|
MRA without cont, lwr ext
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,656.00
|
|
MRA without fol w/cont, abd
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,511.00
|
|
MRA without fol w/cont, lwr ext
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,206.29
|
|
Mra, w/o&w/dye, spinal canal
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$950.55
|
|
Mra, w/o&w/dye, upper extr
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$1,260.80
|
|
MRI breast c- unilateral
|
$480.60 |
$480.60 |
$480.60 |
$1,114.75
|
|
MRI breast without cont bi
|
$480.60 |
$480.60 |
$480.60 |
$1,825.38
|
|
MRI cardiac morph & func wo IV cont
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,837.20 |
$4,837.20 |
$4,837.20 |
$2,499.60
|
|
MRI chest without contrast
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,652.73
|
|
MRI chest w IV cont
|
$4,837.20 |
$4,837.20 |
$4,837.20 |
$2,249.10
|
|
MRI fetal ea addl gestation
|
$652.20 |
$652.20 |
$652.20 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$1,326.91
|
|
MRI loex nonjt w IV cont
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,203.50
|
|
MRI tmj
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,061.15
|
|
MRI w/cont, breast, bi
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$161.40 |
$161.40 |
$161.40 |
$160.20
|
|
Mr safety implant elec prepj
|
$168.60 |
$168.60 |
$168.60 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$19.20 |
$19.20 |
$19.20 |
$55.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$45.00 |
$45.00 |
$45.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$444.00 |
$444.00 |
$444.00 |
$439.80
|
|
Mr spectroscopy
|
$559.20 |
$559.20 |
$559.20 |
$1,352.40
|
|
Mthfr gene analy common variants
|
$378.60 |
$378.60 |
$378.60 |
$184.00
|
|
Mumps antibody igg
|
$91.20 |
$91.20 |
$91.20 |
$78.00
|
|
Muscle test cran nerv unilat
|
$441.00 |
$441.00 |
$441.00 |
$385.07
|
|
Muscle test larynx
|
$222.60 |
$222.60 |
$222.60 |
$296.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$10.20 |
$10.20 |
$10.20 |
$10.79
|
|
Mycophenolic acid
|
$2.40 |
$2.40 |
$2.40 |
$12.84
|
|
Mycoplasma antibody igm
|
$74.40 |
$74.40 |
$74.40 |
$77.35
|
|
Myelogphy 2/> spine regions
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,494.22
|
|
Myelography l-s spine
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,334.09
|
|
Myelography neck spine
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,496.40 |
$1,496.40 |
$1,496.40 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,496.40 |
$1,496.40 |
$1,496.40 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$1,496.40 |
$1,496.40 |
$1,496.40 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,496.40 |
$1,496.40 |
$1,496.40 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$58.80 |
$58.80 |
$58.80 |
$130.80
|
|
Myocrd img pet 1std rst/strs
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$10,748.40 |
$10,748.40 |
$10,748.40 |
$4,240.58
|
|
Myocrd img pet 2rtracer CT
|
$10,748.40 |
$10,748.40 |
$10,748.40 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$9,470.40 |
$9,470.40 |
$9,470.40 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$3,311.85
|
|
Nalbuphine 10 mg/ml injection solution
|
$2.40 |
$2.40 |
$2.40 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$9.60 |
$9.60 |
$9.60 |
$70.87
|
|
Nasopharyngoscopy w/endoscope
|
$605.40 |
$605.40 |
$605.40 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$328.20 |
$328.20 |
$328.20 |
$16,254.52
|
|
Natriuretic peptide
|
$199.20 |
$199.20 |
$199.20 |
$176.15
|
|
Natural killer cells total count
|
$210.00 |
$210.00 |
$210.00 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$1,751.25
|
|
N block inj hypogas plxs
|
$2,755.80 |
$2,755.80 |
$2,755.80 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$247.80 |
$247.80 |
$247.80 |
$228.50
|
|
Ndl insj without njx 1 or 2 musc
|
$54.60 |
$54.60 |
$54.60 |
$39.77
|
|
Nebulizer Breathing Treatment
|
$418.20 |
$418.20 |
$418.20 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$188.40 |
$188.40 |
$188.40 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$796.80 |
$796.80 |
$796.80 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$188.40 |
$188.40 |
$188.40 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$262.80 |
$262.80 |
$262.80 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$262.80 |
$262.80 |
$262.80 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$796.80 |
$796.80 |
$796.80 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$60.16
|
|
Nephrectomy open 50220
|
$15,304.80 |
$15,304.80 |
$15,304.80 |
$2,364.12
|
|
Nephrectomy partial
|
$3,467.40 |
$3,467.40 |
$3,467.40 |
$3,467.40
|
|
Nerve conduction 7-8 studies
|
$177.60 |
$177.60 |
$177.60 |
$750.00
|
|
Nerve conduction studies 11-12
|
$328.20 |
$328.20 |
$328.20 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$177.60 |
$177.60 |
$177.60 |
$341.10
|
|
Nerve conduction studies 13+
|
$328.20 |
$328.20 |
$328.20 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$177.60 |
$177.60 |
$177.60 |
$469.98
|
|
Nerve conduction studies 5-6
|
$177.60 |
$177.60 |
$177.60 |
$617.24
|
|
Nerve conduction studies 9-10
|
$328.20 |
$328.20 |
$328.20 |
$1,100.00
|
|
Neurolysis celiac plexus
|
$3,025.20 |
$3,025.20 |
$3,025.20 |
$1,780.24
|
|
New Patient Office Visit (level 2)
|
$214.80 |
$214.80 |
$214.80 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$441.00 |
$441.00 |
$441.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$610.80 |
$610.80 |
$610.80 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$814.80 |
$814.80 |
$814.80 |
$355.80
|
