|
MRI tmj
|
$8,712.62 |
$8,712.62 |
$8,712.62 |
$1,787.50
|
|
Mthfr gene analy common variants
|
$2,408.79 |
$2,408.79 |
$2,408.79 |
$180.48
|
|
Mucin synovial fluid
|
$346.19 |
$346.19 |
$346.19 |
$33.57
|
|
Mucopolysaccharides
|
$1,481.78 |
$1,481.78 |
$1,481.78 |
$178.36
|
|
Mycophenolate mofetil 250 mg capsule
|
$43.06 |
$43.06 |
$43.06 |
$10.79
|
|
Myelogphy 2/> spine regions
|
$5,379.30 |
$5,379.30 |
$5,379.30 |
$1,459.50
|
|
Nafcillin 2 gram solution for injection
|
$0.26 |
$0.26 |
$0.26 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$60.74 |
$60.74 |
$60.74 |
$38.69
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$5,994.28 |
$5,994.28 |
$5,994.28 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$5,838.58 |
$5,838.58 |
$5,838.58 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$6,392.00 |
$6,392.00 |
$6,392.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$11,540.14 |
$11,540.14 |
$11,540.14 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$9,356.98 |
$9,356.98 |
$9,356.98 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$9,537.01 |
$9,537.01 |
$9,537.01 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$8,089.68 |
$8,089.68 |
$8,089.68 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$7,639.60 |
$7,639.60 |
$7,639.60 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$7,338.14 |
$7,338.14 |
$7,338.14 |
$1,824.90
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$112.24 |
$112.24 |
$112.24 |
$60.38
|
|
Nesiritide injection
|
$8,159.67 |
$8,159.67 |
$8,159.67 |
$3,527.00
|
|
New Patient Office Visit (level 3)
|
$1,121.58 |
$1,121.58 |
$1,121.58 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$1,424.94 |
$1,424.94 |
$1,424.94 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$2,103.85 |
$2,103.85 |
$2,103.85 |
$349.70
|
|
Njx px nfrosgrm &/urtrgrm
|
$843.12 |
$843.12 |
$843.12 |
$1,522.20
|
|
Nm imaging bone/joint 3 phase study
|
$5,706.50 |
$5,706.50 |
$5,706.50 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$4,512.04 |
$4,512.04 |
$4,512.04 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$6,975.23 |
$6,975.23 |
$6,975.23 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$6,376.58 |
$6,376.58 |
$6,376.58 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$6,376.58 |
$6,376.58 |
$6,376.58 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$6,149.41 |
$6,149.41 |
$6,149.41 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$6,573.75 |
$6,573.75 |
$6,573.75 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$14,566.27 |
$14,566.27 |
$14,566.27 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,640.63 |
$4,640.63 |
$4,640.63 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,935.98 |
$1,935.98 |
$1,935.98 |
$1,057.20
|
|
Non-card vasc flow imaging
|
$2,436.04 |
$2,436.04 |
$2,436.04 |
$608.56
|
|
Nuclear rx IV admin
|
$6,376.58 |
$6,376.58 |
$6,376.58 |
$814.80
|
|
Nuclear Stress Test (Heart)
|
$14,163.35 |
$14,163.35 |
$14,163.35 |
$3,804.45
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$491.77 |
$491.77 |
$491.77 |
$22.62
|
|
One way chest drain valve
|
$684.47 |
$684.47 |
$684.47 |
$79.53
|
|
Organic acids total quant ea spec
|
$1,322.45 |
$1,322.45 |
$1,322.45 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$737.83 |
$737.83 |
$737.83 |
$50.63
|
|
Ortho elbow w/lock w/ft&adj
|
$385.00 |
$385.00 |
$385.00 |
$504.00
|
|
Ortho shoe add full sole
|
$864.00 |
$864.00 |
$864.00 |
$116.50
|
|
Orthovisc inj per dose
|
$3,982.69 |
$3,982.69 |
$3,982.69 |
$521.29
|
|
Oscillation chest wall mechanical per session
|
$474.27 |
$474.27 |
$474.27 |
$195.00
|
|
Osmolality blood
|
$538.00 |
$538.00 |
$538.00 |
$69.55
|
|
Osmolality urine
|
$447.84 |
$447.84 |
$447.84 |
$65.65
|
|
Ostomy clamp, replacement
|
$5.00 |
$5.00 |
$5.00 |
$4.66
|
|
Ot evaluation high complexity patient/family
|
$931.07 |
$931.07 |
$931.07 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$466.87 |
$466.87 |
$466.87 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$697.63 |
$697.63 |
$697.63 |
$263.50
|
|
Other immunoelectrophoresis
|
$1,484.86 |
