|
MRI without fol w/cont, breast
|
$699.19 |
$699.19 |
$699.19 |
$2,379.60
|
|
MRI without fol w/cont, brst, un
|
$466.32 |
$466.32 |
$466.32 |
$1,720.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$65.83 |
$65.83 |
$65.83 |
$49.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$65.83 |
$65.83 |
$65.83 |
$45.00
|
|
Mr spectroscopy
|
$443.12 |
$443.12 |
$443.12 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$100.63 |
$100.63 |
$100.63 |
$180.78
|
|
M.tuberculo dna dir probe
|
$58.58 |
$58.58 |
$58.58 |
$58.40
|
|
Mumps antibody igg
|
$10.44 |
$10.44 |
$10.44 |
$77.35
|
|
Mycophenolate mofetil 250 mg capsule
|
$2.30 |
$2.30 |
$2.30 |
$10.79
|
|
Mycophenolic acid
|
$4.72 |
$4.72 |
$4.72 |
$12.84
|
|
Mycoplasma antibody igm
|
$39.73 |
$39.73 |
$39.73 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$221.85 |
$221.85 |
$221.85 |
$397.50
|
|
Myelography via inj w/s&i 2+ regions
|
$448.34 |
$448.34 |
$448.34 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$348.29 |
$348.29 |
$348.29 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$348.29 |
$348.29 |
$348.29 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$348.29 |
$348.29 |
$348.29 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$60.03 |
$60.03 |
$60.03 |
$135.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$8,775.51 |
$8,775.51 |
$8,775.51 |
$16,254.52
|
|
Natriuretic peptide
|
$99.18 |
$99.18 |
$99.18 |
$176.15
|
|
Ndl insj without njx 1 or 2 musc
|
$7.25 |
$7.25 |
$7.25 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$7.25 |
$7.25 |
$7.25 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$789.09 |
$789.09 |
$789.09 |
$2,011.35
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$526.06 |
$526.06 |
$526.06 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$526.06 |
$526.06 |
$526.06 |
$1,498.25
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$838.10 |
$838.10 |
$838.10 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$681.50 |
$681.50 |
$681.50 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$681.50 |
$681.50 |
$681.50 |
$2,000.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$506.63 |
$506.63 |
$506.63 |
$2,644.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$337.56 |
$337.56 |
$337.56 |
$2,051.40
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$310.01 |
$310.01 |
$310.01 |
$1,790.58
|
|
Nelarabine injection
|
$1,238.59 |
$1,238.59 |
$1,238.59 |
$975.00
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$7,850.31 |
$7,850.31 |
$7,850.31 |
$14,820.18
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$15,241.84 |
$15,241.84 |
$15,241.84 |
$41,635.10
|
|
Nm imaging bone/joint 3 phase study
|
$325.09 |
$325.09 |
$325.09 |
$1,672.56
|
|
Nm imaging bone/joint whole body
|
$272.02 |
$272.02 |
$272.02 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$282.75 |
$282.75 |
$282.75 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$280.43 |
$280.43 |
$280.43 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$216.34 |
$216.34 |
$216.34 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$387.73 |
$387.73 |
$387.73 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$241.28 |
$241.28 |
$241.28 |
$1,512.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$489.81 |
$489.81 |
$489.81 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$189.37 |
$189.37 |
$189.37 |
$1,079.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,484.51 |
$1,484.51 |
$1,484.51 |
$6,737.40
|
|
Nuclear Stress Test (Heart)
|
$654.53 |
$654.53 |
$654.53 |
$3,801.60
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$8,512.12 |
$8,512.12 |
$8,512.12 |
$14,865.31
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$20,399.87 |
