|
MRA without fol w/cont, pelvis
|
$1,795.30 |
$2,522.65 |
$2,709.85 |
|
|
Mr elastography
|
$1,420.25 |
$1,420.25 |
$1,420.25 |
|
|
MRI breast c- unilateral
|
$1,833.00 |
$1,833.00 |
$2,152.80 |
|
|
MRI breast without cont bi
|
$2,449.20 |
$2,449.20 |
$2,661.10 |
|
|
MRI cardiac morph & func wo IV cont
|
$1,197.30 |
$1,197.30 |
$1,197.30 |
|
|
MRI cardiac morph & func wwo IV cont
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
|
|
MRI chest without contrast
|
$1,337.70 |
$1,634.10 |
$1,979.25 |
|
|
MRI chest without & w/contrast
|
$1,561.95 |
$2,809.30 |
$3,063.45 |
|
|
MRI chest w IV cont
|
$1,450.15 |
$1,450.15 |
$1,774.50 |
|
|
MRI fetal ea addl gestation
|
$469.30 |
$469.30 |
$469.30 |
|
|
MRI fetal sngl/1st gestation
|
$3,548.35 |
$3,548.35 |
$3,548.35 |
|
|
MRI guid ndl plc s&i
|
$971.10 |
$971.10 |
$971.10 |
|
|
MRI loex nonjt w IV cont
|
$1,518.40 |
$1,732.90 |
$3,177.85 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$79.50 |
$2,274.35 |
$3,494.40 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,528.50 |
$2,600.65 |
$4,428.45 |
|
|
MRI orbit/face/neck without contrast
|
$1,299.35 |
$1,758.90 |
$2,752.10 |
|
|
MRI orbit/face/neck without & w/contrast
|
$93.75 |
$2,830.10 |
$3,186.30 |
|
|
MRI orbit fac&nck w IV cont
|
$1,407.25 |
$2,353.65 |
$2,668.90 |
|
|
MRI tmj
|
$707.85 |
$1,337.70 |
$1,970.15 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$79.50 |
$1,979.25 |
$3,703.70 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,252.25 |
$2,655.25 |
$4,757.35 |
|
|
MRI upper extremity w/dye
|
$2,349.10 |
$2,349.10 |
$3,703.70 |
|
|
MRI w/cont, breast, bi
|
$3,610.75 |
$3,610.75 |
$3,610.75 |
|
|
MRI w/cont, breast, uni
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
|
|
MRI without fol w/cont, breast
|
$2,449.20 |
$2,449.20 |
$4,332.25 |
|
|
MRI without fol w/cont, brst, un
|
$1,833.00 |
$1,833.00 |
$2,888.60 |
|
|
Mr spectroscopy
|
$3,474.90 |
$3,474.90 |
$3,474.90 |
|
|
Mthfr gene analy common variants
|
$146.25 |
$261.30 |
$373.10 |
|
|
M.tuberculo dna dir probe
|
$88.40 |
$88.40 |
$88.40 |
|
|
Mucopolysaccharides
|
$157.95 |
$157.95 |
$198.90 |
|
|
Multiple sleep latency test
|
$102.00 |
$2,069.60 |
$3,228.55 |
|
|
Mumps antibody igg
|
$54.75 |
$92.30 |
$112.45 |
|
|
Muscle test cran nerv unilat
|
$273.00 |
$273.00 |
$432.90 |
|
|
Muscle test larynx
|
$222.30 |
$222.30 |
$222.30 |
|
|
Muscle test one fiber
|
$434.20 |
$434.20 |
$434.20 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$4.87 |
$4.87 |
$4.87 |
|
|
Mycophenolic acid
|
$4.87 |
$4.87 |
$9.18 |
|
|
Mycoplasma antibody igm
|
$55.50 |
$113.75 |
$183.95 |
|
|
Myd88 gene p.leu265pro vrnt
|
$291.20 |
$416.00 |
$451.75 |
|
|
Myelogphy 2/> spine regions
|
$1,376.05 |
$2,256.15 |
$2,736.50 |
|
|
Myelography l-s spine
|
$1,071.20 |
$1,315.60 |
$2,119.00 |
|
|
Myelography neck spine
|
$1,127.75 |
$2,119.00 |
$2,481.70 |
|
|
Myelography thoracic spine
|
$1,071.20 |
$2,119.00 |
$2,150.85 |
|
|
Myelography via inj w/s&i 2+ regions
|
$6,440.99 |
$6,440.99 |
$10,605.65 |
|
|
Myelography via inj w/s&i cervical
|
$3,871.07 |
$3,871.07 |
$6,579.55 |
|
|
Myelography via inj w/s&i lumbosacral
|
$3,407.62 |
$3,407.62 |
$7,079.46 |
|
|
Myelography via inj w/s&i thoracic
|
$648.70 |
$648.70 |
$6,848.24 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$107.90 |
$131.30 |
$189.80 |
|
|
Myocrd img pet 1 std w/ct
|
$5,225.35 |
$5,225.35 |
$5,225.35 |
|
|
Myocrd img pet 2rtracer CT
|
$7,919.60 |
$7,919.60 |
$7,919.60 |
|
|
Myocrd img pet rst/strs w/ct
|
$5,651.75 |
$5,651.75 |
$5,651.75 |
|
|
Myringoplasty
