|
MRI breast c- unilateral
|
$4,113.21 |
$4,113.21 |
$4,113.21 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$4,113.21 |
$4,113.21 |
$4,113.21 |
$1,829.72
|
|
MRI breast without cont bi
|
$760.85 |
$1,276.75 |
$5,300.79 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$4,113.21 |
$4,113.21 |
$4,113.21 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$2,164.14 |
$2,164.14 |
$15,173.50 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,309.01 |
$10,754.00 |
$21,902.75 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,970.81 |
$3,970.81 |
$8,664.25 |
$2,249.80
|
|
MRI chest without contrast
|
$4,763.87 |
$4,763.87 |
$13,494.25 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$7,443.54 |
$7,443.54 |
$21,902.75 |
$2,564.10
|
|
MRI chest w IV cont
|
$5,954.83 |
$5,954.83 |
$15,530.00 |
$2,105.25
|
|
MRI fetal sngl/1st gestation
|
$1,979.75 |
$1,979.75 |
$11,308.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$5,490.95 |
$5,490.95 |
$5,490.95 |
$1,133.22
|
|
MRI loex nonjt w IV cont
|
$6,413.51 |
$6,413.51 |
$6,413.51 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$5,300.48 |
$5,300.48 |
$5,300.48 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$7,526.55 |
$7,526.55 |
$7,526.55 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$6,107.69 |
$6,107.69 |
$13,494.25 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$7,868.00 |
$7,868.00 |
$17,521.75 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$6,352.56 |
$6,352.56 |
$18,119.75 |
$2,120.25
|
|
MRI tmj
|
$1,015.43 |
$1,015.43 |
$13,494.25 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$5,237.40 |
$5,237.40 |
$5,237.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$7,239.41 |
$7,239.41 |
$7,239.41 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$6,032.86 |
$6,032.86 |
$6,032.86 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$6,756.34 |
$6,756.34 |
$16,158.25 |
$1,967.55
|
|
MRI w/cont, breast, uni
|
$5,032.92 |
$5,032.92 |
$5,032.92 |
$1,294.80
|
|
MRI without fol w/cont, breast
|
$16,158.25 |
$16,158.25 |
$16,158.25 |
$2,056.69
|
|
Mr safety determination physician/other qhp
|
$442.94 |
$442.94 |
$442.94 |
$160.20
|
|
Mr safety implant elec prepj
|
$464.32 |
$464.32 |
$464.32 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$294.99 |
$294.99 |
$294.99 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$51.43 |
$81.00 |
$123.68 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$1,220.54 |
$1,220.54 |
$1,220.54 |
$402.40
|
|
Mr spectroscopy
|
$7,116.75 |
$7,116.75 |
$7,354.62 |
$1,322.36
|
|
Msh2 gene dup/delete variant
|
$699.00 |
$699.00 |
$699.00 |
$388.30
|
|
Msh2 gene full seq
|
$873.00 |
$873.00 |
$873.00 |
$504.56
|
|
Msh2 gene known variants
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$1,711.20 |
$1,711.20 |
$1,969.00 |
$476.00
|
|
Msh6 gene full seq
|
$873.00 |
$873.00 |
$1,711.20 |
$773.00
|
|
Msh6 gene known variants
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$425.04
|
|
Mthfr gene analy common variants
|
$599.00 |
$629.85 |
$1,292.94 |
$211.70
|
|
Mucin synovial fluid
|
$745.00 |
$745.00 |
$745.00 |
$30.00
|
|
Mucopolysaccharides
|
$1,259.25 |
$1,259.25 |
$1,259.25 |
$205.15
|
|
Multi family grp psychotherapy
|
$213.27 |
$213.27 |
$213.27 |
$213.27
|
|
Multiple sleep latency test
|
$4,667.00 |
$6,213.00 |
$7,221.14 |
$2,585.70
|
|
Mumps antibody igg
|
$256.10 |
$256.10 |
$256.10 |
$78.00
|
|
Muscle test cran nerv unilat
|
$640.47 |
$640.47 |
$640.47 |
$385.07
|
|
Muscle test larynx
|
$1,045.00 |
$1,045.00 |
$2,042.29 |
$305.00
|
|
Muscle test one fiber
|
$633.50 |
$633.50 |
$633.50 |
$442.40
|
|
Mycobacteria dna amp probe
|
$418.61 |
$418.61 |
$418.61 |
$240.24
|
|
Mycophenolate mofetil 250 mg capsule
|
$71.68 |
$71.68 |
$71.68 |
$12.06
|
|
Mycoplasma antibody igm
|
$357.13 |
$357.13 |
$357.13 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$417.64 |
$675.00 |
$2,061.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$3,384.25 |
$3,635.65 |
$5,085.00 |
$1,366.30
|
|
Myelography l-s spine
