|
MRI without fol w/cont, breast
|
$3,055.00 |
$3,055.00 |
$3,055.00 |
|
|
Msh2 gene full seq
|
$252.00 |
$252.00 |
$252.00 |
|
|
Msh6 gene full seq
|
$423.60 |
$423.60 |
$423.60 |
|
|
Mthfr gene analy common variants
|
$105.30 |
$171.60 |
$222.80 |
|
|
Multiple sleep latency test
|
$824.00 |
$824.00 |
$1,430.00 |
|
|
Mumps antibody igg
|
$64.00 |
$74.80 |
$101.40 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.00 |
$5.00 |
$5.00 |
|
|
Mycoplasma antibody igm
|
$44.00 |
$52.40 |
$123.50 |
|
|
Myelogphy 2/> spine regions
|
$2,326.35 |
$2,326.35 |
$2,326.35 |
|
|
Myelography l-s spine
|
$2,326.35 |
$2,326.35 |
$2,326.35 |
|
|
Myelography neck spine
|
$2,527.85 |
$2,527.85 |
$2,527.85 |
|
|
Myelography thoracic spine
|
$2,396.55 |
$2,396.55 |
$2,396.55 |
|
|
Myelography via inj w/s&i 2+ regions
|
$1,784.80 |
$1,784.80 |
$1,784.80 |
|
|
Myelography via inj w/s&i cervical
|
$1,784.80 |
$1,784.80 |
$1,784.80 |
|
|
Myelography via inj w/s&i lumbosacral
|
$1,892.80 |
$1,892.80 |
$9,133.25 |
|
|
Myelography via inj w/s&i thoracic
|
$1,784.80 |
$1,784.80 |
$1,784.80 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$117.00 |
$146.40 |
$216.80 |
|
|
Nafcillin 2 gram solution for injection
|
$52.81 |
$52.81 |
$52.81 |
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$27.88 |
$27.88 |
$27.88 |
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$14,341.85 |
$14,341.85 |
$14,341.85 |
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$14,684.96 |
$14,684.96 |
$14,684.96 |
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$16,470.48 |
$16,470.48 |
$16,470.48 |
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$16,867.19 |
$16,867.19 |
$16,867.19 |
|
|
Nasopharyngoscopy w/endoscope
|
$154.70 |
$154.70 |
$154.70 |
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$15,879.41 |
$15,879.41 |
$15,879.41 |
|
|
Natriuretic peptide
|
$86.40 |
$109.60 |
$122.85 |
|
|
Natural killer cells total count
|
$41.20 |
$41.20 |
$122.00 |
|
|
N block inj hypogas plxs
|
$1,004.00 |
$1,004.00 |
$1,054.40 |
|
|
Ndl insj without njx 1 or 2 musc
|
$55.90 |
$55.90 |
$55.90 |
|
|
Ndl insj without njx 3+ musc
|
$61.75 |
$61.75 |
$61.75 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$887.20 |
$1,307.20 |
$1,981.85 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$887.20 |
$1,264.00 |
$1,835.60 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,688.40 |
$2,849.20 |
$3,177.20 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,549.60 |
$1,606.00 |
$2,905.50 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,402.00 |
$1,466.00 |
$2,811.25 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,702.80 |
$1,791.60 |
$1,862.25 |
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,063.20 |
$1,595.60 |
$2,048.80 |
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,033.20 |
$1,342.40 |
$1,490.45 |
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
|
|
Neurolysis trigeminal nerve
|
$856.80 |
$856.80 |
$856.80 |
|
|
New Patient Office Visit (level 2)
|
$105.30 |
$105.30 |
$175.60 |
|
|
New Patient Office Visit (level 3)
|
$131.30 |
$221.20 |
$276.40 |
|
|
New Patient Office Visit (level 4)
|
$198.25 |
$198.25 |
$322.40 |
|
|
New Patient Office Visit (level 5)
|
$277.55 |
$277.55 |
$432.00 |
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$686.98 |
$686.98 |
$686.98 |
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$86.61 |
$86.61 |
$86.61 |
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$14,490.03 |
$14,490.03 |
$14,490.03 |
|
|
Njx aa&/strd lmbr plex nfs
|
$574.00 |
$574.00 |
$574.00 |
|
|
Nm imaging bone/joint 3 phase study
|
$985.60 |
$985.60 |
$2,869.10 |
|
|
Nm imaging bone/joint whole body
|
$971.20 |
$971.20 |
$2,926.30 |
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,037.20 |
$1,037.20 |
$2,590.90 |