|
$7,059.79 |
$7,059.79 |
$7,059.79 |
|
|
Nafcillin 2 gram solution for injection
|
$40.62 |
$52.81 |
$87.32 |
|
|
Nalbuphine 10 mg/ml injection solution
|
$6.00 |
$19.42 |
$33.55 |
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$20.47 |
$21.45 |
$50.63 |
|
|
Naltrexone, depot form
|
$3,505.58 |
$3,505.58 |
$4,367.41 |
|
|
Nasal endoscopy dx uni/bi separate proc
|
$343.20 |
$343.20 |
$343.20 |
|
|
Nasal endoscopy with removal of nasal foreign body
|
$16,596.57 |
$16,596.57 |
$16,596.57 |
|
|
Nasal/sinus endoscopy surg
|
$22,406.42 |
$22,406.42 |
$22,406.42 |
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$12,144.57 |
$12,144.57 |
$12,144.57 |
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$18,703.39 |
$18,703.39 |
$18,703.39 |
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$20,886.83 |
$20,886.83 |
$20,886.83 |
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$17,129.27 |
$17,129.27 |
$17,129.27 |
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$20,886.83 |
$20,886.83 |
$20,886.83 |
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$22,026.58 |
$22,026.58 |
$22,026.58 |
|
|
Nasopharyngoscopy w/endoscope
|
$257.40 |
$257.40 |
$362.05 |
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$14,436.53 |
$18,303.43 |
$23,208.56 |
|
|
Natriuretic peptide
|
$77.35 |
$134.55 |
$177.75 |
|
|
Natural killer cells total count
|
$98.15 |
$111.75 |
$139.10 |
|
|
Navigational bronchoscopy 31627
|
$23,753.04 |
$23,753.04 |
$26,269.75 |
|
|
N block inj common digit
|
$1,568.34 |
$1,568.34 |
$1,568.34 |
|
|
N block inj hypogas plxs
|
$689.00 |
$783.25 |
$2,104.05 |
|
|
Ndl emg musc 1 xtr/non-limb
|
$236.60 |
$236.60 |
$253.50 |
|
|
Ndl insj without njx 1 or 2 musc
|
$41.60 |
$43.55 |
$61.75 |
|
|
Ndl insj without njx 3+ musc
|
$41.60 |
$63.05 |
$73.45 |
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,413.75 |
$2,254.85 |
$2,722.20 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,329.90 |
$1,795.30 |
$2,450.50 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$60.75 |
$1,392.95 |
$2,314.00 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,561.95 |
$2,547.35 |
$3,038.10 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,450.15 |
$2,408.90 |
$2,916.55 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$94.50 |
$2,003.30 |
$2,731.30 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,561.95 |
$2,152.80 |
$3,274.70 |
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,318.20 |
$1,450.15 |
$2,411.50 |
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,337.70 |
$1,777.10 |
$2,154.75 |
|
|
Neck spine disk surgery
|
$22,431.88 |
$22,431.88 |
$22,431.88 |
|
|
Needle emg guid w/chemodenervation add-on
|
$83.20 |
$98.80 |
$113.10 |
|
|
Nelarabine injection
|
$1,447.13 |
$1,447.13 |
$1,447.13 |
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$195.00 |
$195.00 |
$195.00 |
|
|
Nerve conduction 7-8 studies
|
$815.75 |
$869.05 |
$1,866.15 |
|
|
Nerve conduction studies 11-12
|
$1,188.85 |
$1,225.25 |
$2,696.20 |
|
|
Nerve conduction studies 1-2
|
$239.85 |
$265.85 |
$622.05 |
|
|
Nerve conduction studies 13+
|
$1,437.80 |
$1,472.90 |
$3,110.25 |
|
|
Nerve conduction studies 3-4
|
$424.45 |
$466.05 |
$1,115.40 |
|
|
Nerve conduction studies 5-6
|
$636.35 |
$685.75 |
$1,451.45 |
|
|
Nerve conduction studies 9-10
|
$995.80 |
$1,170.00 |
$2,280.85 |
|
|
Nerve pedicle transfer
|
$11,122.54 |
$11,122.54 |
$11,122.54 |
|
|
Nerve repair w/allograft
|
$24,757.21 |
$24,757.21 |
$24,757.21 |
|
|
Neuroeltrd stim post tibial
|
$888.55 |
$888.55 |
$888.55 |
|