|
Mopath procedure level 3
|
$495.00 |
$495.00 |
$495.00 |
$347.20
|
|
Mopath procedure level 6
|
$686.40 |
$686.40 |
$686.40 |
$892.45
|
|
Mopath procedure level 7
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,135.00
|
|
Mopath procedure level 8
|
$977.46 |
$977.46 |
$977.46 |
$1,345.48
|
|
Mopath procedure level 9
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$32.34 |
$32.34 |
$32.34 |
$73.22
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$424.38 |
$424.38 |
$424.38 |
$328.79
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$411.18 |
$411.18 |
$411.18 |
$318.43
|
|
M/phmtrc alys ishquant/semiq
|
$551.76 |
$551.76 |
$551.76 |
$487.50
|
|
M/phmtrc alysishquant/semiq
|
$362.34 |
$362.34 |
$362.34 |
$292.50
|
|
MRA abdomen post contrast
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$2,176.20
|
|
MRA chest w IV cont
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$1,813.48
|
|
MRA pelvis w IV cont
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$1,565.72
|
|
MRA w/cont, abd
|
$2,789.16 |
$2,789.16 |
$2,789.16 |
$1,907.28
|
|
MRA without fol w/cont, lwr ext
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$2,160.19
|
|
Mr elastography
|
$1,535.16 |
$1,535.16 |
$1,535.16 |
$950.00
|
|
MRI breast without cont bi
|
$2,656.50 |
$2,656.50 |
$2,656.50 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,913.90 |
$2,913.90 |
$2,913.90 |
$1,928.40
|
|
MRI chest without contrast
|
$2,656.50 |
$2,656.50 |
$2,656.50 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,036.00 |
$3,036.00 |
$3,036.00 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,845.92 |
$2,845.92 |
$2,845.92 |
$2,210.00
|
|
MRI fetal sngl/1st gestation
|
$2,233.44 |
$2,233.44 |
$2,233.44 |
$1,136.26
|
|
MRI loex nonjt w IV cont
|
$2,311.32 |
$2,311.32 |
$2,311.32 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,420.88 |
$2,420.88 |
$2,420.88 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,669.70 |
$2,669.70 |
$2,669.70 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$2,934.36 |
$2,934.36 |
$2,934.36 |
$2,812.50
|
|
MRI tmj
|
$3,107.94 |
$3,107.94 |
$3,107.94 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,410.98 |
$2,410.98 |
$2,410.98 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,669.70 |
$2,669.70 |
$2,669.70 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$2,542.32 |
$2,542.32 |
$2,542.32 |
$2,021.30
|
|
MRI without fol w/cont, breast
|
$3,204.96 |
$3,204.96 |
$3,204.96 |
$2,449.20
|
|
Mr safety determination physician/other qhp
|
$203.94 |
$203.94 |
$203.94 |
$158.40
|
|
Mr safety implant elec prepj
|
$239.58 |
$239.58 |
$239.58 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$80.52 |
$80.52 |
$80.52 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$143.22 |
$143.22 |
$143.22 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$65.34 |
$65.34 |
$65.34 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$718.08 |
$718.08 |
$718.08 |
$419.20
|
|
Mthfr gene analy common variants
|
$277.20 |
$277.20 |
$277.20 |
$184.00
|
|
Mumps antibody igg
|
$108.90 |
$108.90 |
$108.90 |
$77.35
|
|
Mycobacteria dna amp probe
|
$482.46 |
$482.46 |
$482.46 |
$275.71
|
|
Mycophenolate mofetil 250 mg capsule
|
$2.64 |
$2.64 |
$2.64 |
$10.79
|
|
Mycophenolic acid
|
$10.26 |
$10.26 |
$10.26 |
$12.84
|
|
Mycoplasma antibody igm
|
$68.64 |
$68.64 |
$68.64 |
$76.59
|
|
Myelography l-s spine
|
$1,922.58 |
$1,922.58 |
$1,922.58 |
$1,334.09
|
|
Myelography via inj w/s&i 2+ regions
|
$3,280.20 |
$3,280.20 |
$3,280.20 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$2,624.82 |
$2,624.82 |
$2,624.82 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$2,100.12 |
$2,100.12 |
