|
Muscle transfer shoulder/arm
|
$16,990.40 |
$16,990.40 |
$16,990.40 |
$8,412.89
|
|
Musc myoq/fscq flp h&n pedcl
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$12,045.60 |
$12,045.60 |
$12,045.60 |
$6,311.00
|
|
Mycobacteria dna amp probe
|
$210.00 |
$210.00 |
$210.00 |
$275.71
|
|
Mycobacteria dna dir probe
|
$245.28 |
$245.28 |
$245.28 |
$69.64
|
|
Mycobacteria dna quant
|
$431.20 |
$431.20 |
$431.20 |
$192.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$2,413.89 |
$2,413.89 |
$2,413.89 |
$10.79
|
|
Mycophenolic acid
|
$35.20 |
$35.20 |
$35.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$24.64 |
$24.64 |
$24.64 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$498.40 |
$498.40 |
$498.40 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$4,032.00 |
$4,032.00 |
$4,032.00 |
$1,494.22
|
|
Myelography l-s spine
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,334.09
|
|
Myelography neck spine
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,241.50
|
|
Myelography thoracic spine
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$2,850.40 |
$2,850.40 |
$2,850.40 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$67.76 |
$67.76 |
$67.76 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
$3,558.50
|
|
Myocrd img pet 1 std w/ct
|
$7,476.00 |
$7,476.00 |
$7,476.00 |
$3,252.00
|
|
Myocrd img pet 2rtracer
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
$3,940.30
|
|
Myocrd img pet 2rtracer CT
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$5,476.80 |
$5,476.80 |
$5,476.80 |
$3,980.50
|
|
Myocrd img pet rst&strs CT
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$9,861.60 |
$9,861.60 |
$9,861.60 |
$3,311.85
|
|
Myomectomy vag method
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,762.53
|
|
Myringoplasty
|
$8,999.20 |
$8,999.20 |
$8,999.20 |
$3,837.72
|
|
Nafcillin 2 gram solution for injection
|
$203.73 |
$203.73 |
$203.73 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$5.35 |
$5.35 |
$5.35 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$38.97 |
$38.97 |
$38.97 |
$70.87
|
|
Naltrexone, depot form
|
$2,956.16 |
$2,956.16 |
$2,956.16 |
$3,249.40
|
|
Narcosynthesis
|
$537.60 |
$537.60 |
$537.60 |
$378.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$582.40 |
$582.40 |
$582.40 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$834.40 |
$834.40 |
$834.40 |
$406.00
|
|
Nasal function studies
|
$868.00 |
$868.00 |
$868.00 |
$348.00
|
|
Nasal septal prosthesis
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$1,607.20
|
|
Nasal/sinus endoscopy surg
|
$6,232.80 |
$6,232.80 |
$6,232.80 |
$4,350.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$4,984.00 |
$4,984.00 |
$4,984.00 |
$2,709.50
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$6,232.80 |
$6,232.80 |
$6,232.80 |
$5,110.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$6,944.00 |
$6,944.00 |
$6,944.00 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$9,587.20 |
$9,587.20 |
$9,587.20 |
$7,565.43
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$10,880.80 |
$10,880.80 |
$10,880.80 |
$6,333.26
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$9,923.20 |
$9,923.20 |
$9,923.20 |
$6,311.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$5,448.80 |
$5,448.80 |
$5,448.80 |
$2,232.24
|
|
Nasal sinus therapy
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,752.89
|
|
Nasopharyngoscopy w/endoscope
|
$481.60 |
$481.60 |
$481.60 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$14,323.22 |
$14,323.22 |
$14,323.22 |
$16,254.52
|
|
Natriuretic peptide
|
$302.40 |
$302.40 |
$302.40 |
$176.15
|
|
Natural killer cells total count
