|
Mumps antibody igg
|
$163.20 |
$163.20 |
$163.20 |
$78.00
|
|
Mycoplasma antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$77.35
|
|
Myelogphy 2/> spine regions
|
$922.80 |
$922.80 |
$922.80 |
$1,494.22
|
|
Myelography l-s spine
|
$613.20 |
$613.20 |
$613.20 |
$1,334.09
|
|
Myelography neck spine
|
$699.00 |
$699.00 |
$699.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$636.00 |
$636.00 |
$636.00 |
$1,255.00
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$60.00 |
$60.00 |
$60.00 |
$130.80
|
|
Myocrd img pet 1std rst/strs
|
$3,932.40 |
$3,932.40 |
$3,932.40 |
$3,627.73
|
|
Myocrd img pet mlt rst&strs
|
$4,841.40 |
$4,841.40 |
$4,841.40 |
$4,060.00
|
|
Natriuretic peptide
|
$254.40 |
$254.40 |
$254.40 |
$176.15
|
|
Natural killer cells total count
|
$283.80 |
$283.80 |
$283.80 |
$135.00
|
|
Nebulizer Breathing Treatment
|
$154.20 |
$154.20 |
$154.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$92.40 |
$92.40 |
$92.40 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,443.60 |
$1,443.60 |
$1,443.60 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$954.60 |
$954.60 |
$954.60 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,383.00 |
$4,383.00 |
$4,383.00 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,615.40 |
$2,615.40 |
$2,615.40 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$126.60 |
$126.60 |
$126.60 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$185.40 |
$185.40 |
$185.40 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$222.00 |
$222.00 |
$222.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,165.80 |
$4,165.80 |
$4,165.80 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$976.80 |
$976.80 |
$976.80 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$802.20 |
$802.20 |
$802.20 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$60.16
|
|
New Patient Office Visit (level 2)
|
$79.20 |
$79.20 |
$79.20 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$103.20 |
$103.20 |
$103.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$130.20 |
$130.20 |
$130.20 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$190.80 |
$190.80 |
$190.80 |
$355.80
|
|
Njx interlaminar crv/thrc
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,622.32
|
|
Njx interlaminar crv/thrc
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,839.60
|
|
Njx interlaminar lmbr/sac
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$1,523.65
|
|
Njx interlaminar lmbr/sac
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,970.25
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$781.20 |
$781.20 |
$781.20 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$784.20 |
$784.20 |
$784.20 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$579.60 |
$579.60 |
$579.60 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$605.40 |
$605.40 |
$605.40 |
$1,590.00
|
|
Non-card vasc flow imaging
|
$342.00 |
$342.00 |
$342.00 |
$608.56
|
|
Non-imaging heart function
|
$455.40 |
$455.40 |
$455.40 |
$1,222.94
|
|
Non-sterile gauze<=16 sq in
|
$1.80 |
$1.80 |
$1.80 |
$32.08
|
|
Nose (Nasal Bone) X-ray (complete)
|
$107.40 |
$107.40 |
$107.40 |
$274.65
|
|
Nuclear exam of tear flow
|
$358.80 |
$358.80 |
$358.80 |
$648.04
|
|
Nuclear Stress Test (Heart)
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$651.60 |
$651.60 |
$651.60 |
$384.00
|
|
Observation per hour
|
$32.40 |
$32.40 |
$32.40 |
$82.50
|
|
Obstetrics panel
|
$366.60 |
$366.60 |
$366.60 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$168.00 |
$168.00 |
$168.00 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$168.00 |
$168.00 |
