|
MRA without fol w/cont, abd
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$2,511.00
|
|
MRA without fol w/cont, lwr ext
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$2,206.29
|
|
MRI breast without cont bi
|
$3,482.40 |
$3,482.40 |
$3,482.40 |
$1,825.38
|
|
MRI cardiac morph & func wo IV cont
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$1,946.48
|
|
MRI chest without contrast
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,985.80 |
$3,985.80 |
$3,985.80 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,252.39
|
|
MRI loex nonjt w IV cont
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$2,770.95
|
|
MRI tmj
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,076.72
|
|
MRI without fol w/cont, breast
|
$3,543.00 |
$3,543.00 |
$3,543.00 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$4,459.80 |
$4,459.80 |
$4,459.80 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$160.20 |
$160.20 |
$160.20 |
$161.40
|
|
Mr safety implant elec prepj
|
$166.80 |
$166.80 |
$166.80 |
$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
|
$44.40 |
$44.40 |
$44.40 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$439.80 |
$439.80 |
$439.80 |
$444.00
|
|
Msh2 gene dup/delete variant
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$422.64
|
|
Msh2 gene full seq
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$476.00
|
|
Msh6 gene full seq
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$1,160.50
|
|
Msh6 gene known variants
|
$235.80 |
$235.80 |
$235.80 |
$369.60
|
|
Mthfr gene analy common variants
|
$334.80 |
$334.80 |
$334.80 |
$184.00
|
|
Mucopolysaccharides
|
$280.80 |
$280.80 |
$280.80 |
$178.36
|
|
Multiple sleep latency test
|
$4,393.20 |
$4,393.20 |
$4,393.20 |
$2,466.00
|
|
Mumps antibody igg
|
$285.60 |
$285.60 |
$285.60 |
$78.00
|
|
Muscle test cran nerv unilat
|
$235.20 |
$235.20 |
$235.20 |
$385.07
|
|
Muscle test larynx
|
$324.60 |
$324.60 |
$324.60 |
$296.80
|
|
Mycobacteria dna amp probe
|
$468.00 |
$468.00 |
$468.00 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$79.60 |
$79.60 |
$79.60 |
$10.79
|
|
Mycoplasma antibody igm
|
$581.40 |
$581.40 |
$581.40 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$888.60 |
$888.60 |
$888.60 |
$416.00
|
|
Myelography via inj w/s&i 2+ regions
|
$4,064.40 |
$4,064.40 |
$4,064.40 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$3,476.40 |
$3,476.40 |
$3,476.40 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$3,447.00 |
$3,447.00 |
$3,447.00 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$2,874.60 |
$2,874.60 |
$2,874.60 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$126.00 |
$126.00 |
$126.00 |
$130.41
|
|
Nafcillin 2 gram solution for injection
|
$1.80 |
$1.80 |
$1.80 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$14.40 |
$14.40 |
$14.40 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$70.87
|
|
Naltrexone, depot form
|
$7,275.00 |
$7,275.00 |
$7,275.00 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$351.52
|
|
Nasal endoscopy with removal of nasal foreign body
|
$135.00 |
$135.00 |
$135.00 |
$406.00
|
|
Nasopharyngoscopy w/endoscope
|
$365.40 |
$365.40 |
$365.40 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$28,621.80 |
$28,621.80 |
$28,621.80 |
$16,254.52
|
|
Natriuretic peptide
|
$342.00 |
$342.00 |
$342.00 |
$176.15
|
|
Natural killer cells total count
|
$112.80 |
$112.80 |
$112.80 |
$135.00
|
|
Navigational bronchoscopy 31627
|
$5,596.80 |
$5,596.80 |
$5,596.80 |
$1,751.25
|
|
N block inj hypogas plxs
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$359.40 |
$359.40 |
$359.40 |
$225.25
|
|
Nebulizer Breathing Treatment
|
$286.80 |
$286.80 |
$286.80 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$285.60 |
$285.60 |
$285.60 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,574.80 |
$3,574.80 |
$3,574.80 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,176.40 |
$3,176.40 |
$3,176.40 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,108.40 |
$2,108.40 |
$2,108.40 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,867.60 |
$3,867.60 |
$3,867.60 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,941.20 |
$2,941.20 |
$2,941.20 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,424.00 |
$2,424.00 |
$2,424.00 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$637.20 |
$637.20 |
$637.20 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$526.20 |
$526.20 |
$526.20 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$679.20 |
$679.20 |
$679.20 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,826.20 |
$3,826.20 |
$3,826.20 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$3,145.80 |
$3,145.80 |
$3,145.80 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$1,311.05
|
|
Neg pres wound ther drsg set
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$676.00
|
|
Neisseria meningitidis
|
$139.80 |
$139.80 |
$139.80 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$213.00 |
$213.00 |
$213.00 |
$59.80
|
|
Neurolysis celiac plexus
|
$4,170.00 |
$4,170.00 |
$4,170.00 |
$1,754.00
|
|
New Patient Office Visit (level 2)
|
$250.80 |
$250.80 |
$250.80 |
$164.65
|
|
New Patient Office Visit (level 3)
|
$327.00 |
$327.00 |
$327.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$421.20 |
$421.20 |
$421.20 |
$294.00
|
|
New Patient Office Visit (level 5)
|
$589.80 |
$589.80 |
$589.80 |
$356.85
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$250.70
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$4.00 |
$4.00 |
$4.00 |
$74.40
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$162.40 |
$162.40 |
$162.40 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$375.60 |
$375.60 |
$375.60 |
$41,635.10
|
|
Njx aa&/strd lmbr plex nfs
|
$1,816.80 |
$1,816.80 |
$1,816.80 |
$1,576.20
|
|
Njx aa&/strd nrv nrvtg si jt
|
$727.20 |
$727.20 |
$727.20 |
$1,159.00
|
|
Njx aa&/strd sc nrv nfs img
|
$1,963.80 |
$1,963.80 |
$1,963.80 |
$1,772.02
|
|
Njx interlaminar crv/thrc
|
$3,015.60 |
$3,015.60 |
$3,015.60 |
$1,636.59
|
|
Njx interlaminar lmbr/sac
|
$637.80 |
$637.80 |
$637.80 |
$1,534.22
|
|
Njx interlaminar lmbr/sac
|
$913.80 |
$913.80 |
$913.80 |
$1,970.25
|
|
Njx px nfrosgrm &/urtrgrm
|
$845.40 |
$845.40 |
$845.40 |
$1,461.75
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,691.40 |
$1,691.40 |
$1,691.40 |
$1,202.40
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,658.40 |
$1,658.40 |
$1,658.40 |
$1,531.20
|
|
Nm imaging pulmonary ventilation/perfusion
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$944.40 |
$944.40 |
$944.40 |
$1,024.52
|
|
Nose (Nasal Bone) X-ray (complete)
|
$262.20 |
$262.20 |
$262.20 |
$274.65
|
|
Npm1 gene
|
$2,101.20 |
$2,101.20 |
$2,101.20 |
$457.50
|
