|
MRI orbit fac&nck w IV cont
|
$797.17 |
$797.17 |
$797.17 |
$2,120.25
|
|
MRI tmj
|
$843.05 |
$843.05 |
$843.05 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$797.17 |
$797.17 |
$797.17 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$888.93 |
$888.93 |
$888.93 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,359.75 |
$1,359.75 |
$1,359.75 |
$1,968.59
|
|
Mr safety determination physician/other qhp
|
$156.42 |
$156.42 |
$156.42 |
$160.20
|
|
Mr safety implant elec prepj
|
$135.88 |
$135.88 |
$135.88 |
$168.60
|
|
Mthfr gene analy common variants
|
$37.00 |
$37.00 |
$37.00 |
$211.70
|
|
Mumps antibody igg
|
$23.22 |
$23.22 |
$23.22 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$10.18 |
$10.18 |
$10.18 |
$18.12
|
|
Mycophenolic acid
|
$3.56 |
$3.56 |
$3.56 |
$12.83
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$31.82 |
$31.82 |
$31.82 |
$134.40
|
|
Natriuretic peptide
|
$48.19 |
$48.19 |
$48.19 |
$176.15
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$785.70 |
$785.70 |
$785.70 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$693.10 |
$693.10 |
$693.10 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$647.32 |
$647.32 |
$647.32 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$865.99 |
$865.99 |
$865.99 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$820.11 |
$820.11 |
$820.11 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$797.17 |
$797.17 |
$797.17 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$888.93 |
$888.93 |
$888.93 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$590.15 |
$590.15 |
$590.15 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$797.17 |
$797.17 |
$797.17 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$48.29 |
$48.29 |
$48.29 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$2,395.47 |
$2,395.47 |
$2,395.47 |
$761.48
|
|
Nerve conduction studies 11-12
|
$4,099.23 |
$4,099.23 |
$4,099.23 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$629.56 |
$629.56 |
$629.56 |
$341.10
|
|
Nerve conduction studies 13+
|
$4,366.09 |
$4,366.09 |
$4,366.09 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$1,258.93 |
$1,258.93 |
$1,258.93 |
$495.30
|
|
Nerve conduction studies 5-6
|
$1,888.57 |
$1,888.57 |
$1,888.57 |
$685.75
|
|
Nerve conduction studies 9-10
|
$3,120.67 |
$3,120.67 |
$3,120.67 |
$1,244.90
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$482.39 |
$482.39 |
$482.39 |
$256.41
|
|
New Patient Office Visit (level 2)
|
$104.53 |
$104.53 |
$104.53 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$135.70 |
$135.70 |
$135.70 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$186.11 |
$186.11 |
$186.11 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$313.67 |
$313.67 |
$313.67 |
$367.20
|
|
N-invas est c ffr sw aly cta
|
$1,210.55 |
$1,210.55 |
$1,210.55 |
$2,020.50
|
|
Nm imaging bone/joint 3 phase study
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,665.83 |
$1,665.83 |
$1,665.83 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,186.03
|
|
Npm1 gene
|
$111.00 |
$111.00 |
$111.00 |
$430.95
|
|
Nras gene variants exon 2&3
|
$125.80 |
$125.80 |
$125.80 |
$554.45
|
|
Nuclear rx intra-arterial
|
$403.39 |
$403.39 |
$403.39 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$1,608.39 |
$1,608.39 |
$1,608.39 |
$3,921.45
|
|
Nushield 1 square cm
|
$8,322.32 |
$8,322.32 |
$8,322.32 |
$2,342.13
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$24.05 |
$24.05 |
$24.05 |
$73.13
|
|
Olanzapine 10 mg intramuscular solution
|
$9.65 |
$9.65 |
$9.65 |
$122.78
|
|
Olanzapine long-acting inj
|
$48.29 |
$48.29 |
$48.29 |
