|
MRI tmj
|
$2,728.20 |
$2,728.20 |
$2,728.20 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,928.60 |
$2,928.60 |
$2,928.60 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,292.40 |
$4,292.40 |
$4,292.40 |
$2,637.60
|
|
MRI without fol w/cont, breast
|
$3,868.80 |
$3,868.80 |
$3,868.80 |
$2,449.20
|
|
Mr safety determination physician/other qhp
|
$166.20 |
$166.20 |
$166.20 |
$158.40
|
|
Mr safety implant elec prepj
|
$173.40 |
$173.40 |
$173.40 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$91.80 |
$91.80 |
$91.80 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$112.20 |
$112.20 |
$112.20 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$46.20 |
$46.20 |
$46.20 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$456.60 |
$456.60 |
$456.60 |
$419.20
|
|
Mthfr gene analy common variants
|
$651.00 |
$651.00 |
$651.00 |
$184.00
|
|
Mumps antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$77.35
|
|
Muscle-skin graft trunk
|
$60,564.43 |
$60,564.43 |
$60,564.43 |
$4,332.25
|
|
Musc/tdn transfer upr a/e 1
|
$78,545.41 |
$78,545.41 |
$78,545.41 |
$6,311.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$6.00 |
$6.00 |
$6.00 |
$10.79
|
|
Mycophenolic acid
|
$37.38 |
$37.38 |
$37.38 |
$12.84
|
|
Mycoplasma antibody igm
|
$238.80 |
$238.80 |
$238.80 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$359.40 |
$359.40 |
$359.40 |
$397.50
|
|
Myelography via inj w/s&i 2+ regions
|
$5,319.00 |
$5,319.00 |
$5,319.00 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$5,069.40 |
$5,069.40 |
$5,069.40 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$5,515.20 |
$5,515.20 |
$5,515.20 |
$1,843.92
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$151.20 |
$151.20 |
$151.20 |
$135.50
|
|
Myomectomy abdom method
|
$27,546.02 |
$27,546.02 |
$27,546.02 |
$2,315.20
|
|
Nafcillin 2 gram solution for injection
|
$156.32 |
$156.32 |
$156.32 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$66.15 |
$66.15 |
$66.15 |
$70.87
|
|
Naltrexone, depot form
|
$4.20 |
$4.20 |
$4.20 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$18,825.12 |
$18,825.12 |
$18,825.12 |
$353.62
|
|
Nasal/sinus endoscopy surg
|
$35,079.44 |
$35,079.44 |
$35,079.44 |
$4,350.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$158,477.86 |
$158,477.86 |
$158,477.86 |
$2,709.50
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$27,409.51 |
$27,409.51 |
$27,409.51 |
$5,110.00
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$27,356.83 |
$27,356.83 |
$27,356.83 |
$7,565.43
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$31,005.94 |
$31,005.94 |
$31,005.94 |
$6,333.26
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$27,409.51 |
$27,409.51 |
$27,409.51 |
$6,311.00
|
|
Nasopharyngoscopy w/endoscope
|
$149.40 |
$149.40 |
$149.40 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$48,480.55 |
$48,480.55 |
$48,480.55 |
$16,254.52
|
|
Natriuretic peptide
|
$263.40 |
$263.40 |
$263.40 |
$176.15
|
|
Natural killer cells total count
|
$187.80 |
$187.80 |
$187.80 |
$132.63
|
|
Ndl insj without njx 1 or 2 musc
|
$26.40 |
$26.40 |
$26.40 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$33.60 |
$33.60 |
$33.60 |
$45.00
|
|
Ndl round specialty proguide
|
$1,804.06 |
$1,804.06 |
$1,804.06 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,887.80 |
$2,887.80 |
$2,887.80 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,830.60 |
$1,830.60 |
$1,830.60 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,340.20 |
$3,340.20 |
$3,340.20 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,087.40 |
$2,087.40 |
$2,087.40 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,678.80 |
$4,678.80 |
$4,678.80 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,273.60 |
$3,273.60 |
$3,273.60 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,695.80 |
$2,695.80 |
$2,695.80 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$60.38
|
|
