|
MRI chest without contrast
|
$983.92 |
$983.92 |
$983.92 |
$1,661.55
|
|
MRI chest without & w/contrast
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,321.61
|
|
MRI chest w IV cont
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,105.25
|
|
MRI loex nonjt w IV cont
|
$2,196.88 |
$2,196.88 |
$2,196.88 |
$1,953.60
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,158.80 |
$2,158.80 |
$2,158.80 |
$2,051.28
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,328.48 |
$2,328.48 |
$2,328.48 |
$2,614.43
|
|
MRI orbit/face/neck without contrast
|
$983.92 |
$983.92 |
$983.92 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,552.60
|
|
MRI orbit fac&nck w IV cont
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,002.00
|
|
MRI tmj
|
$1,080.24 |
$1,080.24 |
$1,080.24 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,158.80 |
$2,158.80 |
$2,158.80 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,328.48 |
$2,328.48 |
$2,328.48 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$2,196.88 |
$2,196.88 |
$2,196.88 |
$1,854.07
|
|
MRI without fol w/cont, breast
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$1,312.08
|
|
MRI without fol w/cont, brst, un
|
$874.72 |
$874.72 |
$874.72 |
$1,225.98
|
|
Mr spectroscopy
|
$676.48 |
$676.48 |
$676.48 |
$1,117.20
|
|
Msh2 gene dup/delete variant
|
$48.72 |
$48.72 |
$48.72 |
$427.20
|
|
Msh2 gene full seq
|
$90.16 |
$90.16 |
$90.16 |
$504.56
|
|
Msh6 gene dup/delete variant
|
$54.88 |
$54.88 |
$54.88 |
$476.00
|
|
Msh6 gene full seq
|
$148.40 |
$148.40 |
$148.40 |
$641.85
|
|
Mthfr gene analy common variants
|
$151.20 |
$151.20 |
$151.20 |
$248.82
|
|
Mucopolysaccharides
|
$57.12 |
$57.12 |
$57.12 |
$255.20
|
|
Mumps antibody igg
|
$22.96 |
$22.96 |
$22.96 |
$81.45
|
|
Muscle test cran nerv unilat
|
$198.24 |
$198.24 |
$198.24 |
$377.52
|
|
Muscle test larynx
|
$138.88 |
$138.88 |
$138.88 |
$310.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.27 |
$5.27 |
$5.27 |
$5.76
|
|
Mycophenolic acid
|
$8.28 |
$8.28 |
$8.28 |
$8.40
|
|
Mycoplasma antibody igm
|
$56.00 |
$56.00 |
$56.00 |
$87.50
|
|
Myelography via inj w/s&i 2+ regions
|
$1,519.28 |
$1,519.28 |
$1,519.28 |
$2,178.36
|
|
Myelography via inj w/s&i cervical
|
$1,519.28 |
$1,519.28 |
$1,519.28 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$1,519.28 |
$1,519.28 |
$1,519.28 |
$1,923.03
|
|
Myelography via inj w/s&i thoracic
|
$1,519.28 |
$1,519.28 |
$1,519.28 |
$2,042.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$101.62 |
$101.62 |
$101.62 |
$115.05
|
|
Myocrd img pet 1std rst/strs
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$2,753.60
|
|
Myocrd img pet mlt rst&strs
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$2,770.40
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$185.54 |
$185.54 |
$185.54 |
$39.09
|
|
Natriuretic peptide
|
$53.76 |
$53.76 |
$53.76 |
$161.60
|
|
Natural killer cells total count
|
$96.88 |
$96.88 |
$96.88 |
$121.70
|
|
Ndl emg musc 1 xtr/non-limb
|
$158.48 |
$158.48 |
$158.48 |
$205.80
|
|
Ndl round specialty proguide
|
$85.12 |
$85.12 |
$85.12 |
$27.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$766.08 |
$766.08 |
$766.08 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$590.24 |
$590.24 |
$590.24 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$542.08 |
$542.08 |
$542.08 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$983.92 |
$983.92 |
$983.92 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,009.68 |
$1,009.68 |
$1,009.68 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$866.88 |
$866.88 |
$866.88 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$838.88 |
$838.88 |
$838.88 |
$1,741.80
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$136.64 |
$136.64 |
$136.64 |
$465.99
|
|
New Patient Office Visit (level 2)
|
$61.04 |
$61.04 |
$61.04 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$90.16 |