$168.00 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$168.00 |
$168.00 |
$168.00 |
$263.90
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$90.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$22.62
|
|
One-way allow prorated trip
|
$19.20 |
$19.20 |
$19.20 |
$18.57
|
|
Optx acromclv dislc aqt/chrn
|
$1,643.40 |
$1,643.40 |
$1,643.40 |
$6,653.00
|
|
Oral aprepitant
|
$201.00 |
$201.00 |
$201.00 |
$410.20
|
|
Organic acids total quant ea spec
|
$374.40 |
$374.40 |
$374.40 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$16.80 |
$16.80 |
$16.80 |
$50.63
|
|
Osmolality blood
|
$126.60 |
$126.60 |
$126.60 |
$70.85
|
|
Osmolality urine
|
$134.40 |
$134.40 |
$134.40 |
$65.52
|
|
Ostomy clamp, replacement
|
$3.00 |
$3.00 |
$3.00 |
$2.79
|
|
Other immunoelectrophoresis
|
$291.60 |
$291.60 |
$291.60 |
$107.52
|
|
Ot re-evaluation patient/family
|
$111.00 |
$111.00 |
$111.00 |
$160.80
|
|
Oxytocin 10 unit/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$50.40
|
|
Parathormone (pth) intact
|
$224.40 |
$224.40 |
$224.40 |
$206.18
|
|
Parathyroid planar imaging
|
$540.60 |
$540.60 |
$540.60 |
$1,126.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$144.00 |
$144.00 |
$144.00 |
$245.67
|
|
Pcv21 vaccine im
|
$414.00 |
$414.00 |
$414.00 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$7,591.20 |
$7,591.20 |
$7,591.20 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$5,652.00 |
$5,652.00 |
$5,652.00 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$5,977.80 |
$5,977.80 |
$5,977.80 |
$7,297.36
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,757.20 |
$3,757.20 |
$3,757.20 |
$4,133.25
|
|
Pelvic CT scan (with and without contrast)
|
$1,403.40 |
$1,403.40 |
$1,403.40 |
$1,890.36
|
|
Pelvic CT scan (with contrast)
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$1,608.98
|
|
Pelvic CT scan (without contrast)
|
$939.00 |
$939.00 |
$939.00 |
$1,335.34
|
|
Pelvic MRI (with and without contrast)
|
$4,349.40 |
$4,349.40 |
$4,349.40 |
$2,860.00
|
|
Pelvic MRI (with contrast)
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$2,212.80 |
$2,212.80 |
$2,212.80 |
$1,916.50
|
|
Pelvic Ultrasound (complete)
|
$353.40 |
$353.40 |
$353.40 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$348.60 |
$348.60 |
$348.60 |
$430.80
|
|
Pelvis X-ray (1 to 2 views)
|
$143.40 |
$143.40 |
$143.40 |
$281.82
|
|
Pelvis X-ray (complete, 4 or more views)
|
$138.00 |
$138.00 |
$138.00 |
$351.75
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$447.00 |
$447.00 |
$447.00 |
$332.84
|
|
Peritoneogram rs&i
|
$472.80 |
$472.80 |
$472.80 |
$698.50
|
|
Perit-vens shunt pat tst
|
$515.40 |
$515.40 |
$515.40 |
$752.49
|
|
Pertussis ag if
|
$56.40 |
$56.40 |
$56.40 |
$66.23
|
|
Pessary 3.5 in 7 vag sil rng fold
|
$135.00 |
$135.00 |
$135.00 |
$141.60
|
|
Pet CT skull-mid thgh initial
|
$5,818.20 |
$5,818.20 |
$5,818.20 |
$4,707.00
|
|
Pet CT whole body initial
|
$6,019.80 |
$6,019.80 |
$6,019.80 |
$4,850.00
|
|
Pet fdg brain metoblic eval sb
|
$4,480.80 |
$4,480.80 |
$4,480.80 |
$4,060.00
|
|
Pet image full body
|
$5,734.20 |
$5,734.20 |
$5,734.20 |
$5,148.14
|
|
Pet image ltd area
|
$4,480.80 |
$4,480.80 |
$4,480.80 |
$3,809.11
|
|
Pet image skull-thigh
|
$5,530.80 |
$5,530.80 |
$5,530.80 |
$4,589.00
|
|
Pet image w/ct lmtd
|
$4,769.40 |
$4,769.40 |
$4,769.40 |
$4,349.76
|
|
Pet scan brain perf study
|
$4,480.80 |
$4,480.80 |
$4,480.80 |
$3,832.80
|
|
Pfc sigma fem post aug sz3 8mm
|
$17,997.00 |
$17,997.00 |
$17,997.00 |
$39,920.50
|
|
Ph body fluid
|
$85.80 |
$85.80 |
$85.80 |
$42.00
|
|
Phencyclidine (pcp)
|
$54.00 |
$54.00 |
$54.00 |
$96.39
|