|
MRI breast c- unilateral
|
$896.00 |
$896.00 |
$896.00 |
$1,097.50
|
|
MRI breast without cont bi
|
$1,304.10 |
$1,304.10 |
$1,304.10 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$2,055.55 |
$2,055.55 |
$2,055.55 |
$1,876.12
|
|
MRI chest without contrast
|
$1,778.35 |
$1,778.35 |
$1,778.35 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$1,772.51 |
$1,772.51 |
$1,772.51 |
$2,564.10
|
|
MRI chest w IV cont
|
$1,421.28 |
$1,421.28 |
$1,421.28 |
$2,105.25
|
|
MRI loex nonjt w IV cont
|
$3,025.05 |
$3,025.05 |
$3,025.05 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$3,871.00 |
$3,871.00 |
$3,871.00 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,871.00 |
$3,871.00 |
$3,871.00 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$1,778.35 |
$1,778.35 |
$1,778.35 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$2,654.05 |
$2,654.05 |
$2,654.05 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$2,120.25
|
|
MRI tmj
|
$1,185.03 |
$1,185.03 |
$1,185.03 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,601.90 |
$2,601.90 |
$2,601.90 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,601.90 |
$2,601.90 |
$2,601.90 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,100.70 |
$2,100.70 |
$2,100.70 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$1,014.65 |
$1,014.65 |
$1,014.65 |
$836.00
|
|
Multiple sleep latency test
|
$618.98 |
$618.98 |
$618.98 |
$2,585.70
|
|
Mumps antibody igg
|
$47.25 |
$47.25 |
$47.25 |
$78.00
|
|
Mycoplasma antibody igm
|
$33.95 |
$33.95 |
$33.95 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$263.03 |
$263.03 |
$263.03 |
$397.50
|
|
Myelography via inj w/s&i 2+ regions
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$1,125.55 |
$1,125.55 |
$1,125.55 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$1,131.83 |
$1,131.83 |
$1,131.83 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$1,138.10 |
$1,138.10 |
$1,138.10 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$77.35 |
$77.35 |
$77.35 |
$134.40
|
|
Natriuretic peptide
|
$91.70 |
$91.70 |
$91.70 |
$176.15
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$4,723.95 |
$4,723.95 |
$4,723.95 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$4,040.40 |
$4,040.40 |
$4,040.40 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,102.30 |
$5,102.30 |
$5,102.30 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$4,277.70 |
$4,277.70 |
$4,277.70 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,453.45 |
$3,453.45 |
$3,453.45 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,252.27 |
$2,252.27 |
$2,252.27 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,599.15 |
$1,599.15 |
$1,599.15 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,396.50 |
$1,396.50 |
$1,396.50 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$80.85 |
$80.85 |
$80.85 |
$56.70
|
|
New Patient Office Visit (level 2)
|
$143.52 |
$143.52 |
$143.52 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$198.14 |
$198.14 |
$198.14 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$240.62 |
$240.62 |
$240.62 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$272.04 |
$272.04 |
$272.04 |
$367.20
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$6,133.77 |
$6,133.77 |
$6,133.77 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$5,212.48 |
$5,212.48 |
$5,212.48 |
$85,051.55
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$1,381.10 |
$1,381.10 |
$1,381.10 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$276.57 |
$276.57 |
$276.57 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$860.65 |
$860.65 |
$860.65 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$626.12 |
$626.12 |
$626.12 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$895.60 |
$895.60 |
$895.60 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,614.20 |
$1,614.20 |
$1,614.20 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,103.61 |
$1,103.61 |
$1,103.61 |
$1,574.40
|
|
Non-card vasc flow imaging
|
$513.45 |
$513.45 |
$513.45 |
$608.56
|
|
Nr lnr acclrtr tx max 5 sessions
|
$3,238.55 |
$3,238.55 |
$3,238.55 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$3,116.05 |
$3,116.05 |
$3,116.05 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$3,115.90 |
$3,115.90 |
$3,115.90 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$4,588.98 |
$4,588.98 |
$4,588.98 |
$3,921.45
|
|
Nushield 1 square cm
|
$3,336.08 |
$3,336.08 |
$3,336.08 |
$2,342.13
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$6,460.88 |
$6,460.88 |
$6,460.88 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$197.05 |
$197.05 |
$197.05 |
$411.10
|
|
Observation per hour
|
$165.20 |
$165.20 |
$165.20 |
$79.30
|
|
Obstetrics panel
|
$277.90 |
$277.90 |
$277.90 |
$204.80
|
|
Ob Ultrasound nuchal meas 1 gest
|
$295.60 |
$295.60 |
$295.60 |
$331.29
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$94.45 |
$94.45 |
$94.45 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$5,744.63 |
$5,744.63 |
$5,744.63 |
$14,506.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$35.00 |
$35.00 |
$35.00 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$5.81 |
$5.81 |
$5.81 |
$34.32
|
|
Ophthalmic mitomycin
|
$339.21 |
$339.21 |
$339.21 |
$1,269.22
|
|
Organic acids total quant ea spec
|
$95.13 |
$95.13 |
$95.13 |
$151.36
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$199.92 |
$199.92 |
$199.92 |
$284.85
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$888.12 |
$888.12 |
$888.12 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$187.70 |
$187.70 |
$187.70 |
$213.39
|
|
Ortho hnd/fngr w/jnt cstm w/fit&adj
|
$214.04 |
$214.04 |
$214.04 |
$389.25
|
|
Ortho hnd without jnt w/fit&adj
|
$187.70 |
$187.70 |
$187.70 |
$240.24
|
|
Orthopantogram
|
$187.74 |
$187.74 |
$187.74 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$181.58 |
$181.58 |
$181.58 |
$269.58
|
|
Ortho wrst/hnd w/jnt cstm w/fit&adj
|
$686.79 |
$686.79 |
$686.79 |
$532.80
|
|
Oscillation chest wall mechanical per session
|
$120.40 |
$120.40 |
$120.40 |
$221.34
|
|
Osmolality blood
|
$62.85 |
$62.85 |
$62.85 |
$67.60
|
|
Osmolality urine
|
$60.27 |
$60.27 |
$60.27 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$158.90 |
$158.90 |
$158.90 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$145.95 |
$145.95 |
$145.95 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$151.90 |
$151.90 |
$151.90 |
$270.58
|
|
Oth resp proc, group
|
$13.23 |
$13.23 |
$13.23 |
$154.00
|
|
Oth resp proc, indiv
|
$124.60 |
$124.60 |
$124.60 |
$87.45
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$71.75 |
$71.75 |
$71.75 |
$107.40
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$120.75 |
$120.75 |
$120.75 |
$107.32
|
|
Ot re-evaluation patient/family
|
$101.15 |
$101.15 |
$101.15 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$96.04 |
$96.04 |
$96.04 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$77.47 |
$77.47 |
$77.47 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$77.47 |
$77.47 |
$77.47 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$109.55 |
$109.55 |
$109.55 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$113.40 |
$113.40 |
$113.40 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$53.66 |
$53.66 |
$53.66 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$108.14 |
$108.14 |
$108.14 |
$364.29
|
|
Oxytocin 10 unit/ml injection solution
|
$66.46 |
$66.46 |
$66.46 |
$45.86
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$87.48 |
$87.48 |
$87.48 |
$231.46
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$1,370.67 |
$1,370.67 |
$1,370.67 |
$4,014.63
|
|
Palonosetron hcl
|
$142.45 |
$142.45 |
$142.45 |
$372.41
|