|
MRI orbit fac&nck w IV cont
|
$620.60 |
$620.60 |
$620.60 |
$2,176.20
|
|
MRI tmj
|
$620.60 |
$620.60 |
$620.60 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,001.40 |
$2,001.40 |
$2,001.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,077.60 |
$2,077.60 |
$2,077.60 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$840.00 |
$840.00 |
$840.00 |
$2,021.30
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$35.40 |
$35.40 |
$35.40 |
$49.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$14.80 |
$14.80 |
$14.80 |
$45.00
|
|
Msh2 gene dup/delete variant
|
$30.00 |
$30.00 |
$30.00 |
$403.20
|
|
Msh2 gene full seq
|
$53.60 |
$53.60 |
$53.60 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$33.40 |
$33.40 |
$33.40 |
$453.60
|
|
Msh6 gene full seq
|
$90.20 |
$90.20 |
$90.20 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$13.07 |
$13.07 |
$13.07 |
$184.00
|
|
Mucopolysaccharides
|
$30.05 |
$30.05 |
$30.05 |
$178.36
|
|
Mumps antibody igg
|
$52.60 |
$52.60 |
$52.60 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.80 |
$5.80 |
$5.80 |
$10.79
|
|
Mycophenolic acid
|
$3.20 |
$3.20 |
$3.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$17.60 |
$17.60 |
$17.60 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$58.38 |
$58.38 |
$58.38 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$286.40 |
$286.40 |
$286.40 |
$1,494.22
|
|
Myelography l-s spine
|
$206.00 |
$206.00 |
$206.00 |
$1,334.09
|
|
Myelography via inj w/s&i lumbosacral
|
$1,746.80 |
$1,746.80 |
$1,746.80 |
$1,843.92
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$57.25 |
$57.25 |
$57.25 |
$135.50
|
|
Nafcillin 2 gram solution for injection
|
$12.30 |
$12.30 |
$12.30 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$32.02 |
$32.02 |
$32.02 |
$70.87
|
|
Natriuretic peptide
|
$172.80 |
$172.80 |
$172.80 |
$176.15
|
|
Natural killer cells total count
|
$6.67 |
$6.67 |
$6.67 |
$132.63
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,447.00 |
$2,447.00 |
$2,447.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,948.60 |
$1,948.60 |
$1,948.60 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,357.60 |
$2,357.60 |
$2,357.60 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$1,790.58
|
|
Neisseria meningitidis
|
$2.34 |
$2.34 |
$2.34 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$60.38
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$95.60 |
$95.60 |
$95.60 |
$397.44
|
|
New Patient Office Visit (level 2)
|
$37.40 |
$37.40 |
$37.40 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$49.80 |
$49.80 |
$49.80 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$74.20 |
$74.20 |
$74.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$95.60 |
$95.60 |
$95.60 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$498.60 |
$498.60 |
$498.60 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$66.94 |
$66.94 |
$66.94 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$18.89 |
$18.89 |
$18.89 |
$74.47
|
|
Njx px nfrosgrm &/urtrgrm
|
$978.40 |
$978.40 |
$978.40 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,251.60 |
$1,251.60 |
$1,251.60 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$299.20 |
$299.20 |
$299.20 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,322.80 |
$1,322.80 |
$1,322.80 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,130.80 |
$1,130.80 |
$1,130.80 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$333.00 |
$333.00 |
$333.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,374.80 |
$1,374.80 |
$1,374.80 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,504.60 |
$1,504.60 |
$1,504.60 |
$1,079.00
|
|
Non-card vasc flow imaging
|
$211.00 |
$211.00 |
$211.00 |
$608.56
|
|
Non-imaging heart function
|
$257.80 |
$257.80 |
$257.80 |
$1,222.94
|
|
Npm1 gene
|
$53.88 |
$53.88 |
$53.88 |
$457.50
|
|
Ntrprof ph1/ntrnet/ehr 21-30
|
$26.00 |
$26.00 |
$26.00 |
$91.65
|
|
Nuclear Stress Test (Heart)
|
$3,075.80 |
$3,075.80 |
$3,075.80 |
$3,804.45
|
|
Nudt15 gene common variants
|
$46.62 |
$46.62 |
$46.62 |
$301.62
|
|
Observation direct referral from physician office for admission
|
$161.00 |
$161.00 |
$161.00 |
$384.00
|
|
Observation per hour
|
$32.00 |
$32.00 |
$32.00 |
$81.22
|
|
Obstetrics panel
|
$134.00 |
$134.00 |
$134.00 |
$214.50
|
|
Obtaining screen pap smear
|
$7.60 |
$7.60 |
$7.60 |
$39.00
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$43.89 |
$43.89 |
$43.89 |
$90.00
|
|
Ocular function screen
|
$95.60 |
$95.60 |
$95.60 |
$41.60
|
|
Off/op cnsltj new/est low 30
|
$95.60 |
$95.60 |
$95.60 |
$180.00
|
|
Off/op cnsltj new/est mod 40
|
$95.60 |
$95.60 |
$95.60 |
$269.60
|
|
Off/op consltj new/est hi 55
|
$95.60 |
$95.60 |
$95.60 |
$339.30
|
|
Off/op consltj new/est sf 20
|
$95.60 |
$95.60 |
$95.60 |
$133.80
|
|
Olanzapine 10 mg intramuscular solution
|
$34.69 |
$34.69 |
$34.69 |
$109.58
|
|
Oncology prostate prob score
|
$154.00 |
$154.00 |
$154.00 |
$952.00
|
|
Onco (ovar) five proteins
|
$91.00 |
$91.00 |
$91.00 |
$986.70
|
|
Oncoprotein dcp
|
$11.45 |
$11.45 |
$11.45 |
$161.60
|
|
Oncoprotein her-2/neu
|
$67.85 |
$67.85 |
$67.85 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$5.31 |
$5.31 |
$5.31 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$2.00 |
$2.00 |
$2.00 |
$24.00
|
|
Organic acids total quant ea spec
|
$19.64 |
$19.64 |
$19.64 |
$151.36
|
|
Osmolality blood
|
$145.40 |
$145.40 |
$145.40 |
$67.60
|
|
Osmolality urine
|
$145.60 |
$145.60 |
$145.60 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$72.00 |
$72.00 |
$72.00 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$43.20 |
$43.20 |
$43.20 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$57.60 |
$57.60 |
$57.60 |
$263.50
|
|
Oth resp proc, indiv
|
$40.60 |
$40.60 |
$40.60 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$45.00 |
$45.00 |
$45.00 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$27.80 |
$27.80 |
$27.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$23.20 |
$23.20 |
$23.20 |
$105.00
|
|
Ot re-evaluation patient/family
|
$24.40 |
$24.40 |
$24.40 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$20.60 |
$20.60 |
$20.60 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$13.20 |
$13.20 |
$13.20 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$16.40 |
$16.40 |
$16.40 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$18.80 |
$18.80 |
$18.80 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$18.40 |
$18.40 |
$18.40 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$20.00 |
$20.00 |
$20.00 |
$94.25
|
|
Oxytocin 10 unit/ml injection solution
|
$5.35 |
$5.35 |
$5.35 |
$50.40
|
|
Palb2 gene full gene seq
|
$39.40 |
$39.40 |
$39.40 |
$672.50
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$5.55 |
$5.55 |
$5.55 |
$29.31
|
|
Parathormone (pth) intact
|
$98.00 |
$98.00 |
$98.00 |
$204.87
|
|
Parathyroid planar imaging
|
$115.00 |
$115.00 |
$115.00 |
$1,129.91
|