|
MRA aorta thoracic w/wo contrast
|
$316.17 |
$316.17 |
$316.17 |
$2,345.60
|
|
MRA ext low(run-off)pst cntrst
|
$90.18 |
$90.18 |
$90.18 |
$2,616.82
|
|
MRA pelvis
|
$89.64 |
$89.64 |
$89.64 |
$2,304.70
|
|
MRA upper extremity post contrast-bil
|
$84.51 |
$84.51 |
$84.51 |
$2,444.50
|
|
MRI breast c- unilateral
|
$72.36 |
$72.36 |
$72.36 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$105.84 |
$105.84 |
$105.84 |
$1,880.00
|
|
MRI breast without cont bi
|
$80.19 |
$80.19 |
$80.19 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$115.83 |
$115.83 |
$115.83 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$116.91 |
$116.91 |
$116.91 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$129.60 |
$129.60 |
$129.60 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$148.23 |
$148.23 |
$148.23 |
$2,444.00
|
|
MRI chest without contrast
|
$197.64 |
$197.64 |
$197.64 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$702.00 |
$702.00 |
$702.00 |
$2,652.73
|
|
MRI chest w IV cont
|
$613.98 |
$613.98 |
$613.98 |
$2,210.00
|
|
MRI guid ndl plc s&i
|
$75.06 |
$75.06 |
$75.06 |
$1,267.50
|
|
MRI loex nonjt w IV cont
|
$432.00 |
$432.00 |
$432.00 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$648.00 |
$648.00 |
$648.00 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$991.44 |
$991.44 |
$991.44 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$456.57 |
$456.57 |
$456.57 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$623.70 |
$623.70 |
$623.70 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$513.00 |
$513.00 |
$513.00 |
$2,176.20
|
|
MRI tmj
|
$332.10 |
$332.10 |
$332.10 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$332.10 |
$332.10 |
$332.10 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$648.00 |
$648.00 |
$648.00 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$445.50 |
$445.50 |
$445.50 |
$2,021.30
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$47.79 |
$47.79 |
$47.79 |
$49.60
|
|
Mr sfty implt&/fb asmt stf 1
|
$19.98 |
$19.98 |
$19.98 |
$45.00
|
|
Msh2 gene dup/delete variant
|
$40.50 |
$40.50 |
$40.50 |
$403.20
|
|
Msh2 gene full seq
|
$72.36 |
$72.36 |
$72.36 |
$764.00
|
|
Msh2 gene known variants
|
$91.19 |
$91.19 |
$91.19 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$45.09 |
$45.09 |
$45.09 |
$453.60
|
|
Msh6 gene full seq
|
$121.77 |
$121.77 |
$121.77 |
$1,130.35
|
|
Msh6 gene known variants
|
$83.16 |
$83.16 |
$83.16 |
$369.60
|
|
Mthfr gene analy common variants
|
$17.64 |
$17.64 |
$17.64 |
$184.00
|
|
Mucopolysaccharides
|
$40.57 |
$40.57 |
$40.57 |
$178.36
|
|
Multi family grp psychotherapy
|
$26.46 |
$26.46 |
$26.46 |
$250.25
|
|
Multiple sleep latency test
|
$37.53 |
$37.53 |
$37.53 |
$2,440.50
|
|
Mumps antibody igg
|
$21.60 |
$21.60 |
$21.60 |
$77.35
|
|
Muscle-skin graft arm
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$3,014.40
|
|
Muscle-skin graft leg
|
$1,168.02 |
$1,168.02 |
$1,168.02 |
$4,512.20
|
|
Muscle-skin graft trunk
|
$2,067.66 |
$2,067.66 |
$2,067.66 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$72.36 |
$72.36 |
$72.36 |
$385.07
|
|
Muscle test hemidiaphragm
|
$90.18 |
$90.18 |
$90.18 |
$296.40
|
|
Muscle test larynx
|
$100.71 |
$100.71 |
$100.71 |
$296.80
|
|
Muscle test one fiber
|
$123.93 |
$123.93 |
$123.93 |
$442.40
|
|
Muscle transfer shoulder/arm
|
$1,200.96 |
$1,200.96 |
$1,200.96 |
$8,412.89
|
|
Musc myoq/fscq flp h&n pedcl
|
$957.15 |
$957.15 |
$957.15 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$709.56 |
$709.56 |
$709.56 |
$6,311.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$6.37 |
$6.37 |
$6.37 |
$10.79
|
|
Mycophenolic acid
|
$7.34 |
$7.34 |
$7.34 |
$12.84
|
|
Mycoplasma antibody igm
|
$23.76 |
$23.76 |
$23.76 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$37.89 |
