|
MRI chest without & w/contrast
|
$11,376.62 |
$11,376.62 |
$11,376.62 |
$2,652.73
|
|
MRI chest w IV cont
|
$10,514.56 |
$10,514.56 |
$10,514.56 |
$2,210.00
|
|
MRI compatible system
|
$25.00 |
$25.00 |
$25.00 |
$2,910.00
|
|
MRI orbit/face/neck without contrast
|
$8,564.19 |
$8,564.19 |
$8,564.19 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$12,162.57 |
$12,162.57 |
$12,162.57 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$11,559.22 |
$11,559.22 |
$11,559.22 |
$2,176.20
|
|
MRI tmj
|
$10,886.38 |
$10,886.38 |
$10,886.38 |
$1,787.50
|
|
MRI without fol w/cont, breast
|
$5,712.19 |
$5,712.19 |
$5,712.19 |
$2,301.04
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$300.00 |
$300.00 |
$300.00 |
$58.08
|
|
Mr sfty implt&/fb asmt stf 1
|
$150.00 |
$150.00 |
$150.00 |
$45.56
|
|
Mthfr gene analy common variants
|
$1,270.63 |
$1,270.63 |
$1,270.63 |
$180.48
|
|
Mucin synovial fluid
|
$382.38 |
$382.38 |
$382.38 |
$33.57
|
|
Mycobacteria dna amp probe
|
$2,055.95 |
$2,055.95 |
$2,055.95 |
$300.60
|
|
Mycophenolate mofetil 250 mg capsule
|
$50.51 |
$50.51 |
$50.51 |
$10.79
|
|
Myelogphy 2/> spine regions
|
$3,805.78 |
$3,805.78 |
$3,805.78 |
$1,459.50
|
|
Myelography l-s spine
|
$3,625.32 |
$3,625.32 |
$3,625.32 |
$1,315.60
|
|
Myelography neck spine
|
$1,771.23 |
$1,771.23 |
$1,771.23 |
$1,213.80
|
|
Myelography thoracic spine
|
$3,967.53 |
$3,967.53 |
$3,967.53 |
$1,255.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$43.01 |
$43.01 |
$43.01 |
$38.69
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$13,434.68 |
$13,434.68 |
$13,434.68 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$10,507.76 |
$10,507.76 |
$10,507.76 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$10,022.90 |
$10,022.90 |
$10,022.90 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$9,257.46 |
$9,257.46 |
$9,257.46 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$8,656.81 |
$8,656.81 |
$8,656.81 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$6,533.47 |
$6,533.47 |
$6,533.47 |
$1,824.90
|
|
Neisseria meningitidis
|
$1,822.75 |
$1,822.75 |
$1,822.75 |
$60.00
|
|
Neox 100 or clarix 100
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$1,386.43
|
|
Neuromatrix nerve cuff, cm
|
$21,844.51 |
$21,844.51 |
$21,844.51 |
$3,138.16
|
|
N.gonorrhoeae dna quant
|
$469.84 |
$469.84 |
$469.84 |
$47.12
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$186.30 |
$186.30 |
$186.30 |
$264.31
|
|
Nm imaging bone/joint 3 phase study
|
$8,797.09 |
$8,797.09 |
$8,797.09 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$7,173.60 |
$7,173.60 |
$7,173.60 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$5,390.76 |
$5,390.76 |
$5,390.76 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$6,153.48 |
$6,153.48 |
$6,153.48 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$6,153.48 |
$6,153.48 |
$6,153.48 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$6,556.62 |
$6,556.62 |
$6,556.62 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$6,549.82 |
$6,549.82 |
$6,549.82 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$12,166.65 |
$12,166.65 |
$12,166.65 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,498.64 |
$4,498.64 |
$4,498.64 |
$1,091.00
|
|
Non-card vasc flow imaging
|
$390.83 |
$390.83 |
$390.83 |
$608.56
|
|
Nuclear Stress Test (Heart)
|
$19,831.94 |
$19,831.94 |
$19,831.94 |
$3,804.45
|
|
Obstetric panel inc HIV tstg
|
$3,494.63 |
$3,494.63 |
$3,494.63 |
$288.01
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$21.73 |
$21.73 |
$21.73 |
$22.62
|
|
Oscillation chest wall mechanical per session
|
$689.34 |
$689.34 |
$689.34 |
$195.00
|
|
Osmolality urine
|
$450.97 |
$450.97 |
$450.97 |
$65.65
|
|
Ostomy clamp, replacement
|
$8.00 |
$8.00 |
$8.00 |
$4.66
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$176.92 |
$176.92 |
$176.92 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$215.53 |
$215.53 |
$215.53 |
$91.20
|
|
Oxytocin 10 unit/ml injection solution
|
$37.05 |
$37.05 |
$37.05 |
$50.40
|
|
Palivizumab 50 mg/0.5 ml inj
