|
MRI orbit/face/neck without & w/contrast
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$1,238.80 |
$1,238.80 |
$1,238.80 |
$2,176.20
|
|
MRI tmj
|
$994.00 |
$994.00 |
$994.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,502.80 |
$1,502.80 |
$1,502.80 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$1,168.40 |
$1,168.40 |
$1,168.40 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$2,501.60 |
$2,501.60 |
$2,501.60 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$1,400.80 |
$1,400.80 |
$1,400.80 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$1,720.40 |
$1,720.40 |
$1,720.40 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$141.20 |
$141.20 |
$141.20 |
$158.40
|
|
Mr safety implant elec prepj
|
$147.20 |
$147.20 |
$147.20 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$39.20 |
$39.20 |
$39.20 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$95.20 |
$95.20 |
$95.20 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$39.20 |
$39.20 |
$39.20 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$386.80 |
$386.80 |
$386.80 |
$419.20
|
|
Mr spectroscopy
|
$860.00 |
$860.00 |
$860.00 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$422.00 |
$422.00 |
$422.00 |
$184.00
|
|
Multiple sleep latency test
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$2,440.50
|
|
Mumps antibody igg
|
$71.60 |
$71.60 |
$71.60 |
$77.35
|
|
Muscle test cran nerv unilat
|
$358.80 |
$358.80 |
$358.80 |
$385.07
|
|
Mycoplasma antibody igm
|
$27.60 |
$27.60 |
$27.60 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$162.90 |
$162.90 |
$162.90 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$959.20 |
$959.20 |
$959.20 |
$1,494.22
|
|
Myelography l-s spine
|
$640.00 |
$640.00 |
$640.00 |
$1,334.09
|
|
Myelography neck spine
|
$733.20 |
$733.20 |
$733.20 |
$1,241.50
|
|
Myelography thoracic spine
|
$613.60 |
$613.60 |
$613.60 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$3,864.00 |
$3,864.00 |
$3,864.00 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$336.00 |
$336.00 |
$336.00 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$2,600.40 |
$2,600.40 |
$2,600.40 |
$3,558.50
|
|
Myocrd img pet 1 std w/ct
|
$3,941.60 |
$3,941.60 |
$3,941.60 |
$3,252.00
|
|
Myocrd img pet 2rtracer
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$3,940.30
|
|
Myocrd img pet 2rtracer CT
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$3,840.40 |
$3,840.40 |
$3,840.40 |
$3,980.50
|
|
Myocrd img pet rst&strs CT
|
$4,055.60 |
$4,055.60 |
$4,055.60 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$3,311.85
|
|
Narcosynthesis
|
$806.00 |
$806.00 |
$806.00 |
$378.40
|
|
Natriuretic peptide
|
$110.40 |
$110.40 |
$110.40 |
$176.15
|
|
Natural killer cells total count
|
$285.20 |
$285.20 |
$285.20 |
$132.63
|
|
Ndl emg musc 1 xtr/non-limb
|
$313.20 |
$313.20 |
$313.20 |
$213.75
|
|
Ndl insj without njx 1 or 2 musc
|
$61.60 |
$61.60 |
$61.60 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$61.60 |
$61.60 |
$61.60 |
$45.00
|
|
Ndl round specialty proguide
|
$42.84 |
$42.84 |
$42.84 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$992.00 |
$992.00 |
$992.00 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$948.80 |
$948.80 |
$948.80 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$790.80 |
$790.80 |
$790.80 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,238.80 |
$1,238.80 |
$1,238.80 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,790.58
|
|
Needle emg guid w/chemodenervation add-on
|
$106.40 |
$106.40 |
$106.40 |
$164.80
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$111.20 |
$111.20 |
$111.20 |
$397.44
|
|
Nerve conduction 7-8 studies
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$719.39
|
|
Nerve conduction studies 11-12
|
$2,069.20 |
$2,069.20 |
$2,069.20 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$346.40 |
$346.40 |
$346.40 |
$340.80
|
|
Nerve conduction studies 13+
|
$2,241.60 |
$2,241.60 |
$2,241.60 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$690.40 |
$690.40 |
$690.40 |
$469.98
|
|
Nerve conduction studies 5-6
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,724.40 |
$1,724.40 |
$1,724.40 |
$1,051.96
|
|
Nerve teasing preparations
|
$399.60 |
$399.60 |
$399.60 |
$698.49
|
|
Neurolysis trigeminal nerve
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$2,079.50
|
|
Neuromatrix nerve cuff, cm
|
$2,149.14 |
$2,149.14 |
$2,149.14 |
$3,021.00
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$200.00 |
$200.00 |
$200.00 |
$250.14
|
|
Nitrogen n-13 ammonia
|
$295.20 |
$295.20 |
$295.20 |
$914.25
|
|
Njx cath slct p-art angrp bi
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$1,300.00
|
|
Njx chemonucleolysis lmbr
|
$2,729.20 |
$2,729.20 |
$2,729.20 |
$2,729.20
|
|
Njx interlaminar crv/thrc
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$1,586.71
|
|
Njx interlaminar crv/thrc
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,192.40 |
$1,192.40 |
$1,192.40 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$897.20 |
$897.20 |
$897.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$914.80 |
$914.80 |
$914.80 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$741.60 |
$741.60 |
$741.60 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$793.20 |
$793.20 |
$793.20 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$799.20 |
$799.20 |
$799.20 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$624.00 |
$624.00 |
$624.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$862.40 |
$862.40 |
$862.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$630.00 |
$630.00 |
$630.00 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$995.20 |
$995.20 |
$995.20 |
$1,056.33
|
|
Noninv pace analysis
|
$142.40 |
$142.40 |
$142.40 |
$761.60
|
|
Npm1 gene
|
$1,133.20 |
$1,133.20 |
$1,133.20 |
$457.50
|
|
Nras gene variants exon 2&3
|
$524.40 |
$524.40 |
$524.40 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$5,736.80 |
$5,736.80 |
$5,736.80 |
$6,737.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,443.60 |
$1,443.60 |
$1,443.60 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,443.60 |
$1,443.60 |
$1,443.60 |
$2,235.00
|
|
Nuclear exam of tear flow
|
$344.00 |
$344.00 |
$344.00 |
$583.70
|
|
Nuclear rx intra-arterial
|
$618.80 |
$618.80 |
$618.80 |
$765.00
|
|
Nuclear rx intracav admin
|
$1,193.20 |
$1,193.20 |
$1,193.20 |
$776.97
|
|
Nuclear rx IV admin
|
$841.20 |
$841.20 |
$841.20 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$3,528.00 |
$3,528.00 |
$3,528.00 |
$3,804.45
|
|
Nuclr rx interstit colloid
|
$1,556.40 |
$1,556.40 |
$1,556.40 |
$642.09
|
|
Observation direct referral from physician office for admission
|
$484.80 |
$484.80 |
$484.80 |
$384.00
|
|
Observation per hour
|
$695.20 |
$695.20 |
$695.20 |
$81.22
|
