|
MRA chest wwo IV cont
|
$11,970.16 |
$11,970.16 |
$11,970.16 |
$2,492.05
|
|
MRA pelvis w IV cont
|
$10,404.22 |
$10,404.22 |
$10,404.22 |
$1,211.35
|
|
MRA pelvis wo IV cont
|
$9,266.20 |
$9,266.20 |
$9,266.20 |
$1,428.05
|
|
MRA w/cont, abd
|
$11,970.16 |
$11,970.16 |
$11,970.16 |
$1,509.90
|
|
MRA without cont, abd
|
$11,970.16 |
$11,970.16 |
$11,970.16 |
$1,523.97
|
|
MRA without fol w/cont, abd
|
$11,970.16 |
$11,970.16 |
$11,970.16 |
$3,331.46
|
|
MRA without fol w/cont, pelvis
|
$10,966.23 |
$10,966.23 |
$10,966.23 |
$2,305.60
|
|
MRI breast without cont bi
|
$1,132.19 |
$1,132.19 |
$1,132.19 |
$1,778.00
|
|
MRI chest without contrast
|
$7,984.77 |
$7,984.77 |
$7,984.77 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$10,119.71 |
$10,119.71 |
$10,119.71 |
$2,564.10
|
|
MRI chest w IV cont
|
$9,399.13 |
$9,399.13 |
$9,399.13 |
$2,105.25
|
|
MRI orbit/face/neck without contrast
|
$10,888.11 |
$10,888.11 |
$10,888.11 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$13,010.23 |
$13,010.23 |
$13,010.23 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$12,288.47 |
$12,288.47 |
$12,288.47 |
$2,120.25
|
|
MRI tmj
|
$16,528.05 |
$16,528.05 |
$16,528.05 |
$1,818.25
|
|
MRI w/cont, breast, bi
|
$11,721.80 |
$11,721.80 |
$11,721.80 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$8,901.24 |
$8,901.24 |
$8,901.24 |
$836.00
|
|
MRI without fol w/cont, breast
|
$1,246.45 |
$1,246.45 |
$1,246.45 |
$2,071.85
|
|
Mthfr gene analy common variants
|
$67.11 |
$67.11 |
$67.11 |
$211.70
|
|
M.tuberculo dna dir probe
|
$58.85 |
$58.85 |
$58.85 |
$58.40
|
|
Mucopolysaccharides
|
$112.89 |
$112.89 |
$112.89 |
$205.15
|
|
Multiple sleep latency test
|
$9,802.04 |
$9,802.04 |
$9,802.04 |
$2,585.70
|
|
Mycophenolate mofetil 250 mg capsule
|
$42.12 |
$42.12 |
$42.12 |
$18.12
|
|
Mycophenolic acid
|
$30.24 |
$30.24 |
$30.24 |
$12.83
|
|
Myelogphy 2/> spine regions
|
$11,282.22 |
$11,282.22 |
$11,282.22 |
$1,366.30
|
|
Myelography l-s spine
|
$10,807.92 |
$10,807.92 |
$10,807.92 |
$1,334.09
|
|
Myelography neck spine
|
$6,635.10 |
$6,635.10 |
$6,635.10 |
$1,103.70
|
|
Myelography thoracic spine
|
$10,807.92 |
$10,807.92 |
$10,807.92 |
$1,085.32
|
|
Nafcillin 2 gram solution for injection
|
$0.24 |
$0.24 |
$0.24 |
$79.98
|
|
Natural killer cells total count
|
$38.72 |
$38.72 |
$38.72 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$14,091.62 |
$14,091.62 |
$14,091.62 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$11,431.32 |
$11,431.32 |
$11,431.32 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$10,993.63 |
$10,993.63 |
$10,993.63 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$19,468.70 |
$19,468.70 |
$19,468.70 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$17,730.20 |
$17,730.20 |
$17,730.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,830.00 |
$5,830.00 |
$5,830.00 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$13,010.23 |
$13,010.23 |
$13,010.23 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$12,288.47 |
$12,288.47 |
$12,288.47 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$10,844.97 |
$10,844.97 |
$10,844.97 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$34.56 |
$34.56 |
$34.56 |
$56.70
|
|
Nerve teasing preparations
|
$117.15 |
$117.15 |
$117.15 |
$698.49
|
|
Nesiritide injection
|
$5,916.24 |
$5,916.24 |
$5,916.24 |
$2,365.81
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$994.74 |
$994.74 |
$994.74 |
$256.41
|
|
Nitroblue tetrazolium dye
|
$500.86 |
$500.86 |
$500.86 |
$18.78
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$118.80 |
$118.80 |
$118.80 |
$65.30
|
|
Nm imaging bone/joint 3 phase study
|
$11,659.33 |
$11,659.33 |
$11,659.33 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$12,411.73 |
$12,411.73 |
$12,411.73 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$5,890.26 |
$5,890.26 |
$5,890.26 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,772.73 |
$2,772.73 |
$2,772.73 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,111.17 |