|
|
Nm imaging gastric emptying study
|
$1,112.80 |
$1,112.80 |
$1,350.05 |
|
|
Nm imaging gastrointestinal acute blood loss
|
$642.00 |
$642.00 |
$1,894.75 |
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,196.40 |
$1,196.40 |
$2,194.40 |
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,122.40 |
$1,122.40 |
$2,569.45 |
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,044.40 |
$1,044.40 |
$1,504.10 |
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$587.60 |
$587.60 |
$1,394.25 |
|
|
Nm radiopharmaceutical therapy oral administration
|
$548.80 |
$548.80 |
$4,340.70 |
|
|
Nr lnr acclrtr tx max 5 sessions
|
$13,455.00 |
$13,455.00 |
$13,455.00 |
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$19,112.92 |
$19,112.92 |
$19,112.92 |
|
|
Ntsty modul rad tx dlvr cplx
|
$5,577.00 |
$5,577.00 |
$5,577.00 |
|
|
Ntsty modul rad tx dlvr smpl
|
$4,988.10 |
$4,988.10 |
$4,988.10 |
|
|
Nuclear Stress Test (Heart)
|
$1,341.20 |
$2,024.00 |
$3,921.45 |
|
|
Nushield 1 square cm
|
$289.25 |
$289.25 |
$289.25 |
|
|
Observation direct referral from physician office for admission
|
$81.25 |
$81.25 |
$81.25 |
|
|
Observation per hour
|
$35.75 |
$35.75 |
$35.75 |
|
|
Obstetrics panel
|
$86.80 |
$86.80 |
$86.80 |
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$38,822.09 |
$38,822.09 |
$38,822.09 |
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$59.15 |
$59.15 |
$59.15 |
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$12,364.00 |
$12,364.00 |
$12,364.00 |
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$2,785.15 |
$2,785.15 |
$2,785.15 |
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.01 |
$37.01 |
$37.01 |
|
|
Open bx/exc inguinofem nodes
|
$10,010.18 |
$10,010.18 |
$10,010.18 |
|
|
Orchiopexy ingun/scrot appr
|
$10,958.86 |
$10,958.86 |
$10,958.86 |
|
|
Oropharyngeal biopsy 42800
|
$15,063.26 |
$15,063.26 |
$15,063.26 |
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$65.91 |
$65.91 |
$65.91 |
|
|
Orthovisc inj per dose
|
$2,019.55 |
$2,019.55 |
$2,019.55 |
|
|
Osmolality blood
|
$32.40 |
$56.55 |
$68.40 |
|
|
Osmolality urine
|
$40.00 |
$57.85 |
$86.80 |
|
|
Ot evaluation high complexity patient/family
|
$93.60 |
$134.40 |
$145.20 |
|
|
Ot evaluation low complexity patient/family
|
$70.40 |
$93.60 |
$97.60 |
|
|
Ot evaluation moderate complexity patient/family
|
$93.60 |
$112.40 |
$121.20 |
|
|
Other immunoelectrophoresis
|
$68.40 |
$119.60 |
$213.20 |
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$53.30 |
$62.80 |
$70.40 |
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$53.95 |
$62.80 |
$131.60 |
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$62.40 |
$66.00 |
$75.40 |
|
|
Ot re-evaluation patient/family
|
$47.60 |
$93.60 |
$216.45 |
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$41.20 |
$53.60 |
$57.85 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$63.05 |
$63.05 |
$82.40 |
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$36.40 |
$36.40 |
$63.05 |
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$46.15 |
$56.00 |
$77.60 |
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$42.90 |
$50.40 |
$85.20 |
|
|
Ot training self care/home management direct contact each 15 minutes
|
$45.20 |
$73.45 |
$75.60 |
|
|
Oxytocin 10 unit/ml injection solution
|
$14.58 |
$14.58 |
$14.58 |
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$135.25 |
$135.25 |
$135.25 |
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$2,832.16 |
$2,832.16 |
$2,832.16 |
|
|
Palonosetron hcl
|
$76.05 |
$76.05 |
$76.05 |
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$395.29 |
$395.29 |
$395.29 |
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$13,608.78 |
$13,608.78 |
$13,608.78 |
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.18 |
$7.18 |
$7.18 |
|