|
MRA ext low(run-off)pst cntrst
|
$3,135.36 |
$3,135.36 |
$3,135.36 |
$2,539.68
|
|
MRA pelvis
|
$3,204.48 |
$3,204.48 |
$3,204.48 |
$2,229.00
|
|
MRA spinal canal
|
$4,460.16 |
$4,460.16 |
$4,460.16 |
$1,803.94
|
|
MRA upper extremity post contrast-bil
|
$4,599.36 |
$4,599.36 |
$4,599.36 |
$1,943.87
|
|
MRI brain w/dye
|
$964.80 |
$964.80 |
$964.80 |
$1,713.40
|
|
MRI brain without dye
|
$580.80 |
$580.80 |
$580.80 |
$1,558.05
|
|
MRI brain without & w/dye
|
$993.12 |
$993.12 |
$993.12 |
$2,608.50
|
|
MRI breast c- unilateral
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$2,475.84 |
$2,475.84 |
$2,475.84 |
$1,829.72
|
|
MRI breast without cont bi
|
$4,429.92 |
$4,429.92 |
$4,429.92 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$5,323.68 |
$5,323.68 |
$5,323.68 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$2,739.36 |
$2,739.36 |
$2,739.36 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,042.72 |
$3,042.72 |
$3,042.72 |
$1,946.48
|
|
MRI chest without contrast
|
$3,318.72 |
$3,318.72 |
$3,318.72 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$5,176.80 |
$5,176.80 |
$5,176.80 |
$2,564.10
|
|
MRI chest w IV cont
|
$3,562.08 |
$3,562.08 |
$3,562.08 |
$2,105.25
|
|
MRI fetal ea addl gestation
|
$395.04 |
$395.04 |
$395.04 |
$576.10
|
|
MRI fetal sngl/1st gestation
|
$750.72 |
$750.72 |
$750.72 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$866.88 |
$866.88 |
$866.88 |
$1,133.22
|
|
MRI loex nonjt w IV cont
|
$4,897.92 |
$4,897.92 |
$4,897.92 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,798.08 |
$4,798.08 |
$4,798.08 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,949.76 |
$4,949.76 |
$4,949.76 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$2,207.52 |
$2,207.52 |
$2,207.52 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$4,706.88 |
$4,706.88 |
$4,706.88 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$2,120.25
|
|
MRI tmj
|
$4,739.52 |
$4,739.52 |
$4,739.52 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$4,208.64 |
$4,208.64 |
$4,208.64 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,949.76 |
$4,949.76 |
$4,949.76 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$4,472.64 |
$4,472.64 |
$4,472.64 |
$1,968.59
|
|
Mr sfty implt&/fb asmt stf 1
|
$43.20 |
$43.20 |
$43.20 |
$45.00
|
|
Mr spectroscopy
|
$2,786.40 |
$2,786.40 |
$2,786.40 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$148.80 |
$148.80 |
$148.80 |
$211.70
|
|
Multi family grp psychotherapy
|
$124.32 |
$124.32 |
$124.32 |
$213.27
|
|
Multiple sleep latency test
|
$2,484.96 |
$2,484.96 |
$2,484.96 |
$2,585.70
|
|
Mumps antibody igg
|
$134.88 |
$134.88 |
$134.88 |
$78.00
|
|
Muscle-skin graft leg
|
$5,270.40 |
$5,270.40 |
$5,270.40 |
$4,332.25
|
|
Mycophenolate mofetil 250 mg capsule
|
$9.55 |
$9.55 |
$9.55 |
$12.06
|
|
Mycophenolic acid
|
$5.28 |
$5.28 |
$5.28 |
$12.84
|
|
Mycoplasma antibody igm
|
$24.70 |
$24.70 |
$24.70 |
$79.20
|
|
Myelogphy 2/> spine regions
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$1,366.30
|
|
Myelography l-s spine
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$1,334.09
|
|
Myelography neck spine
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$1,103.70
|
|
Myelography via inj w/s&i 2+ regions
|
$4,988.64 |
$4,988.64 |
$4,988.64 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$4,988.64 |
$4,988.64 |
$4,988.64 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$4,988.64 |
$4,988.64 |
$4,988.64 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$4,988.64 |
$4,988.64 |
$4,988.64 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$240.00 |
$240.00 |
$240.00 |
$134.40
|
|
Nafcillin 2 gram solution for injection
|
$44.76 |
$44.76 |
$44.76 |
$77.12
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$86.76
|
|
Nasal endoscopy dx uni/bi separate proc