$4,111.17 |
$4,111.17 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$11,258.35 |
$11,258.35 |
$11,258.35 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,328.78 |
$2,328.78 |
$2,328.78 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$20,255.12 |
$20,255.12 |
$20,255.12 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,665.62 |
$1,665.62 |
$1,665.62 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$10,763.73 |
$10,763.73 |
$10,763.73 |
$1,020.34
|
|
Nuclear rx intracav admin
|
$7,876.44 |
$7,876.44 |
$7,876.44 |
$675.63
|
|
Nuclear rx IV admin
|
$7,876.44 |
$7,876.44 |
$7,876.44 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$18,400.02 |
$18,400.02 |
$18,400.02 |
$3,921.45
|
|
Nuclr rx interstit colloid
|
$7,089.90 |
$7,089.90 |
$7,089.90 |
$372.06
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$276.48 |
$276.48 |
$276.48 |
$14,996.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$12.96 |
$12.96 |
$12.96 |
$34.32
|
|
Oprelvekin injection
|
$3,223.80 |
$3,223.80 |
$3,223.80 |
$848.31
|
|
Organic acids total quant ea spec
|
$370.76 |
$370.76 |
$370.76 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$149.04 |
$149.04 |
$149.04 |
$65.07
|
|
Orthopantogram
|
$1,516.74 |
$1,516.74 |
$1,516.74 |
$219.22
|
|
Osmolality blood
|
$161.25 |
$161.25 |
$161.25 |
$67.60
|
|
Osmolality urine
|
$161.25 |
$161.25 |
$161.25 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$1,341.75 |
$1,341.75 |
$1,341.75 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$671.98 |
$671.98 |
$671.98 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,006.86 |
$1,006.86 |
$1,006.86 |
$270.58
|
|
Other immunoelectrophoresis
|
$35.53 |
$35.53 |
$35.53 |
$46.40
|
|
Ot re-evaluation patient/family
|
$279.81 |
$279.81 |
$279.81 |
$174.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$306.24 |
$306.24 |
$306.24 |
$87.00
|
|
Oxaliplatin 5 mg/ml desensitization
|
$3,262.68 |
$3,262.68 |
$3,262.68 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$14.04 |
$14.04 |
$14.04 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$3.24 |
$3.24 |
$3.24 |
$231.46
|
|
Palonosetron hcl
|
$3,965.76 |
$3,965.76 |
$3,965.76 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$379.08 |
$379.08 |
$379.08 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$8.83 |
$8.83 |
$8.83 |
$44.25
|
|
Parathyroid planar imaging
|
$5,576.30 |
$5,576.30 |
$5,576.30 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,300.14 |
$2,300.14 |
$2,300.14 |
$1,398.75
|
|
Pelvic CT scan (with and without contrast)
|
$17,407.90 |
$17,407.90 |
$17,407.90 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$15,648.01 |
$15,648.01 |
$15,648.01 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$15,210.31 |
$15,210.31 |
$15,210.31 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$16,630.66 |
$16,630.66 |
$16,630.66 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$17,304.61 |
$17,304.61 |
$17,304.61 |
$2,087.21
|
|
Pelvic Ultrasound (complete)
|
$4,637.95 |
$4,637.95 |
$4,637.95 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,937.63 |
$1,937.63 |
$1,937.63 |
$445.00
|
|
Peng benzathine/procaine inj
|
$328.32 |
$328.32 |
$328.32 |
$258.72
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$62.64 |
$62.64 |
$62.64 |
$100.50
|
|
Pentobarbital sodium inj
|
$253.80 |
$253.80 |
$253.80 |
$167.64
|
|
Peritoneogram rs&i
|
$4,598.16 |
$4,598.16 |
$4,598.16 |
$648.84
|
|
Perit-vens shunt pat tst
|
$6,263.70 |
$6,263.70 |
$6,263.70 |
$695.40
|
|
Perphenazine 4mg oral
|
$14.04 |
$14.04 |
$14.04 |
$9.93
|
|
Pertussis ag if
|
$20.01 |
$20.01 |
$20.01 |
$49.00
|
|
Pet image w/ct lmtd
|
$17,844.95 |
$17,844.95 |
$17,844.95 |
$4,422.60
|
|
Phenobarbital therapeutic drug level
|
$145.95 |
$145.95 |
$145.95 |
$104.50
|
|
Phentolaine mesylate inj
|
$935.28 |
$935.28 |
$935.28 |
$1,011.98
|
|
Phenytoin total therapeutic drug level
|
$145.95 |
$145.95 |
$145.95 |
$111.27
|
|
Phlebotomy therapeutic
|
$899.32 |
$899.32 |
$899.32 |
$249.00
|