|
Nm imaging gastric emptying study
|
$1,934.79 |
$1,934.79 |
$1,934.79 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,152.59 |
$2,152.59 |
$2,152.59 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,692.04 |
$3,692.04 |
$3,692.04 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,352.24 |
$2,352.24 |
$2,352.24 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$4,328.94 |
$4,328.94 |
$4,328.94 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,523.94 |
$1,523.94 |
$1,523.94 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,513.94 |
$2,513.94 |
$2,513.94 |
$1,057.20
|
|
Non-card vasc flow imaging
|
$795.96 |
$795.96 |
$795.96 |
$608.56
|
|
Non-ophthalmic fva
|
$482.79 |
$482.79 |
$482.79 |
$567.85
|
|
Npsy tst eval phsy/qhp 1st hr
|
$255.75 |
$255.75 |
$255.75 |
$410.00
|
|
Npsy tst eval phsy/qhp ea l hr
|
$154.77 |
$154.77 |
$154.77 |
$252.54
|
|
Nuclear rx intra-arterial
|
$991.65 |
$991.65 |
$991.65 |
$761.95
|
|
Nuclear rx IV admin
|
$193.38 |
$193.38 |
$193.38 |
$814.80
|
|
Nuclear Stress Test (Heart)
|
$3,959.34 |
$3,959.34 |
$3,959.34 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$206.25 |
$206.25 |
$206.25 |
$392.45
|
|
Observation per hour
|
$53.79 |
$53.79 |
$53.79 |
$79.95
|
|
Obstetrics panel
|
$91.74 |
$91.74 |
$91.74 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$218.62 |
$218.62 |
$218.62 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$173.75 |
$173.75 |
$173.75 |
$109.58
|
|
Ondansetron 8 mg disintegrating tablet
|
$87.94 |
$87.94 |
$87.94 |
$8.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$6.26 |
$6.26 |
$6.26 |
$22.62
|
|
One-way allow prorated trip
|
$22.11 |
$22.11 |
$22.11 |
$18.57
|
|
Opn ax/subcla art expos
|
$515.13 |
$515.13 |
$515.13 |
$930.80
|
|
Organic acids total quant ea spec
|
$213.18 |
$213.18 |
$213.18 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$72.03 |
$72.03 |
$72.03 |
$50.63
|
|
Orthopantogram
|
$376.20 |
$376.20 |
$376.20 |
$237.43
|
|
Oscillation chest wall mechanical per session
|
$265.98 |
$265.98 |
$265.98 |
$195.00
|
|
Osmolality blood
|
$89.43 |
$89.43 |
$89.43 |
$69.55
|
|
Osmolality urine
|
$80.19 |
$80.19 |
$80.19 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$197.67 |
$197.67 |
$197.67 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$123.75 |
$123.75 |
$123.75 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$156.09 |
$156.09 |
$156.09 |
$263.50
|
|
Oth resp proc, group
|
$24.42 |
$24.42 |
$24.42 |
$127.40
|
|
Oth resp proc, indiv
|
$42.57 |
$42.57 |
$42.57 |
$83.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$60.06 |
$60.06 |
$60.06 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$76.89 |
$76.89 |
$76.89 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$119.13 |
$119.13 |
$119.13 |
$105.00
|
|
Ot re-evaluation patient/family
|
$104.61 |
$104.61 |
$104.61 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$142.89 |
$142.89 |
$142.89 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$187.11 |
$187.11 |
$187.11 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$160.05 |
$160.05 |
$160.05 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$110.22 |
$110.22 |
$110.22 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$117.48 |
$117.48 |
$117.48 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$99.00 |
$99.00 |
$99.00 |
$93.60
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$102.78 |
$102.78 |
$102.78 |
$79.80
|
|
Oxytocin 10 unit/ml injection solution
|
$108.04 |
$108.04 |
$108.04 |
$50.40
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$356.37 |
$356.37 |
$356.37 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$36.54 |
$36.54 |
$36.54 |
$27.16
|
|
Papaverin hcl injection
|
$728.75 |
$728.75 |
$728.75 |
$76.40
|
|
Parathormone (pth) intact
|
$247.17 |
$247.17 |
$247.17 |
$201.50
|
|
Parathyroid planar imaging
|
$1,149.06 |
$1,149.06 |