$20,399.87 |
$20,399.87 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$17.29 |
$17.29 |
$17.29 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$6,831.82 |
$6,831.82 |
$6,831.82 |
$12,080.43
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$5,963.23 |
$5,963.23 |
$5,963.23 |
$2,224.00
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$1,399.58 |
$1,399.58 |
$1,399.58 |
$4,595.01
|
|
Ondansetron 8 mg disintegrating tablet
|
$10.77 |
$10.77 |
$10.77 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$4.86 |
$4.86 |
$4.86 |
$22.62
|
|
Oral everolimus
|
$5.82 |
$5.82 |
$5.82 |
$34.49
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$31.70 |
$31.70 |
$31.70 |
$50.63
|
|
Ortho dvc repair per 15 min
|
$14.50 |
$14.50 |
$14.50 |
$53.43
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$96.86 |
$96.86 |
$96.86 |
$279.81
|
|
Ortho ewhf rigd without jnt cstm w
|
$430.36 |
$430.36 |
$430.36 |
$1,288.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$266.51 |
$266.51 |
$266.51 |
$708.88
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$91.06 |
$91.06 |
$91.06 |
$238.34
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$107.88 |
$107.88 |
$107.88 |
$310.00
|
|
Ortho hnd without jnt w/fit&adj
|
$91.06 |
$91.06 |
$91.06 |
$231.00
|
|
Orthosis lso rigd frm hyperex
|
$1,013.55 |
$1,013.55 |
$1,013.55 |
$816.00
|
|
Orthovisc inj per dose
|
$472.42 |
$472.42 |
$472.42 |
$537.58
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$112.23 |
$112.23 |
$112.23 |
$420.76
|
|
Osmolality blood
|
$19.43 |
$19.43 |
$19.43 |
$67.60
|
|
Osmolality urine
|
$20.01 |
$20.01 |
$20.01 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$52.78 |
$52.78 |
$52.78 |
$263.50
|
|
Oth resp proc, group
|
$32.19 |
$32.19 |
$32.19 |
$123.05
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$19.72 |
$19.72 |
$19.72 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$105.00
|
|
Ot re-evaluation patient/family
|
$22.62 |
$22.62 |
$22.62 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$14.50 |
$14.50 |
$14.50 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$39.69 |
$39.69 |
$39.69 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$195.10 |
$195.10 |
$195.10 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$13.56 |
$13.56 |
$13.56 |
$50.04
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$144.90 |
$144.90 |
$144.90 |
$216.00
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,619.82 |
$1,619.82 |
$1,619.82 |
$3,435.42
|
|
Palifermin injection
|
$3,089.54 |
$3,089.54 |
$3,089.54 |
$5,464.63
|
|
Paliperidone 117 mg/0.75 ml inj
|
$3,527.46 |
$3,527.46 |
$3,527.46 |
$6,238.82
|
|
Palivizumab 50 mg/0.5 ml inj
|
$1,554.84 |
$1,554.84 |
$1,554.84 |
$5,569.20
|
|
Palonosetron hcl
|
$168.43 |
$168.43 |
$168.43 |
$168.43
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$76.18 |
$76.18 |
$76.18 |
$128.07
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,161.96 |
$7,161.96 |
$7,161.96 |
$13,051.61
|
|
Parathormone (pth) intact
|
$120.64 |
$120.64 |
$120.64 |
$201.50
|
|
Parathyroid planar imaging
|
$177.77 |
$177.77 |
$177.77 |
$1,126.25
|
|
Parathyroid planar img w/tomo spect
|
$177.77 |
$177.77 |
$177.77 |
$1,350.00
|
|
Paricalcitol
|
$12.32 |
$12.32 |
$12.32 |
$47.15
|
|
Passy muir valve metal trach
|
$54.52 |
$54.52 |
$54.52 |
$275.75
|
|
Pcv21 vaccine im
|
$283.65 |
$283.65 |
$283.65 |
$410.26
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$6,343.03 |
$6,343.03 |
$6,343.03 |
$11,216.31
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,879.16 |
$3,879.16 |
$3,879.16 |
$6,370.52
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$4,126.24 |
$4,126.24 |
$4,126.24 |
$7,297.36
|