|
MRA ext low(run-off)pst cntrst
|
$3,903.90 |
$3,903.90 |
$3,903.90 |
$2,564.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,499.60
|
|
MRI chest without & w/contrast
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,652.73
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,203.50
|
|
MRI tmj
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,061.15
|
|
Mthfr gene analy common variants
|
$293.15 |
$293.15 |
$293.15 |
$184.00
|
|
Multiple sleep latency test
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$2,466.00
|
|
Mumps antibody igg
|
$58.50 |
$58.50 |
$58.50 |
$78.00
|
|
Mycobacteria dna amp probe
|
$216.45 |
$216.45 |
$216.45 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$28.07 |
$28.07 |
$28.07 |
$10.79
|
|
Mycophenolic acid
|
$23.27 |
$23.27 |
$23.27 |
$12.84
|
|
Mycoplasma antibody igm
|
$59.15 |
$59.15 |
$59.15 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$52.00 |
$52.00 |
$52.00 |
$130.80
|
|
Myomectomy vag method
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,762.53
|
|
Nafcillin 2 gram solution for injection
|
$67.61 |
$67.61 |
$67.61 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$26.17 |
$26.17 |
$26.17 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$156.78 |
$156.78 |
$156.78 |
$70.87
|
|
Naltrexone, depot form
|
$3,955.40 |
$3,955.40 |
$3,955.40 |
$3,249.40
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$1,385.16 |
$1,385.16 |
$1,385.16 |
$16,254.52
|
|
Natriuretic peptide
|
$176.15 |
$176.15 |
$176.15 |
$176.15
|
|
Natural killer cells total count
|
$169.00 |
$169.00 |
$169.00 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,751.25
|
|
Nebulizer Breathing Treatment
|
$1,885.65 |
$1,885.65 |
$1,885.65 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$395.20 |
$395.20 |
$395.20 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$395.20 |
$395.20 |
$395.20 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$477.10 |
$477.10 |
$477.10 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$477.10 |
$477.10 |
$477.10 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,312.00
|
|
Nelarabine injection
|
$41.24 |
$41.24 |
$41.24 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$17.84 |
$17.84 |
$17.84 |
$60.16
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$7.20 |
$7.20 |
$7.20 |
$251.32
|
|
N-invas est c ffr sw aly cta
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$2,293.20
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$1.87 |
$1.87 |
$1.87 |
$74.56
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$1,032.62 |
$1,032.62 |
$1,032.62 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$2,405.83 |
$2,405.83 |
$2,405.83 |
$41,635.10
|
|
Nose (Nasal Bone) X-ray (complete)
|
$395.20 |
$395.20 |
$395.20 |
$274.65
|
|
Nras gene variants exon 2&3
|
$1,326.65 |
$1,326.65 |
$1,326.65 |
$593.45
|
|
Nuclear rx intra-arterial
|
$999.05 |
$999.05 |
$999.05 |
$765.00
|
|
Nuclear Stress Test (Heart)
|
$5,855.20 |
$5,855.20 |
$5,855.20 |
$3,859.98
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$68,467.91 |
$68,467.91 |
$68,467.91 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$702.03 |
$702.03 |
$702.03 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$384.00
|
|
Observation per hour
|
$657.15 |
$657.15 |
$657.15 |
$82.50
|
|
Obstetrics panel
|
$214.50 |
$214.50 |
$214.50 |
$214.50
|
|
Obtaining screen pap smear
|
$63.70 |
$63.70 |
$63.70 |
$39.00
|
|
Occupational Therapy Evaluation (high complexity)
|
$438.10 |
$438.10 |
$438.10 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$438.10 |
$438.10 |
$438.10 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$438.10 |
$438.10 |
$438.10 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$4,829.99 |
$4,829.99 |
$4,829.99 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$309.04 |
$309.04 |
$309.04 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,175.39 |
$16,175.39 |
$16,175.39 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$376.51 |
$376.51 |
$376.51 |
$2,224.00
|
|
Olanzapine 10 mg intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,595.01 |
$4,595.01 |
$4,595.01 |
$4,595.01
|
|
Oncoprotein dcp
|
$288.60 |
$288.60 |
$288.60 |
$167.91
|
|
Oncoprotein her-2/neu
|
$288.60 |
$288.60 |
$288.60 |
$219.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$22.62
|
|
Oral aprepitant
|
$413.91 |
$413.91 |
$413.91 |
$410.20
|
|
Oral busulfan
|
$468.56 |
$468.56 |
$468.56 |
$176.80
|
|
Oral everolimus
|
$51.32 |
$51.32 |
$51.32 |
$30.30
|
|
Organic acids total quant ea spec
|
$105.95 |
$105.95 |
$105.95 |
$152.50
|
|
Oritavancin 1,200 mg intravenous solution
|
$13,112.70 |
$13,112.70 |
$13,112.70 |
$11,017.26
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$18.25 |
$18.25 |
$18.25 |
$50.63
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$191.10 |
$191.10 |
$191.10 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$175.50 |
$175.50 |
$175.50 |
$536.90
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$191.10 |
$191.10 |
$191.10 |
$702.80
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$125.45 |
$125.45 |
$125.45 |
$231.66
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$419.90 |
$419.90 |
$419.90 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$100.10 |
$100.10 |
$100.10 |
$174.40
|
|
Ortho hnd without jnt w/fit&adj
|
$35.75 |
$35.75 |
$35.75 |
$229.45
|
|
Orthovisc inj per dose
|
$559.26 |
$559.26 |
$559.26 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$718.90 |
$718.90 |
$718.90 |
$421.00
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$221.65 |
$221.65 |
$221.65 |
$686.79
|
|
Oscillation chest wall mechanical per session
|
$608.40 |
$608.40 |
$608.40 |
$196.30
|
|
Osmolality blood
|
$29.90 |
$29.90 |
$29.90 |
$70.85
|
|
Osmolality urine
|
$30.55 |
$30.55 |
$30.55 |
$65.52
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$208.00 |
$208.00 |
$208.00 |
$97.80
|
|
Ot re-evaluation patient/family
|
$248.95 |
$248.95 |
$248.95 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$133.25 |
$133.25 |
$133.25 |
$93.12
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$273.31 |
$273.31 |
$273.31 |
$76.52
|
|
Oxaliplatin 5 mg/ml desensitization
|
$14.98 |
$14.98 |
$14.98 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$8.42 |
$8.42 |
$8.42 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.24 |
$6.24 |
$6.24 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$5,113.58 |
$5,113.58 |
$5,113.58 |
$3,435.42
|