|
MRI orbit/face/neck without & w/contrast
|
$1,005.30 |
$1,005.30 |
$1,005.30 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$794.25 |
$794.25 |
$794.25 |
$2,120.25
|
|
MRI tmj
|
$3,037.65 |
$3,037.65 |
$3,037.65 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,576.95 |
$1,576.95 |
$1,576.95 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$674.85 |
$674.85 |
$674.85 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$711.60 |
$711.60 |
$711.60 |
$836.00
|
|
MRI without fol w/cont, breast
|
$884.10 |
$884.10 |
$884.10 |
$2,071.85
|
|
MRI without fol w/cont, brst, un
|
$831.45 |
$831.45 |
$831.45 |
$888.25
|
|
Mr safety implant elec prepj
|
$19.95 |
$19.95 |
$19.95 |
$168.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$7.95 |
$7.95 |
$7.95 |
$45.00
|
|
Mthfr gene analy common variants
|
$82.01 |
$82.01 |
$82.01 |
$211.70
|
|
Multiple sleep latency test
|
$603.30 |
$603.30 |
$603.30 |
$2,585.70
|
|
Mumps antibody igg
|
$21.21 |
$21.21 |
$21.21 |
$78.00
|
|
Muscle test cran nerv unilat
|
$41.25 |
$41.25 |
$41.25 |
$385.07
|
|
Muscle test larynx
|
$39.00 |
$39.00 |
$39.00 |
$305.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$47.66 |
$47.66 |
$47.66 |
$18.12
|
|
Mycoplasma antibody igm
|
$65.25 |
$65.25 |
$65.25 |
$79.20
|
|
Myelogphy 2/> spine regions
|
$690.90 |
$690.90 |
$690.90 |
$1,366.30
|
|
Myelography l-s spine
|
$378.15 |
$378.15 |
$378.15 |
$1,334.09
|
|
Myelography neck spine
|
$379.35 |
$379.35 |
$379.35 |
$1,103.70
|
|
Myelography thoracic spine
|
$555.60 |
$555.60 |
$555.60 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$803.85 |
$803.85 |
$803.85 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$1,266.75 |
$1,266.75 |
$1,266.75 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$923.25 |
$923.25 |
$923.25 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$131.07 |
$131.07 |
$131.07 |
$134.40
|
|
Myocrd img pet mlt rst&strs
|
$1,307.70 |
$1,307.70 |
$1,307.70 |
$3,055.50
|
|
Nalbuphine 10 mg/ml injection solution
|
$12.57 |
$12.57 |
$12.57 |
$38.00
|
|
Natriuretic peptide
|
$75.60 |
$75.60 |
$75.60 |
$176.15
|
|
Natural killer cells total count
|
$36.30 |
$36.30 |
$36.30 |
$131.82
|
|
Ndl insj without njx 1 or 2 musc
|
$6.00 |
$6.00 |
$6.00 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$8.40 |
$8.40 |
$8.40 |
$54.60
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,568.25 |
$1,568.25 |
$1,568.25 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,341.15 |
$1,341.15 |
$1,341.15 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,031.70 |
$1,031.70 |
$1,031.70 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,065.35 |
$2,065.35 |
$2,065.35 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,782.60 |
$1,782.60 |
$1,782.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,229.40 |
$1,229.40 |
$1,229.40 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,625.40 |
$1,625.40 |
$1,625.40 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,158.15 |
$1,158.15 |
$1,158.15 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,015.95 |
$1,015.95 |
$1,015.95 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$339.26 |
$339.26 |
$339.26 |
$56.70
|
|
Nerve conduction 7-8 studies
|
$51.45 |
$51.45 |
$51.45 |
$761.48
|
|
Nerve conduction studies 11-12
|
$219.90 |
$219.90 |
$219.90 |
$1,278.62
|
|
Nerve conduction studies 1-2
|
$25.95 |
$25.95 |
$25.95 |
$341.10
|
|
Nerve conduction studies 13+
|
$72.30 |
$72.30 |
$72.30 |
$1,550.00
|
|
Nerve conduction studies 3-4
|
$122.85 |
$122.85 |
$122.85 |
$495.30
|
|
Nerve conduction studies 5-6
|
$44.55 |
$44.55 |
$44.55 |
$685.75
|
|
Nerve conduction studies 9-10
|
$219.90 |
$219.90 |
$219.90 |
$1,244.90
|
|
Nesiritide injection
|
$734.69 |
$734.69 |
$734.69 |
$2,365.81
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$39.00 |
