|
MRA chest wwo IV cont
|
$843.69 |
$843.69 |
$843.69 |
$1,309.75
|
|
MRA w/cont, abd
|
$595.98 |
$595.98 |
$595.98 |
$1,254.50
|
|
MRA w/cont, lwr ext
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$1,191.96
|
|
Mra, w/dye, upper extremity
|
$887.26 |
$887.26 |
$887.26 |
$943.83
|
|
MRA without cont, abd
|
$560.27 |
$560.27 |
$560.27 |
$1,028.25
|
|
MRA without cont, lwr ext
|
$1,120.55 |
$1,120.55 |
$1,120.55 |
$1,120.55
|
|
MRA without fol w/cont, abd
|
$980.13 |
$980.13 |
$980.13 |
$1,972.32
|
|
MRA without fol w/cont, lwr ext
|
$1,907.17 |
$1,907.17 |
$1,907.17 |
$1,907.17
|
|
MRA without fol w/cont, pelvis
|
$810.76 |
$810.76 |
$810.76 |
$1,518.16
|
|
Mra, w/o&w/dye, spinal canal
|
$555.93 |
$555.93 |
$555.93 |
$420.58
|
|
Mra, w/o&w/dye, upper extr
|
$1,085.03 |
$1,085.03 |
$1,085.03 |
$1,067.94
|
|
MRI breast c- unilateral
|
$663.69 |
$663.69 |
$663.69 |
$1,020.32
|
|
MRI breast without cont bi
|
$869.96 |
$869.96 |
$869.96 |
$1,541.80
|
|
MRI cardiac morph & func wo IV cont
|
$717.52 |
$717.52 |
$717.52 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$884.49 |
$884.49 |
$884.49 |
$1,946.48
|
|
MRI chest without contrast
|
$901.97 |
$901.97 |
$901.97 |
$1,661.55
|
|
MRI chest without & w/contrast
|
$1,182.06 |
$1,182.06 |
$1,182.06 |
$2,321.61
|
|
MRI chest w IV cont
|
$927.41 |
$927.41 |
$927.41 |
$2,105.25
|
|
MRI guid ndl plc s&i
|
$388.78 |
$388.78 |
$388.78 |
$1,129.44
|
|
MRI loex nonjt w IV cont
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$1,953.60
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,051.28 |
$2,051.28 |
$2,051.28 |
$2,051.28
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,141.75 |
$2,141.75 |
$2,141.75 |
$2,614.43
|
|
MRI orbit/face/neck without contrast
|
$932.86 |
$932.86 |
$932.86 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$1,270.49 |
$1,270.49 |
$1,270.49 |
$2,552.60
|
|
MRI orbit fac&nck w IV cont
|
$940.26 |
$940.26 |
$940.26 |
$2,002.00
|
|
MRI tmj
|
$372.68 |
$372.68 |
$372.68 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,932.33 |
$1,932.33 |
$1,932.33 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,248.86 |
$2,248.86 |
$2,248.86 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$1,854.07 |
$1,854.07 |
$1,854.07 |
$1,854.07
|
|
MRI w/cont, breast, bi
|
$991.69 |
$991.69 |
$991.69 |
$1,225.98
|
|
MRI without fol w/cont, breast
|
$991.69 |
$991.69 |
$991.69 |
$1,312.08
|
|
MRI without fol w/cont, brst, un
|
$781.26 |
$781.26 |
$781.26 |
$1,225.98
|
|
Mr spectroscopy
|
$442.89 |
$442.89 |
$442.89 |
$1,117.20
|
|
Mthfr gene analy common variants
|
$383.14 |
$383.14 |
$383.14 |
$248.82
|
|
Mumps antibody igg
|
$45.23 |
$45.23 |
$45.23 |
$81.45
|
|
Mycobacteria dna amp probe
|
$145.04 |
$145.04 |
$145.04 |
$216.45
|
|
Mycophenolate mofetil 250 mg capsule
|
$359.47 |
$359.47 |
$359.47 |
$5.76
|
|
Mycoplasma antibody igm
|
$25.35 |
$25.35 |
$25.35 |
$87.50
|
|
Myd88 gene p.leu265pro vrnt
|
$275.65 |
$275.65 |
$275.65 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$542.14 |
$542.14 |
$542.14 |
$1,389.13
|
|
Myelography l-s spine
|
$482.85 |
$482.85 |
$482.85 |
$1,275.75
|
|
Myelography neck spine
|
$436.60 |
$436.60 |
$436.60 |
$1,103.70
|
|
Myelography thoracic spine
|
$464.81 |
$464.81 |
$464.81 |
$1,077.92
|
|
Myelography via inj w/s&i 2+ regions
|
$911.87 |
$911.87 |
$911.87 |
$2,178.36
|
|
Myelography via inj w/s&i cervical
|
$690.14 |
$690.14 |
$690.14 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$849.61 |
$849.61 |
$849.61 |
$1,923.03
|
|
Myelography via inj w/s&i thoracic
|
$715.86 |
$715.86 |
$715.86 |
$2,042.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$295.72 |
$295.72 |
$295.72 |
$115.05
|
|
Nalbuphine 10 mg/ml injection solution
|
$14.10 |
$14.10 |
$14.10 |
$22.20
|
|
Nasal endoscopy dx uni/bi separate proc
|
$160.21 |
$160.21 |
