|
MRA without fol w/cont, abd
|
$923.40 |
$923.40 |
$923.40 |
$2,511.00
|
|
MRA without fol w/cont, lwr ext
|
$924.00 |
$924.00 |
$924.00 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$922.20 |
$922.20 |
$922.20 |
$2,206.29
|
|
MRI breast without cont bi
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$1,825.38
|
|
MRI chest without contrast
|
$684.60 |
$684.60 |
$684.60 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$981.60 |
$981.60 |
$981.60 |
$2,652.73
|
|
MRI loex nonjt w IV cont
|
$739.80 |
$739.80 |
$739.80 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$685.80 |
$685.80 |
$685.80 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$979.80 |
$979.80 |
$979.80 |
$2,770.95
|
|
MRI orbit fac&nck w IV cont
|
$697.80 |
$697.80 |
$697.80 |
$2,204.98
|
|
MRI tmj
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$685.80 |
$685.80 |
$685.80 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$982.80 |
$982.80 |
$982.80 |
$2,669.70
|
|
MRI without fol w/cont, breast
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$152.40 |
$152.40 |
$152.40 |
$161.40
|
|
Mr safety implant elec prepj
|
$159.00 |
$159.00 |
$159.00 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$18.00 |
$18.00 |
$18.00 |
$55.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$42.00 |
$42.00 |
$42.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$418.80 |
$418.80 |
$418.80 |
$444.00
|
|
Mthfr gene analy common variants
|
$108.00 |
$108.00 |
$108.00 |
$184.00
|
|
Mucopolysaccharides
|
$307.80 |
$307.80 |
$307.80 |
$178.36
|
|
Mumps antibody igg
|
$37.80 |
$37.80 |
$37.80 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$9.60 |
$9.60 |
$9.60 |
$10.79
|
|
Mycophenolic acid
|
$7.00 |
$7.00 |
$7.00 |
$12.84
|
|
Mycoplasma antibody igm
|
$32.40 |
$32.40 |
$32.40 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$890.40 |
$890.40 |
$890.40 |
$416.00
|
|
Myelography via inj w/s&i cervical
|
$581.40 |
$581.40 |
$581.40 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$581.40 |
$581.40 |
$581.40 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$28.20 |
$28.20 |
$28.20 |
$130.41
|
|
Nalbuphine 10 mg/ml injection solution
|
$10.80 |
$10.80 |
$10.80 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$1.80 |
$1.80 |
$1.80 |
$70.87
|
|
Naltrexone, depot form
|
$4,812.60 |
$4,812.60 |
$4,812.60 |
$3,249.40
|
|
Natriuretic peptide
|
$83.40 |
$83.40 |
$83.40 |
$176.15
|
|
Natural killer cells total count
|
$93.00 |
$93.00 |
$93.00 |
$135.00
|
|
Nebulizer Breathing Treatment
|
$100.20 |
$100.20 |
$100.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$109.80 |
$109.80 |
$109.80 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$794.40 |
$794.40 |
$794.40 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$669.60 |
$669.60 |
$669.60 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$507.00 |
$507.00 |
$507.00 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$975.00 |
$975.00 |
$975.00 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$736.20 |
$736.20 |
$736.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$682.20 |
$682.20 |
$682.20 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$251.40 |
$251.40 |
$251.40 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$229.80 |
$229.80 |
$229.80 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$242.40 |
$242.40 |
$242.40 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$981.60 |
$981.60 |
$981.60 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$737.40 |
$737.40 |
$737.40 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$682.20 |
$682.20 |
$682.20 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$795.00 |
$795.00 |
$795.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$642.00 |
$642.00 |
