|
MRA pelvis wo IV cont
|
$844.80 |
$844.80 |
$844.80 |
$1,420.27
|
|
MRA upper extremity post contrast-bil
|
$446.40 |
$446.40 |
$446.40 |
$2,482.20
|
|
MRA w/cont, lwr ext
|
$938.08 |
$938.08 |
$938.08 |
$1,691.95
|
|
MRA without cont, lwr ext
|
$938.08 |
$938.08 |
$938.08 |
$1,656.00
|
|
MRA without fol w/cont, lwr ext
|
$938.08 |
$938.08 |
$938.08 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$844.80 |
$844.80 |
$844.80 |
$2,356.90
|
|
MRI breast c- unilateral
|
$563.36 |
$563.36 |
$563.36 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$780.16 |
$780.16 |
$780.16 |
$1,829.72
|
|
MRI breast without cont bi
|
$829.76 |
$829.76 |
$829.76 |
$1,871.10
|
|
MRI breast w IV cont bi
|
$960.00 |
$960.00 |
$960.00 |
$1,875.95
|
|
MRI chest without contrast
|
$651.04 |
$651.04 |
$651.04 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$1,462.24 |
$1,462.24 |
$1,462.24 |
$2,652.73
|
|
MRI chest w IV cont
|
$795.20 |
$795.20 |
$795.20 |
$2,210.00
|
|
MRI guid ndl plc s&i
|
$667.84 |
$667.84 |
$667.84 |
$1,264.76
|
|
MRI loex nonjt w IV cont
|
$938.08 |
$938.08 |
$938.08 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,135.04 |
$1,135.04 |
$1,135.04 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,373.12 |
$2,373.12 |
$2,373.12 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$650.72 |
$650.72 |
$650.72 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$1,468.64 |
$1,468.64 |
$1,468.64 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$793.44 |
$793.44 |
$793.44 |
$2,176.20
|
|
MRI tmj
|
$577.44 |
$577.44 |
$577.44 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$992.48 |
$992.48 |
$992.48 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,588.16 |
$1,588.16 |
$1,588.16 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$797.44 |
$797.44 |
$797.44 |
$2,024.40
|
|
Mr spectroscopy
|
$658.72 |
$658.72 |
$658.72 |
$1,422.05
|
|
Msh2 gene known variants
|
$54.04 |
$54.04 |
$54.04 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$22.08 |
$22.08 |
$22.08 |
$453.60
|
|
Msh6 gene known variants
|
$49.28 |
$49.28 |
$49.28 |
$338.80
|
|
Mthfr gene analy common variants
|
$10.45 |
$10.45 |
$10.45 |
$180.48
|
|
M.tuberculo dna dir probe
|
$54.88 |
$54.88 |
$54.88 |
$58.40
|
|
Mucopolysaccharides
|
$24.04 |
$24.04 |
$24.04 |
$178.36
|
|
Mumps antibody igg
|
$37.12 |
$37.12 |
$37.12 |
$78.00
|
|
Mycobacteria dna dir probe
|
$54.88 |
$54.88 |
$54.88 |
$64.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$0.90 |
$0.90 |
$0.90 |
$10.79
|
|
Mycoplasma antibody igm
|
$14.08 |
$14.08 |
$14.08 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$22.45 |
$22.45 |
$22.45 |
$388.40
|
|
Myelography via inj w/s&i cervical
|
$732.96 |
$732.96 |
$732.96 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$416.80 |
$416.80 |
$416.80 |
$1,794.00
|
|
Myelography via inj w/s&i thoracic
|
$766.88 |
$766.88 |
$766.88 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$85.44 |
$85.44 |
$85.44 |
$131.07
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$47.52 |
$47.52 |
$47.52 |
$70.87
|
|
Natriuretic peptide
|
$107.04 |
$107.04 |
$107.04 |
$176.15
|
|
Natural killer cells total count
|
$5.34 |
$5.34 |
$5.34 |
$132.60
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,246.24 |
$1,246.24 |
$1,246.24 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,107.84 |
$1,107.84 |
$1,107.84 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,005.92 |
$1,005.92 |
$1,005.92 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,419.36 |
$1,419.36 |
$1,419.36 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,118.08 |
$1,118.08 |
$1,118.08 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$793.60 |
$793.60 |
$793.60 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,316.16 |
$1,316.16 |