$90.16 |
$90.16 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$118.16 |
$118.16 |
$118.16 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$147.28 |
$147.28 |
$147.28 |
$367.20
|
|
Nitroblue tetrazolium dye
|
$48.16 |
$48.16 |
$48.16 |
$33.60
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$1,227.38 |
$1,227.38 |
$1,227.38 |
$60.11
|
|
Njx aa&/strd lmbr plex nfs
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,555.85
|
|
Njx aa&/strd sc nrv nfs img
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,644.28
|
|
Njx interlaminar crv/thrc
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,586.71
|
|
Njx interlaminar lmbr/sac
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,493.92
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,582.72 |
$2,582.72 |
$2,582.72 |
$1,580.80
|
|
Nm imaging bone/joint 3 phase study
|
$781.76 |
$781.76 |
$781.76 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$1,245.44 |
$1,245.44 |
$1,245.44 |
$1,538.86
|
|
Nm imaging gastric emptying study
|
$776.16 |
$776.16 |
$776.16 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$494.48 |
$494.48 |
$494.48 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$514.64 |
$514.64 |
$514.64 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$676.48 |
$676.48 |
$676.48 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$554.40 |
$554.40 |
$554.40 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$436.80 |
$436.80 |
$436.80 |
$1,075.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$593.04 |
$593.04 |
$593.04 |
$1,004.90
|
|
Noonan spectrum disorders
|
$1,794.80 |
$1,794.80 |
$1,794.80 |
$2,412.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,840.72 |
$1,840.72 |
$1,840.72 |
$8,344.87
|
|
Ntsty modul rad tx dlvr cplx
|
$1,674.96 |
$1,674.96 |
$1,674.96 |
$2,594.96
|
|
Ntsty modul rad tx dlvr smpl
|
$1,503.60 |
$1,503.60 |
$1,503.60 |
$2,591.00
|
|
Nuclear rx IV admin
|
$1,283.52 |
$1,283.52 |
$1,283.52 |
$806.38
|
|
Nuclear Stress Test (Heart)
|
$2,879.52 |
$2,879.52 |
$2,879.52 |
$3,739.20
|
|
Nushield 1 square cm
|
$162.40 |
$162.40 |
$162.40 |
$462.75
|
|
Observation per hour
|
$70.00 |
$70.00 |
$70.00 |
$75.15
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$5.54 |
$5.54 |
$5.54 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$143.83 |
$143.83 |
$143.83 |
$8,720.95
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$32.54 |
$32.54 |
$32.54 |
$106.63
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$22.20 |
$22.20 |
$22.20 |
$65.90
|
|
Onco (ovar) two proteins
|
$291.76 |
$291.76 |
$291.76 |
$260.50
|
|
Oral aprepitant
|
$8.44 |
$8.44 |
$8.44 |
$260.40
|
|
Organic acids total quant ea spec
|
$42.84 |
$42.84 |
$42.84 |
$152.50
|
|
Orthopantogram
|
$31.36 |
$31.36 |
$31.36 |
$219.22
|
|
Osmolality blood
|
$22.96 |
$22.96 |
$22.96 |
$57.00
|
|
Osmolality urine
|
$22.96 |
$22.96 |
$22.96 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$165.76 |
$165.76 |
$165.76 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$165.76 |
$165.76 |
$165.76 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$165.76 |
$165.76 |
$165.76 |
$249.60
|
|
Other immunoelectrophoresis
|
$46.48 |
$46.48 |
$46.48 |
$92.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$34.72 |
$34.72 |
$34.72 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$50.40 |
$50.40 |
$50.40 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$52.64 |
$52.64 |
$52.64 |
$105.50
|
|
Ot re-evaluation patient/family
|
$103.04 |
$103.04 |
$103.04 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$51.52 |
$51.52 |
$51.52 |
$96.11
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$52.64 |
$52.64 |
$52.64 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$51.52 |
$51.52 |
$51.52 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$67.20 |
$67.20 |
$67.20 |
$93.60
|