|
MRI loex nonjt w IV cont
|
$4,649.76 |
$4,649.76 |
$4,649.76 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,799.52 |
$4,799.52 |
$4,799.52 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,746.24 |
$4,746.24 |
$4,746.24 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$4,900.80 |
$4,900.80 |
$4,900.80 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$8,121.60 |
$8,121.60 |
$8,121.60 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$5,120.64 |
$5,120.64 |
$5,120.64 |
$2,120.25
|
|
MRI tmj
|
$5,467.20 |
$5,467.20 |
$5,467.20 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$4,561.44 |
$4,561.44 |
$4,561.44 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,746.24 |
$4,746.24 |
$4,746.24 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$4,649.76 |
$4,649.76 |
$4,649.76 |
$1,968.59
|
|
Mr spectroscopy
|
$522.24 |
$522.24 |
$522.24 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$148.80 |
$148.80 |
$148.80 |
$211.70
|
|
Multi family grp psychotherapy
|
$100.32 |
$100.32 |
$100.32 |
$213.27
|
|
Multiple sleep latency test
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$2,585.70
|
|
Mumps antibody igg
|
$184.80 |
$184.80 |
$184.80 |
$78.00
|
|
Muscle-skin graft leg
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
$4,332.25
|
|
Muscle-skin graft trunk
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$4,311.38
|
|
Mycophenolate mofetil 250 mg capsule
|
$26.70 |
$26.70 |
$26.70 |
$12.06
|
|
Mycophenolic acid
|
$21.66 |
$21.66 |
$21.66 |
$12.84
|
|
Mycoplasma antibody igm
|
$24.70 |
$24.70 |
$24.70 |
$79.20
|
|
Myelogphy 2/> spine regions
|
$2,436.96 |
$2,436.96 |
$2,436.96 |
$1,366.30
|
|
Myelography l-s spine
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$1,334.09
|
|
Myelography neck spine
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$1,103.70
|
|
Myelography via inj w/s&i 2+ regions
|
$2,477.28 |
$2,477.28 |
$2,477.28 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$2,265.12 |
$2,265.12 |
$2,265.12 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$2,265.12 |
$2,265.12 |
$2,265.12 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$2,265.12 |
$2,265.12 |
$2,265.12 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$240.00 |
$240.00 |
$240.00 |
$134.40
|
|
Nafcillin 2 gram solution for injection
|
$84.21 |
$84.21 |
$84.21 |
$77.12
|
|
Nalbuphine 10 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$43.66
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$87.78 |
$87.78 |
$87.78 |
$86.76
|
|
Nasal endoscopy dx uni/bi separate proc
|
$225.60 |
$225.60 |
$225.60 |
$372.00
|
|
Nasopharyngoscopy w/endoscope
|
$341.76 |
$341.76 |
$341.76 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$14,330.85 |
$14,330.85 |
$14,330.85 |
$17,087.95
|
|
Natriuretic peptide
|
$171.36 |
$171.36 |
$171.36 |
$176.15
|
|
Natural killer cells total count
|
$45.08 |
$45.08 |
$45.08 |
$131.82
|
|
N block inj hypogas plxs
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$2,092.25
|
|
Ndl insj without njx 1 or 2 musc
|
$15.36 |
$15.36 |
$15.36 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$15.36 |
$15.36 |
$15.36 |
$54.60
|
|
Ndl round specialty proguide
|
$2,991.36 |
$2,991.36 |
$2,991.36 |
$388.83
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,948.64 |
$2,948.64 |
$2,948.64 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,674.24 |
$1,674.24 |
$1,674.24 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,611.84 |
$1,611.84 |
$1,611.84 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$8,894.88 |
$8,894.88 |
$8,894.88 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$6,988.32 |
$6,988.32 |
$6,988.32 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$6,849.12 |
$6,849.12 |
$6,849.12 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$6,764.16 |
$6,764.16 |
$6,764.16 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,885.92 |
$4,885.92 |
$4,885.92 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,500.48 |
$4,500.48 |
$4,500.48 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$231.03 |
