|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$169.65 |
$169.65 |
$554.00 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$356.00 |
$972.40 |
$972.40 |
$318.43
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$1,115.89
|
|
Motion analysis video/3d
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$1,072.50
|
|
Motion test w/ft press meas
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$1,203.94
|
|
Motor &/ sens nrve cndj test
|
$371.15 |
$371.15 |
$371.15 |
$337.74
|
|
M/phmtrc alys ishquant/semiq
|
$245.05 |
$245.05 |
$245.05 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$540.15 |
$540.15 |
$600.00 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$245.05 |
$245.05 |
$245.05 |
$292.50
|
|
Mpsv4 vaccine subq
|
$199.55 |
$199.55 |
$199.55 |
$223.60
|
|
MRA abdomen post contrast
|
$4,171.05 |
$4,171.05 |
$4,171.05 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$3,619.85 |
$3,619.85 |
$3,619.85 |
$2,331.37
|
|
MRA chest w IV cont
|
$12,682.00 |
$12,682.00 |
$12,682.00 |
$1,813.48
|
|
MRA chest wo IV cont
|
$15,764.00 |
$15,764.00 |
$15,764.00 |
$1,617.00
|
|
MRA ext low(run-off)pst cntrst
|
$3,593.85 |
$3,593.85 |
$3,593.85 |
$2,564.48
|
|
MRA pelvis
|
$3,419.65 |
$3,419.65 |
$3,419.65 |
$2,277.26
|
|
MRA pelvis w IV cont
|
$7,351.00 |
$7,351.00 |
$7,351.00 |
$1,648.98
|
|
MRA pelvis wo IV cont
|
$7,351.00 |
$7,351.00 |
$7,351.00 |
$1,509.69
|
|
MRA spinal canal
|
$4,394.65 |
$4,394.65 |
$4,802.20 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$7,007.65 |
$7,007.65 |
$7,007.65 |
$2,452.45
|
|
MRA w/cont, abd
|
$11,781.00 |
$11,781.00 |
$11,781.00 |
$1,907.28
|
|
Mra, w/dye, spinal canal
|
$12,858.00 |
$12,858.00 |
$12,858.00 |
$836.76
|
|
MRA without cont, abd
|
$11,781.00 |
$11,781.00 |
$11,781.00 |
$1,749.65
|
|
Mra, without dye, spinal canal
|
$12,858.00 |
$12,858.00 |
$12,858.00 |
$1,033.39
|
|
MRA without fol w/cont, abd
|
$11,781.00 |
$11,781.00 |
$11,781.00 |
$2,511.00
|
|
MRA without fol w/cont, pelvis
|
$11,827.00 |
$11,827.00 |
$11,827.00 |
$2,206.29
|
|
Mra, w/o&w/dye, spinal canal
|
$12,858.00 |
$12,858.00 |
$12,858.00 |
$950.55
|
|
Mr elastography
|
$752.70 |
$752.70 |
$752.70 |
$891.60
|
|
Mrgfus strtctc ablt trgt icr
|
$98,996.95 |
$98,996.95 |
$98,996.95 |
$22,209.60
|
|
MRI brain w/dye
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$2,174.90
|
|
MRI brain without dye
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$2,005.45
|
|
MRI brain without & w/dye
|
$2,226.90 |
$2,226.90 |
$2,226.90 |
$2,813.09
|
|
MRI breast c- unilateral
|
$2,733.25 |
$2,733.25 |
$2,733.25 |
$1,114.75
|
|
MRI breast c-+ w/cad uni
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$1,880.00
|
|
MRI breast without cont bi
|
$2,622.00 |
$3,578.25 |
$3,578.25 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$5,364.45 |
$5,364.45 |
$5,364.45 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$2,499.60
|
|
MRI chest without contrast
|
$3,596.45 |
$3,596.45 |
$9,216.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$4,551.30 |
$4,551.30 |
$13,368.00 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,656.90 |
$3,656.90 |
$10,787.00 |
$2,249.10
|
|
MRI fetal ea addl gestation
|
$3,249.35 |
$3,249.35 |
$4,761.00 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$3,249.35 |
$3,249.35 |
$9,522.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$4,374.00 |
$4,470.05 |
$4,470.05 |
$1,326.91
|
|
MRI guid parenchymal tiss ablation
|
$1,638.65 |
$1,638.65 |
$1,638.65 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$3,081.65 |
$3,081.65 |
$3,081.65 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,958.15 |
$2,958.15 |
$2,958.15 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,580.20 |
$3,580.20 |
$3,580.20 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$3,835.00 |
