|
Motor &/ sens nrve cndj test
|
$420.00 |
$420.00 |
$420.00 |
$305.00
|
|
Mouth vestibule bx/w complex rpr 40814
|
$5,398.40 |
$5,398.40 |
$5,398.40 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$210.56 |
$210.56 |
$210.56 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$888.16 |
$888.16 |
$888.16 |
$487.50
|
|
M/phmtrc alysishquant/semiq
|
$324.80 |
$324.80 |
$324.80 |
$292.50
|
|
M/phmtrc alys skeletal musc
|
$509.60 |
$509.60 |
$509.60 |
$274.49
|
|
Mpl gene analysis common variants
|
$252.56 |
$252.56 |
$252.56 |
$388.00
|
|
M.pneumon dna dir probe
|
$203.28 |
$203.28 |
$203.28 |
$40.17
|
|
M.pneumon dna quant
|
$817.60 |
$817.60 |
$817.60 |
$417.62
|
|
Mpsv4 vaccine subq
|
$353.92 |
$353.92 |
$353.92 |
$223.60
|
|
MRA abdomen post contrast
|
$5,824.00 |
$5,824.00 |
$5,824.00 |
$2,176.20
|
|
MRA aorta thoracic w/wo contrast
|
$8,243.20 |
$8,243.20 |
$8,243.20 |
$2,345.60
|
|
MRA chest w IV cont
|
$3,931.20 |
$3,931.20 |
$3,931.20 |
$1,813.48
|
|
MRA chest wo IV cont
|
$4,138.40 |
$4,138.40 |
$4,138.40 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$6,781.60 |
$6,781.60 |
$6,781.60 |
$2,492.05
|
|
MRA ext low(run-off)pst cntrst
|
$5,824.00 |
$5,824.00 |
$5,824.00 |
$2,616.82
|
|
MRA pelvis
|
$7,212.80 |
$7,212.80 |
$7,212.80 |
$2,304.70
|
|
MRA pelvis w IV cont
|
$3,931.20 |
$3,931.20 |
$3,931.20 |
$1,565.72
|
|
MRA pelvis wo IV cont
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$1,434.21
|
|
MRA spinal canal
|
$6,658.40 |
$6,658.40 |
$6,658.40 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$5,824.00 |
$5,824.00 |
$5,824.00 |
$2,444.50
|
|
MRA w/cont, abd
|
$3,931.20 |
$3,931.20 |
$3,931.20 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,652.94
|
|
MRA without cont, abd
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$1,749.65
|
|
MRA without cont, lwr ext
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$1,648.42
|
|
MRA without fol w/cont, abd
|
$6,624.80 |
$6,624.80 |
$6,624.80 |
$2,416.27
|
|
MRA without fol w/cont, lwr ext
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$2,160.19
|
|
MRA without fol w/cont, pelvis
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
$2,206.29
|
|
Mr elastography
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$950.00
|
|
Mrgfus strtctc ablt trgt icr
|
$22,209.60 |
$22,209.60 |
$22,209.60 |
$22,209.60
|
|
MRI brain w/dye
|
$5,824.00 |
$5,824.00 |
$5,824.00 |
$2,174.90
|
|
MRI brain without dye
|
$4,995.20 |
$4,995.20 |
$4,995.20 |
$2,005.45
|
|
MRI brain without & w/dye
|
$6,658.40 |
$6,658.40 |
$6,658.40 |
$2,813.09
|
|
MRI breast c- unilateral
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$1,880.00
|
|
MRI breast without cont bi
|
$3,298.40 |
$3,298.40 |
$3,298.40 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$6,238.40 |
$6,238.40 |
$6,238.40 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$7,772.80 |
$7,772.80 |
$7,772.80 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$6,087.20 |
$6,087.20 |
$6,087.20 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$6,182.40 |
$6,182.40 |
$6,182.40 |
$2,444.00
|
|
MRI chest without contrast
|
$4,995.20 |
$4,995.20 |
$4,995.20 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$8,136.80 |
$8,136.80 |
$8,136.80 |
$2,652.73
|
|
MRI chest w IV cont
|
$5,824.00 |
$5,824.00 |
$5,824.00 |
$2,210.00
|
|
MRI compatible system
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$2,672.33
|
|
MRI fetal ea addl gestation
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$2,391.20 |
$2,391.20 |
$2,391.20 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$1,267.50
|
|
MRI guid parenchymal tiss ablation
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$4,575.20 |
