|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,167.29 |
$1,167.29 |
$1,167.29 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$985.79 |
$985.79 |
$985.79 |
$1,968.59
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$9.41 |
$9.41 |
$9.41 |
$45.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$18.56 |
$18.56 |
$18.56 |
$45.00
|
|
Mr spectroscopy
|
$574.75 |
$574.75 |
$574.75 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$144.14 |
$144.14 |
$144.14 |
$211.70
|
|
Mucin synovial fluid
|
$17.29 |
$17.29 |
$17.29 |
$30.00
|
|
Multiple sleep latency test
|
$894.53 |
$894.53 |
$894.53 |
$2,585.70
|
|
Mumps antibody igg
|
$52.12 |
$52.12 |
$52.12 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$6.17 |
$6.17 |
$6.17 |
$12.06
|
|
Mycoplasma antibody igm
|
$43.98 |
$43.98 |
$43.98 |
$79.20
|
|
Myelography via inj w/s&i 2+ regions
|
$540.43 |
$540.43 |
$540.43 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$577.04 |
$577.04 |
$577.04 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$623.30 |
$623.30 |
$623.30 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$555.43 |
$555.43 |
$555.43 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$45.51 |
$45.51 |
$45.51 |
$134.40
|
|
Nasal endoscopy with removal of nasal foreign body
|
$167.01 |
$167.01 |
$167.01 |
$691.35
|
|
Nasopharyngoscopy w/endoscope
|
$68.38 |
$68.38 |
$68.38 |
$298.52
|
|
Natriuretic peptide
|
$108.04 |
$108.04 |
$108.04 |
$176.15
|
|
Natural killer cells total count
|
$124.56 |
$124.56 |
$124.56 |
$131.82
|
|
Ndl insj without njx 1 or 2 musc
|
$17.29 |
$17.29 |
$17.29 |
$43.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$818.27 |
$818.27 |
$818.27 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$734.39 |
$734.39 |
$734.39 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$699.31 |
$699.31 |
$699.31 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,428.61 |
$1,428.61 |
$1,428.61 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,199.32 |
$1,199.32 |
$1,199.32 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,042.73 |
$1,042.73 |
$1,042.73 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$947.41 |
$947.41 |
$947.41 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$837.09 |
$837.09 |
$837.09 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$648.98 |
$648.98 |
$648.98 |
$1,790.58
|
|
Neg pres wound ther drsg set
|
$214.69 |
$214.69 |
$214.69 |
$1,537.81
|
|
Nerve teasing preparations
|
$961.90 |
$961.90 |
$961.90 |
$698.49
|
|
Neurolysis celiac plexus
|
$914.11 |
$914.11 |
$914.11 |
$2,046.85
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$53.64 |
$53.64 |
$53.64 |
$256.41
|
|
Njx px nfrosgrm &/urtrgrm
|
$218.62 |
$218.62 |
$218.62 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$666.26 |
$666.26 |
$666.26 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$634.49 |
$634.49 |
$634.49 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$287.00 |
$287.00 |
$287.00 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$584.41 |
$584.41 |
$584.41 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$377.49 |
$377.49 |
$377.49 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$653.55 |
$653.55 |
$653.55 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$415.11 |
$415.11 |
$415.11 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$670.58 |
$670.58 |
$670.58 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$422.74 |
$422.74 |
$422.74 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$386.90 |
$386.90 |
$386.90 |
$1,020.34
|
|
Noninv pace analysis
|
$225.99 |
$225.99 |
$225.99 |
$761.60
|
|
Npm1 gene
|
$597.63 |
$597.63 |
$597.63 |
$430.95
|
|
Nuclear rx IV admin
|
$1,096.62 |
$1,096.62 |
$1,096.62 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$1,965.99 |
$1,965.99 |
$1,965.99 |
$3,921.45
|
|
Observation direct referral from physician office for admission
|
$162.44 |
$162.44 |
$162.44 |
$420.00
