|
MRI orbit/face/neck without contrast
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,552.60
|
|
MRI tmj
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,707.25 |
$2,707.25 |
$2,707.25 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,115.15 |
$4,115.15 |
$4,115.15 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$3,007.55 |
$3,007.55 |
$3,007.55 |
$1,854.07
|
|
MRI without fol w/cont, breast
|
$3,055.00 |
$3,055.00 |
$3,055.00 |
$1,312.08
|
|
Mthfr gene analy common variants
|
$105.30 |
$105.30 |
$105.30 |
$248.82
|
|
Multiple sleep latency test
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,672.68
|
|
Mumps antibody igg
|
$101.40 |
$101.40 |
$101.40 |
$81.45
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.00 |
$5.00 |
$5.00 |
$5.76
|
|
Mycoplasma antibody igm
|
$123.50 |
$123.50 |
$123.50 |
$87.50
|
|
Myelogphy 2/> spine regions
|
$2,326.35 |
$2,326.35 |
$2,326.35 |
$1,389.13
|
|
Myelography l-s spine
|
$2,326.35 |
$2,326.35 |
$2,326.35 |
$1,275.75
|
|
Myelography neck spine
|
$2,527.85 |
$2,527.85 |
$2,527.85 |
$1,103.70
|
|
Myelography thoracic spine
|
$2,396.55 |
$2,396.55 |
$2,396.55 |
$1,077.92
|
|
Myelography via inj w/s&i lumbosacral
|
$9,133.25 |
$9,133.25 |
$9,133.25 |
$1,923.03
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$117.00 |
$117.00 |
$117.00 |
$115.05
|
|
Nafcillin 2 gram solution for injection
|
$52.81 |
$52.81 |
$52.81 |
$65.13
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$27.88 |
$27.88 |
$27.88 |
$51.72
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$14,341.85 |
$14,341.85 |
$14,341.85 |
$1,908.75
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$14,684.96 |
$14,684.96 |
$14,684.96 |
$4,489.60
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$16,470.48 |
$16,470.48 |
$16,470.48 |
$3,305.54
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$16,867.19 |
$16,867.19 |
$16,867.19 |
$3,446.63
|
|
Nasopharyngoscopy w/endoscope
|
$154.70 |
$154.70 |
$154.70 |
$285.55
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$15,879.41 |
$15,879.41 |
$15,879.41 |
$39.09
|
|
Natriuretic peptide
|
$122.85 |
$122.85 |
$122.85 |
$161.60
|
|
Ndl insj without njx 1 or 2 musc
|
$55.90 |
$55.90 |
$55.90 |
$46.08
|
|
Ndl insj without njx 3+ musc
|
$61.75 |
$61.75 |
$61.75 |
$58.00
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,905.50 |
$2,905.50 |
$2,905.50 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,811.25 |
$2,811.25 |
$2,811.25 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,490.45 |
$1,490.45 |
$1,490.45 |
$1,741.80
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$34.13
|
|
New Patient Office Visit (level 2)
|
$105.30 |
$105.30 |
$105.30 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$131.30 |
$131.30 |
$131.30 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$198.25 |
$198.25 |
$198.25 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$277.55 |
$277.55 |
$277.55 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$686.98 |
$686.98 |
$686.98 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$86.61 |
$86.61 |
$86.61 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$14,490.03 |
$14,490.03 |
$14,490.03 |
$60.11
|
|
Nm imaging bone/joint 3 phase study
|
$2,869.10 |
$2,869.10 |
$2,869.10 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$2,926.30 |
$2,926.30 |
$2,926.30 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,590.90 |
$2,590.90 |
$2,590.90 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,350.05 |
$1,350.05 |
$1,350.05 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,894.75 |
$1,894.75 |
$1,894.75 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,569.45 |
$2,569.45 |
$2,569.45 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,504.10 |
$1,504.10 |
$1,504.10 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$4,340.70 |
$4,340.70 |
$4,340.70 |
$1,004.90
|
|
Nr lnr acclrtr tx max 5 sessions
|
$13,455.00 |
$13,455.00 |
$13,455.00 |
$8,344.87
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$19,112.92 |
$19,112.92 |
$19,112.92 |
$6,128.86
|
|
Ntsty modul rad tx dlvr cplx
|
$5,577.00 |
$5,577.00 |
$5,577.00 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$4,988.10 |
$4,988.10 |
$4,988.10 |
$2,591.00
|
|
Nuclear Stress Test (Heart)
|
$3,921.45 |
$3,921.45 |
$3,921.45 |
$3,739.20
|
|
Nushield 1 square cm
|
$289.25 |
$289.25 |
$289.25 |
$462.75
|
|
Observation direct referral from physician office for admission
|
$81.25 |
$81.25 |
$81.25 |
$359.40
|
|
Observation per hour
|
$35.75 |
$35.75 |
$35.75 |
$75.15
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$38,822.09 |
$38,822.09 |
$38,822.09 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$59.15 |
$59.15 |
$59.15 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$12,364.00 |
$12,364.00 |
$12,364.00 |
$8,720.95
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,785.15 |
$2,785.15 |
$2,785.15 |
$65.90
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.01 |
$37.01 |
$37.01 |
$12.51
|
|
Open bx/exc inguinofem nodes
|
$10,010.18 |
$10,010.18 |
$10,010.18 |
$2,152.00
|
|
Orchiopexy ingun/scrot appr
|
$10,958.86 |
$10,958.86 |
$10,958.86 |
$3,906.18
|
|
Oropharyngeal biopsy 42800
|
$15,063.26 |
$15,063.26 |
$15,063.26 |
$1,698.19
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$65.91 |
$65.91 |
$65.91 |
$40.92
|
|
Orthovisc inj per dose
|
$2,019.55 |
$2,019.55 |
$2,019.55 |
$267.33
|
|
Osmolality blood
|
$56.55 |
$56.55 |
$56.55 |
$57.00
|
|
Osmolality urine
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$93.60 |
$93.60 |
$93.60 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$93.60 |
$93.60 |
$93.60 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$93.60 |
$93.60 |
$93.60 |
$249.60
|
|
Other immunoelectrophoresis
|
$213.20 |
$213.20 |
$213.20 |
$92.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$53.30 |
$53.30 |
$53.30 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$53.95 |
$53.95 |
$53.95 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$75.40 |
$75.40 |
$75.40 |
$105.50
|
|
Ot re-evaluation patient/family
|
$216.45 |
$216.45 |
$216.45 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$57.85 |
$57.85 |
$57.85 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$63.05 |
$63.05 |
$63.05 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$63.05 |
$63.05 |
$63.05 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$46.15 |
$46.15 |
$46.15 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$42.90 |
$42.90 |
$42.90 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$73.45 |
$73.45 |
$73.45 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$14.58 |
$14.58 |
$14.58 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$135.25 |
$135.25 |
$135.25 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,832.16 |
$2,832.16 |
$2,832.16 |
$28.29
|
|
Palonosetron hcl
|
$76.05 |
$76.05 |
$76.05 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$395.29 |
$395.29 |
$395.29 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,608.78 |
$13,608.78 |
$13,608.78 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.18 |
$7.18 |
$7.18 |
$18.49
|
|
Parathormone (pth) intact
|
$294.45 |
$294.45 |
$294.45 |
$204.00
|
|
Parathyrd planar w/spect&ct
|
$750.75 |
$750.75 |
$750.75 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
$1,041.95
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$14,600.93 |
$14,600.93 |
$14,600.93 |
$9,121.58
|
