
|
$120.80 |
$120.80 |
$120.80 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$473.60 |
$473.60 |
$473.60 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$4,556.00 |
$4,556.00 |
$4,556.00 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$182.40 |
$182.40 |
$182.40 |
$384.00
|
|
Observation per hour
|
$88.00 |
$88.00 |
$88.00 |
$82.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$491.20 |
$491.20 |
$491.20 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$307.20 |
$307.20 |
$307.20 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$365.60 |
$365.60 |
$365.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$256.80 |
$256.80 |
$256.80 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$267.20 |
$267.20 |
$267.20 |
$263.90
|
|
Ondansetron 4 mg s0119
|
$4.80 |
$4.80 |
$4.80 |
$2.52
|
|
Orthosis lso rigd frm hyperex
|
$368.00 |
$368.00 |
$368.00 |
$813.61
|
|
Oth resp proc, group
|
$161.60 |
$161.60 |
$161.60 |
$126.00
|
|
Oth resp proc, indiv
|
$128.00 |
$128.00 |
$128.00 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$127.20 |
$127.20 |
$127.20 |
$97.80
|
|
Ot re-evaluation patient/family
|
$208.00 |
$208.00 |
$208.00 |
$160.80
|
|
Parathyrd planar w/spect&ct
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$1,374.75
|
|
Passy muir valve metal trach
|
$345.09 |
$345.09 |
$345.09 |
$275.75
|
|
Pcv21 vaccine im
|
$418.77 |
$418.77 |
$418.77 |
$410.26
|
|
Pelvic CT scan (with and without contrast)
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,242.40 |
$2,242.40 |
$2,242.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$1,896.00 |
$1,896.00 |
$1,896.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$2,860.00
|
|
Pelvic MRI (without contrast)
|
$3,223.20 |
$3,223.20 |
$3,223.20 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$820.80 |
$820.80 |
$820.80 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$641.60 |
$641.60 |
$641.60 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$332.00 |
$332.00 |
$332.00 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$410.40 |
$410.40 |
$410.40 |
$351.75
|
|
Pemivibart infusion
|
$783.20 |
$783.20 |
$783.20 |
$533.10
|
|
Penile injection
|
$372.00 |
$372.00 |
$372.00 |
$424.60
|
|
Penile vascular study
|
$786.40 |
$786.40 |
$786.40 |
$561.00
|
|
Pentamidine non-comp unit
|
$128.90 |
$128.90 |
$128.90 |
$294.39
|
|
Perc d-e cor revasc chro add
|
$3,631.20 |
$3,631.20 |
$3,631.20 |
$13,103.00
|
|
Perc d-e cor revasc chro sin
|
$27,512.80 |
$27,512.80 |
$27,512.80 |
$18,435.36
|
|
Perc d-e cor revasc t cabg b
|
$1,813.60 |
$1,813.60 |
$1,813.60 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$22,684.80 |
$22,684.80 |
$22,684.80 |
$16,047.20
|
|
Perc d-e cor stent ather s
|
$22,252.80 |
$22,252.80 |
$22,252.80 |
$18,545.83
|
|
Perc drug-el cor stent bran
|
$15,276.00 |
$15,276.00 |
$15,276.00 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$22,108.00 |
$22,108.00 |
$22,108.00 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$10,348.80 |
$10,348.80 |
$10,348.80 |
$7,243.60
|
|
Percut ablate liver rf
|
$10,348.80 |
$10,348.80 |
$10,348.80 |
$6,904.15
|
|
Pericardiocentesis wwo imaging
|
$2,258.40 |
$2,258.40 |
$2,258.40 |
$2,375.00
|
|
Peripheral vascular rehab
|
$120.00 |
$120.00 |
$120.00 |
$132.50
|
|
Peritoneal cath sub q resv per
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$5,625.74
|
|
Peritoneogram rs&i
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$698.50
|
|
Perit-vens shunt pat tst
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$752.49
|
|
Pet CT skull-mid thgh initial
|
$7,214.40 |
$7,214.40 |
$7,214.40 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,761.60 |
$6,761.60 |
$6,761.60 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,980.00 |
$5,980.00 |
$5,980.00 |
$4,060.00
|
|
Pet image w/ct lmtd
|
$6,762.40 |
$6,762.40 |
$6,762.40 |
$4,349.76
|
|
Pfc sigma fem post aug sz3 8mm
|
$33,990.40 |
$33,990.40 |
$33,990.40 |
$39,920.50
|
|
Phlebotomy therapeutic
|
$252.80 |
$252.80 |
$252.80 |
$231.40
|
|
Physical Therapy Evaluation (high complexity)
|
$352.00 |
$352.00 |
$352.00 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$199.20 |
$199.20 |
$199.20 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$243.20 |
$243.20 |
$243.20 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$208.00 |
$208.00 |
$208.00 |
$154.80
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$79.30 |
$79.30 |
$79.30 |
$90.25
|
|
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$1,130.58
|
|
Place cath xtrnl carotid
|
$2,851.20 |
$2,851.20 |
$2,851.20 |
$4,202.90
|
|
Place cecostomy tube perc
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$2,580.90
|
|
Place duod/jej tube perc
|
$3,319.20 |
$3,319.20 |
$3,319.20 |
$2,562.75
|
|
Place gastrostomy tube perc
|
$2,383.20 |
$2,383.20 |
$2,383.20 |
$2,289.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$1,679.20 |
$1,679.20 |
$1,679.20 |
$1,485.90
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$1,332.43
|