|
MRA without fol w/cont, pelvis
|
$1,546.00 |
$1,546.00 |
$1,546.00 |
$2,206.29
|
|
MRI brain w/dye
|
$247.50 |
$247.50 |
$247.50 |
$2,174.90
|
|
MRI brain without dye
|
$742.50 |
$742.50 |
$742.50 |
$2,005.45
|
|
MRI breast c-+ w/cad uni
|
$567.50 |
$567.50 |
$567.50 |
$1,880.00
|
|
MRI breast without cont bi
|
$2,583.50 |
$2,583.50 |
$2,583.50 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$1,875.95
|
|
MRI chest without contrast
|
$1,877.50 |
$1,877.50 |
$1,877.50 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,088.50 |
$3,088.50 |
$3,088.50 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,092.50 |
$3,092.50 |
$3,092.50 |
$2,210.00
|
|
MRI loex nonjt w IV cont
|
$1,672.50 |
$1,672.50 |
$1,672.50 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,877.50 |
$1,877.50 |
$1,877.50 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,091.50 |
$3,091.50 |
$3,091.50 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$1,860.50 |
$1,860.50 |
$1,860.50 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$2,176.20
|
|
MRI tmj
|
$1,879.50 |
$1,879.50 |
$1,879.50 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,877.50 |
$1,877.50 |
$1,877.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,091.00 |
$3,091.00 |
$3,091.00 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$3,092.00 |
$3,092.00 |
$3,092.00 |
$2,021.30
|
|
MRI without fol w/cont, breast
|
$2,492.50 |
$2,492.50 |
$2,492.50 |
$2,449.20
|
|
Mr safety determination physician/other qhp
|
$292.50 |
$292.50 |
$292.50 |
$158.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$59.50 |
$59.50 |
$59.50 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$72.50 |
$72.50 |
$72.50 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$111.50 |
$111.50 |
$111.50 |
$419.20
|
|
Msh2 gene full seq
|
$733.50 |
$733.50 |
$733.50 |
$764.00
|
|
Mthfr gene analy common variants
|
$300.00 |
$300.00 |
$300.00 |
$184.00
|
|
Mucopolysaccharides
|
$471.50 |
$471.50 |
$471.50 |
$178.36
|
|
Multi family grp psychotherapy
|
$76.00 |
$76.00 |
$76.00 |
$250.25
|
|
Multiple sleep latency test
|
$959.00 |
$959.00 |
$959.00 |
$2,440.50
|
|
Mumps antibody igg
|
$88.00 |
$88.00 |
$88.00 |
$77.35
|
|
Muscle-skin graft arm
|
$35,868.50 |
$35,868.50 |
$35,868.50 |
$3,014.40
|
|
Muscle test cran nerv unilat
|
$350.50 |
$350.50 |
$350.50 |
$385.07
|
|
Muscle test larynx
|
$156.00 |
$156.00 |
$156.00 |
$296.80
|
|
Muscle transfer shoulder/arm
|
$6,163.83 |
$6,163.83 |
$6,163.83 |
$8,412.89
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.72 |
$5.72 |
$5.72 |
$10.79
|
|
Mycoplasma antibody igm
|
$156.00 |
$156.00 |
$156.00 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$347.00 |
$347.00 |
$347.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$1,494.22
|
|
Myelography l-s spine
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$1,334.09
|
|
Myelography neck spine
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$761.50 |
$761.50 |
$761.50 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$450.00 |
$450.00 |
$450.00 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$2,210.50 |
$2,210.50 |
$2,210.50 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$2,210.50 |
$2,210.50 |
$2,210.50 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$2,210.50 |
$2,210.50 |
$2,210.50 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$143.00 |
$143.00 |
$143.00 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$3,558.50
|
|
Myocrd img pet mlt rst&strs
|
$3,980.50 |
$3,980.50 |
$3,980.50 |
$3,980.50
|
|
Myringoplasty
|
$6,270.00 |
$6,270.00 |
$6,270.00 |
$3,837.72
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$30.29 |
$30.29 |
