|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,777.80 |
$2,777.80 |
$2,777.80 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$1,167.05 |
$1,167.05 |
$1,167.05 |
$2,119.87
|
|
MRI without fol w/cont, breast
|
$1,378.70 |
$1,378.70 |
$1,378.70 |
$2,449.20
|
|
Mr safety determination physician/other qhp
|
$479.40 |
$479.40 |
$479.40 |
$158.40
|
|
Mr safety implant elec prepj
|
$499.80 |
$499.80 |
$499.80 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$127.50 |
$127.50 |
$127.50 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$393.55 |
$393.55 |
$393.55 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$132.60 |
$132.60 |
$132.60 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$1,320.90 |
$1,320.90 |
$1,320.90 |
$419.20
|
|
Mr spectroscopy
|
$1,422.05 |
$1,422.05 |
$1,422.05 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$17.85 |
$17.85 |
$17.85 |
$403.20
|
|
Msh2 gene full seq
|
$17.85 |
$17.85 |
$17.85 |
$764.00
|
|
Mumps antibody igg
|
$53.55 |
$53.55 |
$53.55 |
$77.35
|
|
Muscle-skin graft leg
|
$10,047.85 |
$10,047.85 |
$10,047.85 |
$4,512.20
|
|
Mycobacteria dna amp probe
|
$195.50 |
$195.50 |
$195.50 |
$275.71
|
|
Mycophenolate mofetil 250 mg capsule
|
$1,423.86 |
$1,423.86 |
$1,423.86 |
$10.79
|
|
Mycophenolic acid
|
$53.43 |
$53.43 |
$53.43 |
$12.84
|
|
Myd88 gene p.leu265pro vrnt
|
$650.25 |
$650.25 |
$650.25 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$3,592.95 |
$3,592.95 |
$3,592.95 |
$1,494.22
|
|
Myelography l-s spine
|
$3,592.95 |
$3,592.95 |
$3,592.95 |
$1,334.09
|
|
Myelography neck spine
|
$3,592.95 |
$3,592.95 |
$3,592.95 |
$1,241.50
|
|
Myelography thoracic spine
|
$3,592.95 |
$3,592.95 |
$3,592.95 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,740.80 |
$1,740.80 |
$1,740.80 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$46.75 |
$46.75 |
$46.75 |
$135.50
|
|
Nafcillin 2 gram solution for injection
|
$309.23 |
$309.23 |
$309.23 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$16.28 |
$16.28 |
$16.28 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$37.40 |
$37.40 |
$37.40 |
$70.87
|
|
Naltrexone, depot form
|
$4,487.04 |
$4,487.04 |
$4,487.04 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$555.05 |
$555.05 |
$555.05 |
$353.62
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,709.50
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$1,143.25 |
$1,143.25 |
$1,143.25 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$4,163.30 |
$4,163.30 |
$4,163.30 |
$2,232.24
|
|
Nasopharyngoscopy w/endoscope
|
$538.90 |
$538.90 |
$538.90 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$23,551.96 |
$23,551.96 |
$23,551.96 |
$16,254.52
|
|
Natriuretic peptide
|
$158.10 |
$158.10 |
$158.10 |
$176.15
|
|
Natural killer cells total count
|
$152.15 |
$152.15 |
$152.15 |
$132.63
|
|
Ndl insj without njx 3+ musc
|
$83.30 |
$83.30 |
$83.30 |
$45.00
|
|
Ndl round specialty proguide
|
$3,366.00 |
$3,366.00 |
$3,366.00 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,190.85 |
$1,190.85 |
$1,190.85 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,091.50 |
$5,091.50 |
$5,091.50 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,230.00 |
$3,230.00 |
$3,230.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,065.50 |
$2,065.50 |
$2,065.50 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,553.85 |
$3,553.85 |
$3,553.85 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,777.80 |