$1,316.16 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$961.92 |
$961.92 |
$961.92 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$802.88 |
$802.88 |
$802.88 |
$1,824.90
|
|
Neisseria meningitidis
|
$1.88 |
$1.88 |
$1.88 |
$60.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$8.00 |
$8.00 |
$8.00 |
$60.38
|
|
Nerve teasing preparations
|
$14.40 |
$14.40 |
$14.40 |
$698.49
|
|
Neurolysis celiac plexus
|
$311.04 |
$311.04 |
$311.04 |
$1,721.00
|
|
Neuromatrix nerve cuff, cm
|
$1,743.84 |
$1,743.84 |
$1,743.84 |
$3,138.16
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$123.35 |
$123.35 |
$123.35 |
$264.31
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$27.83 |
$27.83 |
$27.83 |
$74.56
|
|
Njx interlaminar crv/thrc
|
$564.32 |
$564.32 |
$564.32 |
$1,791.00
|
|
Njx px nfrosgrm &/urtrgrm
|
$289.12 |
$289.12 |
$289.12 |
$1,522.20
|
|
Nm imaging bone/joint 3 phase study
|
$805.76 |
$805.76 |
$805.76 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$727.68 |
$727.68 |
$727.68 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$641.44 |
$641.44 |
$641.44 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$709.44 |
$709.44 |
$709.44 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$686.40 |
$686.40 |
$686.40 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$823.84 |
$823.84 |
$823.84 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$759.68 |
$759.68 |
$759.68 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$809.44 |
$809.44 |
$809.44 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$480.96 |
$480.96 |
$480.96 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$454.40 |
$454.40 |
$454.40 |
$1,057.20
|
|
Non-card vasc flow imaging
|
$205.60 |
$205.60 |
$205.60 |
$608.56
|
|
Npm1 gene
|
$39.44 |
$39.44 |
$39.44 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$1,866.88 |
$1,866.88 |
$1,866.88 |
$3,804.45
|
|
Nudt15 gene common variants
|
$37.29 |
$37.29 |
$37.29 |
$320.50
|
|
Nushield 1 square cm
|
$1,847.52 |
$1,847.52 |
$1,847.52 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$137.92 |
$137.92 |
$137.92 |
$392.45
|
|
Obstetrics panel
|
$72.16 |
$72.16 |
$72.16 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$172.64 |
$172.64 |
$172.64 |
$338.17
|
|
Ob Ultrasound nuchal meas add-on
|
$172.64 |
$172.64 |
$172.64 |
$249.60
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$71.55 |
$71.55 |
$71.55 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$50.67 |
$50.67 |
$50.67 |
$109.58
|
|
Oncology prostate prob score
|
$123.20 |
$123.20 |
$123.20 |
$865.80
|
|
Onco (ovar) five proteins
|
$71.20 |
$71.20 |
$71.20 |
$986.70
|
|
Oncoprotein dcp
|
$9.16 |
$9.16 |
$9.16 |
$161.60
|
|
Oncoprotein her-2/neu
|
$54.28 |
$54.28 |
$54.28 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$15.68 |
$15.68 |
$15.68 |
$22.62
|
|
Ophth Ultrasound b & quant a
|
$156.80 |
$156.80 |
$156.80 |
$334.50
|
|
Organic acids total quant ea spec
|
$15.71 |
$15.71 |
$15.71 |
$151.36
|
|
Ortho elbow w/lock w/ft&adj
|
$139.52 |
$139.52 |
$139.52 |
$504.00
|
|
Osmolality blood
|
$53.92 |
$53.92 |
$53.92 |
$69.55
|
|
Osmolality urine
|
$58.72 |
$58.72 |
$58.72 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$140.64 |
$140.64 |
$140.64 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$131.04 |
$131.04 |
$131.04 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$135.84 |
$135.84 |
$135.84 |
$263.50
|
|
Oth resp proc, indiv
|
$16.96 |
$16.96 |
$16.96 |
$83.50
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$37.60 |
$37.60 |
$37.60 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$40.00 |
$40.00 |
$40.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$201.60 |
$201.60 |
$201.60 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$48.48 |
$48.48 |
$48.48 |
$98.90
|