|
MRI loex nonjt w IV cont
|
$568.64 |
$568.64 |
$568.64 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$568.64 |
$568.64 |
$568.64 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$868.80 |
$868.80 |
$868.80 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$566.08 |
$566.08 |
$566.08 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$808.32 |
$808.32 |
$808.32 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$580.48 |
$580.48 |
$580.48 |
$2,176.20
|
|
MRI tmj
|
$580.48 |
$580.48 |
$580.48 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$496.32 |
$496.32 |
$496.32 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$868.80 |
$868.80 |
$868.80 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$568.64 |
$568.64 |
$568.64 |
$2,021.30
|
|
MRI without fol w/cont, breast
|
$771.52 |
$771.52 |
$771.52 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$514.56 |
$514.56 |
$514.56 |
$1,720.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$72.64 |
$72.64 |
$72.64 |
$49.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$72.64 |
$72.64 |
$72.64 |
$45.00
|
|
M.tuberculo dna dir probe
|
$64.64 |
$64.64 |
$64.64 |
$58.40
|
|
Multiple sleep latency test
|
$583.68 |
$583.68 |
$583.68 |
$2,440.50
|
|
Mumps antibody igg
|
$11.52 |
$11.52 |
$11.52 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$2.54 |
$2.54 |
$2.54 |
$10.79
|
|
Mycophenolic acid
|
$5.21 |
$5.21 |
$5.21 |
$12.84
|
|
Mycoplasma antibody igm
|
$43.84 |
$43.84 |
$43.84 |
$76.59
|
|
Myelography via inj w/s&i lumbosacral
|
$384.32 |
$384.32 |
$384.32 |
$1,843.92
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$42.24 |
$42.24 |
$42.24 |
$135.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$9,683.32 |
$9,683.32 |
$9,683.32 |
$16,254.52
|
|
Natriuretic peptide
|
$109.44 |
$109.44 |
$109.44 |
$176.15
|
|
Natural killer cells total count
|
$32.96 |
$32.96 |
$32.96 |
$132.63
|
|
Ndl insj without njx 1 or 2 musc
|
$8.00 |
$8.00 |
$8.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$8.00 |
$8.00 |
$8.00 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$870.72 |
$870.72 |
$870.72 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$580.48 |
$580.48 |
$580.48 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$580.48 |
$580.48 |
$580.48 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$924.80 |
$924.80 |
$924.80 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$752.00 |
$752.00 |
$752.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$752.00 |
$752.00 |
$752.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$559.04 |
$559.04 |
$559.04 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$372.48 |
$372.48 |
$372.48 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$342.08 |
$342.08 |
$342.08 |
$1,790.58
|
|
Nelarabine injection
|
$1,366.72 |
$1,366.72 |
$1,366.72 |
$975.00
|
|
Nerve teasing preparations
|
$182.40 |
$182.40 |
$182.40 |
$698.49
|
|
New Patient Office Visit (level 2)
|
$52.80 |
$52.80 |
$52.80 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$62.08 |
$62.08 |
$62.08 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$90.24 |
$90.24 |
$90.24 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$110.40 |
$110.40 |
$110.40 |
$349.70
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$8,662.41 |
$8,662.41 |
$8,662.41 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$16,818.58 |
$16,818.58 |
$16,818.58 |
$41,635.10
|
|
Njx px nfrosgrm &/urtrgrm
|
$683.84 |
$683.84 |
$683.84 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$358.72 |
$358.72 |
$358.72 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$300.16 |
$300.16 |
$300.16 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$312.00 |
$312.00 |
$312.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$309.44 |
$309.44 |
$309.44 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$238.72 |
$238.72 |
$238.72 |
$1,200.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$266.24 |
$266.24 |
$266.24 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$540.48 |
$540.48 |
$540.48 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$208.96 |
$208.96 |
$208.96 |
$1,079.00
|
|
Non-card vasc flow imaging
|
$196.16 |
$196.16 |
$196.16 |
$608.56
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,638.08 |
$1,638.08 |
$1,638.08 |
$6,737.40
|
|
Nuclear rx IV admin
|
$379.52 |
$379.52 |
$379.52 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$722.24 |
$722.24 |
$722.24 |
$3,804.45
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$9,392.69 |
$9,392.69 |
$9,392.69 |
$14,865.31
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$22,510.20 |
$22,510.20 |
$22,510.20 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$19.08 |
$19.08 |
$19.08 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$7,538.56 |
$7,538.56 |
$7,538.56 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$6,580.11 |
$6,580.11 |
$6,580.11 |
$2,224.00
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,544.36 |
$1,544.36 |
$1,544.36 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$11.88 |
$11.88 |
$11.88 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$5.36 |
$5.36 |
$5.36 |
$22.62
|
|
Oral everolimus
|
$6.42 |
$6.42 |
$6.42 |
$33.34
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$34.98 |
$34.98 |
$34.98 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$16.00 |
$16.00 |
$16.00 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$106.88 |
$106.88 |
$106.88 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$474.88 |
$474.88 |
$474.88 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$294.08 |
$294.08 |
$294.08 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$100.48 |
$100.48 |
$100.48 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$119.04 |
$119.04 |
$119.04 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$100.48 |
$100.48 |
$100.48 |
$231.00
|
|
Orthovisc inj per dose
|
$521.29 |
$521.29 |
$521.29 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$123.84 |
$123.84 |
$123.84 |
$420.76
|
|
Oscillation chest wall mechanical per session
|
$107.52 |
$107.52 |
$107.52 |
$195.00
|
|
Osmolality blood
|
$21.44 |
$21.44 |
$21.44 |
$67.60
|
|
Osmolality urine
|
$22.08 |
$22.08 |
$22.08 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$58.24 |
$58.24 |
$58.24 |
$263.50
|
|
Oth resp proc, group
|
$35.52 |
$35.52 |
$35.52 |
$123.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$21.76 |
$21.76 |
$21.76 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$24.96 |
$24.96 |
$24.96 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$16.00 |
$16.00 |
$16.00 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$43.79 |
$43.79 |
$43.79 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$215.29 |
$215.29 |
$215.29 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$14.96 |
$14.96 |
$14.96 |
$50.40
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$159.89 |
$159.89 |
$159.89 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,787.39 |
$1,787.39 |
$1,787.39 |
$3,435.42
|
|
Palifermin injection
|
$3,409.14 |
$3,409.14 |
$3,409.14 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,892.37 |
$3,892.37 |
$3,892.37 |
$6,238.82
|