|
New Patient Office Visit (level 4)
|
$1,126.37 |
$1,126.37 |
$1,126.37 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$1,509.31 |
$1,509.31 |
$1,509.31 |
$355.80
|
|
Njx aa&/strd sc nrv nfs img
|
$317.83 |
$317.83 |
$317.83 |
$1,772.02
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,375.60 |
$1,375.60 |
$1,375.60 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,293.06 |
$1,293.06 |
$1,293.06 |
$1,207.59
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,319.13 |
$1,319.13 |
$1,319.13 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$957.85 |
$957.85 |
$957.85 |
$1,091.00
|
|
Nose (Nasal Bone) X-ray (complete)
|
$260.41 |
$260.41 |
$260.41 |
$274.65
|
|
Npm1 gene
|
$446.22 |
$446.22 |
$446.22 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$3,858.20 |
$3,858.20 |
$3,858.20 |
$3,859.98
|
|
Nudt15 gene common variants
|
$527.62 |
$527.62 |
$527.62 |
$304.50
|
|
Observation direct referral from physician office for admission
|
$378.01 |
$378.01 |
$378.01 |
$384.00
|
|
Observation/inpatient hospital care hi severity 99236
|
$330.34 |
$330.34 |
$330.34 |
$390.40
|
|
Observation/inpatient hospital care low severity 99234
|
$203.11 |
$203.11 |
$203.11 |
$239.20
|
|
Observation/inpatient hospital care mod severity 99235
|
$256.68 |
$256.68 |
$256.68 |
$303.20
|
|
Observation per hour
|
$62.61 |
$62.61 |
$62.61 |
$82.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$156.94 |
$156.94 |
$156.94 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$156.34 |
$156.34 |
$156.34 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$150.95 |
$150.95 |
$150.95 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$0.11 |
$0.11 |
$0.11 |
$90.00
|
|
Onco (ovar) two proteins
|
$471.55 |
$471.55 |
$471.55 |
$359.49
|
|
Organic acids total quant ea spec
|
$67.17 |
$67.17 |
$67.17 |
$152.50
|
|
Oscillation chest wall mechanical per session
|
$181.13 |
$181.13 |
$181.13 |
$196.30
|
|
Osmolality blood
|
$37.24 |
$37.24 |
$37.24 |
$70.85
|
|
Osmolality urine
|
$37.24 |
$37.24 |
$37.24 |
$65.52
|
|
Oth resp proc, group
|
$126.26 |
$126.26 |
$126.26 |
$126.00
|
|
Oth resp proc, indiv
|
$40.71 |
$40.71 |
$40.71 |
$83.50
|
|
Ot re-evaluation patient/family
|
$134.78 |
$134.78 |
$134.78 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$57.66 |
$57.66 |
$57.66 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$61.38 |
$61.38 |
$61.38 |
$93.12
|
|
Parathormone (pth) intact
|
$82.46 |
$82.46 |
$82.46 |
$206.18
|
|
Parathyroid planar imaging
|
$833.32 |
$833.32 |
$833.32 |
$1,126.00
|
|
Pelvic CT scan (with and without contrast)
|
$3,074.33 |
$3,074.33 |
$3,074.33 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$2,561.82 |
$2,561.82 |
$2,561.82 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$2,049.32 |
$2,049.32 |
$2,049.32 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$2,359.86 |
$2,359.86 |
$2,359.86 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$1,966.42 |
$1,966.42 |
$1,966.42 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$1,572.99 |
$1,572.99 |
$1,572.99 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$900.79 |
$900.79 |
$900.79 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$660.29 |
$660.29 |
$660.29 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$186.98 |
$186.98 |
$186.98 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$280.09 |
$280.09 |
$280.09 |
$351.75
|
|
Penile rear tip xtnd 0.5cm
|
$21,794.48 |
$21,794.48 |
$21,794.48 |
$18,764.94
|
|
Pericardiocentesis wwo imaging
|
$1,038.12 |
$1,038.12 |
$1,038.12 |
$2,375.00
|
|
Pfc sigma fem post aug sz3 8mm
|
$135,105.08 |
$135,105.08 |
$135,105.08 |
$39,920.50
|
|
Ph body fluid
|
$69.16 |
$69.16 |
$69.16 |
$42.00
|
|
Phencyclidine (pcp)
|
$106.40 |
$106.40 |
$106.40 |
$96.39
|
|
Phenobarbital therapeutic drug level
|
$39.24 |
$39.24 |
$39.24 |
$105.00
|
|
Phenytoin total therapeutic drug level
|
$35.91 |
$35.91 |
$35.91 |
$111.27
|
|
Phlebotomy therapeutic
|
$172.96 |
$172.96 |
$172.96 |
$231.40
|
|
Phosphorus
|
$72.48 |
$72.48 |
$72.48 |
$49.20
|
|
