|
MRI orbit/face/neck without & w/contrast
|
$11,204.57 |
$11,204.57 |
$11,204.57 |
$2,854.80
|
|
MRI tmj
|
$7,989.95 |
$7,989.95 |
$7,989.95 |
$1,787.50
|
|
MRI without fol w/cont, breast
|
$8,318.00 |
$8,318.00 |
$8,318.00 |
$2,301.04
|
|
Multi-axial rotation unit
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$952.00
|
|
Mumps antibody igg
|
$588.16 |
$588.16 |
$588.16 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$70.91 |
$70.91 |
$70.91 |
$10.79
|
|
Nalbuphine 10 mg/ml injection solution
|
$47.88 |
$47.88 |
$47.88 |
$38.69
|
|
Natural killer cells total count
|
$679.12 |
$679.12 |
$679.12 |
$132.60
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$9,907.86 |
$9,907.86 |
$9,907.86 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$8,375.70 |
$8,375.70 |
$8,375.70 |
$1,732.50
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$11,139.90 |
$11,139.90 |
$11,139.90 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$8,732.70 |
$8,732.70 |
$8,732.70 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$8,009.48 |
$8,009.48 |
$8,009.48 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$11,518.81 |
$11,518.81 |
$11,518.81 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$8,862.00 |
$8,862.00 |
$8,862.00 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$8,331.24 |
$8,331.24 |
$8,331.24 |
$1,824.90
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$11.88 |
$11.88 |
$11.88 |
$60.38
|
|
New Patient Office Visit (level 2)
|
$709.43 |
$709.43 |
$709.43 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$802.71 |
$802.71 |
$802.71 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$1,093.19 |
$1,093.19 |
$1,093.19 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$1,093.19 |
$1,093.19 |
$1,093.19 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$151.92 |
$151.92 |
$151.92 |
$264.31
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$196.03 |
$196.03 |
$196.03 |
$74.56
|
|
Nm imaging bone/joint 3 phase study
|
$4,245.55 |
$4,245.55 |
$4,245.55 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$4,489.75 |
$4,489.75 |
$4,489.75 |
$1,570.65
|
|
Nm imaging gastric emptying study
|
$3,549.41 |
$3,549.41 |
$3,549.41 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,378.87 |
$4,378.87 |
$4,378.87 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,218.88 |
$4,218.88 |
$4,218.88 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$3,611.17 |
$3,611.17 |
$3,611.17 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,012.59 |
$2,012.59 |
$2,012.59 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$6,269.39 |
$6,269.39 |
$6,269.39 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,360.66 |
$2,360.66 |
$2,360.66 |
$1,057.20
|
|
Nuclear Stress Test (Heart)
|
$11,475.73 |
$11,475.73 |
$11,475.73 |
$3,804.45
|
|
Olanzapine 10 mg intramuscular solution
|
$320.28 |
$320.28 |
$320.28 |
$109.58
|
|
Ondansetron 4 mg s0119
|
$123.35 |
$123.35 |
$123.35 |
$2.31
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$41.45 |
$41.45 |
$41.45 |
$22.62
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$90.56 |
$90.56 |
$90.56 |
$50.63
|
|
Osmolality blood
|
$461.42 |
$461.42 |
$461.42 |
$69.55
|
|
Osmolality urine
|
$461.42 |
$461.42 |
$461.42 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$740.72 |
$740.72 |
$740.72 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$329.78 |
$329.78 |
$329.78 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$493.37 |
$493.37 |
$493.37 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$200.00 |
$200.00 |
$200.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$189.41 |
$189.41 |
$189.41 |
$104.50
|
|
Ot re-evaluation patient/family
|
$331.08 |
$331.08 |
$331.08 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$202.00 |
$202.00 |
$202.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$212.00 |
$212.00 |
$212.00 |
$91.20
|
|
Ot training self care/home management direct contact each 15 minutes
|
$264.29 |
$264.29 |
$264.29 |
$93.60
