|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$481.00 |
$481.00 |
$481.00 |
$306.13
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$114.00 |
$114.00 |
$114.00 |
$39.72
|
|
Metabolic Blood Panel (Basic)
|
$1,601.00 |
$1,601.00 |
$1,601.00 |
$111.15
|
|
Metabolic Blood Panel (Comprehensive)
|
$4,168.00 |
$4,168.00 |
$4,168.00 |
$145.24
|
|
Metabolic panel ionized ca
|
$1,601.00 |
$1,601.00 |
$1,601.00 |
$121.50
|
|
Methotrexate sodium 2.5 mg tablet
|
$85.00 |
$85.00 |
$85.00 |
$18.64
|
|
Methotrexate therapeutic drug level
|
$287.00 |
$287.00 |
$287.00 |
$103.74
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$106.00 |
$106.00 |
$106.00 |
$76.59
|
|
Methylprednisolone 4 mg tablet
|
$22.00 |
$22.00 |
$22.00 |
$5.28
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$111.08 |
$111.08 |
$111.08 |
$64.09
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$106.00 |
$106.00 |
$106.00 |
$25.11
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$146.00 |
$146.00 |
$146.00 |
$11.70
|
|
Minocycline hydrochloride
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$661.32
|
|
Mitomycin 40 mg intravenous solution
|
$816.00 |
$816.00 |
$816.00 |
$1,566.11
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$2,624.00 |
$2,624.00 |
$2,624.00 |
$437.16
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$947.00 |
$947.00 |
$947.00 |
$333.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$688.00 |
$688.00 |
$688.00 |
$309.50
|
|
M/phmtrc alys ishquant/semiq
|
$675.00 |
$675.00 |
$675.00 |
$580.00
|
|
MRA chest wo IV cont
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,268.15
|
|
MRA chest wwo IV cont
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,492.05
|
|
MRA without fol w/cont, abd
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$3,331.46
|
|
MRA without fol w/cont, lwr ext
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$1,954.80
|
|
MRA without fol w/cont, pelvis
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,305.60
|
|
MRI breast without cont bi
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$1,946.48
|
|
MRI chest without contrast
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,575.00
|
|
MRI chest w IV cont
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,105.25
|
|
MRI fetal ea addl gestation
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$576.10
|
|
MRI fetal sngl/1st gestation
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$12,397.00 |
$12,397.00 |
$12,397.00 |
$1,129.44
|
|
MRI orbit/face/neck without contrast
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,883.20
|
|
MRI orbit/face/neck without & w/contrast
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,680.00
|
|
MRI orbit fac&nck w IV cont
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,098.78
|
|
MRI tmj
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,855.70
|
|
MRI w/cont, breast, bi
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$1,831.25
|
|
MRI without fol w/cont, breast
|
$6,317.00 |
$6,317.00 |
$6,317.00 |
$2,071.85
|
|
Mr spectroscopy
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$160.00 |
$160.00 |
$160.00 |
$213.20
|
|
Nalbuphine 10 mg/ml injection solution
|
$98.00 |
$98.00 |
$98.00 |
$37.81
|
|
Natriuretic peptide
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$174.85
|
|
Natural killer cells total count
|
$362.00 |
$362.00 |
$362.00 |
$122.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$15,911.00 |
$15,911.00 |
$15,911.00 |
$1,786.00
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$14,463.00 |
$14,463.00 |
$14,463.00 |
$1,526.40
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,679.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,790.58
|
|
Nelarabine injection
|
$37.15 |
$37.15 |
$37.15 |
$843.83
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.00 |
$7.00 |
$7.00 |
$58.66
|
|
New Patient Office Visit (level 3)
|
$450.00 |
$450.00 |
$450.00 |
$222.00
|
|
New Patient Office Visit (level 4)
|
$597.00 |
$597.00 |
$597.00 |
$300.00
|
|
Nm imaging bone/joint 3 phase study
|
$8,401.00 |
$8,401.00 |
$8,401.00 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$8,021.00 |
$8,021.00 |
$8,021.00 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$1,446.64
|
|
Nm imaging gastric emptying study
|
$5,936.00 |
$5,936.00 |
$5,936.00 |
$1,457.30
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$1,813.50
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$7,422.00 |
$7,422.00 |
$7,422.00 |
$1,600.20
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,542.00 |
$4,542.00 |
$4,542.00 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$6,393.00 |
$6,393.00 |
$6,393.00 |
$1,030.07
|
|
Nuclear Stress Test (Heart)
|
$11,790.00 |
$11,790.00 |
$11,790.00 |
$3,921.45
|
|
Ob Ultrasound nuchal meas 1 gest
|
$1,346.00 |
$1,346.00 |
$1,346.00 |
$326.25
|
|
Ob Ultrasound nuchal meas add-on
|
$807.00 |
$807.00 |
$807.00 |
$243.29
|
|
Olanzapine 10 mg intramuscular solution
|
$961.00 |
$961.00 |
$961.00 |
$122.78
|
|
Ondansetron 8 mg disintegrating tablet
|
$177.00 |
$177.00 |
$177.00 |
$10.08
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$239.00 |
$239.00 |
$239.00 |
$63.72
|
|
Orthopantogram
|
$456.00 |
$456.00 |
$456.00 |
$219.22
|
|
Oscillation chest wall mechanical per session
|
$747.00 |
$747.00 |
$747.00 |
$222.28
|
|
Osmolality blood
|
$731.00 |
$731.00 |
$731.00 |
$67.60
|
|
Osmolality urine
|
$731.00 |
$731.00 |
$731.00 |
$66.50
|
|
Ot evaluation high complexity patient/family
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$303.20
|
|
Ot evaluation low complexity patient/family
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$270.58
|
|
Ot re-evaluation patient/family
|
$681.00 |
$681.00 |
$681.00 |
$175.72
|
|
Oxytocin 10 unit/ml injection solution
|
$98.00 |
$98.00 |
$98.00 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$3.00 |
$3.00 |
$3.00 |
$218.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$8,328.00 |
$8,328.00 |
$8,328.00 |
$4,072.50
|
|
Palivizumab 50 mg/0.5 ml inj
|
$8,252.00 |
$8,252.00 |
$8,252.00 |
$5,156.88
|
|
Parathormone (pth) intact
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$196.48
|
|
Parathyroid planar imaging
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$1,419.20
|
|
Paricalcitol
|
$215.00 |
$215.00 |
$215.00 |
$47.38
|
|
Pegaspargase injection
|
$48,013.00 |
$48,013.00 |
$48,013.00 |
$28,424.06
|
|
Pelvic CT scan (with and without contrast)
|
$19,365.00 |
$19,365.00 |
$19,365.00 |
$1,891.05
|
|
Pelvic CT scan (with contrast)
|
$16,137.00 |
$16,137.00 |
$16,137.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$14,673.00 |
$14,673.00 |
$14,673.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,878.41
|
|
Pelvic Ultrasound (complete)
|
$4,806.00 |
$4,806.00 |
$4,806.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$861.00 |
$861.00 |
$861.00 |
$442.65
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$7,700.00 |
$7,700.00 |
$7,700.00 |
$2,664.25
|
|
Pentobarbital sodium inj
|
$185.00 |
$185.00 |
$185.00 |
$152.91
|
|
Phenobarbital therapeutic drug level
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$104.25
|
|
Phentolaine mesylate inj
|
$350.00 |
$350.00 |
$350.00 |
$961.38
|