$160.21 |
$390.00
|
|
Nasopharyngoscopy w/endoscope
|
$116.18 |
$116.18 |
$116.18 |
$285.55
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$39.09 |
$39.09 |
$39.09 |
$39.09
|
|
Natriuretic peptide
|
$83.62 |
$83.62 |
$83.62 |
$161.60
|
|
Natural killer cells total count
|
$106.28 |
$106.28 |
$106.28 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$920.65 |
$920.65 |
$920.65 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$855.16 |
$855.16 |
$855.16 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$826.21 |
$826.21 |
$826.21 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,276.04 |
$1,276.04 |
$1,276.04 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$972.27 |
$972.27 |
$972.27 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$963.02 |
$963.02 |
$963.02 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$915.20 |
$915.20 |
$915.20 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$624.38 |
$624.38 |
$624.38 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$587.47 |
$587.47 |
$587.47 |
$1,741.80
|
|
Nelarabine injection
|
$174.86 |
$174.86 |
$174.86 |
$1,447.13
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$169.81 |
$169.81 |
$169.81 |
$34.13
|
|
Nesiritide injection
|
$96.76 |
$96.76 |
$96.76 |
$96.76
|
|
Neurolysis celiac plexus
|
$664.89 |
$664.89 |
$664.89 |
$1,721.00
|
|
New Patient Office Visit (level 2)
|
$131.07 |
$131.07 |
$131.07 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$165.39 |
$165.39 |
$165.39 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$228.20 |
$228.20 |
$228.20 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$277.69 |
$277.69 |
$277.69 |
$367.20
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$62.86 |
$62.86 |
$62.86 |
$60.11
|
|
Njx px nfrosgrm &/urtrgrm
|
$702.35 |
$702.35 |
$702.35 |
$1,580.80
|
|
Noonan spectrum disorders
|
$944.06 |
$944.06 |
$944.06 |
$2,412.00
|
|
Npm1 gene
|
$209.88 |
$209.88 |
$209.88 |
$493.60
|
|
Nras gene variants exon 2&3
|
$190.00 |
$190.00 |
$190.00 |
$590.26
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$142.75 |
$142.75 |
$142.75 |
$142.75
|
|
Obstetrics panel
|
$76.04 |
$76.04 |
$76.04 |
$214.50
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$19,859.75 |
$19,859.75 |
$19,859.75 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$240.50 |
$240.50 |
$240.50 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,488.73 |
$6,488.73 |
$6,488.73 |
$8,720.95
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$106.63 |
$106.63 |
$106.63 |
$106.63
|
|
Olanzapine long-acting inj
|
$1,109.67 |
$1,109.67 |
$1,109.67 |
$2.92
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$65.90 |
$65.90 |
$65.90 |
$65.90
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.36 |
$1.36 |
$1.36 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.25 |
$9.25 |
$9.25 |
$12.51
|
|
Ophthalmic mitomycin
|
$516.61 |
$516.61 |
$516.61 |
$1,327.41
|
|
Oprelvekin injection
|
$353.44 |
$353.44 |
$353.44 |
$353.44
|
|
Oral aprepitant
|
$91.24 |
$91.24 |
$91.24 |
$260.40
|
|
Oral busulfan
|
$232.30 |
$232.30 |
$232.30 |
$84.21
|
|
Organic acids total quant ea spec
|
$147.17 |
$147.17 |
$147.17 |
$152.50
|
|
Oritavancin 400 mg intravenous solution
|
$1,212.12 |
$1,212.12 |
$1,212.12 |
$1,212.12
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$12.47 |
$12.47 |
$12.47 |
$40.92
|
|
Orthosis lso rigd frm hyperex
|
$813.61 |
$813.61 |
$813.61 |
$813.61
|
|
Oscillation chest wall mechanical per session
|
$110.08 |
$110.08 |
$110.08 |
$204.89
|
|
Osmolality blood
|
$53.56 |
$53.56 |
$53.56 |
$57.00
|
|
Osmolality urine
|
$39.22 |
$39.22 |
$39.22 |
$57.85
|
|
Osteopath manip tx/5-6 body region 98927
|
$47.82 |
$47.82 |
$47.82 |
$67.84
|
|
Ot evaluation high complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$74.56 |
$74.56 |
$74.56 |
$222.50
|