|
MRI loex nonjt w IV cont
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,391.60 |
$2,391.60 |
$2,391.60 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,037.80 |
$3,037.80 |
$3,037.80 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$3,237.60 |
$3,237.60 |
$3,237.60 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$3,885.00 |
$3,885.00 |
$3,885.00 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$3,561.00 |
$3,561.00 |
$3,561.00 |
$2,176.20
|
|
MRI tmj
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,884.40 |
$3,884.40 |
$3,884.40 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$3,376.80 |
$3,376.80 |
$3,376.80 |
$2,024.40
|
|
MRI w/cont, breast, bi
|
$2,266.20 |
$2,266.20 |
$2,266.20 |
$1,994.42
|
|
MRI without fol w/cont, breast
|
$2,379.60 |
$2,379.60 |
$2,379.60 |
$2,301.04
|
|
Mr safety determination physician/other qhp
|
$132.00 |
$132.00 |
$132.00 |
$161.40
|
|
Mr safety implant elec prepj
|
$137.40 |
$137.40 |
$137.40 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$73.20 |
$73.20 |
$73.20 |
$58.08
|
|
Mr safety implt pos&/immoblj
|
$89.40 |
$89.40 |
$89.40 |
$120.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$36.60 |
$36.60 |
$36.60 |
$45.56
|
|
Mr sfty med physics xm cstmz
|
$362.40 |
$362.40 |
$362.40 |
$444.00
|
|
Mthfr gene analy common variants
|
$290.40 |
$290.40 |
$290.40 |
$180.48
|
|
Mucopolysaccharides
|
$58.20 |
$58.20 |
$58.20 |
$178.36
|
|
Multiple sleep latency test
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$2,466.00
|
|
Mumps antibody igg
|
$162.60 |
$162.60 |
$162.60 |
$78.00
|
|
Mycobacteria dna amp probe
|
$303.00 |
$303.00 |
$303.00 |
$300.60
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.50 |
$1.50 |
$1.50 |
$10.79
|
|
Mycoplasma antibody igm
|
$78.00 |
$78.00 |
$78.00 |
$78.40
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$71.40 |
$71.40 |
$71.40 |
$131.07
|
|
Nafcillin 2 gram solution for injection
|
$117.90 |
$117.90 |
$117.90 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$31.32 |
$31.32 |
$31.32 |
$38.69
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$26.94 |
$26.94 |
$26.94 |
$70.87
|
|
Nasal endoscopy dx uni/bi separate proc
|
$304.80 |
$304.80 |
$304.80 |
$363.48
|
|
Nasopharyngoscopy w/endoscope
|
$363.00 |
$363.00 |
$363.00 |
$285.55
|
|
Natriuretic peptide
|
$274.80 |
$274.80 |
$274.80 |
$176.15
|
|
Natural killer cells total count
|
$198.00 |
$198.00 |
$198.00 |
$132.60
|
|
Ndl round specialty proguide
|
$1,033.75 |
$1,033.75 |
$1,033.75 |
$392.50
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,138.00 |
$3,138.00 |
$3,138.00 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,728.80 |
$2,728.80 |
$2,728.80 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,079.00 |
$5,079.00 |
$5,079.00 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,711.60 |
$3,711.60 |
$3,711.60 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,373.80 |
$3,373.80 |
$3,373.80 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,443.20 |
$2,443.20 |
$2,443.20 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,097.00 |
$2,097.00 |
$2,097.00 |
$1,824.90
|
|
Neisseria meningitidis
|
$44.40 |
$44.40 |
$44.40 |
$60.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$12.78 |
$12.78 |
$12.78 |
$60.38
|
|
Neox 100 or clarix 100
|
$7,298.84 |
$7,298.84 |
$7,298.84 |
$1,386.43
|
|
Neuromatrix nerve cuff, cm
|
$3,208.51 |
$3,208.51 |
$3,208.51 |
$3,138.16
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$332.16 |
$332.16 |
$332.16 |
$264.31
|
|
Nitroblue tetrazolium dye
|
$33.60 |
$33.60 |
$33.60 |
$61.10
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$91.80 |
$91.80 |
$91.80 |
$74.56
|