$1,484.86 |
$1,484.86 |
$107.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$351.91 |
$351.91 |
$351.91 |
$98.62
|
|
Ot re-evaluation patient/family
|
$212.87 |
$212.87 |
$212.87 |
$160.80
|
|
Oxytocin 10 unit/ml injection solution
|
$276.06 |
$276.06 |
$276.06 |
$50.40
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$5,035.51 |
$5,035.51 |
$5,035.51 |
$129.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$492.49 |
$492.49 |
$492.49 |
$27.16
|
|
Parathyroid planar imaging
|
$2,896.10 |
$2,896.10 |
$2,896.10 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$6,508.03 |
$6,508.03 |
$6,508.03 |
$1,345.00
|
|
Paricalcitol
|
$602.48 |
$602.48 |
$602.48 |
$47.15
|
|
Pelvic control band & belt u
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$547.83
|
|
Pelvic control hip heavy dut
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$591.53
|
|
Pelvic CT scan (with and without contrast)
|
$5,606.44 |
$5,606.44 |
$5,606.44 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$5,246.93 |
$5,246.93 |
$5,246.93 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$4,952.53 |
$4,952.53 |
$4,952.53 |
$1,366.50
|
|
Pelvic & hip control thigh c
|
$11,945.00 |
$11,945.00 |
$11,945.00 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$9,727.04 |
$9,727.04 |
$9,727.04 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$8,712.62 |
$8,712.62 |
$8,712.62 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$8,621.17 |
$8,621.17 |
$8,621.17 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$3,091.85 |
$3,091.85 |
$3,091.85 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$2,594.65 |
$2,594.65 |
$2,594.65 |
$430.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$503.88 |
$503.88 |
$503.88 |
$335.79
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$1,216.32 |
$1,216.32 |
$1,216.32 |
$625.93
|
|
Pertussis ag if
|
$308.35 |
$308.35 |
$308.35 |
$65.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$115.92 |
$115.92 |
$115.92 |
$114.60
|
|
Phenobarbital therapeutic drug level
|
$703.84 |
$703.84 |
$703.84 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,714.13 |
$3,714.13 |
$3,714.13 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$949.90 |
$949.90 |
$949.90 |
$112.50
|
|
Phosphorus 24 hour urine
|
$472.66 |
$472.66 |
$472.66 |
$41.58
|
|
Phys blood bank serv xmatch
|
$361.09 |
$361.09 |
$361.09 |
$97.60
|
|
Pinworm exam
|
$630.10 |
$630.10 |
$630.10 |
$40.00
|
|
Plasma cryoprecipitate reduced each unit
|
$497.22 |
$497.22 |
$497.22 |
$157.95
|
|
Platelet automated
|
$416.88 |
$416.88 |
$416.88 |
$45.00
|
|
Platelets each unit
|
$1,634.22 |
$1,634.22 |
$1,634.22 |
$169.20
|
|
Platelets irradiated ea unit
|
$2,027.81 |
$2,027.81 |
$2,027.81 |
$262.80
|
|
Platelets leukocytes reduced each unit
|
$2,117.61 |
$2,117.61 |
$2,117.61 |
$322.50
|
|
Platelets leukocytes reduced irradiated each unit
|
$2,512.70 |
$2,512.70 |
$2,512.70 |
$413.25
|
|
Platelets pheresis leukocytes reduced each unit
|
$8,796.65 |
$8,796.65 |
$8,796.65 |
$1,108.08
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$9,531.44 |
$9,531.44 |
$9,531.44 |
$1,213.50
|
|
Plethysmography lung volumes/airway resistance
|
$1,095.75 |
$1,095.75 |
$1,095.75 |
$399.50
|
|
Postop app non-wgt bear dsg
|
$4,799.00 |
$4,799.00 |
$4,799.00 |
$896.02
|
|
Postop dress & 1 cast chg bk
|
$22,115.00 |
$22,115.00 |
$22,115.00 |
$2,711.11
|
|
Potassium 24 hour urine
|
$388.98 |
$388.98 |
$388.98 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$408.46 |
$408.46 |
$408.46 |
$46.00
|
|
Pouch uros new (both sides) 2.75in clr
|
$100.00 |
$100.00 |
$100.00 |
$15.80
|
|
Pr application of long arm splint
|
$37.86 |
$37.86 |
$37.86 |
$328.78
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$484.21 |
$484.21 |
$484.21 |
$350.98
|
|
Prealbumin
|
$735.16 |
$735.16 |
$735.16 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$45.96 |
$45.96 |
$45.96 |
$13.80
|
|
Pregnancy Ultrasound (first trimester)
|
$3,104.71 |
$3,104.71 |
$3,104.71 |
$537.00
|
|
Pre-tibial shell molded to p
|
$7,958.00 |
$7,958.00 |
$7,958.00 |
$630.00
|