|
Metabolic Blood Panel (Comprehensive)
|
$1,126.30 |
$1,126.30 |
$1,126.30 |
$157.50
|
|
Metabolic panel ionized ca
|
$60.25 |
$60.25 |
$60.25 |
$141.60
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$148.35 |
$148.35 |
$148.35 |
$73.19
|
|
Methotrexate sodium 2.5 mg tablet
|
$25.00 |
$25.00 |
$25.00 |
$8.73
|
|
Methotrexate therapeutic drug level
|
$285.83 |
$285.83 |
$285.83 |
$105.30
|
|
Methyldopate hcl injection
|
$48.75 |
$48.75 |
$48.75 |
$100.80
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$795.45 |
$795.45 |
$795.45 |
$1,111.02
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$85.58 |
$85.58 |
$85.58 |
$76.20
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$5.64 |
$5.64 |
$5.64 |
$8.55
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$2.34 |
$2.34 |
$2.34 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$327.37
|
|
Microdissection manual
|
$284.37 |
$284.37 |
$284.37 |
$289.50
|
|
Mnl appl strs jt radiography
|
$651.77 |
$651.77 |
$651.77 |
$196.81
|
|
Monovisc inj per dose
|
$4,901.40 |
$4,901.40 |
$4,901.40 |
$1,705.31
|
|
Mopath procedure level 1
|
$800.30 |
$800.30 |
$800.30 |
$229.20
|
|
Mopath procedure level 3
|
$2,427.18 |
$2,427.18 |
$2,427.18 |
$347.20
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$3.03 |
$3.03 |
$3.03 |
$27.00
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$624.00 |
$624.00 |
$624.00 |
$402.00
|
|
M/phmtrc alys ishquant/semiq
|
$728.00 |
$728.00 |
$728.00 |
$487.50
|
|
Mpl gene analysis common variants
|
$936.00 |
$936.00 |
$936.00 |
$388.00
|
|
MRA chest w IV cont
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$1,813.48
|
|
MRA w/cont, abd
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$1,907.28
|
|
MRA without cont, abd
|
$5,738.91 |
$5,738.91 |
$5,738.91 |
$1,749.65
|
|
MRA without fol w/cont, abd
|
$8,556.78 |
$8,556.78 |
$8,556.78 |
$2,416.27
|
|
MRA without fol w/cont, pelvis
|
$7,979.16 |
$7,979.16 |
$7,979.16 |
$2,206.29
|
|
MRI chest without contrast
|
$7,287.42 |
$7,287.42 |
$7,287.42 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$8,816.69 |
$8,816.69 |
$8,816.69 |
$2,652.73
|
|
MRI chest w IV cont
|
$8,009.43 |
$8,009.43 |
$8,009.43 |
$2,210.00
|
|
MRI orbit/face/neck without contrast
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$7,287.42 |
$7,287.42 |
$7,287.42 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$2,176.20
|
|
MRI tmj
|
$7,287.42 |
$7,287.42 |
$7,287.42 |
$1,736.28
|
|
Mthfr gene analy common variants
|
$178.46 |
$178.46 |
$178.46 |
$184.00
|
|
Mucin synovial fluid
|
$123.59 |
$123.59 |
$123.59 |
$33.57
|
|
Mycophenolate mofetil 250 mg capsule
|
$9.68 |
$9.68 |
$9.68 |
$10.79
|
|
Myelography l-s spine
|
$3,835.57 |
$3,835.57 |
$3,835.57 |
$1,334.09
|
|
Myelography neck spine
|
$4,609.43 |
$4,609.43 |
$4,609.43 |
$1,241.50
|
|
Myelography thoracic spine
|
$4,513.80 |
$4,513.80 |
$4,513.80 |
$1,255.00
|
|
Natriuretic peptide
|
$716.87 |
$716.87 |
$716.87 |
$176.15
|
|
Natural killer cells total count
|
$278.10 |
$278.10 |
$278.10 |
$132.63
|
|
Ndl emg musc 1 xtr/non-limb
|
$708.68 |
$708.68 |
$708.68 |
$213.75
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$5,772.12 |
$5,772.12 |
$5,772.12 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$5,841.62 |
$5,841.62 |
$5,841.62 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$5,772.12 |
$5,772.12 |
$5,772.12 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$7,446.95 |
$7,446.95 |
$7,446.95 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$5,872.30 |
$5,872.30 |
$5,872.30 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$6,892.74 |
$6,892.74 |
$6,892.74 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$12,106.28 |
$12,106.28 |
$12,106.28 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$31.26 |
$31.26 |
$31.26 |
$60.38
|
|
Nerve conduction 7-8 studies
