|
MRI cardiac morph & func wo IV cont
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,793.60 |
$2,793.60 |
$2,793.60 |
$1,928.40
|
|
MRI chest without contrast
|
$3,008.40 |
$3,008.40 |
$3,008.40 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,460.20 |
$3,460.20 |
$3,460.20 |
$2,210.00
|
|
MRI compatible system
|
$4,029.11 |
$4,029.11 |
$4,029.11 |
$2,672.33
|
|
MRI loex nonjt w IV cont
|
$2,695.20 |
$2,695.20 |
$2,695.20 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,876.20 |
$1,876.20 |
$1,876.20 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$2,218.20 |
$2,218.20 |
$2,218.20 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$2,551.80 |
$2,551.80 |
$2,551.80 |
$2,176.20
|
|
MRI tmj
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,544.20 |
$3,544.20 |
$3,544.20 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$4,474.80 |
$4,474.80 |
$4,474.80 |
$2,119.87
|
|
MRI without fol w/cont, breast
|
$7,722.00 |
$7,722.00 |
$7,722.00 |
$2,449.20
|
|
Mr safety determination physician/other qhp
|
$138.60 |
$138.60 |
$138.60 |
$158.40
|
|
Mr safety implant elec prepj
|
$144.00 |
$144.00 |
$144.00 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$76.80 |
$76.80 |
$76.80 |
$49.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$38.40 |
$38.40 |
$38.40 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$380.40 |
$380.40 |
$380.40 |
$419.20
|
|
Mthfr gene analy common variants
|
$329.40 |
$329.40 |
$329.40 |
$184.00
|
|
Mucopolysaccharides
|
$34.20 |
$34.20 |
$34.20 |
$178.36
|
|
Mumps antibody igg
|
$122.40 |
$122.40 |
$122.40 |
$77.35
|
|
Mycobacteria dna amp probe
|
$375.00 |
$375.00 |
$375.00 |
$275.71
|
|
Mycoplasma antibody igm
|
$149.40 |
$149.40 |
$149.40 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$357.00 |
$357.00 |
$357.00 |
$397.50
|
|
Myelography l-s spine
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$1,334.09
|
|
Myelography neck spine
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$1,241.50
|
|
Myelography via inj w/s&i 2+ regions
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$3,183.60 |
$3,183.60 |
$3,183.60 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$170.40 |
$170.40 |
$170.40 |
$135.50
|
|
Nafcillin 2 gram solution for injection
|
$58.98 |
$58.98 |
$58.98 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$26.16 |
$26.16 |
$26.16 |
$70.87
|
|
Nasal endoscopy dx uni/bi separate proc
|
$330.60 |
$330.60 |
$330.60 |
$353.62
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$1,438.20 |
$1,438.20 |
$1,438.20 |
$2,709.50
|
|
Nasopharyngoscopy w/endoscope
|
$394.20 |
$394.20 |
$394.20 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$21,150.36 |
$21,150.36 |
$21,150.36 |
$16,254.52
|
|
Natriuretic peptide
|
$103.80 |
$103.80 |
$103.80 |
$176.15
|
|
Natural killer cells total count
|
$336.00 |
$336.00 |
$336.00 |
$132.63
|
|
Ndl insj without njx 1 or 2 musc
|
$29.40 |
$29.40 |
$29.40 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$37.20 |
$37.20 |
$37.20 |
$45.00
|
|
Ndl round specialty proguide
|
$995.80 |
$995.80 |
$995.80 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$990.00 |
$990.00 |
$990.00 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,881.80 |
$2,881.80 |
$2,881.80 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,142.20 |
$3,142.20 |
$3,142.20 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,732.40 |
$2,732.40 |
$2,732.40 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,376.60 |
$2,376.60 |
$2,376.60 |
$1,790.58
|
|
Neisseria meningitidis
|
$45.00 |
$45.00 |
$45.00 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$12.36 |
$12.36 |
$12.36 |
$60.38
|
|
Neox 100 or clarix 100
|
$7,030.87 |
$7,030.87 |
$7,030.87 |
$1,386.43
|
|
Neuromatrix nerve cuff, cm
|
$3,090.71 |
$3,090.71 |
$3,090.71 |
$3,021.00
|
|
New Patient Office Visit (level 2)
|
$181.20 |
$181.20 |
$181.20 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$151.80 |
$151.80 |
$151.80 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$121.20 |
$121.20 |
$121.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$126.00 |
$126.00 |
$126.00 |
$349.70
|
|
Nfct agt gntyp alys sarscov2
|
$681.60 |
$681.60 |
$681.60 |
$257.45
|
|
Nfct ds bv&vaginitis dna alg
|
$435.00 |
$435.00 |
$435.00 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$79.80 |
$79.80 |
$79.80 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$89.10 |
$89.10 |
$89.10 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$23,686.32 |
$23,686.32 |
$23,686.32 |
$14,820.18
|
|
Njx aa&/strd lmbr plex nfs
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$1,772.02
|
|
Njx interlaminar crv/thrc
|
$3,409.20 |
$3,409.20 |
$3,409.20 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$3,267.00 |
$3,267.00 |
$3,267.00 |
$1,927.39
|
|
Nm imaging bone/joint 3 phase study
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,483.80 |
$1,483.80 |
$1,483.80 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,426.20 |
$1,426.20 |
$1,426.20 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$963.00 |
$963.00 |
$963.00 |
$1,079.00
|
|
Non-corrosive finish
|
$163.75 |
$163.75 |
$163.75 |
$126.65
|
|
Noonan spectrum disorders
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$2,582.40
|
|
Novachor 1 sq cm
|
$7,174.35 |
$7,174.35 |
$7,174.35 |
$796.00
|
|
Npm1 gene
|
$276.60 |
$276.60 |
$276.60 |
$457.50
|
|
Nras gene variants exon 2&3
|
$816.60 |
$816.60 |
$816.60 |
$592.00
|
|
Ntrk translocation analysis
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$3,312.60 |
$3,312.60 |
$3,312.60 |
$3,804.45
|
|
Nudt15 gene common variants
|
$109.20 |
$109.20 |
$109.20 |
$301.62
|
|
Nushield 1 square cm
|
$4,270.18 |
$4,270.18 |
$4,270.18 |
$937.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$49,166.82 |
$49,166.82 |
$49,166.82 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$20,613.30 |
$20,613.30 |
$20,613.30 |
$12,080.43
|
|
Offset knee joint each
|
$264.85 |
$264.85 |
$264.85 |
$221.31
|
|
Offset knee joint heavy duty
|
$378.52 |
$378.52 |
$378.52 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$2,869.74 |
$2,869.74 |
$2,869.74 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$156.42 |
$156.42 |
$156.42 |
$109.58
|
|
Oncology prostate prob score
|
$542.40 |
$542.40 |
$542.40 |
$952.00
|