|
$13,051.58 |
$13,051.58 |
$13,051.58 |
$5,481.00
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5,836.05 |
$5,836.05 |
$5,836.05 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$61.12 |
$61.12 |
$61.12 |
$27.16
|
|
Parathyrd planar w/spect&ct
|
$8,541.04 |
$8,541.04 |
$8,541.04 |
$1,555.00
|
|
Parathyroid planar imaging
|
$1,496.23 |
$1,496.23 |
$1,496.23 |
$1,073.82
|
|
Pelvic control band & belt u
|
$828.50 |
$828.50 |
$828.50 |
$547.83
|
|
Pelvic control hip heavy dut
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$591.53
|
|
Pelvic MRI (with and without contrast)
|
$11,414.84 |
$11,414.84 |
$11,414.84 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$9,567.98 |
$9,567.98 |
$9,567.98 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$9,070.86 |
$9,070.86 |
$9,070.86 |
$1,929.85
|
|
Penile vascular study
|
$2,565.30 |
$2,565.30 |
$2,565.30 |
$566.79
|
|
Peri-proc device eval icd
|
$7,320.98 |
$7,320.98 |
$7,320.98 |
$192.40
|
|
Peri-proc device eval pm
|
$258.52 |
$258.52 |
$258.52 |
$156.00
|
|
Phencyclidine (pcp)
|
$354.95 |
$354.95 |
$354.95 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$651.60 |
$651.60 |
$651.60 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,309.69 |
$3,309.69 |
$3,309.69 |
$1,028.40
|
|
Phlebotomy therapeutic
|
$546.04 |
$546.04 |
$546.04 |
$231.66
|
|
Phosphorus 24 hour urine
|
$397.81 |
$397.81 |
$397.81 |
$41.58
|
|
Pinworm exam
|
$469.84 |
$469.84 |
$469.84 |
$40.00
|
|
Plastic mod low ext pad/line
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$244.53
|
|
Platelet pheresis each unit
|
$3,557.93 |
$3,557.93 |
$3,557.93 |
$940.45
|
|
Platelets each unit
|
$193.86 |
$193.86 |
$193.86 |
$169.20
|
|
Platelets leukocytes reduced each unit
|
$833.72 |
$833.72 |
$833.72 |
$322.50
|
|
Platelets pheresis leukocytes reduced each unit
|
$3,310.90 |
$3,310.90 |
$3,310.90 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$4,184.07 |
$4,184.07 |
$4,184.07 |
$1,213.50
|
|
Platelets pheresis pathogen-reduced each unit
|
$5,961.87 |
$5,961.87 |
$5,961.87 |
$970.00
|
|
Powder prem protct 1oz
|
$19.00 |
$19.00 |
$19.00 |
$5.43
|
|
Pq biliary strict dil s&i
|
$2,035.90 |
$2,035.90 |
$2,035.90 |
$1,102.53
|
|
Pq dr cath chg w cont s&i
|
$1,232.50 |
$1,232.50 |
$1,232.50 |
$720.00
|
|
Pralidoxime 1 gram solution for injection
|
$883.49 |
$883.49 |
$883.49 |
$267.69
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$76.63 |
$76.63 |
$76.63 |
$48.43
|
|
Prealbumin
|
$514.42 |
$514.42 |
$514.42 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$11.98 |
$11.98 |
$11.98 |
$13.80
|
|
Pretreat rbc absorption reference
|
$1,147.15 |
$1,147.15 |
$1,147.15 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$469.84 |
$469.84 |
$469.84 |
$182.31
|
|
Pretreat rbc w chem/drugs reference
|
$1,424.94 |
$1,424.94 |
$1,424.94 |
$106.15
|
|
Pretreat rbc w enzyme reference
|
$426.97 |
$426.97 |
$426.97 |
$164.99
|
|
Prgr stim/pace a/iv drug
|
$10,727.78 |
$10,727.78 |
$10,727.78 |
$4,709.90
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$218.13 |
$218.13 |
$218.13 |
$252.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$3,317.43 |
$3,317.43 |
$3,317.43 |
$655.08
|
|
Procalcitonin
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$157.56
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$85.48 |
$85.48 |
$85.48 |
$36.33
|
|
Progesterone
|
$1,599.85 |
$1,599.85 |
$1,599.85 |
$113.24
|
|
Prolactin
|
$1,843.35 |
$1,843.35 |
$1,843.35 |
$123.50
|
|
Promethazine hcl injection
|
$75.96 |
$75.96 |
$75.96 |
$12.96
|
|
Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$185.12 |
$185.12 |
$185.12 |
$30.26
|
|
Prosthetic sock multi ply bk
|
$120.00 |
$120.00 |
$120.00 |
$57.60
|
|
Protector nerve neurawrap 4cm
|
$23,260.95 |
$23,260.95 |
$23,260.95 |
$3,891.30
|
|
Protein c activity
|
$1,179.73 |
$1,179.73 |
$1,179.73 |
$119.60
|
|
Protein electrophoretic fractionation & quantitation serum
|
$572.71 |
$572.71 |
$572.71 |
$84.00
|
|
Protein s total
|
$1,057.99 |
$1,057.99 |
$1,057.99 |
$77.60
|