|
MRI loex nonjt w IV cont
|
$1,499.20 |
$1,499.20 |
$1,499.20 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,404.40 |
$1,404.40 |
$1,404.40 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,406.80 |
$1,406.80 |
$1,406.80 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$1,430.40 |
$1,430.40 |
$1,430.40 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$2,120.25
|
|
MRI tmj
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,470.40 |
$1,470.40 |
$1,470.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$1,968.59
|
|
MRI without fol w/cont, breast
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,071.85
|
|
MRI without fol w/cont, brst, un
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$888.25
|
|
Mr safety determination physician/other qhp
|
$116.40 |
$116.40 |
$116.40 |
$160.20
|
|
Mr safety implant elec prepj
|
$121.60 |
$121.60 |
$121.60 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$78.40 |
$78.40 |
$78.40 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$32.40 |
$32.40 |
$32.40 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$319.60 |
$319.60 |
$319.60 |
$402.40
|
|
Mr spectroscopy
|
$870.00 |
$870.00 |
$870.00 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$30.00 |
$30.00 |
$30.00 |
$211.70
|
|
Mumps antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$6.56 |
$6.56 |
$6.56 |
$18.12
|
|
Mycophenolic acid
|
$8.40 |
$8.40 |
$8.40 |
$12.83
|
|
Mycoplasma antibody igm
|
$75.64 |
$75.64 |
$75.64 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$116.00 |
$116.00 |
$116.00 |
$397.50
|
|
Myelography l-s spine
|
$1,662.40 |
$1,662.40 |
$1,662.40 |
$1,334.09
|
|
Myelography neck spine
|
$1,889.60 |
$1,889.60 |
$1,889.60 |
$1,103.70
|
|
Myelography thoracic spine
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,085.32
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$114.50 |
$114.50 |
$114.50 |
$134.40
|
|
Myocrd img pet 1 std w/ct
|
$5,002.40 |
$5,002.40 |
$5,002.40 |
$2,135.64
|
|
Myocrd img pet 2rtracer CT
|
$5,607.20 |
$5,607.20 |
$5,607.20 |
$4,308.50
|
|
Myocrd img pet rst/strs w/ct
|
$4,322.80 |
$4,322.80 |
$4,322.80 |
$2,262.00
|
|
Nafcillin 2 gram solution for injection
|
$0.24 |
$0.24 |
$0.24 |
$79.98
|
|
Nalbuphine 10 mg/ml injection solution
|
$8.54 |
$8.54 |
$8.54 |
$38.00
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$17.44 |
$17.44 |
$17.44 |
$22,257.60
|
|
Natriuretic peptide
|
$91.64 |
$91.64 |
$91.64 |
$176.15
|
|
Natural killer cells total count
|
$90.28 |
$90.28 |
$90.28 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,070.80 |
$1,070.80 |
$1,070.80 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$899.60 |
$899.60 |
$899.60 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$877.20 |
$877.20 |
$877.20 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,368.80 |
$1,368.80 |
$1,368.80 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,488.40 |
$1,488.40 |
$1,488.40 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,084.40 |
$1,084.40 |
$1,084.40 |
$1,790.58
|
|
Nelarabine injection
|
$481.60 |
$481.60 |
$481.60 |
$1,051.57
|
|
New Patient Office Visit (level 2)
|
$172.80 |
$172.80 |
$172.80 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$292.80 |
$292.80 |
$292.80 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$282.80 |
$282.80 |
$282.80 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$433.20 |
$433.20 |
$433.20 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.21 |
$4.21 |
$4.21 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$266.35 |
$266.35 |
$266.35 |
$85,051.55
|
|
Nm imaging bone/joint 3 phase study
|
$3,040.40 |
$3,040.40 |
$3,040.40 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$2,826.40 |
$2,826.40 |
$2,826.40 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$2,508.40 |
$2,508.40 |
$2,508.40 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,621.20 |
$2,621.20 |
$2,621.20 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$3,187.20 |
$3,187.20 |
$3,187.20 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,546.00 |
$1,546.00 |
$1,546.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,659.20 |
$1,659.20 |
$1,659.20 |
$1,020.34
|
|
Npm1 gene
|
$120.00 |
$120.00 |
$120.00 |
$430.95
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,590.80 |
$3,590.80 |
$3,590.80 |
$7,875.40
|
|
Nuclear rx intra-arterial
|
$813.20 |
$813.20 |
$813.20 |
$761.95
|
|
Nuclear rx IV admin
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$5,966.00 |
$5,966.00 |
$5,966.00 |
$3,921.45
|
|
Nushield 1 square cm
|
$307.31 |
$307.31 |
$307.31 |
$2,342.13
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$1,702.88 |
$1,702.88 |
$1,702.88 |
$378,000.00
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$67.40 |
$67.40 |
$67.40 |
$14,996.94
|
|
Obstetrics panel
|
$41.80 |
$41.80 |
$41.80 |
$204.80
|
|
Obtaining screen pap smear
|
$18.40 |
$18.40 |
$18.40 |
$29.55
|
|
Ob Ultrasound nuchal meas 1 gest
|
$509.60 |
$509.60 |
$509.60 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$266.80 |
$266.80 |
$266.80 |
$243.29
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$57.64 |
$57.64 |
$57.64 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$72.16 |
$72.16 |
$72.16 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$248.92 |
$248.92 |
$248.92 |
$14,506.60
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$68.76 |
$68.76 |
$68.76 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$38.20 |
$38.20 |
$38.20 |
$4,797.94
|
|
Oncoprotein her-2/neu
|
$99.48 |
$99.48 |
$99.48 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$2.80 |
$2.80 |
$2.80 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$10.36 |
$10.36 |
$10.36 |
$34.32
|
|
Oprelvekin injection
|
$574.00 |
$574.00 |
$574.00 |
$848.31
|
|
Oral aprepitant
|
$12.00 |
$12.00 |
$12.00 |
$374.43
|
|
Organic acids total quant ea spec
|
$30.60 |
$30.60 |
$30.60 |
$151.36
|
|
Oritavancin 1,200 mg intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$3,791.12
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.96 |
$50.96 |
$50.96 |
$65.07
|
|
Orthopantogram
|
$170.00 |
$170.00 |
$170.00 |
$219.22
|
|
Orthovisc inj per dose
|
$192.15 |
$192.15 |
$192.15 |
$498.00
|
|
Osmolality blood
|
$27.00 |
$27.00 |
$27.00 |
$67.60
|
|
Osmolality urine
|
$27.00 |
$27.00 |
$27.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$89.20 |
$89.20 |
$89.20 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$89.20 |
$89.20 |
$89.20 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$89.20 |
$89.20 |
$89.20 |
$270.58
|
|
Other immunoelectrophoresis
|
$84.60 |
$84.60 |
$84.60 |
$46.40
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$45.20 |
$45.20 |
$45.20 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$94.40 |
$94.40 |
$94.40 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$84.00 |
$84.00 |
$84.00 |
$107.32
|