|
$708.98 |
$708.98 |
$708.98 |
$719.39
|
|
Nerve conduction studies 11-12
|
$969.42 |
$969.42 |
$969.42 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$355.05 |
$355.05 |
$355.05 |
$340.80
|
|
Nerve conduction studies 13+
|
$1,120.79 |
$1,120.79 |
$1,120.79 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$448.54 |
$448.54 |
$448.54 |
$469.98
|
|
Nerve conduction studies 5-6
|
$538.69 |
$538.69 |
$538.69 |
$573.30
|
|
Nerve conduction studies 9-10
|
$846.99 |
$846.99 |
$846.99 |
$1,051.96
|
|
Nesiritide injection
|
$3,612.18 |
$3,612.18 |
$3,612.18 |
$3,527.00
|
|
Nm imaging bone/joint 3 phase study
|
$4,910.41 |
$4,910.41 |
$4,910.41 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$5,296.80 |
$5,296.80 |
$5,296.80 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$6,715.36 |
$6,715.36 |
$6,715.36 |
$1,382.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$4,781.61 |
$4,781.61 |
$4,781.61 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$4,286.10 |
$4,286.10 |
$4,286.10 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$5,277.12 |
$5,277.12 |
$5,277.12 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$6,599.09 |
$6,599.09 |
$6,599.09 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$5,425.61 |
$5,425.61 |
$5,425.61 |
$1,079.00
|
|
Non-card vasc flow imaging
|
$3,193.09 |
$3,193.09 |
$3,193.09 |
$608.56
|
|
Npm1 gene
|
$1,379.67 |
$1,379.67 |
$1,379.67 |
$457.50
|
|
Nras gene variants exon 2&3
|
$2,847.44 |
$2,847.44 |
$2,847.44 |
$592.00
|
|
Nuclear rx IV admin
|
$2,202.09 |
$2,202.09 |
$2,202.09 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$8,309.24 |
$8,309.24 |
$8,309.24 |
$3,804.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$272.14 |
$272.14 |
$272.14 |
$14,865.31
|
|
Obstetrics panel
|
$899.19 |
$899.19 |
$899.19 |
$214.50
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,274.03 |
$4,274.03 |
$4,274.03 |
$4,595.01
|
|
Oncoprotein her-2/neu
|
$576.30 |
$576.30 |
$576.30 |
$219.00
|
|
Ondansetron 8 mg disintegrating tablet
|
$62.65 |
$62.65 |
$62.65 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$37.80 |
$37.80 |
$37.80 |
$22.62
|
|
Oral aprepitant
|
$137.84 |
$137.84 |
$137.84 |
$410.20
|
|
Organic acids total quant ea spec
|
$872.91 |
$872.91 |
$872.91 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$6.34 |
$6.34 |
$6.34 |
$50.63
|
|
Orthovisc inj per dose
|
$1,115.65 |
$1,115.65 |
$1,115.65 |
$537.58
|
|
Osmolality blood
|
$245.67 |
$245.67 |
$245.67 |
$67.60
|
|
Ot training self care/home management direct contact each 15 minutes
|
$269.28 |
$269.28 |
$269.28 |
$94.25
|
|
Oxytocin 10 unit/ml injection solution
|
$30.00 |
$30.00 |
$30.00 |
$50.40
|
|
Palonosetron hcl
|
$1,077.12 |
$1,077.12 |
$1,077.12 |
$170.48
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$54.94 |
$54.94 |
$54.94 |
$128.07
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$14.88 |
$14.88 |
$14.88 |
$29.31
|
|
Parathormone (pth) intact
|
$1,066.03 |
$1,066.03 |
$1,066.03 |
$204.87
|
|
Parathyroid planar imaging
|
$2,788.82 |
$2,788.82 |
$2,788.82 |
$1,129.91
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$21,676.80 |
$21,676.80 |
$21,676.80 |
$11,216.31
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,586.13 |
$6,586.13 |
$6,586.13 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$8,584.00 |
$8,584.00 |
$8,584.00 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$6,317.39 |
$6,317.39 |
$6,317.39 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$4,902.08 |
$4,902.08 |
$4,902.08 |
$1,363.11
|
|
Pelvic MRI (with and without contrast)
|
$7,446.95 |
$7,446.95 |
$7,446.95 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$1,902.00
|
|
Pelvic Ultrasound (complete)
|
$2,497.71 |
$2,497.71 |
$2,497.71 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,125.82 |
$1,125.82 |
$1,125.82 |
$430.00
|
