|
MRA abdomen post contrast
|
$754.90 |
$754.90 |
$754.90 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$848.90 |
$848.90 |
$848.90 |
$2,295.00
|
|
MRA chest wwo IV cont
|
$623.30 |
$623.30 |
$623.30 |
$2,492.05
|
|
MRA ext low(run-off)pst cntrst
|
$848.90 |
$848.90 |
$848.90 |
$2,539.23
|
|
MRA pelvis
|
$848.90 |
$848.90 |
$848.90 |
$2,229.00
|
|
MRA pelvis w IV cont
|
$654.15 |
$654.15 |
$654.15 |
$1,211.35
|
|
MRA upper extremity post contrast-bil
|
$848.90 |
$848.90 |
$848.90 |
$1,943.87
|
|
MRA w/cont, abd
|
$868.67 |
$868.67 |
$868.67 |
$1,509.90
|
|
MRI breast w IV cont bi
|
$465.67 |
$465.67 |
$465.67 |
$1,875.95
|
|
MRI chest without contrast
|
$711.52 |
$711.52 |
$711.52 |
$1,778.35
|
|
MRI chest without & w/contrast
|
$848.90 |
$848.90 |
$848.90 |
$2,517.01
|
|
MRI chest w IV cont
|
$798.29 |
$798.29 |
$798.29 |
$2,105.25
|
|
MRI loex nonjt w IV cont
|
$1,301.07 |
$1,301.07 |
$1,301.07 |
$1,996.15
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$922.66 |
$922.66 |
$922.66 |
$2,115.46
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,633.20 |
$1,633.20 |
$1,633.20 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$747.19 |
$747.19 |
$747.19 |
$1,831.11
|
|
MRI orbit/face/neck without & w/contrast
|
$1,193.57 |
$1,193.57 |
$1,193.57 |
$2,674.20
|
|
MRI orbit fac&nck w IV cont
|
$990.63 |
$990.63 |
$990.63 |
$2,119.65
|
|
MRI tmj
|
$711.52 |
$711.52 |
$711.52 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$812.27 |
$812.27 |
$812.27 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,267.33 |
$1,267.33 |
$1,267.33 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$1,040.28 |
$1,040.28 |
$1,040.28 |
$1,905.15
|
|
MRI without fol w/cont, breast
|
$732.73 |
$732.73 |
$732.73 |
$2,071.85
|
|
Mr safety determination physician/other qhp
|
$107.50 |
$107.50 |
$107.50 |
$160.20
|
|
Mr safety implant elec prepj
|
$112.32 |
$112.32 |
$112.32 |
$168.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$29.89 |
$29.89 |
$29.89 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$295.02 |
$295.02 |
$295.02 |
$402.40
|
|
Mthfr gene analy common variants
|
$134.50 |
$134.50 |
$134.50 |
$213.20
|
|
Mucin synovial fluid
|
$18.32 |
$18.32 |
$18.32 |
$30.00
|
|
Multiple sleep latency test
|
$920.25 |
$920.25 |
$920.25 |
$2,538.40
|
|
Mumps antibody igg
|
$80.51 |
$80.51 |
$80.51 |
$79.95
|
|
Mycophenolate mofetil 250 mg capsule
|
$21.33 |
$21.33 |
$21.33 |
$18.43
|
|
Mycophenolic acid
|
$1.96 |
$1.96 |
$1.96 |
$12.83
|
|
Mycoplasma antibody igm
|
$217.89 |
$217.89 |
$217.89 |
$87.36
|
|
Myelogphy 2/> spine regions
|
$810.82 |
$810.82 |
$810.82 |
$1,348.00
|
|
Myelography l-s spine
|
$925.07 |
$925.07 |
$925.07 |
$1,315.60
|
|
Myelography thoracic spine
|
$692.72 |
$692.72 |
$692.72 |
$1,077.92
|
|
Myelography via inj w/s&i 2+ regions
|
$832.99 |
$832.99 |
$832.99 |
$2,280.20
|
|
Myelography via inj w/s&i cervical
|
$427.11 |
$427.11 |
$427.11 |
$1,896.30
|
|
Myelography via inj w/s&i lumbosacral
|
$404.93 |
$404.93 |
$404.93 |
$1,959.66
|
|
Myelography via inj w/s&i thoracic
|
$832.99 |
$832.99 |
$832.99 |
$1,760.85
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$69.90 |
$69.90 |
$69.90 |
$135.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$29.86 |
$29.86 |
$29.86 |
$37.30
|
|
Nasopharyngoscopy w/endoscope
|
$212.59 |
$212.59 |
$212.59 |
$292.50
|
|
Natriuretic peptide
|
$177.88 |
$177.88 |
$177.88 |
$174.85
|
|
Natural killer cells total count
|
$38.09 |
$38.09 |
$38.09 |
$122.20
|
|
Ndl emg musc 1 xtr/non-limb
|
$69.42 |
$69.42 |
$69.42 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$31.82 |
$31.82 |
$31.82 |
$42.43
|
|
Ndl insj without njx 3+ musc
|
$33.75 |
$33.75 |
$33.75 |
$56.10
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$860.95 |
$860.95 |
$860.95 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$681.63 |
$681.63 |
$681.63 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$528.34 |
$528.34 |
$528.34 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,589.82 |