$1,149.06 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$957.66 |
$957.66 |
$957.66 |
$1,345.00
|
|
Parenteral 50% dextrose solu
|
$9.82 |
$9.82 |
$9.82 |
$145.60
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$51.81 |
$51.81 |
$51.81 |
$242.88
|
|
Partial removal finger bone
|
$2,285.91 |
$2,285.91 |
$2,285.91 |
$1,964.00
|
|
Pelvic CT scan (with and without contrast)
|
$467.28 |
$467.28 |
$467.28 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$433.62 |
$433.62 |
$433.62 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$350.79 |
$350.79 |
$350.79 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,771.90 |
$3,771.90 |
$3,771.90 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$1,980.66 |
$1,980.66 |
$1,980.66 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,325.18 |
$2,325.18 |
$2,325.18 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$1,789.26 |
$1,789.26 |
$1,789.26 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$738.87 |
$738.87 |
$738.87 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,327.02 |
$3,327.02 |
$3,327.02 |
$826.47
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$61.09 |
$61.09 |
$61.09 |
$97.85
|
|
Penile vascular study
|
$675.84 |
$675.84 |
$675.84 |
$585.20
|
|
Perc cryo ablate renal tum
|
$9,694.08 |
$9,694.08 |
$9,694.08 |
$11,458.04
|
|
Perc d-e cor revasc chro add
|
$3,988.38 |
$3,988.38 |
$3,988.38 |
$13,045.40
|
|
Perc d-e cor revasc chro sin
|
$9,517.53 |
$9,517.53 |
$9,517.53 |
$18,808.65
|
|
Perc d-e cor revasc t cabg b
|
$3,230.37 |
$3,230.37 |
$3,230.37 |
$11,976.00
|
|
Perc d-e cor revasc t cabg s
|
$9,517.53 |
$9,517.53 |
$9,517.53 |
$16,047.20
|
|
Perc d-e cor stent ather br
|
$3,230.37 |
$3,230.37 |
$3,230.37 |
$12,719.00
|
|
Perc d-e cor stent ather s
|
$9,517.53 |
$9,517.53 |
$9,517.53 |
$18,808.65
|
|
Perc drug-el cor stent bran
|
$2,543.31 |
$2,543.31 |
$2,543.31 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$5,058.57 |
$5,058.57 |
$5,058.57 |
$16,258.50
|
|
Perc rf ablate renal tumor
|
$10,464.30 |
$10,464.30 |
$10,464.30 |
$6,949.48
|
|
Percut ablate liver rf
|
$3,938.88 |
$3,938.88 |
$3,938.88 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,571.29 |
$1,571.29 |
$1,571.29 |
$335.79
|
|
Pericardiocentesis wwo imaging
|
$1,700.16 |
$1,700.16 |
$1,700.16 |
$2,341.50
|
|
Peripheral vascular rehab
|
$45.54 |
$45.54 |
$45.54 |
$129.60
|
|
Peri-proc device eval icd
|
$40.92 |
$40.92 |
$40.92 |
$192.40
|
|
Peri-proc device eval pm
|
$33.33 |
$33.33 |
$33.33 |
$156.00
|
|
Peritoneogram rs&i
|
$303.27 |
$303.27 |
$303.27 |
$689.15
|
|
Perq clsr tcat l atr apndge
|
$6,592.41 |
$6,592.41 |
$6,592.41 |
$8,489.00
|
|
Perq dev breast 1st strtctc
|
$1,578.39 |
$1,578.39 |
$1,578.39 |
$1,456.00
|
|
Perq plmt bile duct stent
|
$2,714.25 |
$2,714.25 |
$2,714.25 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$1,989.90 |
$1,989.90 |
$1,989.90 |
$6,870.89
|
|
Perq plmt bile duct stent
|
$1,647.36 |
$1,647.36 |
$1,647.36 |
$7,085.70
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$418.44 |
$418.44 |
$418.44 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$3,367.65 |
$3,367.65 |
$3,367.65 |
$4,711.20
|
|
Pet CT whole body initial
|
$3,466.32 |
$3,466.32 |
$3,466.32 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$5,301.12 |
$5,301.12 |
$5,301.12 |
$3,789.00
|
|
Pet image full body
|
$3,305.94 |
$3,305.94 |
$3,305.94 |
$5,070.50
|
|
Pet image w/ct lmtd
|
$2,747.91 |
$2,747.91 |
$2,747.91 |
$4,366.50
|
|
Ph body fluid
|
$49.17 |
$49.17 |
$49.17 |
$40.04
|
|
Phencyclidine (pcp)
|
$94.38 |
$94.38 |
$94.38 |
$90.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$1,504.65 |
$1,504.65 |
$1,504.65 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$197.34 |
$197.34 |
$197.34 |
$104.50
|
|
Phentolaine mesylate inj
|
$2,155.60 |
$2,155.60 |
$2,155.60 |
$1,028.40
|
|
Phenylephrine 10 mg/ml injection solution
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$62.98
|