$2.92
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$13.21 |
$13.21 |
$13.21 |
$34.32
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$48.26 |
$48.26 |
$48.26 |
$65.07
|
|
Oscillation chest wall mechanical per session
|
$135.88 |
$135.88 |
$135.88 |
$221.34
|
|
Osmolality blood
|
$40.79 |
$40.79 |
$40.79 |
$67.60
|
|
Osmolality urine
|
$38.48 |
$38.48 |
$38.48 |
$65.65
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$36.26 |
$36.26 |
$36.26 |
$107.32
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$24.88 |
$24.88 |
$24.88 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$24.88 |
$24.88 |
$24.88 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$32.10 |
$32.10 |
$32.10 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$39.59 |
$39.59 |
$39.59 |
$100.10
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$9.99 |
$9.99 |
$9.99 |
$50.50
|
|
Oxytocin 10 unit/ml injection solution
|
$48.29 |
$48.29 |
$48.29 |
$45.86
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$42.60 |
$42.60 |
$42.60 |
$146.80
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$48.11 |
$48.11 |
$48.11 |
$44.25
|
|
Papaverin hcl injection
|
$48.29 |
$48.29 |
$48.29 |
$76.40
|
|
Parathormone (pth) intact
|
$104.90 |
$104.90 |
$104.90 |
$200.23
|
|
Parathyroid planar imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$1,723.28 |
$1,723.28 |
$1,723.28 |
$1,398.75
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$5,553.15 |
$5,553.15 |
$5,553.15 |
$4,418.62
|
|
Path clin consltj mod 21-40
|
$337.44 |
$337.44 |
$337.44 |
$192.11
|
|
Path clin consltj sf 5-20
|
$107.67 |
$107.67 |
$107.67 |
$82.15
|
|
Pelvic CT scan (with and without contrast)
|
$716.04 |
$716.04 |
$716.04 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$670.16 |
$670.16 |
$670.16 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$624.28 |
$624.28 |
$624.28 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$843.05 |
$843.05 |
$843.05 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$1,028.60 |
$1,028.60 |
$1,028.60 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$751.29 |
$751.29 |
$751.29 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$762.76 |
$762.76 |
$762.76 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$429.66 |
$429.66 |
$429.66 |
$445.00
|
|
Peng benzathine/procaine inj
|
$13.32 |
$13.32 |
$13.32 |
$258.72
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$34.50 |
$34.50 |
$34.50 |
$643.59
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$59.11 |
$59.11 |
$59.11 |
$100.50
|
|
Penile vascular study
|
$291.75 |
$291.75 |
$291.75 |
$561.00
|
|
Penile vascular study
|
$307.84 |
$307.84 |
$307.84 |
$460.20
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$269.36 |
$269.36 |
$269.36 |
$321.71
|
|
Perit-vens shunt pat tst
|
$752.49 |
$752.49 |
$752.49 |
$695.40
|
|
Ph body fluid
|
$36.08 |
$36.08 |
$36.08 |
$39.20
|
|
Phencyclidine (pcp)
|
$42.37 |
$42.37 |
$42.37 |
$88.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$59.95 |
$59.95 |
$59.95 |
$123.17
|
|
Phenobarbital therapeutic drug level
|
$45.05 |
$45.05 |
$45.05 |
$104.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$25.05 |
$25.05 |
$25.05 |
$58.49
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$11.53 |
$11.53 |
$11.53 |
$23.37
|
|
Phenytoin total therapeutic drug level
|
$52.63 |
$52.63 |
$52.63 |
$111.27
|
|
Phlebotomy therapeutic
|
$217.01 |
$217.01 |
$217.01 |
$249.00
|
|
Phosphorus
|
$42.37 |
$42.37 |
$42.37 |
$47.81
|
|
Phosphorus 24 hour urine
|
$23.68 |
$23.68 |
$23.68 |
$42.81
|
|
Phys blood bank serv authrj
|
$107.67 |
$107.67 |
$107.67 |
$97.60
|