|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$169.00 |
$169.00 |
$169.00 |
$227.25
|
|
Membrane collgn porcine maci w/autologous cult chondrocytes
|
$99,999.00 |
$99,999.00 |
$99,999.00 |
$73,765.17
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$157.00 |
$157.00 |
$157.00 |
$41.34
|
|
Mesna 100 mg/ml intravenous solution
|
$25.00 |
$25.00 |
$25.00 |
$107.41
|
|
Metabolic Blood Panel (Basic)
|
$778.00 |
$778.00 |
$778.00 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$142.40
|
|
Metabolic panel ionized ca
|
$684.00 |
$684.00 |
$684.00 |
$121.50
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$333.00 |
$333.00 |
$333.00 |
$84.13
|
|
Methotrexate sodium 2.5 mg tablet
|
$39.00 |
$39.00 |
$39.00 |
$9.93
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$124.00 |
$124.00 |
$124.00 |
$76.59
|
|
Methylprednisolone 4 mg tablet
|
$25.00 |
$25.00 |
$25.00 |
$4.77
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$124.00 |
$124.00 |
$124.00 |
$22.62
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$244.00 |
$244.00 |
$244.00 |
$10.70
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$180.00 |
$180.00 |
$180.00 |
$28.46
|
|
Microdissection manual
|
$1,490.00 |
$1,490.00 |
$1,490.00 |
$289.50
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$263.39 |
$263.39 |
$263.39 |
$108.00
|
|
Mopath procedure level 1
|
$816.00 |
$816.00 |
$816.00 |
$234.65
|
|
Mopath procedure level 3
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$341.30
|
|
Mopath procedure level 6
|
$3,277.00 |
$3,277.00 |
$3,277.00 |
$976.30
|
|
Mopath procedure level 7
|
$12,651.00 |
$12,651.00 |
$12,651.00 |
$1,268.80
|
|
Mopath procedure level 9
|
$4,939.00 |
$4,939.00 |
$4,939.00 |
$2,200.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$485.00 |
$485.00 |
$485.00 |
$328.79
|
|
MRA w/cont, abd
|
$5,060.00 |
$5,060.00 |
$5,060.00 |
$1,670.76
|
|
MRA without cont, abd
|
$5,060.00 |
$5,060.00 |
$5,060.00 |
$1,651.00
|
|
MRA without fol w/cont, abd
|
$11,006.00 |
$11,006.00 |
$11,006.00 |
$2,547.05
|
|
MRI chest without contrast
|
$7,743.00 |
$7,743.00 |
$7,743.00 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$9,857.00 |
$9,857.00 |
$9,857.00 |
$2,564.10
|
|
MRI orbit/face/neck without contrast
|
$7,536.00 |
$7,536.00 |
$7,536.00 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$9,706.00 |
$9,706.00 |
$9,706.00 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$7,452.00 |
$7,452.00 |
$7,452.00 |
$2,120.25
|
|
Mr safety determination physician/other qhp
|
$218.00 |
$218.00 |
$218.00 |
$160.20
|
|
Mr safety implant elec prepj
|
$228.00 |
$228.00 |
$228.00 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$148.00 |
$148.00 |
$148.00 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$25.00 |
$25.00 |
$25.00 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$598.00 |
$598.00 |
$598.00 |
$402.40
|
|
Mthfr gene analy common variants
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$211.70
|
|
Mucopolysaccharides
|
$734.00 |
$734.00 |
$734.00 |
$205.15
|
|
Mycophenolic acid
|
$28.00 |
$28.00 |
$28.00 |
$12.84
|
|
Myelography l-s spine
|
$2,648.00 |
$2,648.00 |
$2,648.00 |
$1,334.09
|
|
Myelography thoracic spine
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,085.32
|
|
Nalbuphine 10 mg/ml injection solution
|
$138.49 |
$138.49 |
$138.49 |
$43.66
|
|
Natural killer cells total count
|
$723.00 |
$723.00 |
$723.00 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$9,954.00 |
$9,954.00 |
$9,954.00 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$7,125.00 |
$7,125.00 |
$7,125.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$13,226.00 |
$13,226.00 |
$13,226.00 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$10,204.00 |
$10,204.00 |
$10,204.00 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$14,491.00 |
$14,491.00 |
$14,491.00 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$7,257.00 |
$7,257.00 |
$7,257.00 |
$2,030.23
|
|
Neisseria meningitidis
|
$316.00 |
$316.00 |
$316.00 |
$59.15
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2,268.00 |
$2,268.00 |
$2,268.00 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$124.00 |