$37.89 |
$37.89 |
$397.50
|
|
Myelography l-s spine
|
$42.39 |
$42.39 |
$42.39 |
$1,334.09
|
|
Myelography via inj w/s&i 2+ regions
|
$112.05 |
$112.05 |
$112.05 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$109.08 |
$109.08 |
$109.08 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$107.46 |
$107.46 |
$107.46 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$109.08 |
$109.08 |
$109.08 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$77.29 |
$77.29 |
$77.29 |
$135.50
|
|
Myomectomy abdom complex
|
$1,054.08 |
$1,054.08 |
$1,054.08 |
$2,252.40
|
|
Myomectomy abdom method
|
$844.56 |
$844.56 |
$844.56 |
$2,315.20
|
|
Myomectomy vag method
|
$520.29 |
$520.29 |
$520.29 |
$3,762.53
|
|
Myringoplasty
|
$714.15 |
$714.15 |
$714.15 |
$3,837.72
|
|
Nalbuphine 10 mg/ml injection solution
|
$5.67 |
$5.67 |
$5.67 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$93.02 |
$93.02 |
$93.02 |
$70.87
|
|
Naltrexone, depot form
|
$3.51 |
$3.51 |
$3.51 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$184.95 |
$184.95 |
$184.95 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$487.89 |
$487.89 |
$487.89 |
$406.00
|
|
Nasal/sinus endoscopy surg
|
$277.29 |
$277.29 |
$277.29 |
$4,350.00
|
|
Nasal/sinus endoscopy surg
|
$1,057.05 |
$1,057.05 |
$1,057.05 |
$4,838.60
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$253.26 |
$253.26 |
$253.26 |
$2,709.50
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$321.84 |
$321.84 |
$321.84 |
$5,110.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$147.42 |
$147.42 |
$147.42 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$334.53 |
$334.53 |
$334.53 |
$7,565.43
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$443.34 |
$443.34 |
$443.34 |
$6,333.26
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$517.86 |
$517.86 |
$517.86 |
$6,311.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$125.55 |
$125.55 |
$125.55 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$148.77 |
$148.77 |
$148.77 |
$2,232.24
|
|
Nasal sinus therapy
|
$146.34 |
$146.34 |
$146.34 |
$1,752.89
|
|
Nasopharyngoscopy w/endoscope
|
$81.00 |
$81.00 |
$81.00 |
$292.50
|
|
Natriuretic peptide
|
$114.75 |
$114.75 |
$114.75 |
$176.15
|
|
Natural killer cells total count
|
$9.01 |
$9.01 |
$9.01 |
$132.63
|
|
Navigational bronchoscopy 31627
|
$86.13 |
$86.13 |
$86.13 |
$1,751.25
|
|
N block inj common digit
|
$87.21 |
$87.21 |
$87.21 |
$540.80
|
|
N block inj hypogas plxs
|
$185.22 |
$185.22 |
$185.22 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$56.16 |
$56.16 |
$56.16 |
$213.75
|
|
Ndl insj without njx 1 or 2 musc
|
$24.30 |
$24.30 |
$24.30 |
$39.20
|
|
Ndl insj without njx 3+ musc
|
$35.37 |
$35.37 |
$35.37 |
$45.00
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,911.33 |
$1,911.33 |
$1,911.33 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,489.05 |
$1,489.05 |
$1,489.05 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,066.23 |
$1,066.23 |
$1,066.23 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$810.00 |
$810.00 |
$810.00 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$675.00 |
$675.00 |
$675.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$607.50 |
$607.50 |
$607.50 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$623.70 |
$623.70 |
$623.70 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$531.36 |
$531.36 |
$531.36 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$332.10 |
$332.10 |
$332.10 |
$1,790.58
|
|
Neck spine disk surgery
|
$1,011.15 |
$1,011.15 |
$1,011.15 |
$8,453.60
|
|
Neck spine disk surgery 63075
|
$1,227.96 |
$1,227.96 |
$1,227.96 |
$8,275.33
|
|
Needle emg guid w/chemodenervation add-on
|
$51.84 |
$51.84 |
$51.84 |
$164.80
|
|
Neisseria meningitidis
|
$3.16 |
$3.16 |
$3.16 |
$75.00
|
