|
MRI upper extremity other than joint without contrast (both sides)
|
$3,444.35 |
$3,444.35 |
$3,444.35 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,735.85 |
$2,735.85 |
$2,735.85 |
$2,628.75
|
|
Mthfr gene analy common variants
|
$236.60 |
$236.60 |
$236.60 |
$248.82
|
|
M.tuberculo dna dir probe
|
$84.50 |
$84.50 |
$84.50 |
$58.40
|
|
Multiple sleep latency test
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$2,672.68
|
|
Mumps antibody igg
|
$72.15 |
$72.15 |
$72.15 |
$81.45
|
|
Mycophenolic acid
|
$10.41 |
$10.41 |
$10.41 |
$8.40
|
|
Mycoplasma antibody igm
|
$82.55 |
$82.55 |
$82.55 |
$87.50
|
|
Myd88 gene p.leu265pro vrnt
|
$447.20 |
$447.20 |
$447.20 |
$397.50
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$109.20 |
$109.20 |
$109.20 |
$115.05
|
|
Nafcillin 2 gram solution for injection
|
$40.48 |
$40.48 |
$40.48 |
$65.13
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$73.27 |
$73.27 |
$73.27 |
$51.72
|
|
Natriuretic peptide
|
$137.80 |
$137.80 |
$137.80 |
$161.60
|
|
Natural killer cells total count
|
$95.55 |
$95.55 |
$95.55 |
$121.70
|
|
Ndl insj without njx 1 or 2 musc
|
$46.15 |
$46.15 |
$46.15 |
$46.08
|
|
Ndl insj without njx 3+ musc
|
$53.30 |
$53.30 |
$53.30 |
$58.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,868.10 |
$1,868.10 |
$1,868.10 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,807.65 |
$1,807.65 |
$1,807.65 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,479.45 |
$3,479.45 |
$3,479.45 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,531.10 |
$2,531.10 |
$2,531.10 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,932.15 |
$2,932.15 |
$2,932.15 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,476.50 |
$2,476.50 |
$2,476.50 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,293.85 |
$2,293.85 |
$2,293.85 |
$1,741.80
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$34.13
|
|
New Patient Office Visit (level 2)
|
$151.45 |
$151.45 |
$151.45 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$198.90 |
$198.90 |
$198.90 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$270.40 |
$270.40 |
$270.40 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$349.70 |
$349.70 |
$349.70 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$356.09 |
$356.09 |
$356.09 |
$251.32
|
|
Nm imaging bone/joint 3 phase study
|
$1,676.35 |
$1,676.35 |
$1,676.35 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,632.15 |
$1,632.15 |
$1,632.15 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,285.70 |
$1,285.70 |
$1,285.70 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,200.55 |
$1,200.55 |
$1,200.55 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,729.65 |
$1,729.65 |
$1,729.65 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$1,075.00
|
|
Npm1 gene
|
$510.25 |
$510.25 |
$510.25 |
$493.60
|
|
Nras gene variants exon 2&3
|
$550.55 |
$550.55 |
$550.55 |
$590.26
|
|
Nursing facility discharge management > 30 min 99316
|
$166.40 |
$166.40 |
$166.40 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$119.60 |
$119.60 |
$119.60 |
$136.40
|
|
Observation direct referral from physician office for admission
|
$394.55 |
$394.55 |
$394.55 |
$359.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$707.85 |
$707.85 |
$707.85 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$285.35 |
$285.35 |
$285.35 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$482.30 |
$482.30 |
$482.30 |
$340.80
|
|
Observation per hour
|
$65.00 |
$65.00 |
$65.00 |
$75.15
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$70,607.19 |
$70,607.19 |
$70,607.19 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$61.24 |
$61.24 |
$61.24 |
$59.15
|
|
Olanzapine 10 mg intramuscular solution
|
$172.75 |
$172.75 |
$172.75 |
$120.17
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Optx clavicular fx w/int fix
|
$1,690.65 |
$1,690.65 |
$1,690.65 |
$7,907.11
|
|
Optx prox humrl fx w/int fix
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$10,806.23
|
|
Organic acids total quant ea spec
|
$117.00 |
$117.00 |
$117.00 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$68.24 |
$68.24 |
$68.24 |
$40.92
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.00 |
$13.00 |
$13.00 |
$1,739.46
|
|
Oscillation chest wall mechanical per session
|
$148.85 |
$148.85 |
$148.85 |
$204.89
|
|
Osmolality blood
|
$76.70 |
$76.70 |
$76.70 |
$57.00
|
|
Osmolality urine
|
$76.05 |
$76.05 |
$76.05 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$598.65 |
$598.65 |
$598.65 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$541.45 |
$541.45 |
$541.45 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$566.80 |
$566.80 |
$566.80 |
$249.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$98.80 |
$98.80 |
$98.80 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$96.85 |
$96.85 |
$96.85 |
$105.50
|
|
Ot re-evaluation patient/family
|
$426.40 |
$426.40 |
$426.40 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$89.70 |
$89.70 |
$89.70 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$89.05 |
$89.05 |
$89.05 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$75.40 |
$75.40 |
$75.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$15.09 |
$15.09 |
$15.09 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.44 |
$7.44 |
$7.44 |
$18.49
|
|
Parathormone (pth) intact
|
$201.50 |
$201.50 |
$201.50 |
$204.00
|
|
Parathyroid planar imaging
|
$1,052.35 |
$1,052.35 |
$1,052.35 |
$1,041.95
|
|
Pdgfra gene
|
$539.50 |
$539.50 |
$539.50 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$18,772.62 |
$18,772.62 |
$18,772.62 |
$9,121.58
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$6,105.94 |
$6,105.94 |
$6,105.94 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$2,182.70 |
$2,182.70 |
$2,182.70 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$2,035.15 |
$2,035.15 |
$2,035.15 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,822.60 |
$1,822.60 |
$1,822.60 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,344.25 |
$3,344.25 |
$3,344.25 |
$2,603.25
|
|
Pelvic MRI (without contrast)
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$594.75 |
$594.75 |
$594.75 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$438.10 |
$438.10 |
$438.10 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$887.89 |
$887.89 |
$887.89 |
$48.74
|
|
Pericardiocentesis wwo imaging
|
$641.55 |
$641.55 |
$641.55 |
$2,554.80
|
|
Ph body fluid
|
$45.50 |
$45.50 |
$45.50 |
$35.75
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$200.99 |
$200.99 |
$200.99 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$97.50
|
|
Phenytoin total therapeutic drug level
|
$105.95 |
$105.95 |
$105.95 |
$100.75
|
|
Phlebotomy therapeutic
|
$143.65 |
$143.65 |
$143.65 |
$240.24
|
|
Phosphorus
|
$44.85 |
$44.85 |
$44.85 |
$42.37
|
|
Phosphorus 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$108.19 |
$108.19 |
$108.19 |
$75.04
|
|
Pinworm exam
|
$29.90 |
$29.90 |
$29.90 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$53.63 |
$53.63 |
$53.63 |
$51.80
|