|
Neck (Cervical Spine) MRI (with contrast)
|
$2,251.70 |
$2,251.70 |
$2,251.70 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,047.10 |
$2,047.10 |
$2,047.10 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,333.65 |
$2,333.65 |
$2,333.65 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,138.95 |
$2,138.95 |
$2,138.95 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,790.58
|
|
Neurolysis trigeminal nerve
|
$1,218.25 |
$1,218.25 |
$1,218.25 |
$2,114.70
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,373.90 |
$1,373.90 |
$1,373.90 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,929.40 |
$1,929.40 |
$1,929.40 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,628.55 |
$1,628.55 |
$1,628.55 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,180.75 |
$2,180.75 |
$2,180.75 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,557.60 |
$1,557.60 |
$1,557.60 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,645.60 |
$1,645.60 |
$1,645.60 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,042.25 |
$1,042.25 |
$1,042.25 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,945.25 |
$2,945.25 |
$2,945.25 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$587.40 |
$587.40 |
$587.40 |
$1,186.03
|
|
Non-card vasc flow imaging
|
$1,248.50 |
$1,248.50 |
$1,248.50 |
$608.56
|
|
Npm1 gene
|
$990.00 |
$990.00 |
$990.00 |
$430.95
|
|
Nr lnr acclrtr tx max 5 sessions
|
$7,264.40 |
$7,264.40 |
$7,264.40 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,857.35 |
$1,857.35 |
$1,857.35 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$2,477.20 |
$2,477.20 |
$2,477.20 |
$3,921.45
|
|
Nudt15 gene common variants
|
$218.35 |
$218.35 |
$218.35 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$343.75 |
$343.75 |
$343.75 |
$420.00
|
|
Observation per hour
|
$1.21 |
$1.21 |
$1.21 |
$83.52
|
|
Oncology prostate prob score
|
$1,754.50 |
$1,754.50 |
$1,754.50 |
$1,048.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$209.98 |
$209.98 |
$209.98 |
$231.00
|
|
Orthosis lso rigd frm hyperex
|
$967.81 |
$967.81 |
$967.81 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$250.25 |
$250.25 |
$250.25 |
$221.34
|
|
Osmolality blood
|
$136.40 |
$136.40 |
$136.40 |
$67.60
|
|
Osmolality urine
|
$149.05 |
$149.05 |
$149.05 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$303.05 |
$303.05 |
$303.05 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$157.30 |
$157.30 |
$157.30 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$223.30 |
$223.30 |
$223.30 |
$270.58
|
|
Oth resp proc, group
|
$241.45 |
$241.45 |
$241.45 |
$137.05
|
|
Oth resp proc, indiv
|
$99.00 |
$99.00 |
$99.00 |
$89.70
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$80.30 |
$80.30 |
$80.30 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$84.70 |
$84.70 |
$84.70 |
$107.32
|
|
Ot re-evaluation patient/family
|
$97.90 |
$97.90 |
$97.90 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$92.40 |
$92.40 |
$92.40 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$148.50 |
$148.50 |
$148.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$148.50 |
$148.50 |
$148.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$92.40 |
$92.40 |
$92.40 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$71.50 |
$71.50 |
$71.50 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$84.70 |
$84.70 |
$84.70 |
$93.75
|
|
Pad repl cerv collr univ adult
|
$2,323.70 |
$2,323.70 |
$2,323.70 |
$93.32
|
|
Parathormone (pth) intact
|
$306.35 |
$306.35 |
$306.35 |
$200.23
|
|
Parathyroid planar imaging
|
$1,191.85 |
$1,191.85 |
$1,191.85 |
$1,166.00
|
|
Passy muir valve metal trach
|
$164.37 |
$164.37 |
$164.37 |
$242.47
|
|
Pelvic CT scan (with and without contrast)
|
$2,069.65 |
$2,069.65 |
$2,069.65 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,689.05 |
