|
Mayo valpg valproic acid free therapeutic drug level
|
$221.32 |
$221.32 |
$221.32 |
$66.43
|
|
#mec-opiates
|
$242.17 |
$242.17 |
$242.17 |
$76.46
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$306.13 |
$306.13 |
$306.13 |
$303.33
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$39.34 |
$39.34 |
$39.34 |
$40.78
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$7,428.98 |
$7,428.98 |
$7,428.98 |
$10,611.79
|
|
Meropenem 1 gram intravenous solution
|
$52.82 |
$52.82 |
$52.82 |
$71.09
|
|
Mesna 100 mg/ml intravenous solution
|
$61.16 |
$61.16 |
$61.16 |
$109.19
|
|
Metabolic Blood Panel (Basic)
|
$300.37 |
$300.37 |
$300.37 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$370.69 |
$370.69 |
$370.69 |
$142.40
|
|
Metabolic panel ionized ca
|
$283.94 |
$283.94 |
$283.94 |
$121.50
|
|
Methadone injection
|
$427.69 |
$427.69 |
$427.69 |
$128.05
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$47.64 |
$47.64 |
$47.64 |
$78.20
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$33.89 |
$33.89 |
$33.89 |
$65.94
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$363.46 |
$363.46 |
$363.46 |
$1,132.12
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$368.90 |
$368.90 |
$368.90 |
$493.10
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$47.41 |
$47.41 |
$47.41 |
$63.05
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$38.67 |
$38.67 |
$38.67 |
$30.75
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$154.12 |
$154.12 |
$154.12 |
$48.03
|
|
Midazolam 1 mg/ml injection solution
|
$123.99 |
$123.99 |
$123.99 |
$75.79
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$309.59 |
$309.59 |
$309.59 |
$126.10
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$59.95 |
$59.95 |
$59.95 |
$101.22
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$1,982.77 |
$1,982.77 |
$1,982.77 |
$4,875.39
|
|
Mitomycin 40 mg intravenous solution
|
$1,072.59 |
$1,072.59 |
$1,072.59 |
$1,650.98
|
|
Monovisc inj per dose
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
$2,476.72
|
|
Morphine 4 mg/ml injection (wrapper)
|
$1,919.54 |
$1,919.54 |
$1,919.54 |
$60.61
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$40.81 |
$40.81 |
$40.81 |
$39.99
|
|
MRA without fol w/cont, abd
|
$4,625.16 |
$4,625.16 |
$4,625.16 |
$3,331.46
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$4,975.80 |
$4,975.80 |
$4,975.80 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,865.30 |
$5,865.30 |
$5,865.30 |
$2,713.80
|
|
MRI orbit/face/neck without & w/contrast
|
$5,497.02 |
$5,497.02 |
$5,497.02 |
$2,674.83
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,849.25 |
$5,849.25 |
$5,849.25 |
$2,655.25
|
|
Mr safety determination physician/other qhp
|
$261.90 |
$261.90 |
$261.90 |
$160.20
|
|
Mr safety implant elec prepj
|
$274.41 |
$274.41 |
$274.41 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$174.54 |
$174.54 |
$174.54 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$73.12 |
$73.12 |
$73.12 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$722.11 |
$722.11 |
$722.11 |
$402.40
|
|
Mumps antibody igg
|
$283.43 |
$283.43 |
$283.43 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$270.17 |
$270.17 |
$270.17 |
$18.12
|
|
Mycoplasma antibody igm
|
$140.16 |
$140.16 |
$140.16 |
$79.20
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$264.50 |
$264.50 |
$264.50 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$41.64 |
$41.64 |
$41.64 |
$38.00
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$15,962.89 |
$15,962.89 |
$15,962.89 |
$22,257.60
|
|
Natriuretic peptide
|
$433.89 |
$433.89 |
$433.89 |
$176.15
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,952.46 |
$2,952.46 |
$2,952.46 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,716.03 |
$6,716.03 |
$6,716.03 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$6,000.86 |
$6,000.86 |
$6,000.86 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$5,509.37 |
$5,509.37 |
$5,509.37 |
$2,030.23
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$64.43 |
$64.43 |
$64.43 |
$56.70
|
|
New Patient Office Visit (level 2)
|
$690.73 |
$690.73 |
$690.73 |
$161.12
|
|
