|
Npsy tst eval phsy/qhp 1st hr
|
$157.30 |
$157.30 |
$157.30 |
$407.40
|
|
Nras gene variants exon 2&3
|
$823.90 |
$823.90 |
$823.90 |
$554.45
|
|
Ntsty modul rad tx dlvr smpl
|
$1,497.10 |
$1,497.10 |
$1,497.10 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$2,555.85 |
$2,555.85 |
$2,555.85 |
$3,921.45
|
|
Nudt15 gene common variants
|
$217.25 |
$217.25 |
$217.25 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$393.80 |
$393.80 |
$393.80 |
$420.00
|
|
Observation per hour
|
$1.39 |
$1.39 |
$1.39 |
$83.52
|
|
Obstetrics panel
|
$238.15 |
$238.15 |
$238.15 |
$204.80
|
|
Obtaining screen pap smear
|
$38.50 |
$38.50 |
$38.50 |
$32.04
|
|
Ob Ultrasound nuchal meas add-on
|
$240.35 |
$240.35 |
$240.35 |
$243.29
|
|
Oncology prostate prob score
|
$1,119.25 |
$1,119.25 |
$1,119.25 |
$1,048.80
|
|
Organic acids total quant ea spec
|
$240.62 |
$240.62 |
$240.62 |
$151.36
|
|
Orthopantogram
|
$212.30 |
$212.30 |
$212.30 |
$219.22
|
|
Oscillation chest wall mechanical per session
|
$275.55 |
$275.55 |
$275.55 |
$221.34
|
|
Osmolality blood
|
$59.40 |
$59.40 |
$59.40 |
$67.60
|
|
Osmolality urine
|
$67.10 |
$67.10 |
$67.10 |
$65.65
|
|
Osteopath manip tx/5-6 body region 98927
|
$66.55 |
$66.55 |
$66.55 |
$67.84
|
|
Ot evaluation high complexity patient/family
|
$290.95 |
$290.95 |
$290.95 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$200.75 |
$200.75 |
$200.75 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$229.90 |
$229.90 |
$229.90 |
$270.58
|
|
Oth resp proc, group
|
$191.40 |
$191.40 |
$191.40 |
$137.05
|
|
Oth resp proc, indiv
|
$50.05 |
$50.05 |
$50.05 |
$89.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$102.30 |
$102.30 |
$102.30 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$124.30 |
$124.30 |
$124.30 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$123.20 |
$123.20 |
$123.20 |
$107.32
|
|
Ot re-evaluation patient/family
|
$137.50 |
$137.50 |
$137.50 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$102.30 |
$102.30 |
$102.30 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$57.75 |
$57.75 |
$57.75 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$60.50 |
$60.50 |
$60.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$133.65 |
$133.65 |
$133.65 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$133.65 |
$133.65 |
$133.65 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$99.00 |
$99.00 |
$99.00 |
$93.75
|
|
Parathormone (pth) intact
|
$333.85 |
$333.85 |
$333.85 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,363.45 |
$1,363.45 |
$1,363.45 |
$1,574.40
|
|
Parathyroid planar imaging
|
$673.75 |
$673.75 |
$673.75 |
$1,166.00
|
|
Pdgfra gene
|
$917.40 |
$917.40 |
$917.40 |
$659.20
|
|
Pelvic CT scan (with and without contrast)
|
$1,955.80 |
$1,955.80 |
$1,955.80 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$1,557.05 |
$1,557.05 |
$1,557.05 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$1,463.55 |
$1,463.55 |
$1,463.55 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$3,556.85 |
$3,556.85 |
$3,556.85 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$2,858.90 |
$2,858.90 |
$2,858.90 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$2,541.55 |
$2,541.55 |
$2,541.55 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$617.65 |
$617.65 |
$617.65 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$524.70 |
$524.70 |
$524.70 |
$445.00
|
|
Perc d-e cor revasc chro sin
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$21,249.26
|
|
Perc d-e cor revasc t cabg s
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$17,162.50
|
|
Perc d-e cor stent ather s
|
$28,639.05 |
$28,639.05 |
$28,639.05 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$6,334.90 |
$6,334.90 |
$6,334.90 |
$12,091.30
|
|
Perc drug-el cor stent sing
|
$9,495.75 |
$9,495.75 |
$9,495.75 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$3,401.20 |
$3,401.20 |
$3,401.20 |
$6,949.48
|
|
Percut ablate liver rf
|
$10,085.90 |
