|
MRA upper extremity post contrast-bil
|
$4,546.85 |
$4,546.85 |
$4,546.85 |
$1,943.87
|
|
MRI breast c- unilateral
|
$2,784.95 |
$2,784.95 |
$2,784.95 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$2,840.60 |
$2,840.60 |
$2,840.60 |
$1,829.72
|
|
MRI breast without cont bi
|
$2,955.05 |
$2,955.05 |
$2,955.05 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$3,013.15 |
$3,013.15 |
$3,013.15 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$3,449.95 |
$3,449.95 |
$3,449.95 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,221.40 |
$3,221.40 |
$3,221.40 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,216.10 |
$4,216.10 |
$4,216.10 |
$2,249.80
|
|
MRI chest without contrast
|
$3,084.90 |
$3,084.90 |
$3,084.90 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$2,564.10
|
|
MRI chest w IV cont
|
$3,199.70 |
$3,199.70 |
$3,199.70 |
$2,105.25
|
|
MRI loex nonjt w IV cont
|
$2,999.15 |
$2,999.15 |
$2,999.15 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,832.90 |
$2,832.90 |
$2,832.90 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,199.70 |
$3,199.70 |
$3,199.70 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$3,199.70 |
$3,199.70 |
$3,199.70 |
$2,120.25
|
|
MRI tmj
|
$3,084.90 |
$3,084.90 |
$3,084.90 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,832.90 |
$2,832.90 |
$2,832.90 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,199.70 |
$3,199.70 |
$3,199.70 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$3,016.30 |
$3,016.30 |
$3,016.30 |
$1,968.59
|
|
Mr spectroscopy
|
$577.15 |
$577.15 |
$577.15 |
$1,322.36
|
|
Mumps antibody igg
|
$55.30 |
$55.30 |
$55.30 |
$78.00
|
|
Muscle-skin graft leg
|
$3,147.55 |
$3,147.55 |
$3,147.55 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$530.95 |
$530.95 |
$530.95 |
$385.07
|
|
Muscle test larynx
|
$1,217.65 |
$1,217.65 |
$1,217.65 |
$305.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$4.05 |
$4.05 |
$4.05 |
$12.06
|
|
Mycophenolic acid
|
$2.11 |
$2.11 |
$2.11 |
$12.84
|
|
Myelogphy 2/> spine regions
|
$1,045.10 |
$1,045.10 |
$1,045.10 |
$1,366.30
|
|
Myelography l-s spine
|
$682.85 |
$682.85 |
$682.85 |
$1,334.09
|
|
Myelography neck spine
|
$792.05 |
$792.05 |
$792.05 |
$1,103.70
|
|
Myelography thoracic spine
|
$680.75 |
$680.75 |
$680.75 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$2,893.10 |
$2,893.10 |
$2,893.10 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$2,406.60 |
$2,406.60 |
$2,406.60 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$2,321.20 |
$2,321.20 |
$2,321.20 |
$1,931.60
|
|
Nafcillin 2 gram solution for injection
|
$82.33 |
$82.33 |
$82.33 |
$77.12
|
|
Nalbuphine 10 mg/ml injection solution
|
$33.74 |
$33.74 |
$33.74 |
$43.66
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$35.84 |
$35.84 |
$35.84 |
$86.76
|
|
Nasal endoscopy dx uni/bi separate proc
|
$258.30 |
$258.30 |
$258.30 |
$372.00
|
|
Nasopharyngoscopy w/endoscope
|
$262.15 |
$262.15 |
$262.15 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$30,565.02 |
$30,565.02 |
$30,565.02 |
$17,087.95
|
|
Natriuretic peptide
|
$170.45 |
$170.45 |
$170.45 |
$176.15
|
|
Natural killer cells total count
|
$30.99 |
$30.99 |
$30.99 |
$131.82
|
|
Navigational bronchoscopy 31627
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$1,211.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$327.25 |
$327.25 |
$327.25 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$75.60 |
$75.60 |
$75.60 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$75.60 |
$75.60 |
$75.60 |
$54.60
|
|
Ndl round specialty proguide
|
$1,579.38 |
$1,579.38 |
$1,579.38 |
$388.83
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,752.40 |
$2,752.40 |
$2,752.40 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,417.45 |
$2,417.45 |
$2,417.45 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,210.55 |
$3,210.55 |
$3,210.55 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,084.90 |
$3,084.90 |
$3,084.90 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,711.70 |
$4,711.70 |
$4,711.70 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,209.10 |
$4,209.10 |
$4,209.10 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$34.34 |
$34.34 |
$34.34 |
$51.35
|
|
Nerve conduction 7-8 studies
|
$764.05 |
$764.05 |
$764.05 |
$761.48
|
|
Nerve conduction studies 11-12
|
$1,146.25 |
$1,146.25 |
$1,146.25 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$286.30 |
$286.30 |
$286.30 |
$341.10
|
|
Nerve conduction studies 13+
|
$1,337.35 |
$1,337.35 |
$1,337.35 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$381.85 |
$381.85 |
$381.85 |
$495.30
|
|
Nerve conduction studies 5-6
|
$573.30 |
$573.30 |
$573.30 |
$685.75
|
|
Nerve conduction studies 9-10
|
$955.50 |
$955.50 |
$955.50 |
$1,244.90
|
|
Neurolysis trigeminal nerve
|
$912.10 |
$912.10 |
$912.10 |
$2,114.70
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$266.70 |
$266.70 |
$266.70 |
$256.41
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$302.06 |
$302.06 |
$302.06 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$67.42 |
$67.42 |
$67.42 |
$71.09
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$14,281.70 |
$14,281.70 |
$14,281.70 |
$14,281.70
|
|
Njx aa&/strd nrv nrvtg si jt
|
$896.35 |
$896.35 |
$896.35 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$912.10 |
$912.10 |
$912.10 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$175.00 |
$175.00 |
$175.00 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$912.10 |
$912.10 |
$912.10 |
$1,586.71
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,703.45 |
$1,703.45 |
$1,703.45 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,488.15 |
$2,488.15 |
$2,488.15 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,292.90 |
$1,292.90 |
$1,292.90 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,737.05 |
$1,737.05 |
$1,737.05 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,241.10 |
$1,241.10 |
$1,241.10 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,511.65 |
$1,511.65 |
$1,511.65 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$649.60 |
$649.60 |
$649.60 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,544.20 |
$1,544.20 |
$1,544.20 |
$1,020.34
|
|
Npm1 gene
|
$105.00 |
$105.00 |
$105.00 |
$430.95
|
|
Nr lnr acclrtr tx max 5 sessions
|
$11,153.10 |
$11,153.10 |
$11,153.10 |
$7,875.40
|
|
Nsl/sins ndsc surg max sins
|
$2,717.75 |
$2,717.75 |
$2,717.75 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$2,095.10 |
$2,095.10 |
$2,095.10 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,676.50 |
$1,676.50 |
$1,676.50 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$548.80 |
$548.80 |
$548.80 |
$761.95
|
|
Nuclear rx IV admin
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$6,103.30 |
$6,103.30 |
$6,103.30 |
$3,921.45
|
|
Nushield 1 square cm
|
$3,791.03 |
$3,791.03 |
$3,791.03 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$14,996.94 |
$14,996.94 |
$14,996.94 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$440.65 |
$440.65 |
$440.65 |
$420.00
|
|
Observation per hour
|
$87.85 |
$87.85 |
$87.85 |
$83.52
|
|
Obstetrics panel
|
$502.60 |
$502.60 |
$502.60 |
$204.80
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.15 |
$34.15 |
$34.15 |
$70.66
|