$3,835.00 |
$5,339.00 |
$2,203.50
|
|
MRI tmj
|
$3,744.65 |
$3,744.65 |
$13,816.00 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,708.25 |
$3,708.25 |
$3,708.25 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$3,191.50 |
$3,191.50 |
$3,191.50 |
$2,061.15
|
|
MRI w/cont, breast, bi
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$2,119.87
|
|
MRI without fol w/cont, breast
|
$8,930.00 |
$8,930.00 |
$8,930.00 |
$2,550.00
|
|
Mr safety determination physician/other qhp
|
$242.45 |
$242.45 |
$242.45 |
$160.20
|
|
Mr safety implant elec prepj
|
$252.85 |
$252.85 |
$252.85 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$67.60 |
$67.60 |
$67.60 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$163.80 |
$163.80 |
$163.80 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$67.60 |
$67.60 |
$67.60 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$666.25 |
$666.25 |
$666.25 |
$439.80
|
|
Mr spectroscopy
|
$2,064.00 |
$2,882.75 |
$2,882.75 |
$1,352.40
|
|
Msh2 gene full seq
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
$764.00
|
|
Msh6 gene full seq
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$161.20 |
$161.20 |
$385.00 |
$184.00
|
|
M.tuberculo dna dir probe
|
$186.00 |
$186.00 |
$186.00 |
$58.40
|
|
Mucin synovial fluid
|
$754.00 |
$754.00 |
$754.00 |
$33.57
|
|
Multi family grp psychotherapy
|
$559.00 |
$559.00 |
$559.00 |
$250.25
|
|
Multiple sleep latency test
|
$16,085.00 |
$16,085.00 |
$16,085.00 |
$2,466.00
|
|
Mumps antibody igg
|
$20.15 |
$20.15 |
$20.15 |
$78.00
|
|
Muscle-skin graft arm
|
$5,709.60 |
$5,709.60 |
$5,709.60 |
$3,014.40
|
|
Muscle-skin graft leg
|
$11,737.05 |
$11,737.05 |
$11,737.05 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$6,182.80 |
$6,182.80 |
$6,182.80 |
$4,351.50
|
|
Muscle test cran nerv unilat
|
$482.95 |
$482.95 |
$482.95 |
$385.07
|
|
Muscle test hemidiaphragm
|
$371.15 |
$371.15 |
$371.15 |
$296.40
|
|
Muscle test larynx
|
$371.15 |
$371.15 |
$371.15 |
$296.80
|
|
Muscle test one fiber
|
$371.15 |
$371.15 |
$371.15 |
$432.00
|
|
Musc myoq/fscq flp h&n pedcl
|
$11,737.05 |
$11,737.05 |
$11,737.05 |
$4,331.73
|
|
Mycobacteria dna amp probe
|
$521.95 |
$521.95 |
$521.95 |
$234.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$35.75 |
$35.75 |
$35.75 |
$10.79
|
|
Mycophenolic acid
|
$1.95 |
$1.95 |
$1.95 |
$12.84
|
|
Mycoplasma antibody igm
|
$327.60 |
$327.60 |
$327.60 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$517.40 |
$517.40 |
$517.40 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$2,308.00 |
$2,815.80 |
$2,815.80 |
$1,494.22
|
|
Myelography l-s spine
|
$2,450.50 |
$2,450.50 |
$5,744.00 |
$1,334.09
|
|
Myelography neck spine
|
$2,490.15 |
$2,490.15 |
$6,500.00 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,922.70 |
$1,922.70 |
$5,744.00 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,280.20 |
$2,280.20 |
$2,280.20 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$2,280.20 |
$2,280.20 |
$2,280.20 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$2,280.20 |
$2,280.20 |
$2,280.20 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$2,280.20 |
$2,280.20 |
$2,280.20 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$349.05 |
$349.05 |
$349.05 |
$130.80
|
|
Myocrd img pet 1 std w/ct
|
$4,708.60 |
$4,708.60 |
$4,708.60 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$8,976.50 |
$8,976.50 |
$8,976.50 |
$4,240.58
|
|
Myocrd img pet 2rtracer CT
|
$8,976.50 |
$8,976.50 |
$8,976.50 |
$5,083.90
|
|
Myocrd img pet rst&strs CT
|
$8,976.50 |
$8,976.50 |
$8,976.50 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$4,708.60 |
$4,708.60 |
$4,708.60 |
$3,311.85
|
|
Nalbuphine 10 mg/ml injection solution
|
$61.10 |
$61.10 |
$61.10 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$2.60 |
$2.60 |
$2.60 |
$70.87
|