$124.00 |
$124.00 |
$71.09
|
|
Nm imaging bone/joint 3 phase study
|
$7,021.00 |
$7,021.00 |
$7,021.00 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$8,796.00 |
$8,796.00 |
$8,796.00 |
$1,736.40
|
|
Nm imaging gastric emptying study
|
$5,276.00 |
$5,276.00 |
$5,276.00 |
$1,431.75
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$6,156.00 |
$6,156.00 |
$6,156.00 |
$1,774.30
|
|
Nm imaging pulmonary ventilation/perfusion
|
$9,240.00 |
$9,240.00 |
$9,240.00 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$5,766.00 |
$5,766.00 |
$5,766.00 |
$1,186.03
|
|
Nras gene variants exon 2&3
|
$2,698.00 |
$2,698.00 |
$2,698.00 |
$554.45
|
|
Nuclear rx IV admin
|
$1,268.00 |
$1,268.00 |
$1,268.00 |
$866.71
|
|
Nuclear Stress Test (Heart)
|
$12,202.00 |
$12,202.00 |
$12,202.00 |
$3,921.45
|
|
Obstetric panel inc HIV tstg
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$224.00
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$31,704.00 |
$31,704.00 |
$31,704.00 |
$41,294.43
|
|
Olanzapine 10 mg intramuscular solution
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$120.17
|
|
Oncology tissue of origin
|
$3,726.00 |
$3,726.00 |
$3,726.00 |
$572.00
|
|
Oncoprotein her-2/neu
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$161.60
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$124.00 |
$124.00 |
$124.00 |
$30.15
|
|
Organic acids total quant ea spec
|
$538.00 |
$538.00 |
$538.00 |
$151.36
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$196.00 |
$196.00 |
$196.00 |
$56.42
|
|
Osmolality blood
|
$359.00 |
$359.00 |
$359.00 |
$67.60
|
|
Osmolality urine
|
$359.00 |
$359.00 |
$359.00 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$734.00 |
$734.00 |
$734.00 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$734.00 |
$734.00 |
$734.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$734.00 |
$734.00 |
$734.00 |
$270.58
|
|
Ot re-evaluation patient/family
|
$475.00 |
$475.00 |
$475.00 |
$174.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$207.00 |
$207.00 |
$207.00 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$216.00 |
$216.00 |
$216.00 |
$91.80
|
|
Oxytocin 10 unit/ml injection solution
|
$124.00 |
$124.00 |
$124.00 |
$48.29
|
|
Palonosetron hcl
|
$1,149.00 |
$1,149.00 |
$1,149.00 |
$306.70
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$185.00 |
$185.00 |
$185.00 |
$131.62
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$124.00 |
$124.00 |
$124.00 |
$35.43
|
|
Parathormone (pth) intact
|
$969.00 |
$969.00 |
$969.00 |
$200.23
|
|
Parathyrd planar w/spect&ct
|
$1,939.00 |
$1,939.00 |
$1,939.00 |
$1,574.40
|
|
Parathyroid planar imaging
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,166.00
|
|
Paricalcitol
|
$180.00 |
$180.00 |
$180.00 |
$47.38
|
|
Pdgfra gene
|
$813.00 |
$813.00 |
$813.00 |
$659.20
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$13,082.00 |
$13,082.00 |
$13,082.00 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$12,876.00 |
$12,876.00 |
$12,876.00 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$10,704.00 |
$10,704.00 |
$10,704.00 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$8,864.00 |
$8,864.00 |
$8,864.00 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$13,478.00 |
$13,478.00 |
$13,478.00 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$7,743.00 |
$7,743.00 |
$7,743.00 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$5,551.00 |
$5,551.00 |
$5,551.00 |
$1,879.15
|
|
Pelvic Ultrasound (complete)
|
$3,777.00 |
$3,777.00 |
$3,777.00 |
$643.80
|
|
Pelvic Ultrasound (limited)
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$445.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$25.00 |
$25.00 |
$25.00 |
$90.35
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$217.00 |
$217.00 |
$217.00 |
$321.71
|
|
Pertussis ag if
|
$312.00 |
$312.00 |
$312.00 |
$49.00
|
|
Pertuzumab 30 mg/ml desensitization
|
$24,023.00 |
$24,023.00 |
$24,023.00 |
$15,007.91
|
|
Pet fdg brain metoblic eval sb
|
$19,021.00 |
$19,021.00 |
$19,021.00 |
$3,559.05
|
|
Phencyclidine (pcp)
|
$865.00 |
$865.00 |
$865.00 |
$88.00
|
