|
Mopath procedure level 5
|
$800.30 |
$800.30 |
$800.30 |
$852.76
|
|
Mopath procedure level 7
|
$5,383.96 |
$5,383.96 |
$5,383.96 |
$1,136.80
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$374.54 |
$374.54 |
$374.54 |
$389.40
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$188.70 |
$188.70 |
$188.70 |
$330.89
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$322.18 |
$322.18 |
$322.18 |
$316.20
|
|
M/phmtrc alys ishquant/semiq
|
$472.52 |
$472.52 |
$472.52 |
$479.70
|
|
Mpsv4 vaccine subq
|
$1,694.69 |
$1,694.69 |
$1,694.69 |
$223.60
|
|
MRA chest wo IV cont
|
$3,350.89 |
$3,350.89 |
$3,350.89 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$6,725.53 |
$6,725.53 |
$6,725.53 |
$2,479.80
|
|
MRA spinal canal
|
$3,074.10 |
$3,074.10 |
$3,074.10 |
$1,994.20
|
|
MRA upper extremity post contrast-bil
|
$2,840.62 |
$2,840.62 |
$2,840.62 |
$2,482.20
|
|
MRA w/cont, abd
|
$3,341.09 |
$3,341.09 |
$3,341.09 |
$1,907.28
|
|
MRA without cont, abd
|
$3,350.89 |
$3,350.89 |
$3,350.89 |
$1,764.03
|
|
MRA without fol w/cont, abd
|
$3,712.96 |
$3,712.96 |
$3,712.96 |
$2,497.30
|
|
MRA without fol w/cont, pelvis
|
$3,350.89 |
$3,350.89 |
$3,350.89 |
$2,356.90
|
|
MRI breast without cont bi
|
$6,124.42 |
$6,124.42 |
$6,124.42 |
$1,871.10
|
|
MRI cardiac morph & func wo IV cont
|
$6,076.90 |
$6,076.90 |
$6,076.90 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$13,565.69 |
$13,565.69 |
$13,565.69 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$17,808.00 |
$17,808.00 |
$17,808.00 |
$2,510.00
|
|
MRI chest without contrast
|
$5,802.88 |
$5,802.88 |
$5,802.88 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$9,434.76 |
$9,434.76 |
$9,434.76 |
$2,652.73
|
|
MRI chest w IV cont
|
$7,235.79 |
$7,235.79 |
$7,235.79 |
$2,210.00
|
|
MRI orbit/face/neck without contrast
|
$7,856.48 |
$7,856.48 |
$7,856.48 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$11,052.17 |
$11,052.17 |
$11,052.17 |
$2,854.80
|
|
MRI tmj
|
$7,856.48 |
$7,856.48 |
$7,856.48 |
$1,787.50
|
|
MRI w/cont, breast, bi
|
$6,307.54 |
$6,307.54 |
$6,307.54 |
$1,994.42
|
|
Mthfr gene analy common variants
|
$1,739.74 |
$1,739.74 |
$1,739.74 |
$180.48
|
|
Mucin synovial fluid
|
$319.10 |
$319.10 |
$319.10 |
$33.57
|
|
Myelogphy 2/> spine regions
|
$5,950.33 |
$5,950.33 |
$5,950.33 |
$1,459.50
|
|
Myelography l-s spine
|
$3,363.59 |
$3,363.59 |
$3,363.59 |
$1,315.60
|
|
Myelography neck spine
|
$3,857.93 |
$3,857.93 |
$3,857.93 |
$1,213.80
|
|
Myelography thoracic spine
|
$3,572.68 |
$3,572.68 |
$3,572.68 |
$1,255.00
|
|
Nafcillin 2 gram solution for injection
|
$453.80 |
$453.80 |
$453.80 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$73.15 |
$73.15 |
$73.15 |
$38.69
|
|
Natural killer cells total count
|
$925.12 |
$925.12 |
$925.12 |
$132.60
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$10,119.76 |
$10,119.76 |
$10,119.76 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$7,511.20 |
$7,511.20 |
$7,511.20 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$7,604.84 |
$7,604.84 |
$7,604.84 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$5,717.61 |
$5,717.61 |
$5,717.61 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$4,161.71 |
$4,161.71 |
$4,161.71 |
$1,824.90
|
|
Nerve teasing preparations
|
$490.93 |
$490.93 |
$490.93 |
$698.49
|
|
Nesiritide injection
|
$9,705.19 |
$9,705.19 |
$9,705.19 |
$3,527.00
|
|
N-invas est c ffr sw aly cta
|
$1,219.63 |
$1,219.63 |
$1,219.63 |
$2,073.00
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$272.42 |
$272.42 |
$272.42 |
$74.56
|
|
Nm imaging bone/joint 3 phase study
|
$4,914.13 |
$4,914.13 |
$4,914.13 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$5,309.55 |
$5,309.55 |
$5,309.55 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$4,204.49 |
$4,204.49 |
$4,204.49 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$3,496.20 |
$3,496.20 |
$3,496.20 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$3,321.80 |
$3,321.80 |
$3,321.80 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,904.95 |
