|
Mrgfus strtctc ablt trgt icr
|
$34,713.00 |
$34,713.00 |
$34,713.00 |
$22,209.60
|
|
MRI breast c- unilateral
|
$757.00 |
$757.00 |
$757.00 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$906.50 |
$906.50 |
$906.50 |
$1,880.00
|
|
MRI breast without cont bi
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$1,424.50 |
$1,424.50 |
$1,424.50 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$790.00 |
$790.00 |
$790.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$1,240.50 |
$1,240.50 |
$1,240.50 |
$2,444.00
|
|
MRI chest without contrast
|
$722.00 |
$722.00 |
$722.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$943.00 |
$943.00 |
$943.00 |
$2,652.73
|
|
MRI fetal sngl/1st gestation
|
$732.50 |
$732.50 |
$732.50 |
$1,136.26
|
|
MRI loex nonjt w IV cont
|
$869.00 |
$869.00 |
$869.00 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$951.50 |
$951.50 |
$951.50 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$646.50 |
$646.50 |
$646.50 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$888.00 |
$888.00 |
$888.00 |
$2,812.50
|
|
MRI tmj
|
$664.00 |
$664.00 |
$664.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$951.50 |
$951.50 |
$951.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$790.50 |
$790.50 |
$790.50 |
$2,021.30
|
|
Mr spectroscopy
|
$817.00 |
$817.00 |
$817.00 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$536.00 |
$536.00 |
$536.00 |
$184.00
|
|
Multiple sleep latency test
|
$2,697.00 |
$2,697.00 |
$2,697.00 |
$2,440.50
|
|
Mumps antibody igg
|
$103.00 |
$103.00 |
$103.00 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$822.38 |
$822.38 |
$822.38 |
$10.79
|
|
Mycophenolic acid
|
$1.11 |
$1.11 |
$1.11 |
$12.84
|
|
Mycoplasma antibody igm
|
$134.00 |
$134.00 |
$134.00 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$483.50 |
$483.50 |
$483.50 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$2,062.50 |
$2,062.50 |
$2,062.50 |
$1,494.22
|
|
Myelography l-s spine
|
$927.00 |
$927.00 |
$927.00 |
$1,334.09
|
|
Myelography neck spine
|
$1,579.00 |
$1,579.00 |
$1,579.00 |
$1,241.50
|
|
Myelography via inj w/s&i 2+ regions
|
$4,670.50 |
$4,670.50 |
$4,670.50 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$3,734.00 |
$3,734.00 |
$3,734.00 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$2,314.00 |
$2,314.00 |
$2,314.00 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$4,144.50 |
$4,144.50 |
$4,144.50 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$23.00 |
$23.00 |
$23.00 |
$135.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$40.04 |
$40.04 |
$40.04 |
$38.19
|
|
Naltrexone, depot form
|
$3,982.20 |
$3,982.20 |
$3,982.20 |
$3,249.40
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$20,549.38 |
$20,549.38 |
$20,549.38 |
$16,254.52
|
|
Natriuretic peptide
|
$168.50 |
$168.50 |
$168.50 |
$176.15
|
|
Natural killer cells total count
|
$158.00 |
$158.00 |
$158.00 |
$132.63
|
|
Navigational bronchoscopy 31627
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$1,751.25
|
|
Ndl insj without njx 1 or 2 musc
|
$17.50 |
$17.50 |
$17.50 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$35.00 |
$35.00 |
$35.00 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$780.00 |
$780.00 |
$780.00 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$746.50 |
$746.50 |
$746.50 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$547.00 |
$547.00 |
$547.00 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,329.50 |
$1,329.50 |
$1,329.50 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$928.00 |
$928.00 |
$928.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$753.00 |
$753.00 |
$753.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$937.00 |
$937.00 |
$937.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$927.00 |
$927.00 |
$927.00 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$510.50 |
$510.50 |
$510.50 |
$1,790.58
|
|
Nelarabine injection
|
$666.50 |
$666.50 |
$666.50 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$105.16 |
$105.16 |
$105.16 |
$60.38
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$333.58 |
$333.58 |
$333.58 |
$263.48
|
|
Nintedanib 150 mg capsule
|
$735.03 |
$735.03 |
$735.03 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$2,673.50 |
$2,673.50 |
$2,673.50 |
$2,194.83
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$138.28 |
$138.28 |
$138.28 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$37,464.78 |
$37,464.78 |
$37,464.78 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$37,083.80 |
$37,083.80 |
$37,083.80 |
$41,635.10
|
|
Nm imaging bone/joint 3 phase study
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,675.50 |
$1,675.50 |
$1,675.50 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,325.50 |
$1,325.50 |
$1,325.50 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,058.50 |
$2,058.50 |
$2,058.50 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$935.50 |
$935.50 |
$935.50 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$1,056.33
|
|
Non-ophthalmic fva
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$609.12
|
|
Npm1 gene
|
$353.00 |
$353.00 |
$353.00 |
$457.50
|
|
Nuclear rx IV admin
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$4,275.50 |
$4,275.50 |
$4,275.50 |
$3,804.45
|
|
Nushield 1 square cm
|
$3,230.00 |
$3,230.00 |
$3,230.00 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$20,630.60 |
$20,630.60 |
$20,630.60 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$387.00 |
$387.00 |
$387.00 |
$384.00
|
|
Observation per hour
|
$387.00 |
$387.00 |
$387.00 |
$81.22
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$49,311.95 |
$49,311.95 |
$49,311.95 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$308.02 |
$308.02 |
$308.02 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,532.78 |
$16,532.78 |
$16,532.78 |
$12,080.43
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$1,701.82 |
$1,701.82 |
$1,701.82 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$87.29 |
$87.29 |
$87.29 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,488.38 |
$3,488.38 |
$3,488.38 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$80.56 |
$80.56 |
$80.56 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$95.52 |
$95.52 |
$95.52 |
$22.62
|
|
Oral aprepitant
|
$399.49 |
$399.49 |
$399.49 |
$410.20
|
|
Oral everolimus
|
$41.18 |
$41.18 |
$41.18 |
$33.34
|
|
Organic acids total quant ea spec
|
$210.00 |
$210.00 |
$210.00 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$2,721.38 |
$2,721.38 |
$2,721.38 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$99.92 |
$99.92 |
$99.92 |
$50.63
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$82.00 |
$82.00 |
$82.00 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$65.50 |
$65.50 |
$65.50 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$81.50 |
$81.50 |
$81.50 |
$231.00
|
|
Orthovisc inj per dose
|
$677.90 |
$677.90 |
$677.90 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$121.50 |
$121.50 |
$121.50 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$139.00 |
$139.00 |
$139.00 |
$195.00
|
|
Osmolality blood
|
$63.00 |
$63.00 |
$63.00 |
$67.60
|
|
Osmolality urine
|
$41.00 |
$41.00 |
$41.00 |
$65.00
|