|
MRI orbit/face/neck without contrast
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$3,480.63 |
$3,480.63 |
$3,480.63 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$3,327.27 |
$3,327.27 |
$3,327.27 |
$2,176.20
|
|
MRI tmj
|
$3,556.25 |
$3,556.25 |
$3,556.25 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$7,068.05 |
$7,068.05 |
$7,068.05 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$7,112.51 |
$7,112.51 |
$7,112.51 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$3,407.15 |
$3,407.15 |
$3,407.15 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$3,364.55 |
$3,364.55 |
$3,364.55 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$3,068.45 |
$3,068.45 |
$3,068.45 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$3,474.60 |
$3,474.60 |
$3,474.60 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$3,261.59 |
$3,261.59 |
$3,261.59 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$305.17 |
$305.17 |
$305.17 |
$158.40
|
|
Mr safety implant elec prepj
|
$436.99 |
$436.99 |
$436.99 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$87.44 |
$87.44 |
$87.44 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$282.79 |
$282.79 |
$282.79 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$116.60 |
$116.60 |
$116.60 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$1,150.76 |
$1,150.76 |
$1,150.76 |
$419.20
|
|
Mr spectroscopy
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$899.59 |
$899.59 |
$899.59 |
$403.20
|
|
Msh2 gene full seq
|
$2,841.08 |
$2,841.08 |
$2,841.08 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$899.59 |
$899.59 |
$899.59 |
$453.60
|
|
Msh6 gene full seq
|
$1,661.80 |
$1,661.80 |
$1,661.80 |
$1,130.35
|
|
Msh6 gene known variants
|
$2,171.89 |
$2,171.89 |
$2,171.89 |
$369.60
|
|
Mthfr gene analy common variants
|
$567.56 |
$567.56 |
$567.56 |
$184.00
|
|
Mucin synovial fluid
|
$32.67 |
$32.67 |
$32.67 |
$33.57
|
|
Mucopolysaccharides
|
$234.23 |
$234.23 |
$234.23 |
$178.36
|
|
Multiple sleep latency test
|
$5,082.95 |
$5,082.95 |
$5,082.95 |
$2,440.50
|
|
Mumps antibody igg
|
$165.50 |
$165.50 |
$165.50 |
$77.35
|
|
Muscle test cran nerv unilat
|
$583.22 |
$583.22 |
$583.22 |
$385.07
|
|
Muscle test hemidiaphragm
|
$582.99 |
$582.99 |
$582.99 |
$296.40
|
|
Mycobacteria dna amp probe
|
$438.14 |
$438.14 |
$438.14 |
$275.71
|
|
Mycoplasma antibody igm
|
$166.66 |
$166.66 |
$166.66 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$1,019.63 |
$1,019.63 |
$1,019.63 |
$397.50
|
|
Myelography l-s spine
|
$4,219.01 |
$4,219.01 |
$4,219.01 |
$1,334.09
|
|
Myelography neck spine
|
$5,250.42 |
$5,250.42 |
$5,250.42 |
$1,241.50
|
|
Myelography via inj w/s&i 2+ regions
|
$8,455.77 |
$8,455.77 |
$8,455.77 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$8,455.77 |
$8,455.77 |
$8,455.77 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$8,455.77 |
$8,455.77 |
$8,455.77 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$7,289.94 |
$7,289.94 |
$7,289.94 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$3,162.69 |
$3,162.69 |
$3,162.69 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$6,135.97 |
$6,135.97 |
$6,135.97 |
$3,558.50
|
|
Myocrd img pet 1 std w/ct
|
$8,087.69 |
$8,087.69 |
$8,087.69 |
$3,252.00
|
|
Myocrd img pet 2rtracer
|
$10,350.01 |
$10,350.01 |
$10,350.01 |
$3,940.30
|
|
Myocrd img pet 2rtracer CT
|
$10,350.01 |
$10,350.01 |
$10,350.01 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$6,129.74 |
$6,129.74 |
$6,129.74 |
$3,980.50
|
|
Myocrd img pet rst&strs CT
|
$8,468.22 |
$8,468.22 |
$8,468.22 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$8,087.69 |
$8,087.69 |
$8,087.69 |
$3,311.85
|
|
Nafcillin 2 gram solution for injection
|
$1,153.22 |
$1,153.22 |
$1,153.22 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$369.32 |
$369.32 |
$369.32 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$572.25 |
$572.25 |
$572.25 |
$70.87
|
|
Nasal function studies
|
$806.45 |
$806.45 |
$806.45 |
$348.00
|
|
Nasopharyngoscopy w/endoscope
