|
MRI breast without cont bi
|
$3,911.40 |
$3,911.40 |
$3,911.40 |
$1,741.71
|
|
MRI breast w IV cont bi
|
$3,624.00 |
$3,624.00 |
$3,624.00 |
$1,875.95
|
|
MRI chest without contrast
|
$2,484.60 |
$2,484.60 |
$2,484.60 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$4,360.20 |
$4,360.20 |
$4,360.20 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,055.00 |
$5,055.00 |
$5,055.00 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$2,458.20 |
$2,458.20 |
$2,458.20 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$3,301.20 |
$3,301.20 |
$3,301.20 |
$2,811.21
|
|
MRI orbit fac&nck w IV cont
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$2,165.00
|
|
MRI tmj
|
$3,060.60 |
$3,060.60 |
$3,060.60 |
$1,731.30
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,897.60 |
$3,897.60 |
$3,897.60 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,254.00 |
$4,254.00 |
$4,254.00 |
$2,637.60
|
|
Mr safety determination physician/other qhp
|
$134.40 |
$134.40 |
$134.40 |
$156.42
|
|
Mr safety implant elec prepj
|
$140.40 |
$140.40 |
$140.40 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$75.60 |
$75.60 |
$75.60 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$90.60 |
$90.60 |
$90.60 |
$117.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$37.80 |
$37.80 |
$37.80 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$369.60 |
$369.60 |
$369.60 |
$419.20
|
|
Mr spectroscopy
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$1,340.00
|
|
Msh2 gene full seq
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$764.00
|
|
Msh6 gene full seq
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$1,056.60 |
$1,056.60 |
$1,056.60 |
$180.78
|
|
Mucin synovial fluid
|
$216.00 |
$216.00 |
$216.00 |
$32.67
|
|
Mucopolysaccharides
|
$850.20 |
$850.20 |
$850.20 |
$178.36
|
|
Multiple sleep latency test
|
$3,643.20 |
$3,643.20 |
$3,643.20 |
$2,440.50
|
|
Mumps antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$77.35
|
|
Muscle test cran nerv unilat
|
$413.40 |
$413.40 |
$413.40 |
$385.07
|
|
Muscle test larynx
|
$321.00 |
$321.00 |
$321.00 |
$296.80
|
|
Mycoplasma antibody igm
|
$102.00 |
$102.00 |
$102.00 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$2,434.80 |
$2,434.80 |
$2,434.80 |
$1,494.22
|
|
Myelography l-s spine
|
$1,979.40 |
$1,979.40 |
$1,979.40 |
$1,334.09
|
|
Myelography neck spine
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,134.20 |
$2,134.20 |
$2,134.20 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$1,309.80 |
$1,309.80 |
$1,309.80 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,650.60 |
$1,650.60 |
$1,650.60 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$3,826.80 |
$3,826.80 |
$3,826.80 |
$135.50
|
|
Nasal endoscopy dx uni/bi separate proc
|
$265.20 |
$265.20 |
$265.20 |
$353.62
|
|
Nasopharyngoscopy w/endoscope
|
$320.40 |
$320.40 |
$320.40 |
$286.80
|
|
Natriuretic peptide
|
$301.20 |
$301.20 |
$301.20 |
$176.15
|
|
Natural killer cells total count
|
$145.80 |
$145.80 |
$145.80 |
$132.60
|
|
N block inj hypogas plxs
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$277.80 |
$277.80 |
$277.80 |
$207.24
|
|
Ndl insj without njx 1 or 2 musc
|
$30.00 |
$30.00 |
$30.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Ndl round specialty proguide
|
$307.80 |
$307.80 |
$307.80 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$2,011.35
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,909.20 |
$1,909.20 |
$1,909.20 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$1,498.25
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,058.80 |
$3,058.80 |
$3,058.80 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,509.20 |
$2,509.20 |
$2,509.20 |
$2,000.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,758.80 |
$2,758.80 |
$2,758.80 |
$2,644.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$2,051.40
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$1,790.58
|
|
Needle emg guid w/chemodenervation add-on
|
$280.80 |
$280.80 |
$280.80 |
$164.80
|
|
Nerve conduction 7-8 studies
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$708.98
|
|
Nerve conduction studies 11-12
|
$3,756.60 |
$3,756.60 |
$3,756.60 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$630.00 |
$630.00 |
$630.00 |
$339.00
|
|
Nerve conduction studies 13+
|
$4,384.80 |
$4,384.80 |
$4,384.80 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$1,256.40 |
$1,256.40 |
$1,256.40 |
$466.05
|
|
Nerve conduction studies 5-6
|
$1,635.60 |
$1,635.60 |
$1,635.60 |
$570.00
|
|
Nerve conduction studies 9-10
|
$2,724.60 |
$2,724.60 |
$2,724.60 |
$1,051.96
|
|
Neuroendoscopy add-on
|
$383.40 |
$383.40 |
$383.40 |
$470.40
|
|
Neurolysis celiac plexus
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,754.00
|
|
Neurolysis trigeminal nerve
|
$4,350.60 |
$4,350.60 |
$4,350.60 |
$2,079.50
|
|
New Patient Office Visit (level 2)
|
$144.60 |
$144.60 |
$144.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$205.20 |
$205.20 |
$205.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$326.40 |
$326.40 |
$326.40 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$427.20 |
$427.20 |
$427.20 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$496.20 |
$496.20 |
$496.20 |
$400.00
|
|
N-invas est c ffr sw aly cta
|
$1,933.80 |
$1,933.80 |
$1,933.80 |
$2,156.65
|
|
Njx aa&/strd nrv nrvtg si jt
|
$3,032.40 |
$3,032.40 |
$3,032.40 |
$1,159.00
|
|
Njx cth slct p-art angrp uni
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$1,063.68
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,672.56
|
|
Nm imaging bone/joint whole body
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,081.20 |
$1,081.20 |
$1,081.20 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,057.20 |
$1,057.20 |
$1,057.20 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$1,512.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,178.60 |
$2,178.60 |
$2,178.60 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$1,079.00
|
|
Noninv pace analysis
|
$391.80 |
$391.80 |
$391.80 |
$761.60
|
|
Noonan spectrum disorders
|
$4,113.60 |
$4,113.60 |
$4,113.60 |
$2,582.40
|
|
Npm1 gene
|
$1,208.40 |
$1,208.40 |
$1,208.40 |
$454.35
|
|
Nras gene variants exon 2&3
|
$646.80 |
$646.80 |
$646.80 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$12,090.00 |
$12,090.00 |
$12,090.00 |
$6,737.40
|
|
Nuclear Stress Test (Heart)
|
$7,188.00 |
$7,188.00 |
$7,188.00 |
$3,801.60
|
|
Nushield 1 square cm
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$368.40 |
$368.40 |
$368.40 |
$384.00
|
|
Observation per hour
|
$160.80 |
$160.80 |
$160.80 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$928.20 |
$928.20 |
$928.20 |
$262.01
|
|
Obstetrics panel
|
$784.80 |
$784.80 |
$784.80 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$589.20 |
$589.20 |
$589.20 |
$359.20
|