$2,777.80 |
$2,777.80 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,065.50 |
$2,065.50 |
$2,065.50 |
$1,790.58
|
|
Nelarabine injection
|
$1,791.23 |
$1,791.23 |
$1,791.23 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$101.36 |
$101.36 |
$101.36 |
$60.38
|
|
Nerve conduction studies 1-2
|
$425.00 |
$425.00 |
$425.00 |
$340.80
|
|
Nerve conduction studies 3-4
|
$853.40 |
$853.40 |
$853.40 |
$469.98
|
|
Nesiritide injection
|
$1.71 |
$1.71 |
$1.71 |
$3,527.00
|
|
Neuroendoscopy add-on
|
$2,496.45 |
$2,496.45 |
$2,496.45 |
$470.40
|
|
Neuromatrix nerve cuff, cm
|
$2,735.83 |
$2,735.83 |
$2,735.83 |
$3,021.00
|
|
Nfros nfrot w/drg
|
$7,579.45 |
$7,579.45 |
$7,579.45 |
$1,971.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$543.49 |
$543.49 |
$543.49 |
$263.48
|
|
Nintedanib 150 mg capsule
|
$18,387.88 |
$18,387.88 |
$18,387.88 |
$262.93
|
|
Nitrogen n-13 ammonia
|
$747.90 |
$747.90 |
$747.90 |
$914.25
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$1,777.56 |
$1,777.56 |
$1,777.56 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$8,815.31 |
$8,815.31 |
$8,815.31 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$27,944.81 |
$27,944.81 |
$27,944.81 |
$41,635.10
|
|
Njx aa&/strd lmbr plex nfs
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$1,772.02
|
|
Njx interlaminar crv/thrc
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$1,586.71
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,484.95 |
$1,484.95 |
$1,484.95 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,165.35 |
$1,165.35 |
$1,165.35 |
$1,056.33
|
|
Npm1 gene
|
$912.90 |
$912.90 |
$912.90 |
$457.50
|
|
Nr lnr acclrtr tx max 5 sessions
|
$8,392.05 |
$8,392.05 |
$8,392.05 |
$6,737.40
|
|
Ntrk translocation analysis
|
$1,920.15 |
$1,920.15 |
$1,920.15 |
$873.60
|
|
Nuclear matrix protein 22
|
$87.55 |
$87.55 |
$87.55 |
$44.00
|
|
Nuclear rx intra-arterial
|
$1,165.35 |
$1,165.35 |
$1,165.35 |
$765.00
|
|
Nuclear rx intra-articular
|
$1,165.35 |
$1,165.35 |
$1,165.35 |
$297.60
|
|
Nuclear rx IV admin
|
$1,168.75 |
$1,168.75 |
$1,168.75 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$6,372.45 |
$6,372.45 |
$6,372.45 |
$3,804.45
|
|
Nursing facility discharge management > 30 min 99316
|
$345.95 |
$345.95 |
$345.95 |
$166.25
|
|
Nursing facility discharge management 30 min/less than 99315
|
$216.75 |
$216.75 |
$216.75 |
$119.60
|
|
Nusinersen (pf) 12 mg/5 ml intrathecal solution
|
$387,989.09 |
$387,989.09 |
$387,989.09 |
$216,291.18
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$23,907.05 |
$23,907.05 |
$23,907.05 |
$14,865.31
|
|
Observation direct referral from physician office for admission
|
$1,511.30 |
$1,511.30 |
$1,511.30 |
$384.00
|
|
Observation per hour
|
$99.45 |
$99.45 |
$99.45 |
$81.22
|
|
Ob Ultrasound nuchal meas 1 gest
|
$518.50 |
$518.50 |
$518.50 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$323.85 |
$323.85 |
$323.85 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$21,062.28 |
$21,062.28 |
$21,062.28 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$253.30 |
$253.30 |
$253.30 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$18,336.37 |
$18,336.37 |
$18,336.37 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$16,039.65 |
$16,039.65 |
$16,039.65 |
$2,224.00
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$860.11 |
$860.11 |
$860.11 |
$1,220.80
|