$30.29 |
$70.87
|
|
Naltrexone, depot form
|
$3,610.00 |
$3,610.00 |
$3,610.00 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$442.00 |
$442.00 |
$442.00 |
$353.62
|
|
Nasal/sinus endoscopy surg
|
$2,560.38 |
$2,560.38 |
$2,560.38 |
$4,350.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$5,065.67 |
$5,065.67 |
$5,065.67 |
$2,709.50
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$1,095.08 |
$1,095.08 |
$1,095.08 |
$5,110.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$2,090.25 |
$2,090.25 |
$2,090.25 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$3,670.75 |
$3,670.75 |
$3,670.75 |
$7,565.43
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$8,757.00 |
$8,757.00 |
$8,757.00 |
$6,333.26
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$18,984.00 |
$18,984.00 |
$18,984.00 |
$6,311.00
|
|
Nasopharyngoscopy w/endoscope
|
$385.50 |
$385.50 |
$385.50 |
$292.50
|
|
Natriuretic peptide
|
$223.00 |
$223.00 |
$223.00 |
$176.15
|
|
Natural killer cells total count
|
$78.00 |
$78.00 |
$78.00 |
$132.63
|
|
Navigational bronchoscopy 31627
|
$2,253.13 |
$2,253.13 |
$2,253.13 |
$1,751.25
|
|
N block inj common digit
|
$566.50 |
$566.50 |
$566.50 |
$540.80
|
|
N block inj hypogas plxs
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$145.00 |
$145.00 |
$145.00 |
$213.75
|
|
Ndl insj without njx 1 or 2 musc
|
$28.00 |
$28.00 |
$28.00 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$40.50 |
$40.50 |
$40.50 |
$45.00
|
|
Ndl round specialty proguide
|
$219.00 |
$219.00 |
$219.00 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,551.00 |
$2,551.00 |
$2,551.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$982.50 |
$982.50 |
$982.50 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,062.00 |
$3,062.00 |
$3,062.00 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,860.50 |
$1,860.50 |
$1,860.50 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,062.50 |
$3,062.50 |
$3,062.50 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,790.58
|
|
Needle emg guid w/chemodenervation add-on
|
$97.50 |
$97.50 |
$97.50 |
$164.80
|
|
Neg pres wound ther drsg set
|
$1,008.58 |
$1,008.58 |
$1,008.58 |
$676.00
|
|
Neopatch or therion, 1 sq cm
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.66 |
$1.66 |
$1.66 |
$60.38
|
|
Nephrectomy partial
|
$16,966.50 |
$16,966.50 |
$16,966.50 |
$3,467.40
|
|
Nerve conduction 7-8 studies
|
$429.50 |
$429.50 |
$429.50 |
$719.39
|
|
Nerve conduction studies 11-12
|
$948.50 |
$948.50 |
$948.50 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$249.00 |
$249.00 |
$249.00 |
$340.80
|
|
Nerve conduction studies 13+
|
$948.50 |
$948.50 |
$948.50 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$377.00 |
$377.00 |
$377.00 |
$469.98
|
|
Nerve conduction studies 5-6
|
$350.50 |
$350.50 |
$350.50 |
$573.30
|
|
Nerve conduction studies 9-10
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,051.96
|
|
Neurectomy popliteal
|
$7,216.00 |
$7,216.00 |
$7,216.00 |
$2,772.37
|
|
Neurolysis celiac plexus
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$1,754.00
|
|
Neurolysis trigeminal nerve
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$2,079.50
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$176.00 |
$176.00 |
$176.00 |
$250.14
|
|
Neuroplasty nerve of hand or foot 64704
|
$7,955.00 |
$7,955.00 |
$7,955.00 |
$2,310.83
|
|
New Patient Office Visit (level 2)
|
$90.00 |
$90.00 |
$90.00 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$90.00 |
$90.00 |
$90.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$342.00 |
$342.00 |
$342.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$90.00 |
$90.00 |
$90.00 |
$349.70
|
