|
MRI chest without contrast
|
$3,917.62 |
$3,917.62 |
$3,917.62 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$6,219.16 |
$6,219.16 |
$6,219.16 |
$2,652.73
|
|
MRI orbit/face/neck without contrast
|
$3,678.19 |
$3,678.19 |
$3,678.19 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$6,580.04 |
$6,580.04 |
$6,580.04 |
$2,854.80
|
|
MRI tmj
|
$4,056.68 |
$4,056.68 |
$4,056.68 |
$1,787.50
|
|
MRI without fol w/cont, breast
|
$6,060.35 |
$6,060.35 |
$6,060.35 |
$2,301.04
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$114.62 |
$114.62 |
$114.62 |
$58.08
|
|
Mr sfty implt&/fb asmt stf 1
|
$114.62 |
$114.62 |
$114.62 |
$45.56
|
|
Mthfr gene analy common variants
|
$757.40 |
$757.40 |
$757.40 |
$180.48
|
|
Multiple sleep latency test
|
$7,166.40 |
$7,166.40 |
$7,166.40 |
$2,466.00
|
|
Mycobacteria dna amp probe
|
$2,017.62 |
$2,017.62 |
$2,017.62 |
$300.60
|
|
Mycophenolate mofetil 250 mg capsule
|
$93.25 |
$93.25 |
$93.25 |
$10.79
|
|
Myelography l-s spine
|
$3,681.20 |
$3,681.20 |
$3,681.20 |
$1,315.60
|
|
Natural killer cells total count
|
$577.00 |
$577.00 |
$577.00 |
$132.60
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$8,103.14 |
$8,103.14 |
$8,103.14 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,224.13 |
$6,224.13 |
$6,224.13 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$5,106.42 |
$5,106.42 |
$5,106.42 |
$2,305.71
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,169.16 |
$5,169.16 |
$5,169.16 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,100.74 |
$4,100.74 |
$4,100.74 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,035.16 |
$4,035.16 |
$4,035.16 |
$1,824.90
|
|
Nerve teasing preparations
|
$404.58 |
$404.58 |
$404.58 |
$698.49
|
|
New Patient Office Visit (level 5)
|
$1,093.21 |
$1,093.21 |
$1,093.21 |
$349.70
|
|
N-invas est c ffr sw aly cta
|
$3,948.03 |
$3,948.03 |
$3,948.03 |
$2,073.00
|
|
Nm imaging bone/joint 3 phase study
|
$6,058.05 |
$6,058.05 |
$6,058.05 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$6,278.68 |
$6,278.68 |
$6,278.68 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$4,043.16 |
$4,043.16 |
$4,043.16 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$4,570.00 |
$4,570.00 |
$4,570.00 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$3,441.23 |
$3,441.23 |
$3,441.23 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$6,084.76 |
$6,084.76 |
$6,084.76 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,505.48 |
$2,505.48 |
$2,505.48 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$3,131.06 |
$3,131.06 |
$3,131.06 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,040.72 |
$4,040.72 |
$4,040.72 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$3,265.10 |
$3,265.10 |
$3,265.10 |
$1,057.20
|
|
Nras gene variants exon 2&3
|
$1,232.32 |
$1,232.32 |
$1,232.32 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$14,198.76 |
$14,198.76 |
$14,198.76 |
$7,421.70
|
|
Nuclear Stress Test (Heart)
|
$10,329.69 |
$10,329.69 |
$10,329.69 |
$3,804.45
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$844.23 |
$844.23 |
$844.23 |
$12,151.03
|
|
Olanzapine 10 mg intramuscular solution
|
$736.46 |
$736.46 |
$736.46 |
$109.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.83 |
$60.83 |
$60.83 |
$22.62
|
|
Oral aprepitant
|
$803.38 |
$803.38 |
$803.38 |
$410.20
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$191.30 |
$191.30 |
$191.30 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$1,006.74 |
$1,006.74 |
$1,006.74 |
$195.00
|
|
Osmolality blood
|
$408.10 |
$408.10 |
$408.10 |
$69.55
|
|
Osmolality urine
|
$318.72 |
$318.72 |
$318.72 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,557.91 |
$1,557.91 |
$1,557.91 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$1,042.41 |
$1,042.41 |
$1,042.41 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$1,303.04 |
$1,303.04 |
$1,303.04 |
$263.50
|
|
Ot re-evaluation patient/family
