|
MRA ext low(run-off)pst cntrst
|
$2,526.75 |
$2,526.75 |
$2,526.75 |
$2,564.48
|
|
MRA pelvis
|
$2,429.25 |
$2,429.25 |
$2,429.25 |
$2,277.26
|
|
MRA spinal canal
|
$1,496.25 |
$1,496.25 |
$1,496.25 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$2,003.25 |
$2,003.25 |
$2,003.25 |
$2,452.45
|
|
Mra, w/dye, upper extremity
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$943.83
|
|
Mra, w/o&w/dye, spinal canal
|
$348.00 |
$348.00 |
$348.00 |
$950.55
|
|
MRI brain without & w/dye
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$2,813.09
|
|
MRI breast c-+ w/cad uni
|
$351.00 |
$351.00 |
$351.00 |
$1,880.00
|
|
MRI breast w IV cont bi
|
$351.00 |
$351.00 |
$351.00 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$2,697.00 |
$2,697.00 |
$2,697.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,399.50 |
$4,399.50 |
$4,399.50 |
$2,499.60
|
|
MRI chest without contrast
|
$2,279.25 |
$2,279.25 |
$2,279.25 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,137.25 |
$3,137.25 |
$3,137.25 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,294.25 |
$2,294.25 |
$2,294.25 |
$2,249.10
|
|
MRI guid ndl plc s&i
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,326.91
|
|
MRI loex nonjt w IV cont
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,854.75 |
$1,854.75 |
$1,854.75 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$2,203.50
|
|
MRI tmj
|
$2,332.50 |
$2,332.50 |
$2,332.50 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,005.50 |
$2,005.50 |
$2,005.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,832.00 |
$2,832.00 |
$2,832.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$2,061.15
|
|
Mr safety determination physician/other qhp
|
$85.50 |
$85.50 |
$85.50 |
$160.20
|
|
Mr safety implant elec prepj
|
$90.00 |
$90.00 |
$90.00 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$21.75 |
$21.75 |
$21.75 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$58.50 |
$58.50 |
$58.50 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$24.00 |
$24.00 |
$24.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$235.50 |
$235.50 |
$235.50 |
$439.80
|
|
Mthfr gene analy common variants
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$184.00
|
|
Mucopolysaccharides
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$178.36
|
|
Multiple sleep latency test
|
$4,764.75 |
$4,764.75 |
$4,764.75 |
$2,466.00
|
|
Mumps antibody igg
|
$168.75 |
$168.75 |
$168.75 |
$78.00
|
|
Mycobacteria dna amp probe
|
$411.00 |
$411.00 |
$411.00 |
$234.00
|
|
Mycobacteria dna quant
|
$386.25 |
$386.25 |
$386.25 |
$192.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$6,452.88 |
$6,452.88 |
$6,452.88 |
$10.79
|
|
Mycophenolic acid
|
$6,135.49 |
$6,135.49 |
$6,135.49 |
$12.84
|
|
Mycoplasma antibody igm
|
$129.75 |
$129.75 |
$129.75 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$342.75 |
$342.75 |
$342.75 |
$416.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$911.25 |
$911.25 |
$911.25 |
$130.80
|
|
Myocrd img pet 1std rst/strs
|
$4,556.25 |
$4,556.25 |
$4,556.25 |
$3,627.73
|
|
Myocrd img pet 2rtracer
|
$1,804.50 |
$1,804.50 |
$1,804.50 |
$4,240.58
|
|
Myocrd img pet mlt rst&strs
|
$4,901.25 |
$4,901.25 |
$4,901.25 |
$4,060.00
|
|
Nafcillin 2 gram solution for injection
|
$79.98 |
$79.98 |
$79.98 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$178.93 |
$178.93 |
$178.93 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$116.48 |
$116.48 |
$116.48 |
$70.87
|
|
Naltrexone, depot form
|
$5,794.40 |
$5,794.40 |
