|
MRI chest without & w/contrast
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,652.73
|
|
MRI loex nonjt w IV cont
|
$858.40 |
$858.40 |
$858.40 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$802.40 |
$802.40 |
$802.40 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$802.40 |
$802.40 |
$802.40 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,812.50
|
|
MRI tmj
|
$761.60 |
$761.60 |
$761.60 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$802.40 |
$802.40 |
$802.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,637.60
|
|
MRI w/cont, breast, bi
|
$890.20 |
$890.20 |
$890.20 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$706.20 |
$706.20 |
$706.20 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$948.00 |
$948.00 |
$948.00 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$823.20 |
$823.20 |
$823.20 |
$1,720.40
|
|
Msh6 gene known variants
|
$88.00 |
$88.00 |
$88.00 |
$369.60
|
|
Mthfr gene analy common variants
|
$33.00 |
$33.00 |
$33.00 |
$184.00
|
|
Multiple sleep latency test
|
$575.40 |
$575.40 |
$575.40 |
$2,440.50
|
|
Mumps antibody igg
|
$25.20 |
$25.20 |
$25.20 |
$77.35
|
|
Mycobacteria dna amp probe
|
$31.40 |
$31.40 |
$31.40 |
$275.71
|
|
Mycophenolate mofetil 250 mg capsule
|
$174.40 |
$174.40 |
$174.40 |
$10.79
|
|
Mycophenolic acid
|
$2.26 |
$2.26 |
$2.26 |
$12.84
|
|
Mycoplasma antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$76.59
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$116.60 |
$116.60 |
$116.60 |
$135.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$100.74 |
$100.74 |
$100.74 |
$38.19
|
|
Nasal endoscopy dx uni/bi separate proc
|
$42.40 |
$42.40 |
$42.40 |
$353.62
|
|
Nasopharyngoscopy w/endoscope
|
$183.20 |
$183.20 |
$183.20 |
$292.50
|
|
Natriuretic peptide
|
$101.20 |
$101.20 |
$101.20 |
$176.15
|
|
Natural killer cells total count
|
$28.00 |
$28.00 |
$28.00 |
$132.63
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$720.60 |
$720.60 |
$720.60 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$691.60 |
$691.60 |
$691.60 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$645.20 |
$645.20 |
$645.20 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,017.80 |
$1,017.80 |
$1,017.80 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$948.00 |
$948.00 |
$948.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$802.40 |
$802.40 |
$802.40 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,237.40 |
$1,237.40 |
$1,237.40 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$924.00 |
$924.00 |
$924.00 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$802.40 |
$802.40 |
$802.40 |
$1,790.58
|
|
Nelarabine injection
|
$366.90 |
$366.90 |
$366.90 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$53.08 |
$53.08 |
$53.08 |
$60.38
|
|
New Patient Office Visit (level 2)
|
$71.60 |
$71.60 |
$71.60 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$75.00 |
$75.00 |
$75.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$89.80 |
$89.80 |
$89.80 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$134.60 |
$134.60 |
$134.60 |
$349.70
|
|
Nfct agt gntyp alys sarscov2
|
$93.60 |
$93.60 |
$93.60 |
$257.45
|
|
Nfct ds bv&vaginitis dna alg
|
$170.80 |
$170.80 |
$170.80 |
$400.00
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$111.00 |
$111.00 |
$111.00 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$34.12 |
$34.12 |
$34.12 |
$74.47
|
|
Nm imaging bone/joint 3 phase study
|
$369.00 |
$369.00 |
$369.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$466.00 |
$466.00 |
$466.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$368.60 |
$368.60 |
$368.60 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$474.80 |
$474.80 |
$474.80 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$298.80 |
$298.80 |
$298.80 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$367.40 |