Neox 100 or clarix 100
|
$12,737.55 |
$12,737.55 |
$12,737.55 |
$1,386.43
|
|
Neurolysis celiac plexus
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$1,754.00
|
|
Neuromatrix nerve cuff, cm
|
$5,599.33 |
$5,599.33 |
$5,599.33 |
$3,021.00
|
|
New Patient Office Visit (level 2)
|
$255.00 |
$255.00 |
$255.00 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$280.20 |
$280.20 |
$280.20 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$309.00 |
$309.00 |
$309.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$165.60 |
$165.60 |
$165.60 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$322.77 |
$322.77 |
$322.77 |
$263.48
|
|
N-invas est c ffr sw aly cta
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$2,194.83
|
|
Nipple/areola reconst 19350
|
$33,760.17 |
$33,760.17 |
$33,760.17 |
$4,531.42
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$236.25 |
$236.25 |
$236.25 |
$74.47
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$45,275.60 |
$45,275.60 |
$45,275.60 |
$14,820.18
|
|
Njx aa&/strd lmbr plex nfs
|
$2,506.20 |
$2,506.20 |
$2,506.20 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$1,816.80 |
$1,816.80 |
$1,816.80 |
$1,772.02
|
|
Njx interlaminar crv/thrc
|
$7,896.29 |
$7,896.29 |
$7,896.29 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$7,896.29 |
$7,896.29 |
$7,896.29 |
$1,927.39
|
|
Njx px nfrosgrm &/urtrgrm
|
$2,057.40 |
$2,057.40 |
$2,057.40 |
$1,440.80
|
|
Nm imaging bone/joint 3 phase study
|
$3,498.00 |
$3,498.00 |
$3,498.00 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$2,323.20 |
$2,323.20 |
$2,323.20 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$367.20 |
$367.20 |
$367.20 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$3,115.20 |
$3,115.20 |
$3,115.20 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$3,641.40 |
$3,641.40 |
$3,641.40 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$2,209.80 |
$2,209.80 |
$2,209.80 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,825.20 |
$1,825.20 |
$1,825.20 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,419.00 |
$1,419.00 |
$1,419.00 |
$1,079.00
|
|
Non-corrosive finish
|
$296.65 |
$296.65 |
$296.65 |
$126.65
|
|
Novachor 1 sq cm
|
$12,997.50 |
$12,997.50 |
$12,997.50 |
$796.00
|
|
Nps surg dilat eust tube bi
|
$42,862.37 |
$42,862.37 |
$42,862.37 |
$6,372.80
|
|
Nrv rpr w/nrv algrft 1st
|
$301,688.18 |
$301,688.18 |
$301,688.18 |
$7,541.82
|
|
Nrv rpr w/nrv algrft ea addl
|
$301,688.18 |
$301,688.18 |
$301,688.18 |
$444.80
|
|
Nsl/sins ndsc sphn tiss rmvl
|
$30,431.81 |
$30,431.81 |
$30,431.81 |
$7,668.85
|
|
Nsl/sins ndsc total
|
$33,332.86 |
$33,332.86 |
$33,332.86 |
$6,622.00
|
|
Nsl/sins ndsc tot w/sphendt
|
$35,787.22 |
$35,787.22 |
$35,787.22 |
$7,227.00
|
|
Ntrk translocation analysis
|
$1,714.20 |
$1,714.20 |
$1,714.20 |
$873.60
|
|
Nuclear Stress Test (Heart)
|
$5,660.40 |
$5,660.40 |
$5,660.40 |
$3,804.45
|
|
Nushield 1 square cm
|
$7,736.11 |
$7,736.11 |
$7,736.11 |
$937.50
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$5,130.16 |
$5,130.16 |
$5,130.16 |
$14,865.31
|
|
Observation per hour
|
$14.40 |
$14.40 |
$14.40 |
$81.22
|
|
Obstetrics panel
|
$180.60 |
$180.60 |
$180.60 |
$214.50
|
|
Obtaining screen pap smear
|
$84.60 |
$84.60 |
$84.60 |
$39.00
|
|
Ob Ultrasound nuchal meas 1 gest
|
$597.00 |
$597.00 |
$597.00 |
$359.20
|
|
Ob Ultrasound nuchal meas add-on
|
$145.20 |
$145.20 |
$145.20 |
$249.60
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$61,922.88 |
$61,922.88 |
$61,922.88 |
$41,294.43
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$26,312.91 |
$26,312.91 |
$26,312.91 |
$12,080.43
|
|
Offset knee joint each
|
$479.81 |
$479.81 |
$479.81 |
$221.31
|
|
Offset knee joint heavy duty
|
$685.75 |
$685.75 |
$685.75 |
$271.15
|
|
Oil silicone ophth 8.5ml silikon 1000
|
$5,199.00 |
$5,199.00 |
$5,199.00 |
$1,220.80
|
|
Olanzapine 10 mg intramuscular solution
|
$372.12 |
$372.12 |
$372.12 |
$109.58
|