|
MRI breast w IV cont bi
|
$5,999.40 |
$5,999.40 |
$6,741.00 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$3,173.40 |
$3,173.40 |
$5,179.20 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,648.80 |
$5,999.40 |
$8,173.20 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$5,311.20 |
$6,359.40 |
$8,173.20 |
$2,499.60
|
|
MRI chest without contrast
|
$3,318.60 |
$3,801.60 |
$6,214.20 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,558.20 |
$3,264.60 |
$8,004.00 |
$2,252.39
|
|
MRI fetal sngl/1st gestation
|
$794.40 |
$794.40 |
$794.40 |
$1,108.00
|
|
MRI guid ndl plc s&i
|
$2,958.60 |
$2,958.60 |
$2,958.60 |
$1,334.45
|
|
MRI guid parenchymal tiss ablation
|
$3,145.20 |
$3,441.00 |
$6,308.40 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$4,359.60 |
$5,313.60 |
$8,004.00 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,770.95
|
|
MRI orbit fac&nck w IV cont
|
$2,178.60 |
$4,742.40 |
$8,004.00 |
$2,204.98
|
|
MRI tmj
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$2,251.20 |
$4,742.40 |
$8,004.00 |
$2,076.72
|
|
MRI without fol w/cont, breast
|
$9,808.20 |
$9,808.20 |
$9,808.20 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$2,782.80 |
$2,782.80 |
$3,261.00 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$161.40 |
$161.40 |
$215.40 |
$161.40
|
|
Mr safety implant elec prepj
|
$168.60 |
$168.60 |
$224.40 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$18.60 |
$18.60 |
$18.60 |
$55.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$45.00 |
$45.00 |
$60.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$444.00 |
$444.00 |
$591.60 |
$444.00
|
|
Mr spectroscopy
|
$2,896.20 |
$3,497.40 |
$4,357.80 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$898.80 |
$1,522.80 |
$1,523.40 |
$422.64
|
|
Msh2 gene full seq
|
$399.00 |
$1,522.80 |
$1,523.40 |
$764.00
|
|
Msh2 gene known variants
|
$235.80 |
$235.80 |
$235.80 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$898.80 |
$1,523.40 |
$2,027.40 |
$476.00
|
|
Msh6 gene full seq
|
$399.00 |
$1,523.40 |
$2,027.40 |
$1,160.50
|
|
Msh6 gene known variants
|
$235.80 |
$235.80 |
$235.80 |
$369.60
|
|
Mthfr gene analy common variants
|
$357.60 |
$357.60 |
$537.60 |
$184.00
|
|
Mucopolysaccharides
|
$162.00 |
$222.00 |
$1,350.00 |
$178.36
|
|
Multiple sleep latency test
|
$2,193.60 |
$4,243.20 |
$4,651.80 |
$2,466.00
|
|
Mumps antibody igg
|
$86.40 |
$179.40 |
$298.20 |
$78.00
|
|
Muscle test cran nerv unilat
|
$137.40 |
$823.80 |
$3,714.00 |
$385.07
|
|
Muscle test hemidiaphragm
|
$251.40 |
$251.40 |
$622.20 |
$296.40
|
|
Muscle test larynx
|
$294.00 |
$327.60 |
$1,132.80 |
$296.80
|
|
Muscle test one fiber
|
$474.00 |
$474.00 |
$520.80 |
$432.00
|
|
Mycobacteria dna amp probe
|
$313.80 |
$363.00 |
$464.40 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$18.60 |
$100.20 |
$273.60 |
$10.79
|
|
Mycophenolic acid
|
$19.05 |
$32.00 |
$46.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$90.60 |
$181.20 |
$2,088.60 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$943.80 |
$1,379.40 |
$1,780.80 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$4,906.80 |
$4,906.80 |
$7,566.00 |
$1,494.22
|
|
Myelography l-s spine
|
$4,906.80 |
$4,906.80 |
$7,566.00 |
$1,334.09
|
|
Myelography neck spine
|
$4,906.80 |
$4,906.80 |
$7,566.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$7,566.00 |
$7,566.00 |
$7,566.00 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,000.80 |
$1,111.80 |
$2,289.60 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,000.80 |
$1,111.80 |
