|
MRA pelvis
|
$2,499.80 |
$2,499.80 |
$2,499.80 |
$2,229.00
|
|
MRA without fol w/cont, abd
|
$6,173.30 |
$6,173.30 |
$6,173.30 |
$3,331.46
|
|
MRI breast without cont bi
|
$2,765.75 |
$2,765.75 |
$2,765.75 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$1,192.09 |
$1,192.09 |
$1,192.09 |
$1,876.12
|
|
MRI chest without contrast
|
$3,872.43 |
$3,872.43 |
$3,872.43 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$5,994.31 |
$5,994.31 |
$5,994.31 |
$2,564.10
|
|
MRI guid ndl plc s&i
|
$3,165.13 |
$3,165.13 |
$3,165.13 |
$1,133.22
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,619.83 |
$2,619.83 |
$2,619.83 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,451.54 |
$3,451.54 |
$3,451.54 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$4,347.21 |
$4,347.21 |
$4,347.21 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$6,374.81 |
$6,374.81 |
$6,374.81 |
$2,674.83
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,308.51 |
$2,308.51 |
$2,308.51 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,676.52 |
$3,676.52 |
$3,676.52 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,770.21 |
$2,770.21 |
$2,770.21 |
$1,968.59
|
|
Mr safety determination physician/other qhp
|
$210.74 |
$210.74 |
$210.74 |
$160.20
|
|
Mr safety implant elec prepj
|
$220.91 |
$220.91 |
$220.91 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$140.35 |
$140.35 |
$140.35 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$58.85 |
$58.85 |
$58.85 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$580.70 |
$580.70 |
$580.70 |
$402.40
|
|
Mthfr gene analy common variants
|
$216.22 |
$216.22 |
$216.22 |
$211.70
|
|
Mumps antibody igg
|
$44.00 |
$44.00 |
$44.00 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$156.53 |
$156.53 |
$156.53 |
$18.12
|
|
Mycoplasma antibody igm
|
$72.27 |
$72.27 |
$72.27 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$580.14 |
$580.14 |
$580.14 |
$397.50
|
|
Myelography via inj w/s&i lumbosacral
|
$2,624.66 |
$2,624.66 |
$2,624.66 |
$2,006.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$96.53 |
$96.53 |
$96.53 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$49.85 |
$49.85 |
$49.85 |
$38.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$326.88 |
$326.88 |
$326.88 |
$691.35
|
|
Nasopharyngoscopy w/endoscope
|
$354.60 |
$354.60 |
$354.60 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$36,616.00 |
$36,616.00 |
$36,616.00 |
$22,257.60
|
|
Natriuretic peptide
|
$311.96 |
$311.96 |
$311.96 |
$176.15
|
|
Natural killer cells total count
|
$472.11 |
$472.11 |
$472.11 |
$131.82
|
|
N block inj hypogas plxs
|
$3,696.66 |
$3,696.66 |
$3,696.66 |
$2,092.25
|
|
Ndl insj without njx 1 or 2 musc
|
$95.96 |
$95.96 |
$95.96 |
$43.00
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,001.71 |
$3,001.71 |
$3,001.71 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,823.69 |
$2,823.69 |
$2,823.69 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,329.67 |
$6,329.67 |
$6,329.67 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$5,736.05 |
$5,736.05 |
$5,736.05 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,684.42 |
$5,684.42 |
$5,684.42 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,452.15 |
$5,452.15 |
$5,452.15 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,814.78 |
$2,814.78 |
$2,814.78 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$84.73 |
$84.73 |
$84.73 |
$56.70
|
|
Nerve teasing preparations
|
$2,213.67 |
$2,213.67 |
$2,213.67 |
$698.49
|
|
Neurolysis celiac plexus
|
$3,497.89 |
$3,497.89 |
$3,497.89 |
$2,046.85
|
|
New Patient Office Visit (level 2)
|
$402.91 |
$402.91 |
$402.91 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$502.45 |
$502.45 |
$502.45 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$601.97 |
$601.97 |
$601.97 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$701.49 |
$701.49 |
$701.49 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$601.31 |
$601.31 |
$601.31 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$18.83 |
$18.83 |
$18.83 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$32,702.13 |
$32,702.13 |
$32,702.13 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$156,899.87 |
$156,899.87 |
$156,899.87 |
$85,051.55
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,518.50 |
$1,518.50 |
$1,518.50 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,763.46 |
$1,763.46 |
$1,763.46 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,475.80 |
$1,475.80 |
$1,475.80 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,566.53 |
$1,566.53 |
$1,566.53 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,225.86 |
$1,225.86 |
$1,225.86 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$867.47 |
$867.47 |
$867.47 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,765.34 |
$1,765.34 |
$1,765.34 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$981.46 |
$981.46 |
$981.46 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,016.09 |
$2,016.09 |
$2,016.09 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,334.78 |
$1,334.78 |
$1,334.78 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,024.52 |
$1,024.52 |
$1,024.52 |
$1,020.34
|
|
Nr lnr acclrtr tx max 5 sessions
|
$18,827.36 |
$18,827.36 |
$18,827.36 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$4,105.52 |
$4,105.52 |
$4,105.52 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$3,684.90 |
$3,684.90 |
$3,684.90 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$3,106.45 |
$3,106.45 |
$3,106.45 |
$3,921.45
|
|
Nudt15 gene common variants
|
$963.67 |
$963.67 |
$963.67 |
$320.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$6,032.05 |
$6,032.05 |
$6,032.05 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$247.65 |
$247.65 |
$247.65 |
$411.10
|
|
Observation per hour
|
$64.23 |
$64.23 |
$64.23 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$190,457.86 |
$190,457.86 |
$190,457.86 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$93.18 |
$93.18 |
$93.18 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$37,226.90 |
$37,226.90 |
$37,226.90 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$13,074.03 |
$13,074.03 |
$13,074.03 |
$4,797.94
|
|
Oncology prostate prob score
|
$1,194.22 |
$1,194.22 |
$1,194.22 |
$1,048.80
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$34.25 |
$34.25 |
$34.25 |
$34.32
|
|
Organic acids total quant ea spec
|
$61.47 |
$61.47 |
$61.47 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$72.93 |
$72.93 |
$72.93 |
$65.07
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$1,059.41 |
$1,059.41 |
$1,059.41 |
$213.39
|
|
Orthovisc inj per dose
|
$532.01 |
$532.01 |
$532.01 |
$498.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$1,306.43 |
$1,306.43 |
$1,306.43 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$197.79 |
$197.79 |
$197.79 |
$221.34
|
|
Osmolality blood
|
$121.88 |
$121.88 |
$121.88 |
$67.60
|
|
Osmolality urine
|
$125.69 |
$125.69 |
$125.69 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$562.30 |
$562.30 |
$562.30 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$281.15 |
$281.15 |
$281.15 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$421.73 |
$421.73 |
$421.73 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$178.70 |
$178.70 |
$178.70 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$177.30 |
$177.30 |
$177.30 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$164.63 |
$164.63 |
$164.63 |
$107.32
|
|
Ot re-evaluation patient/family
|
$235.00 |
$235.00 |
$235.00 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$174.49 |
$174.49 |
$174.49 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$130.85 |
$130.85 |
$130.85 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$130.85 |
$130.85 |
$130.85 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$159.00 |
$159.00 |
$159.00 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$167.44 |
$167.44 |
$167.44 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$199.82 |
$199.82 |
$199.82 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$488.25 |
$488.25 |
$488.25 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,524.55 |
$1,524.55 |
$1,524.55 |
$231.46
|