$1,589.82 |
$1,589.82 |
$2,849.55
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,292.39 |
$1,292.39 |
$1,292.39 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$929.89 |
$929.89 |
$929.89 |
$1,947.58
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,078.36 |
$1,078.36 |
$1,078.36 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$754.90 |
$754.90 |
$754.90 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$750.56 |
$750.56 |
$750.56 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$72.25 |
$72.25 |
$72.25 |
$50.40
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$171.62 |
$171.62 |
$171.62 |
$465.99
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$132.09 |
$132.09 |
$132.09 |
$234.00
|
|
New Patient Office Visit (level 2)
|
$152.82 |
$152.82 |
$152.82 |
$164.65
|
|
New Patient Office Visit (level 3)
|
$181.74 |
$181.74 |
$181.74 |
$211.90
|
|
New Patient Office Visit (level 4)
|
$236.69 |
$236.69 |
$236.69 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$281.04 |
$281.04 |
$281.04 |
$367.20
|
|
N-invas est c ffr sw aly cta
|
$1,200.32 |
$1,200.32 |
$1,200.32 |
$2,020.50
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$22,523.92 |
$22,523.92 |
$22,523.92 |
$17,039.82
|
|
Njx aa&/strd lmbr plex nfs
|
$966.52 |
$966.52 |
$966.52 |
$1,555.85
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,073.54 |
$1,073.54 |
$1,073.54 |
$1,214.78
|
|
Nm imaging bone/joint 3 phase study
|
$955.92 |
$955.92 |
$955.92 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$838.30 |
$838.30 |
$838.30 |
$1,746.29
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$755.87 |
$755.87 |
$755.87 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$991.11 |
$991.11 |
$991.11 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$461.33 |
$461.33 |
$461.33 |
$1,228.80
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,076.91 |
$1,076.91 |
$1,076.91 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$964.11 |
$964.11 |
$964.11 |
$1,636.05
|
|
Nm imaging pulmonary ventilation/perfusion
|
$795.39 |
$795.39 |
$795.39 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$416.02 |
$416.02 |
$416.02 |
$1,186.03
|
|
Non-card vasc flow imaging
|
$606.91 |
$606.91 |
$606.91 |
$606.91
|
|
Nuclear Stress Test (Heart)
|
$2,255.54 |
$2,255.54 |
$2,255.54 |
$4,009.77
|
|
Nushield 1 square cm
|
$590.52 |
$590.52 |
$590.52 |
$781.38
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$22,860.59 |
$22,860.59 |
$22,860.59 |
$10,792.10
|
|
Observation direct referral from physician office for admission
|
$290.20 |
$290.20 |
$290.20 |
$383.50
|
|
Obstetrics panel
|
$115.70 |
$115.70 |
$115.70 |
$206.05
|
|
Ob Ultrasound nuchal meas 1 gest
|
$140.76 |
$140.76 |
$140.76 |
$316.00
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$55,511.63 |
$55,511.63 |
$55,511.63 |
$52,712.40
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$43.24 |
$43.24 |
$43.24 |
$97.11
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,226.71 |
$19,226.71 |
$19,226.71 |
$13,979.02
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,948.13 |
$3,948.13 |
$3,948.13 |
$4,964.41
|
|
Ondansetron 8 mg disintegrating tablet
|
$40.54 |
$40.54 |
$40.54 |
$10.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$42.77 |
$42.77 |
$42.77 |
$30.15
|
|
Optx rdl&uln shft fx rds&uln
|
$1,664.06 |
$1,664.06 |
$1,664.06 |
$7,807.24
|
|
Oral aprepitant
|
$223.44 |
$223.44 |
$223.44 |
$233.43
|
|
Organic acids total quant ea spec
|
$316.23 |
$316.23 |
$316.23 |
$150.70
|
|
Oritavancin 400 mg intravenous solution
|
$5,350.72 |
$5,350.72 |
$5,350.72 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$30.01 |
$30.01 |
$30.01 |
$63.48
|
|
Ortho elbow w/lock w/ft&adj
|
$820.46 |
$820.46 |
$820.46 |
$717.62
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$264.17 |
$264.17 |
$264.17 |
$298.35
|
|
Oscillation chest wall mechanical per session
|
$249.23 |
$249.23 |
$249.23 |
$204.89
|
|
Osmolality blood
|
$54.00 |
$54.00 |
$54.00 |
$64.20
|