$367.40 |
$367.40 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$520.60 |
$520.60 |
$520.60 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$615.20 |
$615.20 |
$615.20 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$190.80 |
$190.80 |
$190.80 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$315.40 |
$315.40 |
$315.40 |
$1,056.33
|
|
Npm1 gene
|
$135.20 |
$135.20 |
$135.20 |
$457.50
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$6,737.40
|
|
Ntrk translocation analysis
|
$336.40 |
$336.40 |
$336.40 |
$873.60
|
|
Ntsty modul rad tx dlvr cplx
|
$551.40 |
$551.40 |
$551.40 |
$2,503.00
|
|
Ntsty modul rad tx dlvr smpl
|
$545.40 |
$545.40 |
$545.40 |
$2,235.00
|
|
Nuclear rx IV admin
|
$258.80 |
$258.80 |
$258.80 |
$864.50
|
|
Nuclear Stress Test (Heart)
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$3,804.45
|
|
Observation direct referral from physician office for admission
|
$198.60 |
$198.60 |
$198.60 |
$384.00
|
|
Observation per hour
|
$0.43 |
$0.43 |
$0.43 |
$81.22
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$342.88 |
$342.88 |
$342.88 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$3,315.07 |
$3,315.07 |
$3,315.07 |
$12,080.43
|
|
Olanzapine 10 mg intramuscular solution
|
$57.67 |
$57.67 |
$57.67 |
$109.58
|
|
Onc brst mrna 70 cnt 31 gene
|
$2,513.40 |
$2,513.40 |
$2,513.40 |
$4,260.30
|
|
Ondansetron 8 mg disintegrating tablet
|
$1.88 |
$1.88 |
$1.88 |
$9.30
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$25.50 |
$25.50 |
$25.50 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$61.80 |
$61.80 |
$61.80 |
$24.00
|
|
Oral aprepitant
|
$58.91 |
$58.91 |
$58.91 |
$410.20
|
|
Oral everolimus
|
$7.33 |
$7.33 |
$7.33 |
$33.34
|
|
Organic acids total quant ea spec
|
$55.20 |
$55.20 |
$55.20 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$20.53 |
$20.53 |
$20.53 |
$50.63
|
|
Oscillation chest wall mechanical per session
|
$61.80 |
$61.80 |
$61.80 |
$195.00
|
|
Osmolality blood
|
$30.40 |
$30.40 |
$30.40 |
$67.60
|
|
Osmolality urine
|
$30.40 |
$30.40 |
$30.40 |
$65.00
|
|
Ot evaluation high complexity patient/family
|
$168.80 |
$168.80 |
$168.80 |
$297.00
|
|
Ot evaluation low complexity patient/family
|
$168.80 |
$168.80 |
$168.80 |
$231.60
|
|
Ot evaluation moderate complexity patient/family
|
$168.80 |
$168.80 |
$168.80 |
$263.50
|
|
Other immunoelectrophoresis
|
$40.80 |
$40.80 |
$40.80 |
$107.52
|
|
Oth resp proc, group
|
$21.60 |
$21.60 |
$21.60 |
$123.05
|
|
Oth resp proc, indiv
|
$16.20 |
$16.20 |
$16.20 |
$82.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$38.20 |
$38.20 |
$38.20 |
$98.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$39.80 |
$39.80 |
$39.80 |
$105.00
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$45.00 |
$45.00 |
$45.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$89.00 |
$89.00 |
$89.00 |
$160.80
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$50.00 |
$50.00 |
$50.00 |
$101.38
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.60 |
$26.60 |
$26.60 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$79.60 |
$79.60 |
$79.60 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$39.80 |
$39.80 |
$39.80 |
$98.15
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$45.00 |
$45.00 |
$45.00 |
$101.23
|
|
Ot training self care/home management direct contact each 15 minutes
|
$39.80 |
$39.80 |
$39.80 |
$94.25
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$154.09 |
$154.09 |
$154.09 |
$83.08
|
|
Oxaliplatin 5 mg/ml desensitization
|
$396.02 |
$396.02 |
$396.02 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$74.92 |
$74.92 |
$74.92 |
$50.40
|
|
P-32 sod phosphate ther per mci
|
$228.95 |
$228.95 |
$228.95 |
$469.34
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$71.76 |
$71.76 |
$71.76 |
$216.00
|