|
MRI orbit fac&nck w IV cont
|
$3,280.80 |
$3,280.80 |
$3,280.80 |
$2,203.50
|
|
MRI tmj
|
$2,804.00 |
$2,804.00 |
$2,804.00 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$5,048.00 |
$5,048.00 |
$5,048.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$8,028.00 |
$8,028.00 |
$8,028.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$7,441.60 |
$7,441.60 |
$7,441.60 |
$2,061.15
|
|
Mr safety determination physician/other qhp
|
$220.00 |
$220.00 |
$220.00 |
$160.20
|
|
Mr safety implant elec prepj
|
$228.80 |
$228.80 |
$228.80 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$121.60 |
$121.60 |
$121.60 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$148.00 |
$148.00 |
$148.00 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$60.80 |
$60.80 |
$60.80 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$603.20 |
$603.20 |
$603.20 |
$439.80
|
|
Mr spectroscopy
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$1,352.40
|
|
Msh2 gene full seq
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$764.00
|
|
Msh6 gene full seq
|
$2,591.20 |
$2,591.20 |
$2,591.20 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$184.00
|
|
Mucin synovial fluid
|
$231.20 |
$231.20 |
$231.20 |
$33.57
|
|
Mucopolysaccharides
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$178.36
|
|
Multiple sleep latency test
|
$7,186.40 |
$7,186.40 |
$7,186.40 |
$2,466.00
|
|
Mumps antibody igg
|
$161.60 |
$161.60 |
$161.60 |
$78.00
|
|
Mycoplasma antibody igm
|
$176.00 |
$176.00 |
$176.00 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$1,598.40 |
$1,598.40 |
$1,598.40 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$4,147.20 |
$4,147.20 |
$4,147.20 |
$1,494.22
|
|
Myelography l-s spine
|
$3,072.00 |
$3,072.00 |
$3,072.00 |
$1,334.09
|
|
Myelography neck spine
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$1,241.50
|
|
Myelography thoracic spine
|
$3,570.40 |
$3,570.40 |
$3,570.40 |
$1,255.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$3,680.00 |
$3,680.00 |
$3,680.00 |
$130.80
|
|
Myocrd img pet 1 std w/ct
|
$5,625.60 |
$5,625.60 |
$5,625.60 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$10,721.60 |
$10,721.60 |
$10,721.60 |
$4,240.58
|
|
Myocrd img pet 2rtracer CT
|
$10,721.60 |
$10,721.60 |
$10,721.60 |
$5,083.90
|
|
Myocrd img pet rst&strs CT
|
$8,772.80 |
$8,772.80 |
$8,772.80 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$5,625.60 |
$5,625.60 |
$5,625.60 |
$3,311.85
|
|
Nasal endoscopy dx uni/bi separate proc
|
$298.40 |
$298.40 |
$298.40 |
$353.62
|
|
Natriuretic peptide
|
$347.20 |
$347.20 |
$347.20 |
$176.15
|
|
Natural killer cells total count
|
$231.20 |
$231.20 |
$231.20 |
$135.00
|
|
Ndl insj without njx 1 or 2 musc
|
$40.00 |
$40.00 |
$40.00 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$40.00 |
$40.00 |
$40.00 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$116.00 |
$116.00 |
$116.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$364.80 |
$364.80 |
$364.80 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,164.80 |
$2,164.80 |
$2,164.80 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,881.60 |
$1,881.60 |
$1,881.60 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,506.40 |
$4,506.40 |
$4,506.40 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$468.00 |
$468.00 |
$468.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$577.60 |
$577.60 |
$577.60 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$635.20 |
$635.20 |
$635.20 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,977.60 |
$5,977.60 |
$5,977.60 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,364.80 |
$3,364.80 |
$3,364.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,706.40 |
$2,706.40 |
$2,706.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$1,312.00
|
|
Nerve conduction 7-8 studies
|
$634.40 |
$634.40 |
$634.40 |
$750.00
|
|
Nerve conduction studies 11-12
|
$912.80 |
$912.80 |
$912.80 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$367.20 |
$367.20 |
$367.20 |
$341.10
|
|
Nerve conduction studies 13+
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$440.80 |
$440.80 |
$440.80 |
$469.98
|
|
Nerve conduction studies 5-6
|
$528.80 |
$528.80 |
$528.80 |
$617.24
|
|
Nerve conduction studies 9-10
|
$760.80 |
$760.80 |
$760.80 |
$1,100.00
|
|
New Patient Office Visit (level 2)
|
$164.80 |
$164.80 |
$164.80 |
$163.30
|
|
Nfct ds bv&vaginitis dna alg
|
$674.40 |
$674.40 |
$674.40 |
$400.00
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$2,437.60 |
$2,437.60 |
$2,437.60 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,916.80 |
$1,916.80 |
$1,916.80 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$1,024.56
|
|
Non-card vasc flow imaging
|
$904.00 |
$904.00 |
$904.00 |
$608.56
|
|
Noonan spectrum disorders
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$2,582.40
|
|
Nose (Nasal Bone) X-ray (complete)
|
$407.20 |
$407.20 |
$407.20 |
$274.65
|
|
Npm1 gene
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$457.50
|
|
Nras gene variants exon 2&3
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$593.45
|
|
Nuclear exam of tear flow
|
$919.20 |
$919.20 |
$919.20 |
$648.04
|
|
Nuclear rx intracav admin
|
$709.60 |
$709.60 |
$709.60 |
$776.97
|
|
Nuclear Stress Test (Heart)
|
$5,949.60 |
$5,949.60 |
$5,949.60 |
$3,859.98
|
|
Nushield 1 square cm
|
$1,584.80 |
$1,584.80 |
$1,584.80 |
$931.43
|
|
Observation direct referral from physician office for admission
|
$515.20 |
$515.20 |
$515.20 |
$384.00
|
|
Observation per hour
|
$284.80 |
$284.80 |
$284.80 |
$82.50
|
|
Obstetrics panel
|
$788.80 |
$788.80 |
$788.80 |
$214.50
|
|
Obtaining screen pap smear
|
$216.00 |
$216.00 |
$216.00 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$441.60 |
$441.60 |
$441.60 |
$357.00
|
|
Ob Ultrasound nuchal meas add-on
|
$441.60 |
$441.60 |
$441.60 |
$249.60
|
|
Occupational Therapy Evaluation (high complexity)
|
$371.20 |
$371.20 |
$371.20 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$308.80 |
$308.80 |
$308.80 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$329.60 |
$329.60 |
$329.60 |
$263.90
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$218.40 |
$218.40 |
$218.40 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$353.60 |
$353.60 |
$353.60 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$528.80 |
$528.80 |
$528.80 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$210.40 |
$210.40 |
$210.40 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$235.20 |
$235.20 |
$235.20 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$197.60 |
$197.60 |
$197.60 |
$229.45
|
|
Orthopantogram
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$241.50
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$272.80 |
$272.80 |
$272.80 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$718.40 |
$718.40 |
$718.40 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$128.00 |
$128.00 |
$128.00 |
$196.30
|
|
Osmolality blood
|
$106.40 |
$106.40 |
$106.40 |
$70.85
|
|
Osmolality urine
|
$143.20 |
$143.20 |
$143.20 |
$65.52
|
|
Oth resp proc, group
|
$131.20 |
$131.20 |
$131.20 |
$126.00
|
|
Oth resp proc, indiv
|
$99.20 |
$99.20 |
$99.20 |
$83.50
|