$3,904.95 |
$3,904.95 |
$1,612.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$7,221.40 |
$7,221.40 |
$7,221.40 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$2,684.05 |
$2,684.05 |
$2,684.05 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$2,929.04 |
$2,929.04 |
$2,929.04 |
$1,057.20
|
|
Nras gene variants exon 2&3
|
$325.86 |
$325.86 |
$325.86 |
$592.00
|
|
Nuclear exam of tear flow
|
$802.83 |
$802.83 |
$802.83 |
$637.20
|
|
Nuclear rx intra-arterial
|
$948.13 |
$948.13 |
$948.13 |
$761.95
|
|
Nuclear Stress Test (Heart)
|
$8,653.96 |
$8,653.96 |
$8,653.96 |
$3,804.45
|
|
Nudt15 gene common variants
|
$145.60 |
$145.60 |
$145.60 |
$320.50
|
|
Obstetrics panel
|
$1,538.77 |
$1,538.77 |
$1,538.77 |
$214.50
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$60.88 |
$60.88 |
$60.88 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$602.93 |
$602.93 |
$602.93 |
$24.00
|
|
Organic acids total quant ea spec
|
$1,024.82 |
$1,024.82 |
$1,024.82 |
$151.36
|
|
Ortho shoe add full sole
|
$529.00 |
$529.00 |
$529.00 |
$116.50
|
|
Oscillation chest wall mechanical per session
|
$756.79 |
$756.79 |
$756.79 |
$195.00
|
|
Osmolality blood
|
$530.82 |
$530.82 |
$530.82 |
$69.55
|
|
Osmolality urine
|
$530.82 |
$530.82 |
$530.82 |
$65.65
|
|
Ost pch drain for barrier fl
|
$13.00 |
$13.00 |
$13.00 |
$11.45
|
|
Ot evaluation high complexity patient/family
|
$1,005.56 |
$1,005.56 |
$1,005.56 |
$292.80
|
|
Ot re-evaluation patient/family
|
$315.86 |
$315.86 |
$315.86 |
$160.80
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$34.24 |
$34.24 |
$34.24 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$105.94 |
$105.94 |
$105.94 |
$91.20
|
|
Oxaliplatin 5 mg/ml desensitization
|
$16,722.26 |
$16,722.26 |
$16,722.26 |
$370.75
|
|
Oxytocin 10 unit/ml injection solution
|
$79.01 |
$79.01 |
$79.01 |
$50.40
|
|
Pacemaker leadless 19.5f 32.2mm ra
|
$595,455.00 |
$595,455.00 |
$595,455.00 |
$47,880.00
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$6.76 |
$6.76 |
$6.76 |
$216.00
|
|
Palonosetron hcl
|
$947.71 |
$947.71 |
$947.71 |
$154.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$300.97 |
$300.97 |
$300.97 |
$27.16
|
|
Papaverin hcl injection
|
$192.20 |
$192.20 |
$192.20 |
$76.40
|
|
Parathyrd planar w/spect&ct
|
$1,821.09 |
$1,821.09 |
$1,821.09 |
$1,555.00
|
|
Parathyroid planar imaging
|
$1,692.18 |
$1,692.18 |
$1,692.18 |
$1,073.82
|
|
Paricalcitol
|
$447.11 |
$447.11 |
$447.11 |
$47.15
|
|
Pelvic control hip heavy dut
|
$1,763.00 |
$1,763.00 |
$1,763.00 |
$591.53
|
|
Pelvic & hip control thigh c
|
$6,149.00 |
$6,149.00 |
$6,149.00 |
$2,512.27
|
|
Pelvic MRI (with and without contrast)
|
$8,927.30 |
$8,927.30 |
$8,927.30 |
$2,870.36
|
|
Pelvic MRI (with contrast)
|
$7,511.20 |
$7,511.20 |
$7,511.20 |
$2,210.00
|
|
Pelvic MRI (without contrast)
|
$6,624.89 |
$6,624.89 |
$6,624.89 |
$1,929.85
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$30,426.52 |
$30,426.52 |
$30,426.52 |
$12,385.22
|
|
Peng benzathine/procaine inj
|
$1,458.16 |
$1,458.16 |
$1,458.16 |
$338.23
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$213.58 |
$213.58 |
$213.58 |
$97.85
|
|
Pentamidine non-comp unit
|
$786.88 |
$786.88 |
$786.88 |
$279.76
|
|
Pentazocine injection
|
$772.49 |
$772.49 |
$772.49 |
$128.80
|
|
Pentostatin 10 mg intravenous solution
|
$50,079.68 |
$50,079.68 |
$50,079.68 |
$5,181.67
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$491.85 |
$491.85 |
$491.85 |
$335.79
|
|
Peri-proc device eval icd
|
$1,421.87 |
$1,421.87 |
$1,421.87 |
$192.40
|
|
Peri-proc device eval pm
|
$1,535.62 |
$1,535.62 |
$1,535.62 |
$156.00
|
|
Peritoneogram rs&i
|
$879.33 |
$879.33 |
$879.33 |
$689.15
|
|
Pertuzumab 30 mg/ml desensitization
|
$38,476.41 |
$38,476.41 |
$38,476.41 |
$14,272.91
|
|
Phencyclidine (pcp)
|
$211.72 |
$211.72 |
$211.72 |
$90.00
|
|
Phenobarbital therapeutic drug level
|
$911.29 |
$911.29 |
$911.29 |
$104.50
|
|
Phentolaine mesylate inj
|
$3,181.24 |
$3,181.24 |
$3,181.24 |
$1,028.40
|