$4,575.20 |
$4,575.20 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$3,589.60 |
$3,589.60 |
$3,589.60 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,224.80 |
$5,224.80 |
$5,224.80 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$6,563.20 |
$6,563.20 |
$6,563.20 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$6,630.40 |
$6,630.40 |
$6,630.40 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$6,272.00 |
$6,272.00 |
$6,272.00 |
$2,176.20
|
|
MRI tmj
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,152.80 |
$3,152.80 |
$3,152.80 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,017.60 |
$5,017.60 |
$5,017.60 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$4,670.40 |
$4,670.40 |
$4,670.40 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$3,931.20 |
$3,931.20 |
$3,931.20 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$4,827.20 |
$4,827.20 |
$4,827.20 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$269.36 |
$269.36 |
$269.36 |
$158.40
|
|
Mr safety implant elec prepj
|
$280.56 |
$280.56 |
$280.56 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$92.40 |
$92.40 |
$92.40 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$400.40 |
$400.40 |
$400.40 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$72.80 |
$72.80 |
$72.80 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$735.28 |
$735.28 |
$735.28 |
$419.20
|
|
Mr spectroscopy
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$487.20 |
$487.20 |
$487.20 |
$403.20
|
|
Msh2 gene full seq
|
$873.60 |
$873.60 |
$873.60 |
$764.00
|
|
Msh2 gene known variants
|
$907.20 |
$907.20 |
$907.20 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$543.20 |
$543.20 |
$543.20 |
$453.60
|
|
Msh6 gene full seq
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$1,130.35
|
|
Msh6 gene known variants
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$369.60
|
|
Mthfr gene analy common variants
|
$142.24 |
$142.24 |
$142.24 |
$184.00
|
|
M.tuberculo dna dir probe
|
$71.68 |
$71.68 |
$71.68 |
$58.40
|
|
M.tuberculo dna quant
|
$431.20 |
$431.20 |
$431.20 |
$59.12
|
|
Mucin synovial fluid
|
$58.24 |
$58.24 |
$58.24 |
$33.57
|
|
Mucopolysaccharides
|
$202.16 |
$202.16 |
$202.16 |
$178.36
|
|
Mucormycosis antibody
|
$134.40 |
$134.40 |
$134.40 |
$38.40
|
|
Mult fam adapt bhv tx gdn
|
$89.04 |
$89.04 |
$89.04 |
$83.14
|
|
Multi-axial knee/shin system
|
$4,538.80 |
$4,538.80 |
$4,538.80 |
$4,538.80
|
|
Multi-axial rotation unit
|
$952.00 |
$952.00 |
$952.00 |
$952.00
|
|
Multi den insert custom mold
|
$56.00 |
$56.00 |
$56.00 |
$56.00
|
|
Multi-durometer below knee
|
$770.00 |
$770.00 |
$770.00 |
$770.00
|
|
Multi-durometer symes
|
$845.60 |
$845.60 |
$845.60 |
$845.60
|
|
Multi family grp psychotherapy
|
$526.40 |
$526.40 |
$526.40 |
$250.25
|
|
Multifocal erg w/i&r
|
$386.40 |
$386.40 |
$386.40 |
$386.40
|
|
Multiple sleep latency test
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$2,440.50
|
|
Multipo locking shoulder jnt
|
$3,483.20 |
$3,483.20 |
$3,483.20 |
$3,483.20
|
|
Mumps antibody igg
|
$64.40 |
$64.40 |
$64.40 |
$77.35
|
|
Muscle-skin graft arm
|
$5,415.20 |
$5,415.20 |
$5,415.20 |
$3,014.40
|
|
Muscle-skin graft leg
|
$9,469.60 |
$9,469.60 |
$9,469.60 |
$4,512.20
|
|
Muscle-skin graft trunk
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$828.80 |
$828.80 |
$828.80 |
$385.07
|
|
Muscle test hemidiaphragm
|
$487.20 |
$487.20 |
$487.20 |
$296.40
|
|
Muscle test larynx
|
$296.80 |
$296.80 |
$296.80 |
$296.80
|
|
Muscle test one fiber
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$442.40
|
|
Muscle transfers
|
$10,035.20 |
$10,035.20 |
$10,035.20 |
$8,453.60
|