$2,289.60 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$1,000.80 |
$1,111.80 |
$2,289.60 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,000.80 |
$2,250.60 |
$2,289.60 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$99.00 |
$108.60 |
$780.60 |
$130.41
|
|
Myocrd img pet 1std rst/strs
|
$12,446.40 |
$12,446.40 |
$12,446.40 |
$3,627.73
|
|
Myocrd img pet 2rtracer
|
$11,591.40 |
$11,591.40 |
$11,591.40 |
$4,835.00
|
|
Myocrd img pet mlt rst&strs
|
$12,640.80 |
$12,640.80 |
$12,640.80 |
$4,060.00
|
|
Myomectomy vag method
|
$5,145.00 |
$5,145.00 |
$5,145.00 |
$3,762.53
|
|
Nafcillin 2 gram solution for injection
|
$2.00 |
$5.55 |
$5.55 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$12.30 |
$22.20 |
$96.00 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$0.60 |
$0.60 |
$1.20 |
$70.87
|
|
Naltrexone, depot form
|
$18.00 |
$33.60 |
$12,768.00 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$1,485.60 |
$2,450.40 |
$3,156.00 |
$351.52
|
|
Nasal endoscopy with removal of nasal foreign body
|
$90.60 |
$91.80 |
$138.60 |
$406.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$3,451.80 |
$4,080.00 |
$5,543.40 |
$2,831.51
|
|
Nasopharyngoscopy w/endoscope
|
$925.80 |
$931.80 |
$1,290.60 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$11,202.60 |
$11,202.60 |
$11,202.60 |
$16,254.52
|
|
Natriuretic peptide
|
$269.40 |
$315.00 |
$361.80 |
$176.15
|
|
Natural killer cells total count
|
$320.40 |
$631.80 |
$2,155.80 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$10,068.60 |
$10,068.60 |
$29,249.40 |
$1,751.25
|
|
N block inj common digit
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$540.80
|
|
N block inj hypogas plxs
|
$785.40 |
$1,464.00 |
$5,197.20 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$72.00 |
$236.40 |
$243.00 |
$225.25
|
|
Ndl round specialty proguide
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$324.40
|
|
Nebulizer Breathing Treatment
|
$71.40 |
$108.00 |
$337.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$405.00 |
$456.60 |
$686.40 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,061.00 |
$3,394.80 |
$5,112.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,654.40 |
$2,982.00 |
$4,599.60 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,621.20 |
$5,191.20 |
$8,004.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$405.00 |
$456.60 |
$686.40 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$666.60 |
$765.60 |
$1,154.40 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$666.60 |
$765.60 |
$1,154.40 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,621.20 |
$5,313.60 |
$8,004.00 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,953.20 |
$3,394.80 |
$5,112.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,654.40 |
$3,054.00 |
$4,599.60 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,311.05
|
|
Needle emg guid w/chemodenervation add-on
|
$80.40 |
$80.40 |
$80.40 |
$164.80
|
|
Neg press ventilation cnp
|
$307.20 |
$371.40 |
$378.00 |
$590.16
|
|
Neg pres wound ther drsg set
|
$1,406.40 |
$1,456.80 |
$2,094.00 |
$676.00
|
|
Neisseria meningitidis
|
$141.00 |
$141.00 |
$285.00 |
$75.00
|
|
Nelarabine injection
|
$748.80 |
$748.80 |
$3,741.60 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$21.40 |
$34.65 |
$72.60 |
$59.80
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$407.52
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$298.20 |
$298.20 |
$298.20 |
$339.50
|
|
Nerve conduction 7-8 studies
|
$1,363.20 |
$1,498.80 |
$2,330.40 |
$750.00
|