|
$175.28 |
$175.28 |
$175.28 |
$132.63
|
|
Navigational bronchoscopy 31627
|
$5,695.20 |
$5,695.20 |
$5,695.20 |
$1,751.25
|
|
N block inj common digit
|
$823.20 |
$823.20 |
$823.20 |
$540.80
|
|
N block inj hypogas plxs
|
$4,082.40 |
$4,082.40 |
$4,082.40 |
$1,912.00
|
|
Nctrnl pen tmscn&/rgdity tst
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$442.68
|
|
Ndl emg musc 1 xtr/non-limb
|
$259.84 |
$259.84 |
$259.84 |
$213.75
|
|
Ndl insj without njx 1 or 2 musc
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$45.00
|
|
Ndl oculoelectromyography 1+
|
$256.48 |
$256.48 |
$256.48 |
$157.00
|
|
Ndl round specialty proguide
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$324.40
|
|
Ndsc dcmprn 1 ntrspc lumbar
|
$16,223.20 |
$16,223.20 |
$16,223.20 |
$8,453.60
|
|
Ndsc hrv uxtr art 1 sgm cab
|
$364.00 |
$364.00 |
$364.00 |
$426.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$4,664.80 |
$4,664.80 |
$4,664.80 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,930.40 |
$5,930.40 |
$5,930.40 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,995.20 |
$4,995.20 |
$4,995.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,735.20 |
$3,735.20 |
$3,735.20 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,004.00 |
$4,004.00 |
$4,004.00 |
$1,790.58
|
|
Neck spine disk surgery
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$8,453.60
|
|
Neck spine disk surgery 63075
|
$14,481.60 |
$14,481.60 |
$14,481.60 |
$8,275.33
|
|
Neck spine disk surgery 63076
|
$6,087.20 |
$6,087.20 |
$6,087.20 |
$1,050.40
|
|
Needle emg guid w/chemodenervation add-on
|
$380.80 |
$380.80 |
$380.80 |
$164.80
|
|
Neg pres wound ther drsg set
|
$728.00 |
$728.00 |
$728.00 |
$676.00
|
|
Neisseria meningitidis
|
$161.28 |
$161.28 |
$161.28 |
$75.00
|
|
Nelarabine injection
|
$1,180.10 |
$1,180.10 |
$1,180.10 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$66.77 |
$66.77 |
$66.77 |
$60.38
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$767.20 |
$767.20 |
$767.20 |
$397.44
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$548.80 |
$548.80 |
$548.80 |
$349.20
|
|
Nerve conduction 7-8 studies
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$719.39
|
|
Nerve conduction studies 11-12
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$386.40 |
$386.40 |
$386.40 |
$340.80
|
|
Nerve conduction studies 13+
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$845.60 |
$845.60 |
$845.60 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,366.40 |
$1,366.40 |
$1,366.40 |
$573.30
|
|
Nerve conduction studies 9-10
|
$2,122.40 |
$2,122.40 |
$2,122.40 |
$1,051.96
|
|
Nerve graft add-on
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$3,501.85
|
|
Nerve graft add-on
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$4,448.60
|
|
Nerve graft head/neck <4 cm
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$7,088.41
|
|
Nerve graft head/neck >4 cm
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$7,181.20
|
|
Nerve palsy fascial graft
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,350.00
|
|
Nerve palsy microsurg graft
|
$5,723.20 |
$5,723.20 |
$5,723.20 |
$5,110.00
|
|
Nerve palsy muscle graft
|
$11,132.80 |
$11,132.80 |
$11,132.80 |
$4,416.80
|
|
Nerve pedicle transfer
|
$12,532.80 |
$12,532.80 |
$12,532.80 |
$7,088.41
|
|
Nerve pedicle transfer
|
$10,444.00 |
$10,444.00 |
$10,444.00 |
$7,541.82
|
|
Nerve repair w/allograft
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$5,339.00
|
|
Nerve surgery
|
$8,517.60 |
$8,517.60 |
$8,517.60 |
$1,917.00
|
|
Nerve teasing preparations
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$698.49
|
