|
MRI lower extremity other than joint without contrast (both sides)
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,635.50 |
$1,635.50 |
$1,635.50 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$2,272.50 |
$2,272.50 |
$2,272.50 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$2,347.50 |
$2,347.50 |
$2,347.50 |
$2,176.20
|
|
MRI tmj
|
$1,386.50 |
$1,386.50 |
$1,386.50 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,643.50 |
$1,643.50 |
$1,643.50 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$964.50 |
$964.50 |
$964.50 |
$2,119.87
|
|
MRI without fol w/cont, breast
|
$2,009.50 |
$2,009.50 |
$2,009.50 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$56.58 |
$56.58 |
$61.50 |
$158.40
|
|
Mr safety implant elec prepj
|
$59.34 |
$59.34 |
$64.50 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$15.64 |
$15.64 |
$17.00 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$38.18 |
$38.18 |
$41.50 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$15.64 |
$15.64 |
$17.00 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$155.48 |
$155.48 |
$169.00 |
$419.20
|
|
Mr spectroscopy
|
$663.50 |
$663.50 |
$663.50 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$129.50 |
$129.50 |
$133.40 |
$184.00
|
|
Multiple sleep latency test
|
$1,650.02 |
$1,650.02 |
$1,763.00 |
$2,440.50
|
|
Mumps antibody igg
|
$17.50 |
$17.50 |
$40.48 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.99 |
$1.99 |
$2.16 |
$10.79
|
|
Mycophenolic acid
|
$2.46 |
$2.46 |
$2.67 |
$12.84
|
|
Mycoplasma antibody igm
|
$60.50 |
$60.50 |
$84.18 |
$76.59
|
|
Myelogphy 2/> spine regions
|
$4,892.00 |
$4,892.00 |
$4,892.00 |
$1,494.22
|
|
Myelography l-s spine
|
$1,062.50 |
$1,062.50 |
$1,062.50 |
$1,334.09
|
|
Myelography neck spine
|
$832.00 |
$832.00 |
$832.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$3,193.00 |
$3,193.00 |
$3,193.00 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,299.50 |
$1,299.50 |
$1,299.50 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$720.50 |
$720.50 |
$720.50 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,299.50 |
$1,299.50 |
$1,299.50 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$680.00 |
$680.00 |
$680.00 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$797.64 |
$797.64 |
$954.00 |
$135.50
|
|
Myocrd img pet 1 std w/ct
|
$1,229.12 |
$1,229.12 |
$1,252.50 |
$3,252.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$2.32 |
$2.32 |
$2.53 |
$38.19
|
|
Naltrexone, depot form
|
$711.16 |
$711.16 |
$772.99 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$669.00 |
$669.00 |
$669.00 |
$353.62
|
|
Nasopharyngoscopy w/endoscope
|
$136.00 |
$136.00 |
$136.00 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$261.83 |
$261.83 |
$284.60 |
$16,254.52
|
|
Natriuretic peptide
|
$82.80 |
$82.80 |
$196.00 |
$176.15
|
|
Natural killer cells total count
|
$76.00 |
$76.00 |
$76.00 |
$132.63
|
|
Navigational bronchoscopy 31627
|
$2,175.34 |
$2,175.34 |
$2,554.00 |
$1,751.25
|
|
N block inj hypogas plxs
|
$77.50 |
$77.50 |
$77.50 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$788.00 |
$788.00 |
$788.00 |
$213.75
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,143.56 |
$1,143.56 |
$1,736.50 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,263.16 |
$1,263.16 |
$1,645.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,013.84 |
$1,013.84 |
$1,305.50 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,325.50 |
$2,325.50 |
$2,325.50 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,757.00 |
$1,757.00 |
$1,757.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,594.00 |
$1,594.00 |
$1,594.00 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,328.50 |
$1,328.50 |
$1,328.50 |
$1,790.58
|
|
Neg pres wound ther drsg set
|
$1,122.97 |
$1,122.97 |
$1,220.62 |
$676.00
|
|
Nelarabine injection
|
$1.53 |
$1.53 |
$1.66 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.51 |
$1.51 |
$1.64 |
$60.38
|
|
Neurolysis celiac plexus
|
$1,183.50 |
$1,183.50 |
$1,183.50 |
$1,754.00
|
|
Neuromatrix nerve cuff, cm
|
$1,170.59 |
$1,170.59 |
$1,272.38 |
$3,021.00
|
|
New Patient Office Visit (level 2)
|
$121.90 |
$121.90 |
$145.50 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$171.12 |
$171.12 |
$203.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$260.36 |
$260.36 |
$308.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$327.52 |
$327.52 |
$388.50 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$263.00 |
$263.00 |
$266.34 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$0.97 |
$0.97 |
$1.05 |
$263.48
|
|
Nintedanib 150 mg capsule
|
$0.15 |
$0.15 |
$0.16 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$924.14 |
$924.14 |
$924.14 |
$2,194.83
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$0.56 |
$0.56 |
$0.61 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$146.34 |
$146.34 |
$159.06 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$334.25 |
$334.25 |
$363.32 |
$41,635.10
|
|
Njx aa&/strd nrv nrvtg si jt
|
$532.68 |
$532.68 |
$542.50 |
$1,159.00
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,843.00 |
$2,843.00 |
$2,843.00 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$306.36 |
$306.36 |
$1,359.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$291.18 |
$291.18 |
$1,202.50 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,163.34 |
$1,163.34 |
$1,264.50 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$291.18 |
$291.18 |
$1,189.50 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$291.18 |
$291.18 |
$958.00 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$899.30 |
$899.30 |
$1,097.50 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$383.64 |
$383.64 |
$1,056.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$883.66 |
$883.66 |
$1,034.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$676.00 |
$676.00 |
$676.00 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$481.50 |
$481.50 |
$481.50 |
$1,056.33
|
|
Non-blind interatrial shunt
|
$17,778.00 |
$17,778.00 |
$17,778.00 |
$32,542.99
|
|
Non-card vasc flow imaging
|
$220.80 |
$220.80 |
$220.80 |
$608.56
|
|
Noninv pace analysis
|
$490.50 |
$490.50 |
$490.50 |
$761.60
|
|
Non-ophthalmic fva
|
$375.50 |
$375.50 |
$375.50 |
$609.12
|
|
Nr lnr acclrtr tx max 5 sessions
|
$8,423.50 |
$8,423.50 |
$8,423.50 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,650.50 |
$1,650.50 |
$1,650.50 |
$2,235.00
|
|
Nuclear rx intra-arterial
|
$1,403.50 |
$1,403.50 |
$1,403.50 |
$765.00
|
|
Nuclear rx IV admin
|
$482.50 |
$482.50 |
$482.50 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$2,111.86 |
$2,111.86 |
$2,319.00 |
$3,804.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$99.05 |
$99.05 |
$107.66 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$123.00 |
$123.00 |
$123.00 |
$384.00
|
|
Observation per hour
|
$30.00 |
$30.00 |
$30.00 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$413.08 |
$413.08 |
$454.50 |
$264.60
|
|
Obstetrics panel
|
$307.00 |
$307.00 |
$307.00 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$906.86 |
$906.86 |
$985.72 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$11.53 |
$11.53 |
$12.53 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$2,879.14 |
$2,879.14 |
$3,129.50 |
$12,080.43
|