|
Metabolic Blood Panel (Comprehensive)
|
$112.80 |
$112.80 |
$112.80 |
$157.50
|
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
$93.20 |
$93.20 |
$93.20 |
$264.60
|
|
Methotrexate sodium 2.5 mg tablet
|
$5.98 |
$5.98 |
$5.98 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$206.19 |
$206.19 |
$206.19 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$367.03 |
$367.03 |
$367.03 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$75.63 |
$75.63 |
$75.63 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$73.99 |
$73.99 |
$73.99 |
$407.16
|
|
Methylphenidate
|
$81.60 |
$81.60 |
$81.60 |
$80.08
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$64.80 |
$64.80 |
$64.80 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$91.09 |
$91.09 |
$91.09 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$61.64 |
$61.64 |
$61.64 |
$15.75
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$60.34 |
$60.34 |
$60.34 |
$8.84
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$180.07 |
$180.07 |
$180.07 |
$23.55
|
|
Microalbumin urine screen
|
$48.00 |
$48.00 |
$48.00 |
$19.04
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$259.20 |
$259.20 |
$259.20 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$60.68 |
$60.68 |
$60.68 |
$63.30
|
|
Mnt subs tx for change dx
|
$48.80 |
$48.80 |
$48.80 |
$56.00
|
|
Mog-igg1 antb flo cytmtry ea
|
$344.00 |
$344.00 |
$344.00 |
$350.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$118.76 |
$118.76 |
$118.76 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$61.56 |
$61.56 |
$61.56 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$81.52 |
$81.52 |
$81.52 |
$148.69
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$332.00 |
$332.00 |
$332.00 |
$318.43
|
|
MRI chest without contrast
|
$2,758.40 |
$2,758.40 |
$2,758.40 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,959.20 |
$3,959.20 |
$3,959.20 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,200.00 |
$3,200.00 |
$3,200.00 |
$2,249.10
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,972.00 |
$3,972.00 |
$3,972.00 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$3,656.00 |
$3,656.00 |
$3,656.00 |
$2,203.50
|
|
MRI tmj
|
$2,748.80 |
$2,748.80 |
$2,748.80 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,068.80 |
$3,068.80 |
$3,068.80 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,216.00 |
$4,216.00 |
$4,216.00 |
$2,655.25
|
|
Multiple sleep latency test
|
$3,217.60 |
$3,217.60 |
$3,217.60 |
$2,466.00
|
|
Mumps antibody igg
|
$109.60 |
$109.60 |
$109.60 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.20 |
$1.20 |
$1.20 |
$10.79
|
|
Mycoplasma antibody igm
|
$56.80 |
$56.80 |
$56.80 |
$77.35
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$105.60 |
$105.60 |
$105.60 |
$130.80
|
|
Nafcillin 2 gram solution for injection
|
$64.46 |
$64.46 |
$64.46 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$62.09 |
$62.09 |
$62.09 |
$70.87
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$7,996.08 |
$7,996.08 |
$7,996.08 |
$16,254.52
|
|
Natriuretic peptide
|
$140.00 |
$140.00 |
$140.00 |
$176.15
|
|
Natural killer cells total count
|
$104.80 |
$104.80 |
$104.80 |
$135.00
|
|
Ndl insj without njx 1 or 2 musc
|
$38.40 |
$38.40 |
$38.40 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$64.00 |
$64.00 |
$64.00 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$258.40 |
$258.40 |
$258.40 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$252.00 |
$252.00 |
$252.00 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,052.00 |
$4,052.00 |
$4,052.00 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,216.80 |
$3,216.80 |
$3,216.80 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,374.40 |
$3,374.40 |
$3,374.40 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$275.20 |
$275.20 |
$275.20 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$364.80 |
$364.80 |
$364.80 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$632.80 |
$632.80 |
$632.80 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,569.60 |
$3,569.60 |
$3,569.60 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,791.20 |
$1,791.20 |
$1,791.20 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$62.00 |
$62.00 |
$62.00 |
$60.16
|
|
New Patient Office Visit (level 2)
|
$128.80 |
$128.80 |
$128.80 |
$163.30
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$423.58 |
$423.58 |
$423.58 |
$251.32
|
|
Nintedanib 150 mg capsule
|
$3.64 |
$3.64 |
$3.64 |
$262.93
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$6,998.99 |
$6,998.99 |
$6,998.99 |
$14,820.18
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
$1,397.69
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,603.20 |
$1,603.20 |
$1,603.20 |
$1,207.59
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$1,541.32
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,091.00
|
|
Non-card vasc flow imaging
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$608.56
|
|
No pt prsnt train add 15
|
$61.60 |
$61.60 |
$61.60 |
$47.60
|
|
No pt prsnt train initial 30
|
$124.00 |
$124.00 |
$124.00 |
$61.33
|
|
Nose (Nasal Bone) X-ray (complete)
|
$287.20 |
$287.20 |
$287.20 |
$274.65
|
|
Nuclear Stress Test (Heart)
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$3,859.98
|
|
Observation direct referral from physician office for admission
|
$312.00 |
$312.00 |
$312.00 |
$384.00
|
|
Observation per hour
|
$65.60 |
$65.60 |
$65.60 |
$82.50
|
|
Obstetrics panel
|
$176.00 |
$176.00 |
$176.00 |
$214.50
|
|
Occupational Therapy Evaluation (high complexity)
|
$306.40 |
$306.40 |
$306.40 |
$297.00
|
|
Occupational Therapy Evaluation (low complexity)
|
$251.20 |
$251.20 |
$251.20 |
$232.40
|
|
Occupational Therapy Evaluation (moderate complexity)
|
$272.80 |
$272.80 |
$272.80 |
$263.90
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$26,060.16 |
$26,060.16 |
$26,060.16 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$61.29 |
$61.29 |
$61.29 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$84.16 |
$84.16 |
$84.16 |
$109.62
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,470.16 |
$4,470.16 |
$4,470.16 |
$4,595.01
|
|
Ondansetron 4 mg s0119
|
$1.20 |
$1.20 |
$1.20 |
$2.52
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.20 |
$1.20 |
$1.20 |
$9.93
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.44 |
$60.44 |
$60.44 |
$22.62
|
|
Osmolality blood
|
$50.40 |
$50.40 |
$50.40 |
$70.85
|
|
Osmolality urine
|
$48.80 |
$48.80 |
$48.80 |
$65.52
|
|
Oth resp proc, group
|
$160.00 |
$160.00 |
$160.00 |
$126.00
|
|
Oth resp proc, indiv
|
$105.60 |
$105.60 |
$105.60 |
$83.50
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$80.80 |
$80.80 |
$80.80 |
$88.54
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$104.00 |
$104.00 |
$104.00 |
$93.12
|
|
Oxaliplatin 5 mg/ml desensitization
|
$80.71 |
$80.71 |
$80.71 |
$348.69
|
|
Oxytocin 10 unit/ml injection solution
|
$152.58 |
$152.58 |
$152.58 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$231.59 |
$231.59 |
$231.59 |
$216.00
|
|
Palonosetron hcl
|
$121.28 |
$121.28 |
$121.28 |
$163.00
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$62.52 |
$62.52 |
$62.52 |
$28.90
|
|
Parathormone (pth) intact
|
$209.60 |
$209.60 |
$209.60 |
$206.18
|
|
Parathyrd planar w/spect&ct
|
$2,072.80 |
$2,072.80 |
$2,072.80 |
$1,574.40
|
|
Parathyroid planar img w/tomo spect
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$1,374.75
|