|
$503.13 |
$503.13 |
$503.13 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$307.22 |
$307.22 |
$307.22 |
$16,254.52
|
|
Natriuretic peptide
|
$552.34 |
$552.34 |
$552.34 |
$176.15
|
|
Natural killer cells total count
|
$442.82 |
$442.82 |
$442.82 |
$132.63
|
|
Ndl emg musc 1 xtr/non-limb
|
$373.41 |
$373.41 |
$373.41 |
$213.75
|
|
Ndl insj without njx 1 or 2 musc
|
$86.21 |
$86.21 |
$86.21 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$86.21 |
$86.21 |
$86.21 |
$45.00
|
|
Ndl round specialty proguide
|
$324.40 |
$324.40 |
$324.40 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$4,121.76 |
$4,121.76 |
$4,121.76 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,396.38 |
$3,396.38 |
$3,396.38 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,290.19 |
$3,290.19 |
$3,290.19 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,561.68 |
$4,561.68 |
$4,561.68 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,277.30 |
$4,277.30 |
$4,277.30 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,233.54 |
$3,233.54 |
$3,233.54 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,364.55 |
$3,364.55 |
$3,364.55 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,602.77 |
$3,602.77 |
$3,602.77 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
$1,790.58
|
|
Needle emg guid w/chemodenervation add-on
|
$780.09 |
$780.09 |
$780.09 |
$164.80
|
|
Neisseria meningitidis
|
$377.59 |
$377.59 |
$377.59 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$176.36 |
$176.36 |
$176.36 |
$60.38
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$1,029.22 |
$1,029.22 |
$1,029.22 |
$397.44
|
|
Nerve conduction 7-8 studies
|
$4,153.85 |
$4,153.85 |
$4,153.85 |
$719.39
|
|
Nerve conduction studies 11-12
|
$6,363.77 |
$6,363.77 |
$6,363.77 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$1,106.25 |
$1,106.25 |
$1,106.25 |
$340.80
|
|
Nerve conduction studies 13+
|
$7,458.50 |
$7,458.50 |
$7,458.50 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$2,012.94 |
$2,012.94 |
$2,012.94 |
$469.98
|
|
Nerve conduction studies 5-6
|
$3,042.43 |
$3,042.43 |
$3,042.43 |
$573.30
|
|
Nerve conduction studies 9-10
|
$5,251.04 |
$5,251.04 |
$5,251.04 |
$1,051.96
|
|
Nerve teasing preparations
|
$713.14 |
$713.14 |
$713.14 |
$698.49
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$487.31 |
$487.31 |
$487.31 |
$250.14
|
|
Nfct agt gntyp alys sarscov2
|
$1,323.75 |
$1,323.75 |
$1,323.75 |
$257.45
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$821.56 |
$821.56 |
$821.56 |
$263.48
|
|
N-invas est c ffr sw aly cta
|
$6,372.03 |
$6,372.03 |
$6,372.03 |
$2,194.83
|
|
Nitroblue tetrazolium dye
|
$124.73 |
$124.73 |
$124.73 |
$114.40
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$236.15 |
$236.15 |
$236.15 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$346.74 |
$346.74 |
$346.74 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$2,010.42 |
$2,010.42 |
$2,010.42 |
$41,635.10
|
|
Njx cath slct p angrph mapca
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$1,301.25
|
|
Njx cath slct p-art angrp bi
|
$7,558.95 |
$7,558.95 |
$7,558.95 |
$1,300.00
|
|
Njx cath slct pulm vn angrph
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$927.00
|
|
Njx cth slct p-art angrp uni
|
$3,779.48 |
$3,779.48 |
$3,779.48 |
$1,063.68
|
|
Nm imaging bone/joint 3 phase study
|
$5,214.14 |
$5,214.14 |
$5,214.14 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$5,214.14 |
$5,214.14 |
$5,214.14 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$4,792.50 |
$4,792.50 |
$4,792.50 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$6,289.43 |
$6,289.43 |
$6,289.43 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,849.20 |
$1,849.20 |
$1,849.20 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,759.49 |
$4,759.49 |
$4,759.49 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$4,910.28 |
$4,910.28 |
$4,910.28 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$4,788.97 |
$4,788.97 |
$4,788.97 |
$1,590.00
|