|
$550.35 |
$550.35 |
$550.35 |
$160.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$47.53 |
$47.53 |
$47.53 |
$27.16
|
|
Papaverin hcl injection
|
$558.33 |
$558.33 |
$558.33 |
$76.40
|
|
Parathyrd planar w/spect&ct
|
$2,601.19 |
$2,601.19 |
$2,601.19 |
$1,555.00
|
|
Parathyroid planar imaging
|
$4,040.72 |
$4,040.72 |
$4,040.72 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$2,235.31 |
$2,235.31 |
$2,235.31 |
$1,345.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$2,051.24 |
$2,051.24 |
$2,051.24 |
$11,216.31
|
|
Pelvic CT scan (with and without contrast)
|
$4,419.07 |
$4,419.07 |
$4,419.07 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$6,224.13 |
$6,224.13 |
$6,224.13 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$5,106.42 |
$5,106.42 |
$5,106.42 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$3,742.33 |
$3,742.33 |
$3,742.33 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$953.57 |
$953.57 |
$953.57 |
$650.40
|
|
Penile vascular study
|
$1,257.80 |
$1,257.80 |
$1,257.80 |
$585.20
|
|
Penile vascular study
|
$1,257.80 |
$1,257.80 |
$1,257.80 |
$566.79
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$742.44 |
$742.44 |
$742.44 |
$335.79
|
|
Peritoneogram rs&i
|
$2,518.88 |
$2,518.88 |
$2,518.88 |
$689.15
|
|
Phencyclidine (pcp)
|
$627.40 |
$627.40 |
$627.40 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$622.17 |
$622.17 |
$622.17 |
$104.50
|
|
Phentolaine mesylate inj
|
$2,172.32 |
$2,172.32 |
$2,172.32 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$803.89 |
$803.89 |
$803.89 |
$112.50
|
|
Phosphorus
|
$268.72 |
$268.72 |
$268.72 |
$49.60
|
|
Platelet automated
|
$460.45 |
$460.45 |
$460.45 |
$45.00
|
|
Platelet pheresis each unit
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$940.45
|
|
Platelets each unit
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$169.20
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,648.74 |
$3,648.74 |
$3,648.74 |
$1,108.08
|
|
Platelets pheresis pathogen-reduced each unit
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$970.00
|
|
Plethysmography lung volumes/airway resistance
|
$549.42 |
$549.42 |
$549.42 |
$399.50
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$1,497.19 |
$1,497.19 |
$1,497.19 |
$187.04
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$10,740.61 |
$10,740.61 |
$10,740.61 |
$3,751.48
|
|
Potassium serum/plasma/whole blood
|
$417.52 |
$417.52 |
$417.52 |
$46.00
|
|
Pq dr cath chg w cont s&i
|
$1,179.42 |
$1,179.42 |
$1,179.42 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$2,423.78 |
$2,423.78 |
$2,423.78 |
$267.69
|
|
Pr application splint static short arm
|
$981.84 |
$981.84 |
$981.84 |
$287.70
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$60.53 |
$60.53 |
$60.53 |
$48.43
|
|
Prealbumin
|
$577.46 |
$577.46 |
$577.46 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$39.84 |
$39.84 |
$39.84 |
$13.80
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$1,191.58 |
$1,191.58 |
$1,191.58 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$916.52 |
$916.52 |
$916.52 |
$537.00
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$651.68 |
$651.68 |
$651.68 |
$147.84
|
|
Pretreat rbc absorption reference
|
$63.50 |
$63.50 |
$63.50 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$1,467.21 |
$1,467.21 |
$1,467.21 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$229.95 |
$229.95 |
$229.95 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$229.95 |
$229.95 |
$229.95 |
$164.99
|
|
Procalcitonin
|
$2,191.12 |
$2,191.12 |
$2,191.12 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$84.69 |
$84.69 |
$84.69 |
$36.33
|
|
Progesterone
|
$1,179.06 |
$1,179.06 |
$1,179.06 |
$113.24
|
|
Prolactin
|
$1,192.56 |
$1,192.56 |
$1,192.56 |
$123.50
|
|
Promethazine hcl injection
|
$38.75 |
$38.75 |
$38.75 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$239.03 |
$239.03 |
$239.03 |
$30.26
|