$1,689.05 |
$1,689.05 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$2,729.65 |
$2,729.65 |
$2,729.65 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$2,456.30 |
$2,456.30 |
$2,456.30 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,224.85 |
$1,224.85 |
$1,224.85 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$413.05 |
$413.05 |
$413.05 |
$445.00
|
|
Perc cryo ablate renal tum
|
$7,966.20 |
$7,966.20 |
$7,966.20 |
$12,320.22
|
|
Perc rf ablate renal tumor
|
$4,949.45 |
$4,949.45 |
$4,949.45 |
$6,949.48
|
|
Pericardial drain w/cath pq w/ct guid
|
$1,395.90 |
$1,395.90 |
$1,395.90 |
$2,816.25
|
|
Pericardiocentesis wwo imaging
|
$1,057.65 |
$1,057.65 |
$1,057.65 |
$2,573.60
|
|
Peripheral vascular rehab
|
$91.85 |
$91.85 |
$91.85 |
$128.69
|
|
Peritoneogram rs&i
|
$702.35 |
$702.35 |
$702.35 |
$648.84
|
|
Perit-vens shunt pat tst
|
$851.40 |
$851.40 |
$851.40 |
$695.40
|
|
Perq plmt bile duct stent
|
$5,862.45 |
$5,862.45 |
$5,862.45 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$8,693.85 |
$8,693.85 |
$8,693.85 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$8,971.60 |
$8,971.60 |
$8,971.60 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$647.35 |
$647.35 |
$647.35 |
$625.93
|
|
Pfc sigma fem post aug sz3 8mm
|
$1,476.05 |
$1,476.05 |
$1,476.05 |
$33,990.40
|
|
Ph body fluid
|
$99.00 |
$99.00 |
$99.00 |
$39.20
|
|
Phencyclidine (pcp)
|
$350.35 |
$350.35 |
$350.35 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$57.20 |
$57.20 |
$57.20 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$149.60 |
$149.60 |
$149.60 |
$111.27
|
|
Phlebotomy therapeutic
|
$158.95 |
$158.95 |
$158.95 |
$249.00
|
|
Phosphorus
|
$45.65 |
$45.65 |
$45.65 |
$47.81
|
|
Phosphorus 24 hour urine
|
$16.50 |
$16.50 |
$16.50 |
$42.81
|
|
Pinworm exam
|
$84.70 |
$84.70 |
$84.70 |
$39.75
|
|
Place cath intracranial art
|
$2,797.30 |
$2,797.30 |
$2,797.30 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$14,418.25 |
$14,418.25 |
$14,418.25 |
$4,202.65
|
|
Place cecostomy tube perc
|
$2,321.00 |
$2,321.00 |
$2,321.00 |
$2,576.20
|
|
Place duod/jej tube perc
|
$2,696.65 |
$2,696.65 |
$2,696.65 |
$2,588.00
|
|
Place gastrostomy tube perc
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$1,269.40 |
$1,269.40 |
$1,269.40 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$3,873.65 |
$3,873.65 |
$3,873.65 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$336.60 |
$336.60 |
$336.60 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$4,759.70 |
$4,759.70 |
$4,759.70 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$6,304.10 |
$6,304.10 |
$6,304.10 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$17,599.45 |
$17,599.45 |
$17,599.45 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$12,608.20 |
$12,608.20 |
$12,608.20 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$15,324.10 |
$15,324.10 |
$15,324.10 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$13,641.65 |
$13,641.65 |
$13,641.65 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$17,467.45 |
$17,467.45 |
$17,467.45 |
$9,472.00
|
|
Platelet aggregation each agent teg
|
$106.70 |
$106.70 |
$106.70 |
$147.96
|
|
Platelet automated
|
$22.00 |
$22.00 |
$22.00 |
$44.00
|
|
Platelets each unit
|
$116.05 |
$116.05 |
$116.05 |
$240.25
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$999.90 |
$999.90 |
$999.90 |
$1,341.40
|
|
Platelets leukocytes reduced each unit
|
$400.40 |
$400.40 |
$400.40 |
$315.25
|
|
Platelets leukocytes reduced irradiated each unit
|
$212.30 |
$212.30 |
$212.30 |
$397.15
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$794.20 |
$794.20 |
$794.20 |
$1,220.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$993.85 |
$993.85 |
$993.85 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$676.50 |
$676.50 |
$676.50 |
$1,363.70
|