|
MRI lower extremity other than joint without contrast (both sides)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,854.80
|
|
MRI orbit fac&nck w IV cont
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,176.20
|
|
MRI tmj
|
$2,315.00 |
$2,315.00 |
$2,315.00 |
$1,787.50
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,020.80
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,713.80
|
|
MRI upper extremity w/dye
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,024.40
|
|
MRI w/cont, breast, bi
|
$2,165.00 |
$2,165.00 |
$2,165.00 |
$1,994.42
|
|
Mr safety determination physician/other qhp
|
$260.00 |
$260.00 |
$260.00 |
$161.40
|
|
Mr safety implant elec prepj
|
$462.50 |
$462.50 |
$462.50 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$25.00 |
$25.00 |
$25.00 |
$58.08
|
|
Mr safety implt pos&/immoblj
|
$705.00 |
$705.00 |
$705.00 |
$120.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$50.00 |
$50.00 |
$50.00 |
$45.56
|
|
Mr sfty med physics xm cstmz
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$444.00
|
|
Mthfr gene analy common variants
|
$97.50 |
$97.50 |
$97.50 |
$180.48
|
|
Multiple sleep latency test
|
$2,545.00 |
$2,545.00 |
$2,545.00 |
$2,466.00
|
|
Mumps antibody igg
|
$85.00 |
$85.00 |
$85.00 |
$78.00
|
|
Mycobacteria dna amp probe
|
$635.00 |
$635.00 |
$635.00 |
$300.60
|
|
Mycoplasma antibody igm
|
$92.50 |
$92.50 |
$92.50 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$437.50 |
$437.50 |
$437.50 |
$388.40
|
|
Myelography l-s spine
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,315.60
|
|
Myelography neck spine
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,213.80
|
|
Myelography thoracic spine
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,770.00 |
$2,770.00 |
$2,770.00 |
$2,196.60
|
|
Myelography via inj w/s&i cervical
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$1,794.00
|
|
Myelography via inj w/s&i thoracic
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$187.50 |
$187.50 |
$187.50 |
$131.07
|
|
Myocrd img pet mlt rst&strs
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$4,060.00
|
|
Natriuretic peptide
|
$100.00 |
$100.00 |
$100.00 |
$176.15
|
|
Natural killer cells total count
|
$135.00 |
$135.00 |
$135.00 |
$132.60
|
|
Navigational bronchoscopy 31627
|
$3,925.00 |
$3,925.00 |
$3,925.00 |
$1,858.50
|
|
N block inj hypogas plxs
|
$665.00 |
$665.00 |
$665.00 |
$1,927.75
|
|
Ndl round specialty proguide
|
$7.50 |
$7.50 |
$7.50 |
$392.50
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,305.71
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,054.72
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$2,743.78
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,127.68
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$1,824.90
|
|
Neg pres wound ther drsg set
|
$415.00 |
$415.00 |
$415.00 |
$676.00
|
|
Neisseria meningitidis
|
$82.50 |
$82.50 |
$82.50 |
$60.00
|
|
Neurolysis celiac plexus
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,721.00
|
|
New Patient Office Visit (level 2)
|
$125.00 |
$125.00 |
$125.00 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$157.50 |
$157.50 |
$157.50 |
$205.20
|
|
New Patient Office Visit (level 4)
|
$185.00 |
$185.00 |
$185.00 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$210.00 |
$210.00 |
$210.00 |
$349.70
|
|
Nfct ds bv&vaginitis dna alg
|
$457.50 |
$457.50 |
$457.50 |
$435.00
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$20.05 |
$20.05 |
$20.05 |
$74.56
|
|
Njx aa&/strd nrv nrvtg si jt
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,156.20
|
|
Njx interlaminar crv/thrc
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$1,791.00
|
|
Njx interlaminar lmbr/sac
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$1,970.25
|
|
Njx px nfrosgrm &/urtrgrm
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,522.20
|
|
Nm imaging bone/joint 3 phase study
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$1,708.85
|
|
Nm imaging bone/joint whole body
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,397.69
|
|
Nm imaging gastric emptying study
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,340.40
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,197.47
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,730.00 |
$1,730.00 |
$1,730.00 |
$1,530.60
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,091.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$600.00 |
$600.00 |
$600.00 |
$1,057.20
|
|
Non-card vasc flow imaging
|
$515.00 |
$515.00 |
$515.00 |
$608.56
|
|
No pt prsnt train add 15
|
$10.00 |
$10.00 |
$10.00 |
$47.60
|
|
No pt prsnt train initial 30
|
$20.00 |
$20.00 |
$20.00 |
$47.60
|
|
Npm1 gene
|
$980.00 |
$980.00 |
$980.00 |
$457.50
|
|
Nqhp ol dig assmt&mgmt 11-20
|
$62.50 |
$62.50 |
$62.50 |
$37.50
|
|
Nqhp ol dig assmt&mgmt 21+
|
$100.00 |
$100.00 |
$100.00 |
$52.80
|
|
Nqhp ol dig assmt&mgmt 5-10
|
$30.00 |
$30.00 |
$30.00 |
$22.40
|
|
Nras gene variants exon 2&3
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$7,205.00 |
$7,205.00 |
$7,205.00 |
$7,421.70
|
|
Ntsty modul rad tx dlvr cplx
|
$2,830.00 |
$2,830.00 |
$2,830.00 |
$2,423.71
|
|
Ntsty modul rad tx dlvr smpl
|
$2,570.00 |
$2,570.00 |
$2,570.00 |
$2,142.79
|
|
Nuclear rx intra-arterial
|
$765.00 |
$765.00 |
$765.00 |
$761.95
|
|
Nuclear rx IV admin
|
$760.00 |
$760.00 |
$760.00 |
$814.80
|
|
Nuclear Stress Test (Heart)
|
$3,790.00 |
$3,790.00 |
$3,790.00 |
$3,804.45
|
|
Nudt15 gene common variants
|
$345.00 |
$345.00 |
$345.00 |
$320.50
|
|
Observation direct referral from physician office for admission
|
$147.50 |
$147.50 |
$147.50 |
$392.45
|
|
Observation per hour
|
$45.00 |
$45.00 |
$45.00 |
$79.95
|
|
Obstetric panel inc HIV tstg
|
$190.00 |
$190.00 |
$190.00 |
$288.01
|
|
Obstetrics panel
|
$130.00 |
$130.00 |
$130.00 |
$214.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$2.52 |
$2.52 |
$2.52 |
$90.00
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$725.31 |
$725.31 |
$725.31 |
$12,151.03
|
|
Office emergency care
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$50.40
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$163.66 |
$163.66 |
$163.66 |
$4,781.43
|
|
Onco (ovar) five proteins
|
$530.00 |
$530.00 |
$530.00 |
$986.70
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$9.59 |
$9.59 |
$9.59 |
$22.62
|
|
Opn ax/subcla art expos
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$930.80
|
|
Opn fem art expos cndt crtj 34714
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$2,041.65
|
|
Opscpy extnd on/mac draw
|
$85.00 |
$85.00 |
$85.00 |
$70.29
|
|
Opscpy extnd rta draw uni/bi
|
$132.50 |
$132.50 |
$132.50 |
$81.12
|
|
Ortho elbow without jnt cstm w/fit&adj
|
$190.00 |
$190.00 |
$190.00 |
$279.81
|
|
Ortho elbow w/lock w/ft&adj
|
$325.00 |
$325.00 |
$325.00 |
$504.00
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$487.50 |
$487.50 |
$487.50 |
$714.59
|