|
$340.32 |
$340.32 |
$340.32 |
$372.00
|
|
Nasopharyngoscopy w/endoscope
|
$392.16 |
$392.16 |
$392.16 |
$298.52
|
|
Natriuretic peptide
|
$144.48 |
$144.48 |
$144.48 |
$176.15
|
|
Natural killer cells total count
|
$45.08 |
$45.08 |
$45.08 |
$131.82
|
|
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
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$388.83
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,333.44 |
$1,333.44 |
$1,333.44 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,249.92 |
$1,249.92 |
$1,249.92 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,170.72 |
$1,170.72 |
$1,170.72 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,769.76 |
$4,769.76 |
$4,769.76 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,621.60 |
$3,621.60 |
$3,621.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,360.96 |
$3,360.96 |
$3,360.96 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,616.48 |
$2,616.48 |
$2,616.48 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,524.48 |
$1,524.48 |
$1,524.48 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,494.72 |
$1,494.72 |
$1,494.72 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$51.35
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$191.04 |
$191.04 |
$191.04 |
$414.40
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$191.04 |
$191.04 |
$191.04 |
$265.00
|
|
Neuroeltrd stim post tibial
|
$575.04 |
$575.04 |
$575.04 |
$478.14
|
|
Neurolysis celiac plexus
|
$2,538.24 |
$2,538.24 |
$2,538.24 |
$2,046.85
|
|
Neurolysis trigeminal nerve
|
$516.00 |
$516.00 |
$516.00 |
$2,114.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$59.24 |
$59.24 |
$59.24 |
$295.57
|
|
N-invas est c ffr sw aly cta
|
$2,263.68 |
$2,263.68 |
$2,263.68 |
$2,020.50
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$72.00 |
$72.00 |
$72.00 |
$71.09
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$1,214.78
|
|
Njx aa&/strd sc nrv nfs img
|
$516.00 |
$516.00 |
$516.00 |
$1,661.40
|
|
Njx cath slct p-art angrp bi
|
$282.24 |
$282.24 |
$282.24 |
$1,646.97
|
|
Njx interlaminar crv/thrc
|
$516.00 |
$516.00 |
$516.00 |
$1,586.71
|
|
Njx interlaminar lmbr/sac
|
$2,094.24 |
$2,094.24 |
$2,094.24 |
$2,074.68
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,177.92 |
$1,177.92 |
$1,177.92 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$2,027.52 |
$2,027.52 |
$2,027.52 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$3,522.24 |
$3,522.24 |
$3,522.24 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,515.20 |
$2,515.20 |
$2,515.20 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,547.84 |
$2,547.84 |
$2,547.84 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,046.24 |
$2,046.24 |
$2,046.24 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,098.24 |
$1,098.24 |
$1,098.24 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,730.40 |
$1,730.40 |
$1,730.40 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,931.04 |
$1,931.04 |
$1,931.04 |
$1,020.34
|
|
Non-card vasc flow imaging
|
$378.72 |
$378.72 |
$378.72 |
$608.56
|
|
Npsy tst eval phsy/qhp 1st hr
|
$191.04 |
$191.04 |
$191.04 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$191.04 |
$191.04 |
$191.04 |
$225.60
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,551.20 |
$2,551.20 |
$2,551.20 |
$7,875.40
|
|
Nsl/sins ndsc surg max sins
|
$4,066.56 |
$4,066.56 |
$4,066.56 |
$7,668.85
|
|
Ntsty modul rad tx dlvr cplx
|
$4,978.08 |
$4,978.08 |
$4,978.08 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$4,978.08 |
$4,978.08 |
$4,978.08 |
$2,364.96
|
|
Nuclear rx intra-arterial
|
$646.56 |
$646.56 |
$646.56 |
$761.95
|
|
Nuclear rx IV admin
|
$316.80 |
$316.80 |
$316.80 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$3,051.84 |
$3,051.84 |
$3,051.84 |
$3,921.45
|