|
MRA w/cont, abd
|
$325.92 |
$325.92 |
$325.92 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$651.84 |
$651.84 |
$651.84 |
$1,691.95
|
|
Mra, w/dye, upper extremity
|
$750.96 |
$750.96 |
$750.96 |
$885.06
|
|
MRA without cont, abd
|
$497.56 |
$497.56 |
$497.56 |
$1,764.03
|
|
MRA without cont, lwr ext
|
$651.84 |
$651.84 |
$651.84 |
$1,656.00
|
|
Mra, without dye, upper extr
|
$750.96 |
$750.96 |
$750.96 |
$751.14
|
|
MRA without fol w/cont, abd
|
$497.56 |
$497.56 |
$497.56 |
$2,497.30
|
|
MRA without fol w/cont, lwr ext
|
$995.12 |
$995.12 |
$995.12 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$497.56 |
$497.56 |
$497.56 |
$2,356.90
|
|
Mra, w/o&w/dye, upper extr
|
$750.96 |
$750.96 |
$750.96 |
$1,089.06
|
|
MRI chest without contrast
|
$495.32 |
$495.32 |
$495.32 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$707.28 |
$707.28 |
$707.28 |
$2,652.73
|
|
MRI chest w IV cont
|
$497.56 |
$497.56 |
$497.56 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$995.12 |
$995.12 |
$995.12 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$995.12 |
$995.12 |
$995.12 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$495.32 |
$495.32 |
$495.32 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$707.28 |
$707.28 |
$707.28 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$507.92 |
$507.92 |
$507.92 |
$2,176.20
|
|
MRI tmj
|
$507.92 |
$507.92 |
$507.92 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$868.56 |
$868.56 |
$868.56 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$995.12 |
$995.12 |
$995.12 |
$2,024.40
|
|
Mthfr gene analy common variants
|
$97.16 |
$97.16 |
$97.16 |
$180.48
|
|
Mumps antibody igg
|
$12.32 |
$12.32 |
$12.32 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.68 |
$1.68 |
$1.68 |
$10.79
|
|
Mycoplasma antibody igm
|
$10.64 |
$10.64 |
$10.64 |
$78.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$36.68 |
$36.68 |
$36.68 |
$131.07
|
|
Natriuretic peptide
|
$68.32 |
$68.32 |
$68.32 |
$176.15
|
|
Ndl insj without njx 1 or 2 musc
|
$7.00 |
$7.00 |
$7.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$7.00 |
$7.00 |
$7.00 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$761.88 |
$761.88 |
$761.88 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$507.92 |
$507.92 |
$507.92 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$507.92 |
$507.92 |
$507.92 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$809.20 |
$809.20 |
$809.20 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$658.00 |
$658.00 |
$658.00 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$658.00 |
$658.00 |
$658.00 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$489.16 |
$489.16 |
$489.16 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$325.92 |
$325.92 |
$325.92 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$299.32 |
$299.32 |
$299.32 |
$1,824.90
|
|
New Patient Office Visit (level 2)
|
$34.44 |
$34.44 |
$34.44 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$38.64 |
$38.64 |
$38.64 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$70.56 |
$70.56 |
$70.56 |
$289.60
|
|
Nm imaging bone/joint 3 phase study
|
$313.88 |
$313.88 |
$313.88 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$262.64 |
$262.64 |
$262.64 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$273.00 |
$273.00 |
$273.00 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$270.76 |
$270.76 |
$270.76 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$208.88 |
$208.88 |
$208.88 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$374.36 |
$374.36 |
$374.36 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$232.96 |
$232.96 |
$232.96 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$472.92 |
$472.92 |
$472.92 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$182.84 |
$182.84 |
$182.84 |
$1,091.00
|
|
Npm1 gene
|
$162.40 |
$162.40 |
$162.40 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$631.96 |
$631.96 |
$631.96 |
$3,804.45
|
|
Observation per hour
|
$15.12 |
$15.12 |
$15.12 |
$79.95
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$1.68 |
$1.68 |
$1.68 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$61.60 |
$61.60 |
$61.60 |
$12,151.03
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$9.80 |
$9.80 |
$9.80 |
$50.63
|
|
Osmolality blood
|
$7.00 |
$7.00 |
$7.00 |
$69.55
|
|
Osmolality urine
|
$8.96 |
$8.96 |
$8.96 |
$65.65
|
|
Osteopath manip tx/5-6 body region 98927
|
$29.40 |
$29.40 |
$29.40 |
$61.50
|
|
Osteopath manip tx/7-8 body region 98928
|
$32.76 |
$32.76 |
$32.76 |
$101.00
|
|
Osteopath manip tx/9-10 body region98929
|
$37.80 |
$37.80 |
$37.80 |
$95.16
|
|
Ot evaluation high complexity patient/family
|
$50.96 |
$50.96 |
$50.96 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$50.96 |
$50.96 |
$50.96 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$50.96 |
$50.96 |
$50.96 |
$263.50
|
|
Oth resp proc, group
|
$31.08 |
$31.08 |
$31.08 |
$127.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$18.48 |
$18.48 |
$18.48 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$21.84 |
$21.84 |
$21.84 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$20.44 |
$20.44 |
$20.44 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$14.28 |
$14.28 |
$14.28 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$13.72 |
$13.72 |
$13.72 |
$79.80
|
|
Oxytocin 10 unit/ml injection solution
|
$9.80 |
$9.80 |
$9.80 |
$50.40
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$7.84 |
$7.84 |
$7.84 |
$129.80
|
|
Parathormone (pth) intact
|
$58.80 |
$58.80 |
$58.80 |
$201.50
|
|
Parathyroid planar imaging
|
$171.64 |
$171.64 |
$171.64 |
$1,073.82
|
|
Paricalcitol
|
$1.40 |
$1.40 |
$1.40 |
$47.15
|
|
Pelvic CT scan (with and without contrast)
|
$554.12 |
$554.12 |
$554.12 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$369.60 |
$369.60 |
$369.60 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$369.60 |
$369.60 |
$369.60 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$675.08 |
$675.08 |
$675.08 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$497.56 |
$497.56 |
$497.56 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$472.36 |
$472.36 |
$472.36 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$101.92 |
$101.92 |
$101.92 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$64.96 |
$64.96 |
$64.96 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$5.73 |
$5.73 |
$5.73 |
$826.47
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$66.99 |
$66.99 |
$66.99 |
$335.79
|
|
Pfc sigma fem post aug sz3 8mm
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$34,920.00
|
|
Ph body fluid
|
$16.52 |
$16.52 |
$16.52 |
$40.04
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$0.24 |
$0.24 |
$0.24 |
$114.60
|
|
Phentolaine mesylate inj
|
$124.23 |
$124.23 |
$124.23 |
$1,028.40
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$5.60 |
$5.60 |
$5.60 |
$10.80
|
|
Phenytoin total therapeutic drug level
|
$26.60 |
$26.60 |
$26.60 |
$112.50
|
|
Phlebotomy therapeutic
|
$40.04 |
$40.04 |
$40.04 |
$231.66
|