|
New Patient Office Visit (level 2)
|
$150.00 |
$150.00 |
$150.00 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$180.00 |
$180.00 |
$180.00 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$270.00 |
$270.00 |
$270.00 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$310.00 |
$310.00 |
$310.00 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$457.50 |
$457.50 |
$457.50 |
$435.00
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,156.20
|
|
Njx interlaminar lmbr/sac
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$1,970.25
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,522.20
|
|
Nm imaging bone/joint 3 phase study
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$600.00 |
$600.00 |
$600.00 |
$1,057.20
|
|
Non-card vasc flow imaging
|
$515.00 |
$515.00 |
$515.00 |
$608.56
|
|
No pt prsnt train add 15
|
$10.00 |
$10.00 |
$10.00 |
$47.60
|
|
No pt prsnt train initial 30
|
$20.00 |
$20.00 |
$20.00 |
$47.60
|
|
Npm1 gene
|
$980.00 |
$980.00 |
$980.00 |
$457.50
|
|
Nqhp ol dig assmt&mgmt 11-20
|
$62.50 |
$62.50 |
$62.50 |
$37.50
|
|
Nqhp ol dig assmt&mgmt 21+
|
$100.00 |
$100.00 |
$100.00 |
$52.80
|
|
Nqhp ol dig assmt&mgmt 5-10
|
$30.00 |
$30.00 |
$30.00 |
$22.40
|
|
Nras gene variants exon 2&3
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$592.00
|
|
Nuclear rx IV admin
|
$760.00 |
$760.00 |
$760.00 |
$814.80
|
|
Nuclear Stress Test (Heart)
|
$3,765.00 |
$3,765.00 |
$3,765.00 |
$3,804.45
|
|
Nudt15 gene common variants
|
$345.00 |
$345.00 |
$345.00 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$147.50 |
$147.50 |
$147.50 |
$392.45
|
|
Observation per hour
|
$55.00 |
$55.00 |
$55.00 |
$79.95
|
|
Obstetric panel inc HIV tstg
|
$190.00 |
$190.00 |
$190.00 |
$288.01
|
|
Obstetrics panel
|
$130.00 |
$130.00 |
$130.00 |
$214.50
|
|
Office emergency care
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$50.40
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$157.43 |
$157.43 |
$157.43 |
$4,781.43
|
|
Onco (ovar) five proteins
|
$530.00 |
$530.00 |
$530.00 |
$986.70
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.00 |
$8.00 |
$8.00 |
$22.62
|
|
Oral aprepitant
|
$11.30 |
$11.30 |
$11.30 |
$410.20
|
|
Organic acids total quant ea spec
|
$207.50 |
$207.50 |
$207.50 |
$151.36
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$190.00 |
$190.00 |
$190.00 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$325.00 |
$325.00 |
$325.00 |
$504.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$487.50 |
$487.50 |
$487.50 |
$714.59
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$177.50 |
$177.50 |
$177.50 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$210.00 |
$210.00 |
$210.00 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$177.50 |
$177.50 |
$177.50 |
$225.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$232.50 |
$232.50 |
$232.50 |
$420.76
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$645.00 |
$645.00 |
$645.00 |
$645.00
|
|
Oscillation chest wall mechanical per session
|
$92.50 |
$92.50 |
$92.50 |
$195.00
|
|
Osmolality blood
|
$50.00 |
$50.00 |
$50.00 |
$69.55
|
|
Osmolality urine
|
$50.00 |
$50.00 |
$50.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$310.00 |
$310.00 |
$310.00 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$177.50 |
$177.50 |
$177.50 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$240.00 |
$240.00 |
$240.00 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$92.50 |
$92.50 |
$92.50 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$125.00 |
$125.00 |
$125.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$98.90
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$82.50 |
$82.50 |
$82.50 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$82.50 |
$82.50 |
$82.50 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$100.65
|
|
Ot training self care/home management direct contact each 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
Palonosetron hcl
|
$10.80 |
$10.80 |
$10.80 |
$154.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$34.74 |
$34.74 |
$34.74 |
$27.16
|
|
Parathormone (pth) intact
|
$120.00 |
$120.00 |
$120.00 |
$201.50
|
|
Parathyrd planar w/spect&ct
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$1,555.00
|
|
Parathyroid planar imaging
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,073.82
|
|
Parathyroid planar img w/tomo spect
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$1,345.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$100.00 |
$100.00 |
$100.00 |
$242.88
|
|
Passy muir valve metal trach
|
$200.00 |
$200.00 |
$200.00 |
$275.75
|
|
Patient recorded spirometry
|
$135.00 |
$135.00 |
$135.00 |
$338.52
|
|
Pdgfra gene
|
$960.00 |
$960.00 |
$960.00 |
$717.23
|
|
Pelvic CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,899.75
|
|
Pelvic CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$685.00 |
$685.00 |
$685.00 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$447.50 |
$447.50 |
$447.50 |
$430.00
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$86.53 |
$86.53 |
$86.53 |
$826.47
|
|
Penile injection
|
$305.00 |
$305.00 |
$305.00 |
$418.00
|
|
Perc cryo ablate renal tum
|
$10,485.00 |
$10,485.00 |
$10,485.00 |
$11,458.04
|
|
Percut ablate liver rf
|
$4,650.00 |
$4,650.00 |
$4,650.00 |
$6,904.15
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$197.61 |
$197.61 |
$197.61 |
$335.79
|
|
Pericardiocentesis wwo imaging
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$2,341.50
|
|
Peripheral vascular rehab
|
$132.50 |
$132.50 |
$132.50 |
$129.60
|
|
Peritoneogram rs&i
|
$845.00 |
$845.00 |
$845.00 |
$689.15
|
|
Perq art m-thrombect &/nfs
|
$9,600.00 |
$9,600.00 |
$9,600.00 |
$7,559.55
|
|
Perq dev breast 1st mr guide
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,768.20
|
|
Perq dev breast 1st strtctc
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,456.00
|
|
Perq p-art revsc 1 abnor bi
|
$25,825.00 |
$25,825.00 |
$25,825.00 |
$17,321.20
|
|
Perq p-art revsc 1 abnor uni
|
$20,660.00 |
$20,660.00 |
$20,660.00 |
$21,249.26
|
|
Perq p-art revsc 1 nm nt bi
|
$15,655.00 |
$15,655.00 |
$15,655.00 |
$15,916.29
|
|
Perq p-art revsc 1 nm nt uni
|
$12,520.00 |
$12,520.00 |
$12,520.00 |
$17,321.20
|
|
Perq p-art revsc each addl
|
$5,010.00 |
$5,010.00 |
$5,010.00 |
$7,958.34
|
|
Perq plmt bile duct stent
|
$6,235.00 |
$6,235.00 |
$6,235.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$7,275.00 |
$7,275.00 |
$7,275.00 |
$7,085.70
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$457.50 |
$457.50 |
$457.50 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,711.20
|