$642.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$507.60 |
$507.60 |
$507.60 |
$1,311.05
|
|
Neg pres wound ther drsg set
|
$91.20 |
$91.20 |
$91.20 |
$676.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$46.20 |
$46.20 |
$46.20 |
$59.80
|
|
New Patient Office Visit (level 2)
|
$129.60 |
$129.60 |
$129.60 |
$164.65
|
|
New Patient Office Visit (level 3)
|
$129.60 |
$129.60 |
$129.60 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$165.60 |
$165.60 |
$165.60 |
$294.00
|
|
New Patient Office Visit (level 5)
|
$217.80 |
$217.80 |
$217.80 |
$356.85
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2.40 |
$2.40 |
$2.40 |
$250.70
|
|
Nintedanib 150 mg capsule
|
$0.60 |
$0.60 |
$0.60 |
$262.93
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.00 |
$4.00 |
$4.00 |
$74.40
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$82.80 |
$82.80 |
$82.80 |
$14,820.18
|
|
Njx aa&/strd nrv nrvtg si jt
|
$633.60 |
$633.60 |
$633.60 |
$1,159.00
|
|
Njx interlaminar lmbr/sac
|
$2,830.80 |
$2,830.80 |
$2,830.80 |
$1,534.22
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$1,461.75
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$900.00 |
$900.00 |
$900.00 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$696.00 |
$696.00 |
$696.00 |
$1,202.40
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,260.60 |
$1,260.60 |
$1,260.60 |
$1,531.20
|
|
Nm imaging pulmonary ventilation/perfusion
|
$574.80 |
$574.80 |
$574.80 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$451.80 |
$451.80 |
$451.80 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$274.80 |
$274.80 |
$274.80 |
$1,024.52
|
|
Nose (Nasal Bone) X-ray (complete)
|
$147.00 |
$147.00 |
$147.00 |
$274.65
|
|
Ntsty modul rad tx dlvr cplx
|
$686.40 |
$686.40 |
$686.40 |
$2,494.40
|
|
Nuclear rx IV admin
|
$900.00 |
$900.00 |
$900.00 |
$863.20
|
|
Nuclear Stress Test (Heart)
|
$804.60 |
$804.60 |
$804.60 |
$3,858.20
|
|
Nudt15 gene common variants
|
$450.00 |
$450.00 |
$450.00 |
$304.50
|
|
Nushield 1 square cm
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$914.95
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$166.80 |
$166.80 |
$166.80 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$50.40 |
$50.40 |
$50.40 |
$385.00
|
|
Observation per hour
|
$21.60 |
$21.60 |
$21.60 |
$82.55
|
|
Obstetric panel inc HIV tstg
|
$372.60 |
$372.60 |
$372.60 |
$271.00
|
|
Obstetrics panel
|
$93.00 |
$93.00 |
$93.00 |
$214.50
|
|
Ob Ultrasound nuchal meas 1 gest
|
$94.80 |
$94.80 |
$94.80 |
$356.59
|
|
Occupational Therapy Evaluation (high complexity)
|
$108.60 |
$108.60 |
$108.60 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$90.60 |
$90.60 |
$90.60 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$99.00 |
$99.00 |
$99.00 |
$264.55
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$196.80 |
$196.80 |
$196.80 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$210.00 |
$210.00 |
$210.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$573.60 |
$573.60 |
$573.60 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$7.20 |
$7.20 |
$7.20 |
$109.62
|
|
Olanzapine long-acting inj
|
$2,323.80 |
$2,323.80 |
$2,323.80 |
$1,847.66
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$165.60 |
$165.60 |
$165.60 |
$4,595.01
|
|
Oncoprotein dcp
|
$870.00 |
$870.00 |
$870.00 |
$171.25
|
|
Ondansetron 4 mg s0119
|
$3.60 |
$3.60 |
$3.60 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$35.40 |
$35.40 |
$35.40 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$26.60 |
$26.60 |
$26.60 |
$22.62
|
|
Oral aprepitant
|
$102.00 |
$102.00 |
$102.00 |
$410.20
|
|
Oral everolimus
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$30.30
|
|
Organic acids total quant ea spec
|
$366.60 |
$366.60 |
$366.60 |
$152.50
|