|
Njx aa&/strd lmbr plex nfs
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,555.85
|
|
Njx aa&/strd sc nrv nfs img
|
$3,438.00 |
$3,438.00 |
$3,438.00 |
$1,715.40
|
|
Njx interlaminar crv/thrc
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$1,970.25
|
|
Nm imaging bone/joint 3 phase study
|
$1,799.40 |
$1,799.40 |
$1,799.40 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,662.60 |
$1,662.60 |
$1,662.60 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,824.60 |
$1,824.60 |
$1,824.60 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$1,612.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$3,003.60 |
$3,003.60 |
$3,003.60 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,438.80 |
$1,438.80 |
$1,438.80 |
$1,091.00
|
|
Non-corrosive finish
|
$169.99 |
$169.99 |
$169.99 |
$126.65
|
|
Noonan spectrum disorders
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$2,412.00
|
|
Novachor 1 sq cm
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$796.00
|
|
Npm1 gene
|
$403.80 |
$403.80 |
$403.80 |
$457.50
|
|
Nras gene variants exon 2&3
|
$776.40 |
$776.40 |
$776.40 |
$592.00
|
|
Ntrk translocation analysis
|
$1,018.80 |
$1,018.80 |
$1,018.80 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$4,011.00 |
$4,011.00 |
$4,011.00 |
$3,804.45
|
|
Nudt15 gene common variants
|
$763.20 |
$763.20 |
$763.20 |
$320.50
|
|
Nushield 1 square cm
|
$4,432.93 |
$4,432.93 |
$4,432.93 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$516.60 |
$516.60 |
$516.60 |
$392.45
|
|
Observation per hour
|
$67.20 |
$67.20 |
$67.20 |
$79.95
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$19,203.12 |
$19,203.12 |
$19,203.12 |
$12,151.03
|
|
Offset knee joint each
|
$274.94 |
$274.94 |
$274.94 |
$242.19
|
|
Offset knee joint heavy duty
|
$392.95 |
$392.95 |
$392.95 |
$346.13
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$2,979.12 |
$2,979.12 |
$2,979.12 |
$1,195.75
|
|
Olanzapine 10 mg intramuscular solution
|
$161.16 |
$161.16 |
$161.16 |
$109.58
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,109.04 |
$4,109.04 |
$4,109.04 |
$4,781.43
|
|
Oncology prostate prob score
|
$857.40 |
$857.40 |
$857.40 |
$865.80
|
|
Onco (ovar) five proteins
|
$1,763.40 |
$1,763.40 |
$1,763.40 |
$986.70
|
|
Ondansetron 8 mg disintegrating tablet
|
$49.02 |
$49.02 |
$49.02 |
$8.40
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$22.62
|
|
Optx clavicular fx w/int fix
|
$9,177.06 |
$9,177.06 |
$9,177.06 |
$8,819.16
|
|
Organic acids total quant ea spec
|
$149.40 |
$149.40 |
$149.40 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$63.66 |
$63.66 |
$63.66 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$670.30 |
$670.30 |
$670.30 |
$44.80
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$705.90 |
$705.90 |
$705.90 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$1,665.33 |
$1,665.33 |
$1,665.33 |
$504.00
|
|
Ortho ewhf rigd without jnt cstm w
|
$3,134.57 |
$3,134.57 |
$3,134.57 |
$1,288.00
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$662.05 |
$662.05 |
$662.05 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$785.24 |
$785.24 |
$785.24 |
$310.00
|
|
Ortho hnd metcrpl fx prefb w/fit&adj
|
$258.14 |
$258.14 |
$258.14 |
$162.99
|
|
Ortho hnd without jnt w/fit&adj
|
$662.05 |
$662.05 |
$662.05 |
$225.00
|
|
Orthopedic shoe add rub insl
|
$78.53 |
$78.53 |
$78.53 |
$70.18
|
|
Ortho shoe add leather insol
|
$78.53 |
$78.53 |
$78.53 |
$69.17
|
|
Ortho shoe add march bar
|
$112.67 |
$112.67 |
$112.67 |
$99.25
|
|
Orthosis lso rigd frm hyperex
|
$1,483.60 |
$1,483.60 |
$1,483.60 |
$816.00
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$870.80 |
$870.80 |
$870.80 |
$420.76
|