$231.03 |
$231.03 |
$51.35
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$214.08 |
$214.08 |
$214.08 |
$414.40
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$214.08 |
$214.08 |
$214.08 |
$265.00
|
|
Neurolysis celiac plexus
|
$1,967.52 |
$1,967.52 |
$1,967.52 |
$2,046.85
|
|
Neurolysis trigeminal nerve
|
$521.28 |
$521.28 |
$521.28 |
$2,114.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$85.84 |
$85.84 |
$85.84 |
$295.57
|
|
N-invas est c ffr sw aly cta
|
$1,719.36 |
$1,719.36 |
$1,719.36 |
$2,020.50
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$49.49 |
$49.49 |
$49.49 |
$71.09
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$9,484.04 |
$9,484.04 |
$9,484.04 |
$14,281.70
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$521.28 |
$521.28 |
$521.28 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$276.00 |
$276.00 |
$276.00 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$521.28 |
$521.28 |
$521.28 |
$1,586.71
|
|
Njx interlaminar lmbr/sac
|
$724.80 |
$724.80 |
$724.80 |
$2,074.68
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,522.56 |
$1,522.56 |
$1,522.56 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$2,083.68 |
$2,083.68 |
$2,083.68 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$2,047.68 |
$2,047.68 |
$2,047.68 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,472.64 |
$1,472.64 |
$1,472.64 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$941.28 |
$941.28 |
$941.28 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,276.32 |
$1,276.32 |
$1,276.32 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,756.32 |
$1,756.32 |
$1,756.32 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,595.04 |
$1,595.04 |
$1,595.04 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,555.04 |
$2,555.04 |
$2,555.04 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,427.52 |
$1,427.52 |
$1,427.52 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,054.08 |
$1,054.08 |
$1,054.08 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$487.20 |
$487.20 |
$487.20 |
$608.56
|
|
Npsy tst eval phsy/qhp 1st hr
|
$241.44 |
$241.44 |
$241.44 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$241.44 |
$241.44 |
$241.44 |
$225.60
|
|
Nr lnr acclrtr tx max 5 sessions
|
$4,302.24 |
$4,302.24 |
$4,302.24 |
$7,875.40
|
|
Nsl/sins ndsc surg max sins
|
$3,982.56 |
$3,982.56 |
$3,982.56 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$4,005.12 |
$4,005.12 |
$4,005.12 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$3,726.24 |
$3,726.24 |
$3,726.24 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$818.88 |
$818.88 |
$818.88 |
$761.95
|
|
Nuclear rx IV admin
|
$558.24 |
$558.24 |
$558.24 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$3,877.92 |
$3,877.92 |
$3,877.92 |
$3,921.45
|
|
Nushield 1 square cm
|
$6,944.11 |
$6,944.11 |
$6,944.11 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$10,283.62 |
$10,283.62 |
$10,283.62 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$568.80 |
$568.80 |
$568.80 |
$420.00
|
|
Observation per hour
|
$83.52 |
$83.52 |
$83.52 |
$83.52
|
|
Ob Ultrasound nuchal meas 1 gest
|
$448.32 |
$448.32 |
$448.32 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$264.48 |
$264.48 |
$264.48 |
$243.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$117.08 |
$117.08 |
$117.08 |
$70.66
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$12,047.50 |
$12,047.50 |
$12,047.50 |
$12,749.16
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,674.96 |
$1,674.96 |
$1,674.96 |
$1,091.15
|
|
Olanzapine 10 mg intramuscular solution
|
$188.01 |
$188.01 |
$188.01 |
$120.17
|
|
Oncoprotein dcp
|
$93.60 |
$93.60 |
$93.60 |
$167.75
|
|
Ondansetron 8 mg disintegrating tablet
|
$24.72 |
$24.72 |
$24.72 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$30.15
|
|
Opn tx orbit fx without impl 21406
|
$9,238.08 |
$9,238.08 |
$9,238.08 |
$6,553.49
|
|
Optx clavicular fx w/int fix
|
$4,044.96 |
$4,044.96 |
$4,044.96 |
$8,453.60
|
|
Optx lunate dislocation
|
$4,044.96 |
$4,044.96 |
$4,044.96 |
$7,907.11
|