|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$808.08 |
$808.08 |
$808.08 |
$2,203.50
|
|
MRI tmj
|
$904.26 |
$904.26 |
$904.26 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$617.40 |
$617.40 |
$617.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$926.10 |
$926.10 |
$926.10 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$771.96 |
$771.96 |
$771.96 |
$2,061.15
|
|
Mr safety determination physician/other qhp
|
$55.44 |
$55.44 |
$55.44 |
$160.20
|
|
Mr safety implant elec prepj
|
$81.90 |
$81.90 |
$81.90 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$76.86 |
$76.86 |
$76.86 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$125.16 |
$125.16 |
$125.16 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$15.96 |
$15.96 |
$15.96 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$194.04 |
$194.04 |
$194.04 |
$439.80
|
|
Mthfr gene analy common variants
|
$82.74 |
$82.74 |
$82.74 |
$184.00
|
|
Multiple sleep latency test
|
$1,831.20 |
$1,831.20 |
$1,831.20 |
$2,466.00
|
|
Mumps antibody igg
|
$26.04 |
$26.04 |
$26.04 |
$78.00
|
|
Mycobacteria dna amp probe
|
$189.00 |
$189.00 |
$189.00 |
$234.00
|
|
Mycoplasma antibody igm
|
$23.10 |
$23.10 |
$23.10 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$221.34 |
$221.34 |
$221.34 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$619.92 |
$619.92 |
$619.92 |
$1,494.22
|
|
Myelography l-s spine
|
$609.84 |
$609.84 |
$609.84 |
$1,334.09
|
|
Myelography neck spine
|
$693.42 |
$693.42 |
$693.42 |
$1,241.50
|
|
Myelography thoracic spine
|
$640.50 |
$640.50 |
$640.50 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,425.06 |
$1,425.06 |
$1,425.06 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$862.68 |
$862.68 |
$862.68 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,073.52 |
$1,073.52 |
$1,073.52 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$62.16 |
$62.16 |
$62.16 |
$130.80
|
|
Nasopharyngoscopy w/endoscope
|
$122.64 |
$122.64 |
$122.64 |
$293.58
|
|
Natriuretic peptide
|
$49.56 |
$49.56 |
$49.56 |
$176.15
|
|
Natural killer cells total count
|
$47.88 |
$47.88 |
$47.88 |
$135.00
|
|
N block inj hypogas plxs
|
$1,057.98 |
$1,057.98 |
$1,057.98 |
$1,912.00
|
|
Ndl round specialty proguide
|
$357.00 |
$357.00 |
$357.00 |
$329.50
|
|
Neck Airway (Soft Tissue) X-ray
|
$78.96 |
$78.96 |
$78.96 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$973.98 |
$973.98 |
$973.98 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$811.86 |
$811.86 |
$811.86 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$649.32 |
$649.32 |
$649.32 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$998.34 |
$998.34 |
$998.34 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$798.42 |
$798.42 |
$798.42 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$78.96 |
$78.96 |
$78.96 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$108.36 |
$108.36 |
$108.36 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$129.36 |
$129.36 |
$129.36 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$933.24 |
$933.24 |
$933.24 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$777.84 |
$777.84 |
$777.84 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$622.02 |
$622.02 |
$622.02 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$976.50 |
$976.50 |
$976.50 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$813.96 |
$813.96 |
$813.96 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$651.00 |
$651.00 |
$651.00 |
$1,312.00
|
|
Neurolysis celiac plexus
|
$958.02 |
$958.02 |
$958.02 |
$1,780.24
|
|
Neuromatrix nerve cuff, cm
|
$180.81 |
$180.81 |
$180.81 |
$2,924.10
|
|
New Patient Office Visit (level 2)
|
$198.24 |
$198.24 |