|
|
Observation per hour
|
$38.39 |
$38.39 |
$38.39 |
$82.93
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$9.46 |
$9.46 |
$9.46 |
$70.66
|
|
Office emergency care
|
$7.38 |
$7.38 |
$7.38 |
$50.40
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$559.78 |
$559.78 |
$559.78 |
$1,091.15
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$8.45 |
$8.45 |
$8.45 |
$30.15
|
|
Optx mndblr/max alv ridge fx
|
$1,886.42 |
$1,886.42 |
$1,886.42 |
$6,808.50
|
|
Organic acids total quant ea spec
|
$54.15 |
$54.15 |
$54.15 |
$151.36
|
|
Orthosis lso rigd frm hyperex
|
$339.87 |
$339.87 |
$339.87 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$48.05 |
$48.05 |
$48.05 |
$221.34
|
|
Osmolality blood
|
$29.75 |
$29.75 |
$29.75 |
$67.60
|
|
Osmolality urine
|
$28.98 |
$28.98 |
$28.98 |
$65.65
|
|
Ovulation tests
|
$33.31 |
$33.31 |
$33.31 |
$13.97
|
|
Parathormone (pth) intact
|
$131.43 |
$131.43 |
$131.43 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$440.03 |
$440.03 |
$440.03 |
$1,574.40
|
|
Parathyroid planar imaging
|
$442.31 |
$442.31 |
$442.31 |
$1,166.00
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,637.18 |
$2,637.18 |
$2,637.18 |
$4,418.35
|
|
Path clin consltj mod 21-40
|
$104.23 |
$104.23 |
$104.23 |
$192.11
|
|
Path clin consltj sf 5-20
|
$104.23 |
$104.23 |
$104.23 |
$82.15
|
|
Pelvic CT scan (with and without contrast)
|
$730.83 |
$730.83 |
$730.83 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$638.05 |
$638.05 |
$638.05 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$545.26 |
$545.26 |
$545.26 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$1,241.01 |
$1,241.01 |
$1,241.01 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,005.37 |
$1,005.37 |
$1,005.37 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$930.89 |
$930.89 |
$930.89 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$294.88 |
$294.88 |
$294.88 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$79.82 |
$79.82 |
$79.82 |
$445.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$23.77 |
$23.77 |
$23.77 |
$90.35
|
|
Penile injection
|
$148.20 |
$148.20 |
$148.20 |
$418.00
|
|
Perc cryo ablate renal tum
|
$4,023.99 |
$4,023.99 |
$4,023.99 |
$12,320.22
|
|
Perc d-e cor revasc chro add
|
$7,329.86 |
$7,329.86 |
$7,329.86 |
$14,712.96
|
|
Perc d-e cor revasc chro sin
|
$7,329.86 |
$7,329.86 |
$7,329.86 |
$21,249.26
|
|
Perc d-e cor revasc t cabg b
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$12,091.30
|
|
Perc d-e cor revasc t cabg s
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$17,162.50
|
|
Perc d-e cor stent ather br
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$12,191.74
|
|
Perc d-e cor stent ather s
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$21,249.26
|
|
Perc drug-el cor stent bran
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$11,667.75
|
|
Perc drug-el cor stent sing
|
$7,881.73 |
$7,881.73 |
$7,881.73 |
$16,846.20
|
|
Perc rf ablate renal tumor
|
$3,822.92 |
$3,822.92 |
$3,822.92 |
$6,949.48
|
|
Percut ablate liver rf
|
$4,345.81 |
$4,345.81 |
$4,345.81 |
$7,024.12
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$54.03 |
$54.03 |
$54.03 |
$321.71
|
|
Pericardiocentesis wwo imaging
|
$396.81 |
$396.81 |
$396.81 |
$2,573.60
|
|
Peri-proc device eval pm
|
$37.37 |
$37.37 |
$37.37 |
$195.80
|
|
Peritoneogram rs&i
|
$309.37 |
$309.37 |
$309.37 |
$648.84
|
|
Perit-vens shunt pat tst
|
$315.98 |
$315.98 |
$315.98 |
$695.40
|
|
Perq art m-thrombect &/nfs
|
$3,127.94 |
$3,127.94 |
$3,127.94 |
$7,796.10
|
|
Perq nl/pl lithotrp smpl<2cm
|
$3,526.78 |
$3,526.78 |
$3,526.78 |
$8,748.48
|
|
Perq plmt bile duct stent
|
$3,356.46 |
$3,356.46 |
$3,356.46 |
$6,904.15
|
|
Perq plmt bile duct stent
|
$3,356.46 |
$3,356.46 |
$3,356.46 |
$6,457.82
|
|
Perq plmt bile duct stent
|
$3,356.46 |
$3,356.46 |
$3,356.46 |
$7,082.99
|
|
Perq transcath septal reduxn
|
$8,496.13 |
$8,496.13 |
$8,496.13 |
$8,828.16
|