$10,085.90 |
$10,085.90 |
$7,024.12
|
|
Pericardiocentesis wwo imaging
|
$1,294.15 |
$1,294.15 |
$1,294.15 |
$2,573.60
|
|
Peripheral vascular rehab
|
$119.35 |
$119.35 |
$119.35 |
$128.69
|
|
Peri-proc device eval icd
|
$143.55 |
$143.55 |
$143.55 |
$220.35
|
|
Peri-proc device eval pm
|
$125.40 |
$125.40 |
$125.40 |
$195.80
|
|
Peritoneogram rs&i
|
$689.15 |
$689.15 |
$689.15 |
$648.84
|
|
Perq dev breast 1st mr guide
|
$901.45 |
$901.45 |
$901.45 |
$2,032.24
|
|
Perq dev breast 1st strtctc
|
$732.05 |
$732.05 |
$732.05 |
$1,548.60
|
|
Perq nl/pl lithotrp smpl<2cm
|
$11,957.00 |
$11,957.00 |
$11,957.00 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$4,224.00 |
$4,224.00 |
$4,224.00 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$5,377.90 |
$5,377.90 |
$5,377.90 |
$7,082.99
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$327.25 |
$327.25 |
$327.25 |
$625.93
|
|
Pet CT skull-mid thgh initial
|
$4,789.40 |
$4,789.40 |
$4,789.40 |
$4,854.75
|
|
Pet CT whole body initial
|
$5,267.35 |
$5,267.35 |
$5,267.35 |
$5,017.50
|
|
Pet fdg brain metoblic eval sb
|
$4,789.40 |
$4,789.40 |
$4,789.40 |
$3,559.05
|
|
Pet scan brain perf study
|
$4,789.40 |
$4,789.40 |
$4,789.40 |
$4,297.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$581.83 |
$581.83 |
$581.83 |
$33,990.40
|
|
Ph body fluid
|
$13.20 |
$13.20 |
$13.20 |
$39.20
|
|
Phencyclidine (pcp)
|
$137.50 |
$137.50 |
$137.50 |
$88.00
|
|
Phenobarbital therapeutic drug level
|
$122.10 |
$122.10 |
$122.10 |
$104.50
|
|
Phenytoin total therapeutic drug level
|
$143.00 |
$143.00 |
$143.00 |
$111.27
|
|
Phlebotomy therapeutic
|
$121.00 |
$121.00 |
$121.00 |
$249.00
|
|
Phleb veins 1 extrm 10-20 stab
|
$3,543.10 |
$3,543.10 |
$3,543.10 |
$4,341.66
|
|
Phleb veins 1 extrm >20 stab
|
$3,815.35 |
$3,815.35 |
$3,815.35 |
$4,341.66
|
|
Phosphorus
|
$23.65 |
$23.65 |
$23.65 |
$47.81
|
|
Phosphorus 24 hour urine
|
$49.50 |
$49.50 |
$49.50 |
$42.81
|
|
Phys blood bank serv reactj
|
$204.60 |
$204.60 |
$204.60 |
$219.94
|
|
Piflu f-18, dia 1 millicurie
|
$1,309.16 |
$1,309.16 |
$1,309.16 |
$1,035.81
|
|
Pinworm exam
|
$58.85 |
$58.85 |
$58.85 |
$39.75
|
|
Place cath intracranial art
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$3,799.90
|
|
Place cath xtrnl carotid
|
$1,077.45 |
$1,077.45 |
$1,077.45 |
$4,202.65
|
|
Place gastrostomy tube perc
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$2,517.60
|
|
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides)
|
$672.65 |
$672.65 |
$672.65 |
$1,679.20
|
|
Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left
|
$179.85 |
$179.85 |
$179.85 |
$800.00
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$672.65 |
$672.65 |
$672.65 |
$1,372.15
|
|
Placement nephrostomy catheter (both sides)
|
$2,757.15 |
$2,757.15 |
$2,757.15 |
$4,450.11
|
|
Placement occlusive device venous/arterial access site post procedure
|
$691.35 |
$691.35 |
$691.35 |
$656.63
|
|
Placement stent(s) intravascular transcatheter artery initial
|
$5,625.40 |
$5,625.40 |
$5,625.40 |
$14,934.35
|
|
Place non-slctv cath thoracic arta
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$5,110.00
|
|
Place slctv cath carotd art uni
|
$2,144.45 |
$2,144.45 |
$2,144.45 |
$10,549.80
|
|
Place slctv cath carotid/inom art excrn uni
|
$4,947.25 |
$4,947.25 |
$4,947.25 |
$6,726.70
|
|
Place slctv cath carotid/inom art intcrn uni
|
$1,869.45 |
$1,869.45 |
$1,869.45 |
$9,181.35
|
|
Place slctv cath subclavian art
|
$1,850.20 |
$1,850.20 |
$1,850.20 |
$6,732.48
|
|
Place slctv cath vertebral art uni
|
$5,333.90 |
$5,333.90 |
$5,333.90 |
$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 leukocytes reduced each unit
|
$400.40 |
$400.40 |
$400.40 |
$315.25
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$754.60 |
$754.60 |
$754.60 |
$1,220.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$564.30 |
$564.30 |
$564.30 |
$1,235.83
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$812.90 |
$812.90 |
$812.90 |
$1,363.70
|