$198.24 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$296.94 |
$296.94 |
$296.94 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$357.00 |
$357.00 |
$357.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$477.54 |
$477.54 |
$477.54 |
$355.80
|
|
Njx cath slct p-art angrp bi
|
$691.74 |
$691.74 |
$691.74 |
$1,300.00
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,461.60
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$781.62 |
$781.62 |
$781.62 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$664.86 |
$664.86 |
$664.86 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$790.44 |
$790.44 |
$790.44 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,298.22 |
$1,298.22 |
$1,298.22 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,013.88 |
$1,013.88 |
$1,013.88 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,077.72 |
$1,077.72 |
$1,077.72 |
$1,024.56
|
|
Noninv pace analysis
|
$251.16 |
$251.16 |
$251.16 |
$761.60
|
|
Nose (Nasal Bone) X-ray (complete)
|
$78.96 |
$78.96 |
$78.96 |
$274.65
|
|
Npm1 gene
|
$310.80 |
$310.80 |
$310.80 |
$457.50
|
|
Nras gene variants exon 2&3
|
$372.96 |
$372.96 |
$372.96 |
$593.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,062.22 |
$3,062.22 |
$3,062.22 |
$6,930.00
|
|
Ntrk translocation analysis
|
$653.10 |
$653.10 |
$653.10 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$1,198.26 |
$1,198.26 |
$1,198.26 |
$2,494.40
|
|
Ntsty modul rad tx dlvr smpl
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$2,165.29
|
|
Nuclear rx intra-arterial
|
$257.46 |
$257.46 |
$257.46 |
$765.00
|
|
Nuclear rx intra-articular
|
$183.12 |
$183.12 |
$183.12 |
$297.60
|
|
Nuclear Stress Test (Heart)
|
$671.16 |
$671.16 |
$671.16 |
$3,859.98
|
|
Nudt15 gene common variants
|
$367.50 |
$367.50 |
$367.50 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$274.68 |
$274.68 |
$274.68 |
$384.00
|
|
Observation per hour
|
$41.58 |
$41.58 |
$41.58 |
$82.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$147.42 |
$147.42 |
$147.42 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$101.22 |
$101.22 |
$101.22 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$121.80 |
$121.80 |
$121.80 |
$263.90
|
|
Onco (ovar) two proteins
|
$328.44 |
$328.44 |
$328.44 |
$359.49
|
|
Organic acids total quant ea spec
|
$42.42 |
$42.42 |
$42.42 |
$152.50
|
|
Orthopantogram
|
$53.34 |
$53.34 |
$53.34 |
$241.50
|
|
Oscillation chest wall mechanical per session
|
$144.06 |
$144.06 |
$144.06 |
$196.30
|
|
Osmolality blood
|
$23.52 |
$23.52 |
$23.52 |
$70.85
|
|
Osmolality urine
|
$23.52 |
$23.52 |
$23.52 |
$65.52
|
|
Oth resp proc, group
|
$108.36 |
$108.36 |
$108.36 |
$126.00
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$70.98 |
$70.98 |
$70.98 |
$97.80
|
|
Ot re-evaluation patient/family
|
$70.14 |
$70.14 |
$70.14 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$73.08 |
$73.08 |
$73.08 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$73.50 |
$73.50 |
$73.50 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$11.80 |
$11.80 |
$11.80 |
$76.52
|
|
Paliperidone 117 mg/0.75 ml inj
|
$15.67 |
$15.67 |
$15.67 |
$6,238.82
|
|
Parathormone (pth) intact
|
$52.08 |
$52.08 |
$52.08 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$801.78 |
$801.78 |
$801.78 |
$1,574.40
|
|
Parathyroid planar imaging
|
$538.44 |
$538.44 |
$538.44 |
$1,126.00
|
|
Parathyroid planar img w/tomo spect
|
$484.26 |
$484.26 |
$484.26 |
$1,374.75
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$125.58 |
$125.58 |
$125.58 |
$245.67
|
|
Path clin consltj high 41-60
|
$143.64 |
$143.64 |
$143.64 |
$201.80
|
|
Path clin consltj mod 21-40
|
$143.64 |
$143.64 |
$143.64 |
$202.78
|
|
Path clin consltj prolng svc
|
$42.00 |
$42.00 |
$42.00 |
$97.14
|