|
MRA w/cont, abd
|
$3,305.52 |
$3,305.52 |
$3,305.52 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$872.64 |
$872.64 |
$872.64 |
$1,691.95
|
|
MRA without cont, abd
|
$3,129.84 |
$3,129.84 |
$3,129.84 |
$1,749.65
|
|
MRA without fol w/cont, abd
|
$3,711.60 |
$3,711.60 |
$3,711.60 |
$2,561.65
|
|
MRA without fol w/cont, lwr ext
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$2,273.40
|
|
MRA without fol w/cont, pelvis
|
$2,990.88 |
$2,990.88 |
$2,990.88 |
$2,305.60
|
|
MRI breast c- unilateral
|
$553.68 |
$553.68 |
$553.68 |
$1,084.20
|
|
MRI breast without cont bi
|
$2,674.80 |
$2,674.80 |
$2,674.80 |
$1,778.00
|
|
MRI chest without contrast
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,417.12 |
$3,417.12 |
$3,417.12 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,203.28 |
$3,203.28 |
$3,203.28 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$3,472.56 |
$3,472.56 |
$3,472.56 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,992.32 |
$2,992.32 |
$2,992.32 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,008.24 |
$4,008.24 |
$4,008.24 |
$2,790.45
|
|
MRI orbit/face/neck without contrast
|
$3,113.28 |
$3,113.28 |
$3,113.28 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$3,803.76 |
$3,803.76 |
$3,803.76 |
$2,830.10
|
|
MRI orbit fac&nck w IV cont
|
$3,626.64 |
$3,626.64 |
$3,626.64 |
$2,165.00
|
|
MRI tmj
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,006.00 |
$3,006.00 |
$3,006.00 |
$2,001.40
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$2,710.40
|
|
MRI upper extremity w/dye
|
$3,180.24 |
$3,180.24 |
$3,180.24 |
$2,011.63
|
|
MRI without fol w/cont, breast
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$2,246.40
|
|
MRI without fol w/cont, brst, un
|
$2,674.80 |
$2,674.80 |
$2,674.80 |
$1,648.98
|
|
Mr safety determination physician/other qhp
|
$190.08 |
$190.08 |
$190.08 |
$161.40
|
|
Mr safety implant elec prepj
|
$198.00 |
$198.00 |
$198.00 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$87.84 |
$87.84 |
$87.84 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$128.16 |
$128.16 |
$128.16 |
$120.95
|
|
Mr sfty implt&/fb asmt stf 1
|
$52.56 |
$52.56 |
$52.56 |
$45.58
|
|
Mr sfty med physics xm cstmz
|
$522.00 |
$522.00 |
$522.00 |
$444.00
|
|
Msh6 gene dup/delete variant
|
$447.84 |
$447.84 |
$447.84 |
$453.60
|
|
Msh6 gene full seq
|
$808.56 |
$808.56 |
$808.56 |
$1,194.60
|
|
Mthfr gene analy common variants
|
$108.00 |
$108.00 |
$108.00 |
$168.85
|
|
Mucopolysaccharides
|
$296.64 |
$296.64 |
$296.64 |
$178.36
|
|
Multiple sleep latency test
|
$2,440.08 |
$2,440.08 |
$2,440.08 |
$2,484.96
|
|
Mumps antibody igg
|
$141.12 |
$141.12 |
$141.12 |
$78.00
|
|
Mycoplasma antibody igm
|
$22.32 |
$22.32 |
$22.32 |
$78.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$88.56 |
$88.56 |
$88.56 |
$135.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$15.41 |
$15.41 |
$15.41 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
$70.48
|
|
Natriuretic peptide
|
$241.92 |
$241.92 |
$241.92 |
$176.15
|
|
Natural killer cells total count
|
$190.08 |
$190.08 |
$190.08 |
$132.60
|
|
Ndl insj without njx 1 or 2 musc
|
$178.56 |
$178.56 |
$178.56 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$178.56 |
$178.56 |
$178.56 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,060.72 |
$3,060.72 |
$3,060.72 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,878.56 |
$2,878.56 |
$2,878.56 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,339.28 |
$2,339.28 |
$2,339.28 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,074.48 |
$4,074.48 |
$4,074.48 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,561.12 |
$3,561.12 |
$3,561.12 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,922.48 |
$2,922.48 |
$2,922.48 |
$2,000.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,803.76 |
