|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,977.55 |
$5,977.55 |
$5,977.55 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$3,389.76 |
$3,389.76 |
$3,389.76 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$5,602.23 |
$5,602.23 |
$5,602.23 |
$2,674.83
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$4,161.62 |
$4,161.62 |
$4,161.62 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,880.55 |
$5,880.55 |
$5,880.55 |
$2,655.25
|
|
Mr safety determination physician/other qhp
|
$237.57 |
$237.57 |
$237.57 |
$160.20
|
|
Mr safety implant elec prepj
|
$249.03 |
$249.03 |
$249.03 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$158.21 |
$158.21 |
$158.21 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$66.34 |
$66.34 |
$66.34 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$654.62 |
$654.62 |
$654.62 |
$402.40
|
|
Mthfr gene analy common variants
|
$816.75 |
$816.75 |
$816.75 |
$211.70
|
|
Multiple sleep latency test
|
$5,935.29 |
$5,935.29 |
$5,935.29 |
$2,585.70
|
|
Mumps antibody igg
|
$244.32 |
$244.32 |
$244.32 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$385.45 |
$385.45 |
$385.45 |
$18.12
|
|
Mycoplasma antibody igm
|
$114.66 |
$114.66 |
$114.66 |
$79.20
|
|
Myelogphy 2/> spine regions
|
$2,569.93 |
$2,569.93 |
$2,569.93 |
$1,366.30
|
|
Myelography l-s spine
|
$3,431.90 |
$3,431.90 |
$3,431.90 |
$1,334.09
|
|
Myelography neck spine
|
$2,255.86 |
$2,255.86 |
$2,255.86 |
$1,103.70
|
|
Myelography via inj w/s&i 2+ regions
|
$3,784.47 |
$3,784.47 |
$3,784.47 |
$2,352.78
|
|
Myelography via inj w/s&i lumbosacral
|
$3,479.87 |
$3,479.87 |
$3,479.87 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$3,412.57 |
$3,412.57 |
$3,412.57 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$269.55 |
$269.55 |
$269.55 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$166.84 |
$166.84 |
$166.84 |
$38.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$1,580.49 |
$1,580.49 |
$1,580.49 |
$691.35
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$113,298.02 |
$113,298.02 |
$113,298.02 |
$22,257.60
|
|
Natriuretic peptide
|
$391.75 |
$391.75 |
$391.75 |
$176.15
|
|
Natural killer cells total count
|
$582.94 |
$582.94 |
$582.94 |
$131.82
|
|
N block inj hypogas plxs
|
$8,224.69 |
$8,224.69 |
$8,224.69 |
$2,092.25
|
|
Ndl insj without njx 3+ musc
|
$325.84 |
$325.84 |
$325.84 |
$54.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,298.75 |
$3,298.75 |
$3,298.75 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,036.94 |
$3,036.94 |
$3,036.94 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,844.57 |
$6,844.57 |
$6,844.57 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,638.41 |
$5,638.41 |
$5,638.41 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,498.42 |
$4,498.42 |
$4,498.42 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,578.13 |
$3,578.13 |
$3,578.13 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,702.10 |
$2,702.10 |
$2,702.10 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$299.18 |
$299.18 |
$299.18 |
$56.70
|
|
New Patient Office Visit (level 2)
|
$703.95 |
$703.95 |
$703.95 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$943.57 |
$943.57 |
$943.57 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$1,213.18 |
$1,213.18 |
$1,213.18 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,512.72 |
$1,512.72 |
$1,512.72 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2,076.25 |
$2,076.25 |
$2,076.25 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$24.77 |
$24.77 |
$24.77 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$19,860.60 |
$19,860.60 |
$19,860.60 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$95,232.51 |
$95,232.51 |
$95,232.51 |
$85,051.55
|
|
Njx aa&/strd nrv nrvtg si jt
|
$2,116.26 |
$2,116.26 |
$2,116.26 |
$1,214.78
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,303.07 |
$2,303.07 |
$2,303.07 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$4,387.80 |
$4,387.80 |
$4,387.80 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$3,901.35 |
$3,901.35 |
$3,901.35 |
$1,736.40
|
|