$2,100.12 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,679.70 |
$1,679.70 |
$1,679.70 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$81.18 |
$81.18 |
$81.18 |
$135.50
|
|
Nafcillin 2 gram solution for injection
|
$0.61 |
$0.61 |
$0.61 |
$84.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$1.93 |
$1.93 |
$1.93 |
$70.87
|
|
Natriuretic peptide
|
$207.24 |
$207.24 |
$207.24 |
$176.15
|
|
Natural killer cells total count
|
$256.74 |
$256.74 |
$256.74 |
$132.63
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,818.96 |
$1,818.96 |
$1,818.96 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,539.12 |
$1,539.12 |
$1,539.12 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,357.62 |
$1,357.62 |
$1,357.62 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,001.12 |
$2,001.12 |
$2,001.12 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,906.08 |
$1,906.08 |
$1,906.08 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,080.98 |
$2,080.98 |
$2,080.98 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$1.62 |
$1.62 |
$1.62 |
$60.38
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$458.70 |
$458.70 |
$458.70 |
$250.14
|
|
New Patient Office Visit (level 2)
|
$208.56 |
$208.56 |
$208.56 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$252.12 |
$252.12 |
$252.12 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$287.10 |
$287.10 |
$287.10 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$347.82 |
$347.82 |
$347.82 |
$349.70
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$2.09 |
$2.09 |
$2.09 |
$263.48
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$13.00 |
$13.00 |
$13.00 |
$74.47
|
|
Njx aa&/strd lmbr plex nfs
|
$1,028.28 |
$1,028.28 |
$1,028.28 |
$1,559.40
|
|
Njx aa&/strd sc nrv nfs img
|
$2,263.80 |
$2,263.80 |
$2,263.80 |
$1,772.02
|
|
Njx interlaminar lmbr/sac
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$1,493.92
|
|
Njx interlaminar lmbr/sac
|
$1,482.36 |
$1,482.36 |
$1,482.36 |
$1,927.39
|
|
Nm imaging bone/joint 3 phase study
|
$1,665.18 |
$1,665.18 |
$1,665.18 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,389.96 |
$1,389.96 |
$1,389.96 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,620.96 |
$1,620.96 |
$1,620.96 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,587.96 |
$1,587.96 |
$1,587.96 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$1,517.10
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$1,097.58 |
$1,097.58 |
$1,097.58 |
$1,079.00
|
|
Npm1 gene
|
$507.54 |
$507.54 |
$507.54 |
$457.50
|
|
Nuclear Stress Test (Heart)
|
$3,365.34 |
$3,365.34 |
$3,365.34 |
$3,804.45
|
|
Nushield 1 square cm
|
$508.86 |
$508.86 |
$508.86 |
$937.50
|
|
Observation direct referral from physician office for admission
|
$643.50 |
$643.50 |
$643.50 |
$384.00
|
|
Observation/inpatient hospital care mod severity 99235
|
$421.74 |
$421.74 |
$421.74 |
$303.20
|
|
Observation per hour
|
$182.82 |
$182.82 |
$182.82 |
$81.22
|
|
Obstetric panel inc HIV tstg
|
$356.40 |
$356.40 |
$356.40 |
$264.60
|
|
Obstetrics panel
|
$256.74 |
$256.74 |
$256.74 |
$214.50
|
|
Obtaining screen pap smear
|
$51.48 |
$51.48 |
$51.48 |
$39.00
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$32.34 |
$32.34 |
$32.34 |
$90.00
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$19.14 |
$19.14 |
$19.14 |
$22.62
|
|
Opioids & opiate analogs 3/4
|
$23.10 |
$23.10 |
$23.10 |
$24.00
|
|
Opps service,sched team conf
|
$491.70 |
$491.70 |
$491.70 |
$503.90
|
|
Organic acids total quant ea spec
|
$531.30 |
$531.30 |
$531.30 |
$151.36
|
|
Oritavancin 400 mg intravenous solution
|
$56.31 |
$56.31 |
$56.31 |
$3,082.73
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$76.00 |
$76.00 |
$76.00 |
$50.63
|