|
MRI w/cont, breast, bi
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$4,022.00 |
$4,022.00 |
$4,022.00 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$5,676.00 |
$5,676.00 |
$5,676.00 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$4,711.00 |
$4,711.00 |
$4,711.00 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$211.00 |
$211.00 |
$211.00 |
$161.40
|
|
Mr safety implant elec prepj
|
$220.00 |
$220.00 |
$220.00 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$118.00 |
$118.00 |
$118.00 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$143.00 |
$143.00 |
$143.00 |
$125.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$59.00 |
$59.00 |
$59.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$580.00 |
$580.00 |
$580.00 |
$444.00
|
|
Mr spectroscopy
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$323.00 |
$323.00 |
$323.00 |
$184.00
|
|
Multifocal erg w/i&r
|
$401.00 |
$401.00 |
$401.00 |
$386.40
|
|
Multiple sleep latency test
|
$9,686.00 |
$9,686.00 |
$9,686.00 |
$2,466.00
|
|
Mumps antibody igg
|
$343.00 |
$343.00 |
$343.00 |
$78.00
|
|
Muscle-skin graft arm
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$3,014.40
|
|
Muscle-skin graft leg
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$570.00 |
$570.00 |
$570.00 |
$385.07
|
|
Muscle test hemidiaphragm
|
$461.00 |
$461.00 |
$461.00 |
$296.40
|
|
Muscle test larynx
|
$369.00 |
$369.00 |
$369.00 |
$296.80
|
|
Muscle test one fiber
|
$432.00 |
$432.00 |
$432.00 |
$432.00
|
|
Muscle transfers
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$11,148.00 |
$11,148.00 |
$11,148.00 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$9,435.00 |
$9,435.00 |
$9,435.00 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$9,372.00 |
$9,372.00 |
$9,372.00 |
$7,807.24
|
|
Mycobacteria dna amp probe
|
$145.00 |
$145.00 |
$145.00 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$46.69 |
$46.69 |
$46.69 |
$10.79
|
|
Mycophenolic acid
|
$18.03 |
$18.03 |
$18.03 |
$12.84
|
|
Mycoplasma antibody igm
|
$345.00 |
$345.00 |
$345.00 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$844.00 |
$844.00 |
$844.00 |
$416.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$77.73 |
$77.73 |
$77.73 |
$130.41
|
|
Myocrd img pet 1std rst/strs
|
$5,791.00 |
$5,791.00 |
$5,791.00 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$6,427.00 |
$6,427.00 |
$6,427.00 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$9,210.00 |
$9,210.00 |
$9,210.00 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$8,425.00 |
$8,425.00 |
$8,425.00 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$8,441.00 |
$8,441.00 |
$8,441.00 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$9,367.00 |
$9,367.00 |
$9,367.00 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$6,427.00 |
$6,427.00 |
$6,427.00 |
$3,311.85
|
|
Myringoplasty
|
$8,568.00 |
$8,568.00 |
$8,568.00 |
$3,837.72
|
|
Nalbuphine 10 mg/ml injection solution
|
$25.17 |
$25.17 |
$25.17 |
$37.81
|
|
Naltrexone, depot form
|
$10.70 |
$10.70 |
$10.70 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$351.52
|
|
Nasal endoscopy with removal of nasal foreign body
|
$8,576.00 |
$8,576.00 |
$8,576.00 |
$406.00
|
|
Nasal/sinus endoscopy surg
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$4,881.00
|
|
Nasal/sinus endoscopy surg
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,662.40
|
|
Nasal/sinus endoscopy surg
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,085.60
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$5,741.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$9,445.00 |
$9,445.00 |
$9,445.00 |
$7,662.21
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$6,698.00 |
$6,698.00 |
$6,698.00 |
$6,698.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$973.39
|
|
Nasopharyngoscopy w/endoscope
|
$434.00 |
$434.00 |
$434.00 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$53.70 |
$53.70 |
$53.70 |
$16,254.52
|
|
Natriuretic peptide
|
$118.00 |
$118.00 |
$118.00 |
$176.15
|
|
Natural killer cells total count
|
$361.00 |
$361.00 |
$361.00 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$369.00 |
$369.00 |
$369.00 |
$1,751.25
|
|
N block inj common digit
|
$8,600.00 |
$8,600.00 |
$8,600.00 |
$540.80
|
|
N block inj hypogas plxs
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$524.00 |
$524.00 |
$524.00 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$83.00 |
$83.00 |
$83.00 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$83.00 |
$83.00 |
$83.00 |
$45.00
|
|
Ndl oculoelectromyography 1+
|
$159.00 |
$159.00 |
$159.00 |
$158.50
|
|
Ndl round specialty proguide
|
$374.00 |
$374.00 |
$374.00 |
$324.40
|
|
Nebulizer Breathing Treatment
|
$308.00 |
$308.00 |
$308.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$438.00 |
$438.00 |
$438.00 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,763.00 |
$2,763.00 |
$2,763.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,282.00 |
$2,282.00 |
$2,282.00 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,290.00 |
$3,290.00 |
$3,290.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$443.00 |
$443.00 |
$443.00 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$642.00 |
$642.00 |
$642.00 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$779.00 |
$779.00 |
$779.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,053.00 |
$3,053.00 |
$3,053.00 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,370.00 |
$2,370.00 |
$2,370.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$1,311.05
|
|
Needle emg guid w/chemodenervation add-on
|
$304.00 |
$304.00 |
$304.00 |
$164.80
|
|
Nelarabine injection
|
$399.16 |
$399.16 |
$399.16 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$16.22 |
$16.22 |
$16.22 |
$59.80
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$826.00 |
$826.00 |
$826.00 |
$407.52
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$313.00 |
$313.00 |
$313.00 |
$339.50
|
|
Nerve conduction 7-8 studies
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$750.00
|
|
Nerve conduction studies 11-12
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$848.00 |
$848.00 |
$848.00 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$1,328.00
|
|
Nerve conduction studies 3-4
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$470.00
|
|
Nerve conduction studies 5-6
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$617.24
|
|
Nerve conduction studies 9-10
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,100.00
|
|
Nerve palsy fascial graft
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$4,869.50
|