Nm imaging gastric emptying study
|
$3,489.75 |
$3,489.75 |
$3,489.75 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,821.68 |
$2,821.68 |
$2,821.68 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,615.06 |
$3,615.06 |
$3,615.06 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$3,997.01 |
$3,997.01 |
$3,997.01 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,568.51 |
$2,568.51 |
$2,568.51 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,953.01 |
$1,953.01 |
$1,953.01 |
$1,186.03
|
|
Npm1 gene
|
$1,890.46 |
$1,890.46 |
$1,890.46 |
$430.95
|
|
Npsy tst eval phsy/qhp 1st hr
|
$824.52 |
$824.52 |
$824.52 |
$407.40
|
|
Nras gene variants exon 2&3
|
$2,729.67 |
$2,729.67 |
$2,729.67 |
$554.45
|
|
Nr lnr acclrtr tx max 5 sessions
|
$5,341.90 |
$5,341.90 |
$5,341.90 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$4,173.32 |
$4,173.32 |
$4,173.32 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$5,458.45 |
$5,458.45 |
$5,458.45 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$9,213.21 |
$9,213.21 |
$9,213.21 |
$3,921.45
|
|
Nudt15 gene common variants
|
$2,483.32 |
$2,483.32 |
$2,483.32 |
$320.50
|
|
Nushield 1 square cm
|
$914.95 |
$914.95 |
$914.95 |
$2,342.13
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$3,547.53 |
$3,547.53 |
$3,547.53 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$255.50 |
$255.50 |
$255.50 |
$411.10
|
|
Observation per hour
|
$125.09 |
$125.09 |
$125.09 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$589,349.45 |
$589,349.45 |
$589,349.45 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$343.60 |
$343.60 |
$343.60 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$115,188.41 |
$115,188.41 |
$115,188.41 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$40,449.27 |
$40,449.27 |
$40,449.27 |
$4,797.94
|
|
Oncoprotein dcp
|
$599.40 |
$599.40 |
$599.40 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$110.14 |
$110.14 |
$110.14 |
$34.32
|
|
Organic acids total quant ea spec
|
$1,021.70 |
$1,021.70 |
$1,021.70 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$266.12 |
$266.12 |
$266.12 |
$65.07
|
|
Orthovisc inj per dose
|
$1,638.99 |
$1,638.99 |
$1,638.99 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$204.70 |
$204.70 |
$204.70 |
$221.34
|
|
Osmolality blood
|
$242.57 |
$242.57 |
$242.57 |
$67.60
|
|
Osmolality urine
|
$242.57 |
$242.57 |
$242.57 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$692.69 |
$692.69 |
$692.69 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$692.69 |
$692.69 |
$692.69 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$692.69 |
$692.69 |
$692.69 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$195.24 |
$195.24 |
$195.24 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$250.31 |
$250.31 |
$250.31 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$330.56 |
$330.56 |
$330.56 |
$107.32
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$252.08 |
$252.08 |
$252.08 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$226.91 |
$226.91 |
$226.91 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$413.82 |
$413.82 |
$413.82 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$236.16 |
$236.16 |
$236.16 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$237.82 |
$237.82 |
$237.82 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$309.55 |
$309.55 |
$309.55 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$1,025.49 |
$1,025.49 |
$1,025.49 |
$231.46
|
|
Palonosetron hcl
|
$4,032.28 |
$4,032.28 |
$4,032.28 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$755.97 |
$755.97 |
$755.97 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$21,166.18 |
$21,166.18 |
$21,166.18 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$273.32 |
$273.32 |
$273.32 |
$44.25
|
|
Papaverin hcl injection
|
$392.57 |
$392.57 |
$392.57 |
$76.40
|
|
Parathormone (pth) intact
|
$871.03 |
$871.03 |
$871.03 |
$200.23
|
|
Parathyroid planar imaging
|
$1,478.45 |
$1,478.45 |
$1,478.45 |
$1,166.00
|
|
Parathyroid planar img w/tomo spect
|
$2,624.14 |
$2,624.14 |
$2,624.14 |
$1,398.75
|