|
Mycophenolate mofetil 250 mg capsule
|
$203.05 |
$203.05 |
$203.05 |
$18.12
|
|
Mycoplasma antibody igm
|
$75.48 |
$75.48 |
$75.48 |
$79.20
|
|
Myelogphy 2/> spine regions
|
$1,957.31 |
$1,957.31 |
$1,957.31 |
$1,366.30
|
|
Myelography l-s spine
|
$1,889.06 |
$1,889.06 |
$1,889.06 |
$1,334.09
|
|
Myelography neck spine
|
$1,663.80 |
$1,663.80 |
$1,663.80 |
$1,103.70
|
|
Myelography via inj w/s&i 2+ regions
|
$2,895.03 |
$2,895.03 |
$2,895.03 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$2,895.03 |
$2,895.03 |
$2,895.03 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$2,895.03 |
$2,895.03 |
$2,895.03 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$3,348.49 |
$3,348.49 |
$3,348.49 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$457.84 |
$457.84 |
$457.84 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$58.84 |
$58.84 |
$58.84 |
$38.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$704.92 |
$704.92 |
$704.92 |
$691.35
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$44,401.04 |
$44,401.04 |
$44,401.04 |
$22,257.60
|
|
Natriuretic peptide
|
$360.87 |
$360.87 |
$360.87 |
$176.15
|
|
Natural killer cells total count
|
$219.45 |
$219.45 |
$219.45 |
$131.82
|
|
N block inj hypogas plxs
|
$3,366.52 |
$3,366.52 |
$3,366.52 |
$2,092.25
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$5,116.27 |
$5,116.27 |
$5,116.27 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$4,651.93 |
$4,651.93 |
$4,651.93 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$4,291.76 |
$4,291.76 |
$4,291.76 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,897.22 |
$5,897.22 |
$5,897.22 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,379.66 |
$4,379.66 |
$4,379.66 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$4,259.52 |
$4,259.52 |
$4,259.52 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,996.87 |
$4,996.87 |
$4,996.87 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$4,165.30 |
$4,165.30 |
$4,165.30 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$3,816.15 |
$3,816.15 |
$3,816.15 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$123.38 |
$123.38 |
$123.38 |
$56.70
|
|
New Patient Office Visit (level 2)
|
$412.32 |
$412.32 |
$412.32 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$567.95 |
$567.95 |
$567.95 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$820.97 |
$820.97 |
$820.97 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,075.78 |
$1,075.78 |
$1,075.78 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$893.34 |
$893.34 |
$893.34 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$20.61 |
$20.61 |
$20.61 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$6,764.78 |
$6,764.78 |
$6,764.78 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$32,362.78 |
$32,362.78 |
$32,362.78 |
$85,051.55
|
|
Njx aa&/strd nrv nrvtg si jt
|
$3,418.91 |
$3,418.91 |
$3,418.91 |
$1,214.78
|
|
Nm imaging bone/joint 3 phase study
|
$2,440.78 |
$2,440.78 |
$2,440.78 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$4,500.78 |
$4,500.78 |
$4,500.78 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,913.40 |
$1,913.40 |
$1,913.40 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$1,540.23 |
$1,540.23 |
$1,540.23 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,915.31 |
$1,915.31 |
$1,915.31 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,928.06 |
$2,928.06 |
$2,928.06 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,913.40 |
$1,913.40 |
$1,913.40 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$4,068.58 |
$4,068.58 |
$4,068.58 |
$1,574.40
|
|
Nuclear Stress Test (Heart)
|
$8,441.82 |
$8,441.82 |
$8,441.82 |
$3,921.45
|
|
Nudt15 gene common variants
|
$2,436.68 |
$2,436.68 |
$2,436.68 |
$320.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$1,014.09 |
$1,014.09 |
$1,014.09 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$162.54 |
$162.54 |
$162.54 |
$411.10
|
|
Observation per hour
|
$60.04 |
$60.04 |
$60.04 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$230,926.05 |
$230,926.05 |
$230,926.05 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$140.34 |
$140.34 |
$140.34 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$45,141.73 |
$45,141.73 |
$45,141.73 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$15,857.67 |
$15,857.67 |
$15,857.67 |
$4,797.94
|
|
Oncology prostate prob score
|
$6,078.02 |
$6,078.02 |
$6,078.02 |
$1,048.80
|
|
Onco (ovar) five proteins
|
$6,615.27 |
$6,615.27 |
$6,615.27 |
$897.00
|
|
Oncoprotein dcp
|
$588.14 |
$588.14 |
$588.14 |
$167.75
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$45.38 |
$45.38 |
$45.38 |
$34.32
|
|
Organic acids total quant ea spec
|
$897.44 |
$897.44 |
$897.44 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$110.75 |
$110.75 |
$110.75 |
$65.07
|
|
Orthovisc inj per dose
|
$651.15 |
$651.15 |
$651.15 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$725.00 |
$725.00 |
$725.00 |
$221.34
|
|
Osmolality blood
|
$137.50 |
$137.50 |
$137.50 |
$67.60
|
|
Osmolality urine
|
$175.68 |
$175.68 |
$175.68 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$333.87 |
$333.87 |
$333.87 |
$270.58
|
|
Oth resp proc, indiv
|
$300.54 |
$300.54 |
$300.54 |
$87.45
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$297.53 |
$297.53 |
$297.53 |
$100.75
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$270.27 |
$270.27 |
$270.27 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$314.78 |
$314.78 |
$314.78 |
$107.32
|
|
Ot re-evaluation patient/family
|
$333.87 |
$333.87 |
$333.87 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$289.38 |
$289.38 |
$289.38 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$88.54 |
$88.54 |
$88.54 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$262.33 |
$262.33 |
$262.33 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$274.83 |
$274.83 |
$274.83 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$274.83 |
$274.83 |
$274.83 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$356.82 |
$356.82 |
$356.82 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$120.16 |
$120.16 |
$120.16 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$349.56 |
$349.56 |
$349.56 |
$231.46
|
|
Palonosetron hcl
|
$1,588.88 |
$1,588.88 |
$1,588.88 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$254.73 |
$254.73 |
$254.73 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$7,208.18 |
$7,208.18 |
$7,208.18 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$113.50 |
$113.50 |
$113.50 |
$44.25
|
|
Papaverin hcl injection
|
$137.14 |
$137.14 |
$137.14 |
$76.40
|
|
Parathormone (pth) intact
|
$538.80 |
$538.80 |
$538.80 |
$200.23
|
|
Parathyroid planar imaging
|
$2,054.30 |
$2,054.30 |
$2,054.30 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$429.38 |
$429.38 |
$429.38 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$26,531.42 |
$26,531.42 |
$26,531.42 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,306.36 |
$9,306.36 |
$9,306.36 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$18,701.37 |
$18,701.37 |
$18,701.37 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$9,910.93 |
$9,910.93 |
$9,910.93 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$5,081.55 |
$5,081.55 |
$5,081.55 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,604.20 |
$4,604.20 |
$4,604.20 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$5,153.45 |
$5,153.45 |
$5,153.45 |
$2,744.64
|
|
Pelvic MRI (without contrast)
|
$3,660.59 |
$3,660.59 |
$3,660.59 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$1,178.28 |
$1,178.28 |
$1,178.28 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,066.46 |
$1,066.46 |
$1,066.46 |
$445.00
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$12,642.74 |
$12,642.74 |
$12,642.74 |
$16,340.69
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$3,479.76 |
$3,479.76 |
$3,479.76 |
$643.59
|
|
Penile vascular study
|
$1,385.44 |
$1,385.44 |
$1,385.44 |
$460.20
|