Phosphorus 24 hour urine
|
$49.21 |
$49.21 |
$49.21 |
$42.25
|
|
Physical Therapy Evaluation (high complexity)
|
$188.12 |
$188.12 |
$188.12 |
$294.00
|
|
Physical Therapy Evaluation (low complexity)
|
$187.40 |
$187.40 |
$187.40 |
$223.92
|
|
Physical Therapy Evaluation (moderate complexity)
|
$180.94 |
$180.94 |
$180.94 |
$256.20
|
|
Physical Therapy Re-Evaluation
|
$161.55 |
$161.55 |
$161.55 |
$154.80
|
|
Pik3ca gene trgt seq alys
|
$497.47 |
$497.47 |
$497.47 |
$463.20
|
|
Pin caspar distraction 12mm
|
$34,868.78 |
$34,868.78 |
$34,868.78 |
$11,759.36
|
|
Pinworm exam
|
$9.13 |
$9.13 |
$9.13 |
$39.62
|
|
Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides)
|
$903.59 |
$903.59 |
$903.59 |
$1,332.43
|
|
Platelet automated
|
$9.62 |
$9.62 |
$9.62 |
$46.00
|
|
Platelets pheresis leukocytes reduced each unit
|
$463.45 |
$463.45 |
$463.45 |
$1,162.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$498.96 |
$498.96 |
$498.96 |
$1,284.80
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,110.77 |
$1,110.77 |
$1,110.77 |
$1,005.65
|
|
Plcmt sft tiss loc pq w/img 1st lsn
|
$1,235.32 |
$1,235.32 |
$1,235.32 |
$1,230.00
|
|
Plc pq device breast ea addl lesion Ultrasound guide
|
$453.18 |
$453.18 |
$453.18 |
$754.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$52.54 |
$52.54 |
$52.54 |
$187.32
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,373.45 |
$4,373.45 |
$4,373.45 |
$3,790.61
|
|
Potassium 24 hour urine
|
$46.55 |
$46.55 |
$46.55 |
$51.17
|
|
Potassium serum/plasma/whole blood
|
$54.53 |
$54.53 |
$54.53 |
$47.85
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$847.78 |
$847.78 |
$847.78 |
$3,738.90
|
|
Pr application of long arm splint
|
$80.92 |
$80.92 |
$80.92 |
$332.75
|
|
Pr application splint static short arm
|
$75.40 |
$75.40 |
$75.40 |
$288.00
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$110.86 |
$110.86 |
$110.86 |
$131.34
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$162.19 |
$162.19 |
$162.19 |
$182.65
|
|
Prealbumin
|
$35.91 |
$35.91 |
$35.91 |
$94.00
|
|
Prednisone 1 mg tablet
|
$1.33 |
$1.33 |
$1.33 |
$2.88
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$907.69 |
$907.69 |
$907.69 |
$590.27
|
|
Pregnancy Ultrasound (first trimester)
|
$769.77 |
$769.77 |
$769.77 |
$539.37
|
|
Pregnancy Ultrasound (limited)
|
$460.31 |
$460.31 |
$460.31 |
$459.00
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$103.60 |
$103.60 |
$103.60 |
$1,917.33
|
|
Pr hospital ip/obs care initial high level per day
|
$307.27 |
$307.27 |
$307.27 |
$350.35
|
|
Pr hospital ip/obs care initial moderate level per day
|
$209.06 |
$209.06 |
$209.06 |
$246.40
|
|
Pr hospital ip/obs care initial straightforward or low level per day
|
$154.75 |
$154.75 |
$154.75 |
$180.05
|
|
Pr hospital ip/obs care subsequent high level per day
|
$158.47 |
$158.47 |
$158.47 |
$189.80
|
|
Pr hospital ip/obs care subsequent moderate level per day
|
$110.11 |
$110.11 |
$110.11 |
$119.60
|
|
Pr hospital ip/obs care subsequent straightforward or low level per day
|
$60.26 |
$60.26 |
$60.26 |
$74.75
|
|
Pr incision & drainage abscess complicated/multiple
|
$231.10 |
$231.10 |
$231.10 |
$705.00
|
|
Pr incision & drainage abscess simple/single
|
$127.50 |
$127.50 |
$127.50 |
$467.85
|
|
Pr incision & drainage abscess vulva/perineal
|
$152.02 |
$152.02 |
$152.02 |
$543.84
|
|
Pr incision & removal foreign body subcutaneous tissues simple
|
$130.57 |
$130.57 |
$130.57 |
$592.62
|
|
Pr moderate sedation same physician >= 5 years initial 15 minutes
|
$402.78 |
$402.78 |
$402.78 |
$253.55
|
|
Procalcitonin
|
$93.76 |
$93.76 |
$93.76 |
$161.11
|
|
Proctosigmoidoscopy dx 45300
|
$61.30 |
$61.30 |
$61.30 |
$1,078.88
|
|
Progesterone
|
$41.90 |
$41.90 |
$41.90 |
$116.00
|
|
Prolactin
|
$39.24 |
$39.24 |
$39.24 |
$123.50
|
|
Prolng ip/obs e/m ea 15 min
|
$62.50 |
$62.50 |
$62.50 |
$65.55
|
|
_propoxygc/msur
|
$37.24 |
$37.24 |
$37.24 |
$95.55
|
|
Prostate biopsy, any mthd
|
$739.08 |
$739.08 |
$739.08 |
$492.80
|
|
Protein c activity
|
$28.85 |
$28.85 |
$28.85 |
$119.60
|