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$53.60 |
$53.60 |
$53.60 |
$27.16
|
|
Parathormone (pth) intact
|
$3,311.27 |
$3,311.27 |
$3,311.27 |
$201.50
|
|
Parathyroid planar imaging
|
$2,881.36 |
$2,881.36 |
$2,881.36 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,877.85 |
$1,877.85 |
$1,877.85 |
$1,345.00
|
|
Paricalcitol
|
$757.89 |
$757.89 |
$757.89 |
$47.15
|
|
Pelvic MRI (with and without contrast)
|
$11,139.90 |
$11,139.90 |
$11,139.90 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$6,542.00 |
$6,542.00 |
$6,542.00 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$7,529.85 |
$7,529.85 |
$7,529.85 |
$1,929.85
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$727.07 |
$727.07 |
$727.07 |
$335.79
|
|
Peri-proc device eval pm
|
$14,400.96 |
$14,400.96 |
$14,400.96 |
$156.00
|
|
Ph body fluid
|
$428.90 |
$428.90 |
$428.90 |
$40.04
|
|
Phencyclidine (pcp)
|
$487.45 |
$487.45 |
$487.45 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,979.53 |
$3,979.53 |
$3,979.53 |
$1,028.40
|
|
Phlebotomy therapeutic
|
$567.42 |
$567.42 |
$567.42 |
$231.66
|
|
Phosphorus 24 hour urine
|
$809.12 |
$809.12 |
$809.12 |
$41.58
|
|
Platelet pheresis each unit
|
$2,244.84 |
$2,244.84 |
$2,244.84 |
$940.45
|
|
Platelets each unit
|
$2,244.84 |
$2,244.84 |
$2,244.84 |
$169.20
|
|
Platelets leukocytes reduced each unit
|
$356.14 |
$356.14 |
$356.14 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$2,244.84 |
$2,244.84 |
$2,244.84 |
$1,108.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$2,244.84 |
$2,244.84 |
$2,244.84 |
$970.00
|
|
Plethysmography lung volumes/airway resistance
|
$641.93 |
$641.93 |
$641.93 |
$399.50
|
|
Postop dress & 1 cast chg bk
|
$5,911.00 |
$5,911.00 |
$5,911.00 |
$2,711.11
|
|
Potassium 24 hour urine
|
$386.68 |
$386.68 |
$386.68 |
$50.70
|
|
Pq dr cath chg w cont s&i
|
$1,680.65 |
$1,680.65 |
$1,680.65 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$451.98 |
$451.98 |
$451.98 |
$267.69
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$54.23 |
$54.23 |
$54.23 |
$48.43
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$1,246.77 |
$1,246.77 |
$1,246.77 |
$350.98
|
|
Prealbumin
|
$695.38 |
$695.38 |
$695.38 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$8.26 |
$8.26 |
$8.26 |
$13.80
|
|
Prep bk ptb open end socket
|
$6,484.00 |
$6,484.00 |
$6,484.00 |
$4,585.93
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$825.38 |
$825.38 |
$825.38 |
$147.84
|
|
Pretreat rbc absorption reference
|
$825.38 |
$825.38 |
$825.38 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$825.38 |
$825.38 |
$825.38 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$825.38 |
$825.38 |
$825.38 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$825.38 |
$825.38 |
$825.38 |
$164.99
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$330.48 |
$330.48 |
$330.48 |
$655.08
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$136.93 |
$136.93 |
$136.93 |
$36.33
|
|
Progesterone
|
$1,150.33 |
$1,150.33 |
$1,150.33 |
$113.24
|
|
Prolactin
|
$2,053.70 |
$2,053.70 |
$2,053.70 |
$123.50
|
|
Promethazine hcl injection
|
$163.61 |
$163.61 |
$163.61 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$63.18 |
$63.18 |
$63.18 |
$30.26
|
|
Protamine 10 mg/ml intravenous solution
|
$125.66 |
$125.66 |
$125.66 |
$59.61
|
|
Protein c activity
|
$2,378.66 |
$2,378.66 |
$2,378.66 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$1,010.58 |
$1,010.58 |
$1,010.58 |
$84.00
|
|
Protein s total
|
$2,378.66 |
$2,378.66 |
$2,378.66 |
$77.60
|
|
Protein total 24 hour urine
|
$831.86 |
$831.86 |
$831.86 |
$52.47
|
|
Protein total serum plasma whole blood
|
$633.65 |
$633.65 |
$633.65 |
$42.81
|
|
Prothrombin time substitution plasma fractions each
|
$571.89 |
$571.89 |
$571.89 |
$40.30
|
|
PSA (Prostate) Test
|
$1,238.06 |
$1,238.06 |
$1,238.06 |
$107.50
|
|
Pt application of modality traction mechanical
|
$192.34 |
$192.34 |
$192.34 |
$87.00
|
|
Pt evaluation high complexity patient/family
|
$740.72 |
$740.72 |
$740.72 |
$289.50
|