|
MRA without fol w/cont, lwr ext
|
$1,264.77 |
$1,264.77 |
$3,259.55 |
$1,954.80
|
|
MRA without fol w/cont, pelvis
|
$1,389.42 |
$1,389.42 |
$3,459.40 |
$2,305.60
|
|
Mra, w/o&w/dye, spinal canal
|
$1,067.94 |
$1,067.94 |
$2,288.13 |
$422.61
|
|
Mra, w/o&w/dye, upper extr
|
$1,067.94 |
$1,067.94 |
$2,288.13 |
$1,085.03
|
|
Mr elastography
|
$375.66 |
$375.66 |
$730.45 |
$684.06
|
|
MRI brain w/dye
|
$3,542.70 |
$3,542.70 |
$3,542.70 |
$1,713.40
|
|
MRI brain without dye
|
$2,376.50 |
$2,376.50 |
$2,376.50 |
$1,558.05
|
|
MRI brain without & w/dye
|
$4,007.50 |
$4,007.50 |
$4,007.50 |
$2,608.50
|
|
MRI breast c- unilateral
|
$800.64 |
$800.64 |
$2,376.50 |
$1,097.50
|
|
MRI breast without cont bi
|
$1,108.80 |
$1,108.80 |
$3,549.35 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$403.38 |
$403.38 |
$2,376.50 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,080.27 |
$1,080.27 |
$3,314.15 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,415.13 |
$4,415.13 |
$9,462.95 |
$2,249.80
|
|
MRI chest without contrast
|
$841.32 |
$841.32 |
$2,269.93 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$1,247.76 |
$1,247.76 |
$2,670.33 |
$2,564.10
|
|
MRI chest w IV cont
|
$971.19 |
$971.19 |
$2,558.85 |
$2,105.25
|
|
MRI fetal ea addl gestation
|
$227.07 |
$227.07 |
$441.53 |
$576.10
|
|
MRI fetal sngl/1st gestation
|
$453.87 |
$453.87 |
$882.53 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$900.72 |
$900.72 |
$1,594.60 |
$1,133.22
|
|
MRI guid parenchymal tiss ablation
|
$1,117.26 |
$1,117.26 |
$2,482.03 |
$1,638.65
|
|
MRI loex nonjt w IV cont
|
$1,334.97 |
$1,334.97 |
$2,595.78 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$593.46 |
$593.46 |
$2,207.98 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,977.03 |
$1,977.03 |
$3,844.23 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$1,288.44 |
$1,288.44 |
$2,505.30 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$2,584.35 |
$2,584.35 |
$5,025.13 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$1,470.42 |
$1,470.42 |
$2,859.15 |
$2,120.25
|
|
MRI tmj
|
$564.75 |
$564.75 |
$2,353.40 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$696.33 |
$696.33 |
$2,146.20 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,041.20 |
$2,041.20 |
$3,969.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,592.82 |
$1,592.82 |
$3,097.15 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$1,544.40 |
$1,544.40 |
$3,542.70 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$1,652.94 |
$1,652.94 |
$3,214.05 |
$836.00
|
|
MRI without fol w/cont, breast
|
$756.00 |
$756.00 |
$1,624.00 |
$2,071.85
|
|
MRI without fol w/cont, brst, un
|
$835.20 |
$835.20 |
$4,007.50 |
$888.25
|
|
Mr safety determination physician/other qhp
|
$120.51 |
$120.51 |
$234.33 |
$160.20
|
|
Mr safety implant elec prepj
|
$125.19 |
$125.19 |
$243.43 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$81.63 |
$81.63 |
$158.73 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$33.48 |
$33.48 |
$65.10 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$329.31 |
$329.31 |
$640.33 |
$402.40
|
|
Mr spectroscopy
|
$2,136.51 |
$2,136.51 |
$4,154.33 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$166.68 |
$185.31 |
$414.05 |
$211.70
|
|
Mucopolysaccharides
|
$431.37 |
$431.37 |
$838.78 |
$205.15
|
|
Multiple sleep latency test
|
$3,367.18 |
$3,367.18 |
$3,367.18 |
$2,585.70
|
|
Mumps antibody igg
|
$70.29 |
$70.29 |
$206.85 |
$78.00
|
|
Muscle test cran nerv unilat
|
$310.86 |
$310.86 |
$446.78 |
$385.07
|
|
Muscle test hemidiaphragm
|
$265.50 |
$265.50 |
$265.50 |
$295.20
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.31 |
$5.31 |
$10.33 |
$18.12
|
|
Mycophenolic acid
|
$11.03 |
$11.03 |
$11.03 |
$12.83
|
|
Mycoplasma antibody igm
|
$69.03 |
$76.59 |
$192.68 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$436.41 |
$436.41 |
$848.58 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$1,327.38 |
$2,058.12 |
$2,058.12 |
