|
MRI cardiac morph & func wo IV cont
|
$3,427.76 |
$3,427.76 |
$3,427.76 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,206.25 |
$3,206.25 |
$3,206.25 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,393.15 |
$4,393.15 |
$4,393.15 |
$2,249.80
|
|
MRI chest without contrast
|
$6,533.80 |
$6,533.80 |
$6,533.80 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$6,533.80 |
$6,533.80 |
$6,533.80 |
$2,564.10
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$5,075.94 |
$5,075.94 |
$5,075.94 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$7,720.66 |
$7,720.66 |
$7,720.66 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$5,515.21 |
$5,515.21 |
$5,515.21 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$6,155.70 |
$6,155.70 |
$6,155.70 |
$2,674.83
|
|
MRI tmj
|
$4,696.91 |
$4,696.91 |
$4,696.91 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$5,633.42 |
$5,633.42 |
$5,633.42 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$7,720.66 |
$7,720.66 |
$7,720.66 |
$2,655.25
|
|
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
|
$260.21 |
$260.21 |
$260.21 |
$211.70
|
|
Mumps antibody igg
|
$44.00 |
$44.00 |
$44.00 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$108.17 |
$108.17 |
$108.17 |
$18.12
|
|
Mycoplasma antibody igm
|
$75.88 |
$75.88 |
$75.88 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$609.15 |
$609.15 |
$609.15 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$2,508.49 |
$2,508.49 |
$2,508.49 |
$1,366.30
|
|
Myelography l-s spine
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,334.09
|
|
Myelography via inj w/s&i 2+ regions
|
$3,147.53 |
$3,147.53 |
$3,147.53 |
$2,352.78
|
|
Myelography via inj w/s&i lumbosacral
|
$2,857.73 |
$2,857.73 |
$2,857.73 |
$2,006.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$183.75 |
$183.75 |
$183.75 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$38.73 |
$38.73 |
$38.73 |
$38.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$305.31 |
$305.31 |
$305.31 |
$691.35
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$18,869.55 |
$18,869.55 |
$18,869.55 |
$22,257.60
|
|
Natriuretic peptide
|
$363.95 |
$363.95 |
$363.95 |
$176.15
|
|
Natural killer cells total count
|
$565.62 |
$565.62 |
$565.62 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$5,642.35 |
$5,642.35 |
$5,642.35 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,109.75 |
$3,109.75 |
$3,109.75 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$4,246.15 |
$4,246.15 |
$4,246.15 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$9,429.95 |
$9,429.95 |
$9,429.95 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$8,079.37 |
$8,079.37 |
$8,079.37 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$6,148.60 |
$6,148.60 |
$6,148.60 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$6,867.12 |
$6,867.12 |
$6,867.12 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$6,378.17 |
$6,378.17 |
$6,378.17 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$6,265.72 |
$6,265.72 |
$6,265.72 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$58.66 |
$58.66 |
$58.66 |
$56.70
|
|
New Patient Office Visit (level 2)
|
$520.80 |
$520.80 |
$520.80 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$568.30 |
$568.30 |
$568.30 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$641.63 |
$641.63 |
$641.63 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$698.11 |
$698.11 |
$698.11 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$426.78 |
$426.78 |
$426.78 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$17.73 |
$17.73 |
$17.73 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$14,184.35 |
$14,184.35 |
$14,184.35 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$67,987.58 |
$67,987.58 |
$67,987.58 |
$85,051.55
|
|
Nm imaging bone/joint 3 phase study
|
$4,333.62 |
$4,333.62 |
$4,333.62 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$3,339.54 |
$3,339.54 |
$3,339.54 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$3,341.31 |
$3,341.31 |
$3,341.31 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,955.23 |
$2,955.23 |
$2,955.23 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,237.50 |
$2,237.50 |
$2,237.50 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,862.14 |
$3,862.14 |
$3,862.14 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$3,267.89 |
$3,267.89 |
$3,267.89 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$6,240.18 |
$6,240.18 |
$6,240.18 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,997.01 |
$1,997.01 |
$1,997.01 |
$1,186.03
|
|
Ntsty modul rad tx dlvr cplx
|
$2,598.34 |
$2,598.34 |
$2,598.34 |
$2,590.00
|
|
Nuclear Stress Test (Heart)
|
$10,470.71 |
$10,470.71 |
$10,470.71 |
$3,921.45
|
|
Nudt15 gene common variants
|
$1,011.85 |
$1,011.85 |
$1,011.85 |
$320.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$2,679.41 |
$2,679.41 |
$2,679.41 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$1,422.23 |
$1,422.23 |
$1,422.23 |
$411.10
|
|
Observation per hour
|
$55.53 |
$55.53 |
$55.53 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$98,101.41 |
$98,101.41 |
$98,101.41 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$65.45 |
$65.45 |
$65.45 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$19,184.18 |
$19,184.18 |
$19,184.18 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$6,744.93 |
$6,744.93 |
$6,744.93 |
$4,797.94
|
|
Oncology prostate prob score
|
$1,589.73 |
$1,589.73 |
$1,589.73 |
$1,048.80
|
|
Onco (ovar) five proteins
|
$1,347.62 |
$1,347.62 |
$1,347.62 |
$897.00
|
|
Oncoprotein dcp
|
$223.68 |
$223.68 |
$223.68 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$31.41 |
$31.41 |
$31.41 |
$34.32
|
|
Organic acids total quant ea spec
|
$191.64 |
$191.64 |
$191.64 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.61 |
$53.61 |
$53.61 |
$65.07
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$832.38 |
$832.38 |
$832.38 |
$213.39
|
|
Orthovisc inj per dose
|
$285.52 |
$285.52 |
$285.52 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$1,028.45 |
$1,028.45 |
$1,028.45 |
$221.34
|
|
Osmolality blood
|
$142.19 |
$142.19 |
$142.19 |
$67.60
|
|
Osmolality urine
|
$146.63 |
$146.63 |
$146.63 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$333.44 |
$333.44 |
$333.44 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$333.44 |
$333.44 |
$333.44 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$333.44 |
$333.44 |
$333.44 |
$270.58
|
|
Oth resp proc, indiv
|
$131.10 |
$131.10 |
$131.10 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$126.66 |
$126.66 |
$126.66 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$153.06 |
$153.06 |
$153.06 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$150.33 |
$150.33 |
$150.33 |
$107.32
|
|
Ot re-evaluation patient/family
|
$234.15 |
$234.15 |
$234.15 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$167.49 |
$167.49 |
$167.49 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$144.70 |
$144.70 |
$144.70 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$447.89 |
$447.89 |
$447.89 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$193.07 |
$193.07 |
$193.07 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$140.01 |
$140.01 |
$140.01 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$133.50 |
$133.50 |
$133.50 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$240.02 |
$240.02 |
$240.02 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$791.77 |
$791.77 |
$791.77 |
$231.46
|
|
Palonosetron hcl
|
$683.85 |
$683.85 |
$683.85 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$128.31 |
$128.31 |
$128.31 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$15,116.33 |
$15,116.33 |
$15,116.33 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$54.71 |
$54.71 |
$54.71 |
$44.25
|