|
$3,137.10 |
$3,158.21 |
$5,085.00 |
$1,334.09
|
|
Myelography neck spine
|
$2,305.75 |
$3,197.17 |
$5,085.00 |
$1,103.70
|
|
Myelography thoracic spine
|
$2,460.06 |
$3,004.50 |
$5,085.00 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$6,929.41 |
$6,929.41 |
$6,929.41 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$6,419.83 |
$6,419.83 |
$6,419.83 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$5,861.53 |
$5,861.53 |
$5,861.53 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$4,301.35 |
$4,301.35 |
$4,301.35 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$404.74 |
$404.74 |
$404.74 |
$134.40
|
|
Myocrd img pet 1std rst/strs
|
$7,643.28 |
$7,643.28 |
$7,643.28 |
$3,267.37
|
|
Myocrd img pet 1 std w/ct
|
$9,915.72 |
$9,915.72 |
$9,915.72 |
$2,135.64
|
|
Myocrd img pet 2rtracer CT
|
$10,387.30 |
$10,387.30 |
$10,387.30 |
$4,308.50
|
|
Myocrd img pet mlt rst&strs
|
$9,554.09 |
$9,554.09 |
$9,554.09 |
$3,055.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$160.25 |
$160.25 |
$850.00 |
$43.66
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$158.47 |
$158.47 |
$158.47 |
$86.76
|
|
Nasal endoscopy with removal of nasal foreign body
|
$1,148.14 |
$1,148.14 |
$1,148.14 |
$691.35
|
|
Nasopharyngoscopy w/endoscope
|
$717.25 |
$1,068.00 |
$5,697.97 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$33,329.78 |
$33,329.78 |
$33,329.78 |
$17,087.95
|
|
Natriuretic peptide
|
$712.88 |
$964.66 |
$1,331.50 |
$176.15
|
|
Natural killer cells total count
|
$284.43 |
$284.43 |
$284.43 |
$131.82
|
|
N block inj hypogas plxs
|
$2,852.91 |
$2,852.91 |
$2,852.91 |
$2,092.25
|
|
Ndl emg musc 1 xtr/non-limb
|
$364.25 |
$552.00 |
$1,150.72 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$42.43 |
$42.43 |
$42.43 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$63.66 |
$63.66 |
$63.66 |
$54.60
|
|
Ndl oculoelectromyography 1+
|
$541.25 |
$541.25 |
$541.25 |
$81.12
|
|
Ndl round specialty proguide
|
$388.83 |
$388.83 |
$388.83 |
$388.83
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$5,973.80 |
$5,973.80 |
$17,900.50 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$5,769.23 |
$5,769.23 |
$8,021.50 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$5,157.05 |
$5,157.05 |
$5,157.05 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,922.87 |
$6,922.87 |
$21,902.75 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$6,266.04 |
$6,266.04 |
$18,119.75 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,728.06 |
$5,728.06 |
$13,494.25 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$7,167.61 |
$7,167.61 |
$21,902.75 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$6,332.00 |
$12,612.00 |
$18,119.75 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$5,496.42 |
$5,496.42 |
$10,795.50 |
$1,790.58
|
|
Neisseria meningitidis
|
$275.60 |
$275.60 |
$275.60 |
$59.15
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$47.00 |
$139.78 |
$721.00 |
$51.35
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$647.25 |
$647.25 |
$794.89 |
$414.40
|
|
Nerve conduction 7-8 studies
|
$366.25 |
$3,105.00 |
$5,278.20 |
$761.48
|
|
Nerve conduction studies 11-12
|
$433.00 |
$4,141.00 |
$7,917.28 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$326.50 |
$326.50 |
$1,319.54 |
$341.10
|
|
Nerve conduction studies 13+
|
$433.00 |
$4,655.00 |
$9,254.26 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$366.25 |
$2,069.00 |
$2,639.06 |
$495.30
|
|
Nerve conduction studies 5-6
|
$366.25 |
$2,588.00 |
$3,958.64 |
$685.75
|
|
Nerve conduction studies 9-10
|
$433.00 |
$3,622.00 |
$6,597.72 |
$1,244.90
|
|
Nerve teasing preparations
|
$2,234.49 |
$2,234.49 |
$2,234.49 |
$698.49
|
|
Nesiritide injection
|
$9,811.00 |
$9,811.00 |
$11,599.50 |
$3,516.69
|
|
Neurolysis celiac plexus
|
$5,491.63 |
$5,491.63 |
$5,491.63 |
$2,046.85
|
|
Neurolysis trigeminal nerve
|
$5,989.98 |
$5,989.98 |
$5,989.98 |
$2,114.70
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$364.25 |
$605.49 |
$1,190.00 |
$256.41
|