$1,366.30
|
|
Myelography l-s spine
|
$1,275.75 |
$1,794.24 |
$1,794.24 |
$1,334.09
|
|
Myelography neck spine
|
$1,180.17 |
$1,180.17 |
$1,415.23 |
$1,103.70
|
|
Myelography thoracic spine
|
$270.90 |
$270.90 |
$1,415.23 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$1,210.23 |
$1,210.23 |
$2,353.23 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$1,210.23 |
$1,210.23 |
$2,353.23 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$1,503.09 |
$1,503.09 |
$2,922.68 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$1,391.67 |
$1,391.67 |
$2,706.03 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$101.52 |
$248.67 |
$271.25 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$2.61 |
$2.61 |
$5.08 |
$38.00
|
|
Nasopharyngoscopy w/endoscope
|
$188.91 |
$188.91 |
$460.60 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$8.28 |
$8.28 |
$19,711.83 |
$22,257.60
|
|
Natriuretic peptide
|
$167.31 |
$167.31 |
$466.55 |
$176.15
|
|
Natural killer cells total count
|
$71.19 |
$71.19 |
$138.43 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,055.15 |
$2,055.15 |
$3,996.13 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,695.06 |
$1,695.06 |
$3,295.95 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,637.64 |
$1,637.64 |
$3,184.30 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,556.09 |
$2,556.09 |
$4,127.20 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,216.52 |
$2,216.52 |
$4,309.90 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,871.10 |
$1,871.10 |
$3,638.25 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,232.46 |
$1,232.46 |
$2,547.30 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,011.78 |
$1,011.78 |
$2,362.33 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$838.62 |
$838.62 |
$2,376.50 |
$1,790.58
|
|
Neisseria meningitidis
|
$42.21 |
$47.07 |
$298.73 |
$59.15
|
|
Nelarabine injection
|
$1,370.07 |
$1,370.07 |
$2,664.03 |
$1,051.57
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$18.81 |
$18.81 |
$36.58 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$80.55 |
$80.55 |
$351.58 |
$761.48
|
|
Nerve conduction studies 11-12
|
$403.02 |
$403.02 |
$704.38 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$94.32 |
$94.32 |
$351.58 |
$341.10
|
|
Nerve conduction studies 13+
|
$403.02 |
$403.02 |
$704.38 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$122.31 |
$122.31 |
$351.58 |
$495.30
|
|
Nerve conduction studies 5-6
|
$122.31 |
$122.31 |
$351.58 |
$685.75
|
|
Nerve conduction studies 9-10
|
$403.02 |
$403.02 |
$704.38 |
$1,244.90
|
|
Nerve teasing preparations
|
$567.36 |
$567.36 |
$1,103.20 |
$698.49
|
|
Nesiritide injection
|
$60.48 |
$60.48 |
$117.60 |
$2,365.81
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$256.41 |
$256.41 |
$256.41 |
$256.41
|
|
N-invas est c ffr sw aly cta
|
$1,284.84 |
$1,284.84 |
$2,498.30 |
$2,020.50
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$9,769.86 |
$9,769.86 |
$18,996.95 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$295.83 |
$295.83 |
$575.23 |
$85,051.55
|
|
Njx interlaminar crv/thrc
|
$1,446.12 |
$1,446.12 |
$2,353.58 |
$1,908.87
|
|
Njx interlaminar lmbr/sac
|
$1,692.27 |
$1,692.27 |
$2,420.95 |
$2,074.68
|
|
Nm imaging bone/joint 3 phase study
|
$1,273.32 |
$1,273.32 |
$2,475.90 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,112.40 |
$1,112.40 |
$2,163.00 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,048.23 |
$1,048.23 |
$2,038.23 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$374.85 |
$374.85 |
$728.88 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,040.40 |
$1,040.40 |
$2,023.00 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,513.26 |
$1,513.26 |
$2,942.45 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,419.48 |
$1,419.48 |
$2,400.13 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,231.11 |
$1,231.11 |
$2,393.83 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$247.68 |
$247.68 |
$571.73 |
$1,186.03
|