$3,803.76 |
$3,803.76 |
$2,708.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,080.88 |
$3,080.88 |
$3,080.88 |
$1,790.58
|
|
Neg pres wound ther drsg set
|
$84.96 |
$84.96 |
$84.96 |
$676.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.30 |
$1.30 |
$1.30 |
$60.08
|
|
Nerve conduction 7-8 studies
|
$956.16 |
$956.16 |
$956.16 |
$705.18
|
|
Nerve conduction studies 13+
|
$1,550.16 |
$1,550.16 |
$1,550.16 |
$1,264.20
|
|
Nerve conduction studies 3-4
|
$672.48 |
$672.48 |
$672.48 |
$466.05
|
|
Nerve conduction studies 5-6
|
$730.80 |
$730.80 |
$730.80 |
$568.50
|
|
Nerve conduction studies 9-10
|
$1,149.12 |
$1,149.12 |
$1,149.12 |
$1,051.96
|
|
New Patient Office Visit (level 2)
|
$335.52 |
$335.52 |
$335.52 |
$151.56
|
|
New Patient Office Visit (level 3)
|
$424.80 |
$424.80 |
$424.80 |
$208.20
|
|
New Patient Office Visit (level 4)
|
$567.36 |
$567.36 |
$567.36 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$705.60 |
$705.60 |
$705.60 |
$348.60
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$1.40 |
$1.40 |
$1.40 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$7.78 |
$7.78 |
$7.78 |
$73.12
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$57.59 |
$57.59 |
$57.59 |
$14,820.18
|
|
Njx interlaminar lmbr/sac
|
$1,671.84 |
$1,671.84 |
$1,671.84 |
$1,493.92
|
|
Nm imaging bone/joint 3 phase study
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,704.00
|
|
Nm imaging bone/joint whole body
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,103.76 |
$1,103.76 |
$1,103.76 |
$1,401.00
|
|
Nm imaging gastric emptying study
|
$900.00 |
$900.00 |
$900.00 |
$1,345.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,103.76 |
$1,103.76 |
$1,103.76 |
$1,208.93
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,026.80 |
$2,026.80 |
$2,026.80 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$1,547.04
|
|
Nuclear Stress Test (Heart)
|
$4,436.64 |
$4,436.64 |
$4,436.64 |
$3,801.60
|
|
Nushield 1 square cm
|
$511.92 |
$511.92 |
$511.92 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$1,253.52 |
$1,253.52 |
$1,253.52 |
$387.00
|
|
Observation per hour
|
$129.60 |
$129.60 |
$129.60 |
$80.73
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$237.79 |
$237.79 |
$237.79 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$34.38 |
$34.38 |
$34.38 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$796.33 |
$796.33 |
$796.33 |
$12,080.43
|
|
Oncoprotein dcp
|
$283.68 |
$283.68 |
$283.68 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.24 |
$3.24 |
$3.24 |
$22.75
|
|
Opioids & opiate analogs 3/4
|
$54.00 |
$54.00 |
$54.00 |
$24.00
|
|
Oral aprepitant
|
$19.79 |
$19.79 |
$19.79 |
$410.20
|
|
Organic acids total quant ea spec
|
$123.84 |
$123.84 |
$123.84 |
$149.40
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.93 |
$53.93 |
$53.93 |
$50.63
|
|
Osmolality blood
|
$74.88 |
$74.88 |
$74.88 |
$68.40
|
|
Osmolality urine
|
$88.56 |
$88.56 |
$88.56 |
$65.52
|
|
Ot evaluation low complexity patient/family
|
$255.60 |
$255.60 |
$255.60 |
$228.58
|
|
Ot evaluation moderate complexity patient/family
|
$280.80 |
$280.80 |
$280.80 |
$257.74
|
|
Oth resp proc, group
|
$95.76 |
$95.76 |
$95.76 |
$122.84
|
|
Oth resp proc, indiv
|
$63.36 |
$63.36 |
$63.36 |
$81.73
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$150.48 |
$150.48 |
$150.48 |
$104.97
|
|
Ot re-evaluation patient/family
|
$159.84 |
$159.84 |
$159.84 |
$158.40
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$149.76 |
$149.76 |
$149.76 |
$99.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$86.69
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$156.24 |
$156.24 |
$156.24 |
$91.20
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$149.76 |
$149.76 |
$149.76 |
$97.44
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$100.65
|