New Patient Office Visit (level 3)
|
$925.85 |
$925.85 |
$925.85 |
$221.20
|
|
New Patient Office Visit (level 4)
|
$1,190.41 |
$1,190.41 |
$1,190.41 |
$300.00
|
|
New Patient Office Visit (level 5)
|
$1,484.31 |
$1,484.31 |
$1,484.31 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$3,029.02 |
$3,029.02 |
$3,029.02 |
$356.09
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$20.64 |
$20.64 |
$20.64 |
$65.30
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$17,738.27 |
$17,738.27 |
$17,738.27 |
$17,658.98
|
|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$85,051.55 |
$85,051.55 |
$85,051.55 |
$85,051.55
|
|
Nm imaging bone/joint whole body
|
$3,828.09 |
$3,828.09 |
$3,828.09 |
$1,736.40
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,463.11 |
$2,463.11 |
$2,463.11 |
$1,774.30
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$3,332.33 |
$3,332.33 |
$3,332.33 |
$14,996.94
|
|
Observation direct referral from physician office for admission
|
$1,477.47 |
$1,477.47 |
$1,477.47 |
$411.10
|
|
Observation per hour
|
$66.97 |
$66.97 |
$66.97 |
$79.30
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$82,979.83 |
$82,979.83 |
$82,979.83 |
$54,942.65
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$62.57 |
$62.57 |
$62.57 |
$73.13
|
|
Ofatumumab 20 mg/ml intravenous solution (wrapper)
|
$16,229.01 |
$16,229.01 |
$16,229.01 |
$5,346.32
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$5,707.48 |
$5,707.48 |
$5,707.48 |
$4,797.94
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$33.40 |
$33.40 |
$33.40 |
$34.32
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$50.77 |
$50.77 |
$50.77 |
$65.07
|
|
Orthovisc inj per dose
|
$243.90 |
$243.90 |
$243.90 |
$498.00
|
|
Oscillation chest wall mechanical per session
|
$170.92 |
$170.92 |
$170.92 |
$221.34
|
|
Osmolality blood
|
$124.93 |
$124.93 |
$124.93 |
$67.60
|
|
Osmolality urine
|
$130.37 |
$130.37 |
$130.37 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$272.32 |
$272.32 |
$272.32 |
$270.58
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$150.73 |
$150.73 |
$150.73 |
$107.32
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$122.38 |
$122.38 |
$122.38 |
$100.20
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$76.58 |
$76.58 |
$76.58 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$77.56 |
$77.56 |
$77.56 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$117.90 |
$117.90 |
$117.90 |
$97.80
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$174.20 |
$174.20 |
$174.20 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$156.56 |
$156.56 |
$156.56 |
$93.75
|
|
Oxaliplatin 5 mg/ml desensitization
|
$290.69 |
$290.69 |
$290.69 |
$364.29
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$977.30 |
$977.30 |
$977.30 |
$231.46
|
|
Palonosetron hcl
|
$580.81 |
$580.81 |
$580.81 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$144.79 |
$144.79 |
$144.79 |
$146.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,904.26 |
$18,904.26 |
$18,904.26 |
$18,554.59
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$51.79 |
$51.79 |
$51.79 |
$44.25
|
|
Papaverin hcl injection
|
$81.24 |
$81.24 |
$81.24 |
$76.40
|
|
Parathormone (pth) intact
|
$480.18 |
$480.18 |
$480.18 |
$200.23
|
|
Parathyroid planar imaging
|
$1,450.68 |
$1,450.68 |
$1,450.68 |
$1,166.00
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$761.50 |
$761.50 |
$761.50 |
$270.00
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$9,542.47 |
$9,542.47 |
$9,542.47 |
$12,556.80
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$3,353.64 |
$3,353.64 |
$3,353.64 |
$7,670.65
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$6,729.20 |
$6,729.20 |
$6,729.20 |
$8,382.81
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$3,570.86 |
$3,570.86 |
$3,570.86 |
$5,908.68
|
|
Pelvic CT scan (with and without contrast)
|
$3,496.58 |
$3,496.58 |
$3,496.58 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$3,176.06 |
$3,176.06 |
$3,176.06 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$2,845.58 |
$2,845.58 |
$2,845.58 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$6,178.67 |
$6,178.67 |
$6,178.67 |
$2,744.64
|