$5,794.40 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$537.75 |
$537.75 |
$537.75 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$227.25 |
$227.25 |
$227.25 |
$406.00
|
|
Nasopharyngoscopy w/endoscope
|
$246.75 |
$246.75 |
$246.75 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$32,830.92 |
$32,830.92 |
$32,830.92 |
$16,254.52
|
|
Natriuretic peptide
|
$230.25 |
$230.25 |
$230.25 |
$176.15
|
|
Natural killer cells total count
|
$243.00 |
$243.00 |
$243.00 |
$135.00
|
|
N block inj hypogas plxs
|
$1,878.75 |
$1,878.75 |
$1,878.75 |
$1,912.00
|
|
Ndl insj without njx 1 or 2 musc
|
$22.50 |
$22.50 |
$22.50 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$31.50 |
$31.50 |
$31.50 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$522.75 |
$522.75 |
$522.75 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$314.25 |
$314.25 |
$314.25 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,719.75 |
$1,719.75 |
$1,719.75 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,556.25 |
$1,556.25 |
$1,556.25 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$384.75 |
$384.75 |
$384.75 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$590.25 |
$590.25 |
$590.25 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$603.75 |
$603.75 |
$603.75 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,575.50 |
$2,575.50 |
$2,575.50 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,504.25 |
$2,504.25 |
$2,504.25 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,806.75 |
$1,806.75 |
$1,806.75 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,781.25 |
$1,781.25 |
$1,781.25 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,739.25 |
$1,739.25 |
$1,739.25 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,312.00
|
|
Neg pres wound ther drsg set
|
$38.12 |
$38.12 |
$38.12 |
$676.00
|
|
Neisseria meningitidis
|
$417.00 |
$417.00 |
$417.00 |
$75.00
|
|
Nelarabine injection
|
$2,265.28 |
$2,265.28 |
$2,265.28 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$99.51 |
$99.51 |
$99.51 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$1,937.25 |
$1,937.25 |
$1,937.25 |
$750.00
|
|
Nerve conduction studies 11-12
|
$2,697.00 |
$2,697.00 |
$2,697.00 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$673.50 |
$673.50 |
$673.50 |
$341.10
|
|
Nerve conduction studies 13+
|
$4,599.75 |
$4,599.75 |
$4,599.75 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$1,178.25 |
$1,178.25 |
$1,178.25 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,431.75 |
$1,431.75 |
$1,431.75 |
$617.24
|
|
Nerve conduction studies 9-10
|
$2,435.25 |
$2,435.25 |
$2,435.25 |
$1,100.00
|
|
Neurolysis celiac plexus
|
$3,501.75 |
$3,501.75 |
$3,501.75 |
$1,780.24
|
|
Neurolysis trigeminal nerve
|
$846.75 |
$846.75 |
$846.75 |
$2,188.39
|
|
Neuromatrix nerve cuff, cm
|
$5,021.06 |
$5,021.06 |
$5,021.06 |
$2,924.10
|
|
Nintedanib 150 mg capsule
|
$107,150.23 |
$107,150.23 |
$107,150.23 |
$262.93
|
|
N-invas est c ffr sw aly cta
|
$971.25 |
$971.25 |
$971.25 |
$2,293.20
|
|
Nitrogen n-13 ammonia
|
$914.25 |
$914.25 |
$914.25 |
$914.25
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$74.88 |
$74.88 |
$74.88 |
$74.56
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$29,956.95 |
$29,956.95 |
$29,956.95 |
$14,820.18
|
|
Njx aa&/strd nrv nrvtg si jt
|
$642.75 |
$642.75 |
$642.75 |
$1,159.00
|
|
Njx aa&/strd vagus nrv
|
$288.00 |
$288.00 |
$288.00 |
$408.64
|
|
Njx interlaminar crv/thrc
|
$1,578.75 |
$1,578.75 |
$1,578.75 |
$1,622.32
|
|
Njx interlaminar crv/thrc
|
$1,647.00 |
$1,647.00 |
$1,647.00 |
$1,839.60
|