$39.00 |
$39.00 |
$256.41
|
|
New Patient Office Visit (level 2)
|
$66.56 |
$66.56 |
$66.56 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$68.55 |
$68.55 |
$68.55 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$102.36 |
$102.36 |
$102.36 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$246.90 |
$246.90 |
$246.90 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$812.77 |
$812.77 |
$812.77 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$53.97 |
$53.97 |
$53.97 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$1,103.97 |
$1,103.97 |
$1,103.97 |
$17,658.98
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,007.75 |
$2,007.75 |
$2,007.75 |
$1,532.18
|
|
Nm imaging bone/joint 3 phase study
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$851.25 |
$851.25 |
$851.25 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$386.48 |
$386.48 |
$386.48 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$418.69 |
$418.69 |
$418.69 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$286.65 |
$286.65 |
$286.65 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,229.25 |
$1,229.25 |
$1,229.25 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$786.00 |
$786.00 |
$786.00 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$914.85 |
$914.85 |
$914.85 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$690.75 |
$690.75 |
$690.75 |
$1,186.03
|
|
Nm radiopharmaceutical therapy oral administration
|
$494.65 |
$494.65 |
$494.65 |
$1,020.34
|
|
Nr lnr acclrtr tx max 5 sessions
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$7,875.40
|
|
Ntsty modul rad tx dlvr cplx
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$2,590.00
|
|
Ntsty modul rad tx dlvr smpl
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$2,364.96
|
|
Nuclear Stress Test (Heart)
|
$2,204.25 |
$2,204.25 |
$2,204.25 |
$3,921.45
|
|
Nushield 1 square cm
|
$931.43 |
$931.43 |
$931.43 |
$2,342.13
|
|
Observation direct referral from physician office for admission
|
$126.00 |
$126.00 |
$126.00 |
$411.10
|
|
Observation per hour
|
$34.54 |
$34.54 |
$34.54 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$199.52 |
$199.52 |
$199.52 |
$73.13
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$22,162.47 |
$22,162.47 |
$22,162.47 |
$14,506.60
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,778.61 |
$3,778.61 |
$3,778.61 |
$4,797.94
|
|
Oncoprotein dcp
|
$70.80 |
$70.80 |
$70.80 |
$167.75
|
|
Oncoprotein her-2/neu
|
$30.00 |
$30.00 |
$30.00 |
$161.60
|
|
Ondansetron 8 mg disintegrating tablet
|
$100.31 |
$100.31 |
$100.31 |
$14.22
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$173.81 |
$173.81 |
$173.81 |
$34.32
|
|
Oral aprepitant
|
$409.66 |
$409.66 |
$409.66 |
$374.43
|
|
Organic acids total quant ea spec
|
$173.10 |
$173.10 |
$173.10 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$3,354.72 |
$3,354.72 |
$3,354.72 |
$3,513.35
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$65.07 |
$65.07 |
$65.07 |
$65.07
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$203.65 |
$203.65 |
$203.65 |
$284.85
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$251.37 |
$251.37 |
$251.37 |
$801.60
|
|
Ortho hnd/fngr without jnt cstm w/fit&adj
|
$154.83 |
$154.83 |
$154.83 |
$213.39
|
|
Ortho hnd without jnt w/fit&adj
|
$154.83 |
$154.83 |
$154.83 |
$240.24
|
|
Orthopantogram
|
$44.55 |
$44.55 |
$44.55 |
$219.22
|
|
Ortho whf rigd without jnt cstm w/fit&adj
|
$204.91 |
$204.91 |
$204.91 |
$269.58
|
|
Oscillation chest wall mechanical per session
|
$103.28 |
$103.28 |
$103.28 |
$221.34
|
|
Osmolality blood
|
$49.69 |
$49.69 |
$49.69 |
$67.60
|
|
Osmolality urine
|
$53.63 |
$53.63 |
$53.63 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$164.25 |
$164.25 |
$164.25 |
$303.05
|