|
Mopath procedure level 8
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$1,345.48
|
|
Mopath procedure level 9
|
$4,348.00 |
$4,348.00 |
$4,348.00 |
$2,200.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$706.69 |
$706.69 |
$706.69 |
$60.61
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$121.72 |
$121.72 |
$121.72 |
$39.99
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$48.50 |
$48.50 |
$48.50 |
$257.19
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$2.00 |
$2.00 |
$2.00 |
$402.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$350.00 |
$350.00 |
$1,307.13 |
$328.79
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$629.62 |
$629.62 |
$1,196.00 |
$309.50
|
|
Motion analysis video/3d
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$587.81
|
|
Motor &/ sens nrve cndj test
|
$282.25 |
$282.25 |
$282.25 |
$337.74
|
|
M/phmtrc alys ishquant/semiq
|
$135.00 |
$135.00 |
$135.00 |
$232.26
|
|
M/phmtrc alys ishquant/semiq
|
$773.34 |
$773.34 |
$1,990.00 |
$574.00
|
|
M/phmtrc alysishquant/semiq
|
$2,351.00 |
$2,351.00 |
$2,351.00 |
$331.55
|
|
M/phmtrc alys skeletal musc
|
$629.62 |
$629.62 |
$631.70 |
$274.49
|
|
Mpl gene analysis common variants
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$444.00
|
|
MRA abdomen post contrast
|
$3,597.00 |
$3,597.00 |
$3,597.00 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$9,179.00 |
$9,179.00 |
$9,179.00 |
$2,295.00
|
|
MRA chest wwo IV cont
|
$5,681.00 |
$5,681.00 |
$18,059.37 |
$2,492.05
|
|
MRA ext low(run-off)pst cntrst
|
$3,581.00 |
$3,581.00 |
$3,581.00 |
$2,539.68
|
|
MRA pelvis
|
$6,166.00 |
$6,166.00 |
$6,166.00 |
$2,229.00
|
|
MRA spinal canal
|
$2,114.00 |
$2,114.00 |
$2,114.00 |
$1,803.94
|
|
MRA upper extremity post contrast-bil
|
$3,273.00 |
$3,273.00 |
$3,273.00 |
$1,943.87
|
|
MRA without cont, abd
|
$12,728.92 |
$12,728.92 |
$12,728.92 |
$1,523.97
|
|
MRA without fol w/cont, abd
|
$6,162.00 |
$6,162.00 |
$6,204.08 |
$3,331.46
|
|
MRA without fol w/cont, lwr ext
|
$6,309.00 |
$6,309.00 |
$6,309.00 |
$1,954.80
|
|
MRA without fol w/cont, pelvis
|
$5,836.00 |
$5,836.00 |
$5,836.00 |
$2,305.60
|
|
Mra, w/o&w/dye, spinal canal
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$422.61
|
|
Mra, w/o&w/dye, upper extr
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$1,085.03
|
|
Mr elastography
|
$6,957.00 |
$6,957.00 |
$6,957.00 |
$684.06
|
|
Mrgfus strtctc ablt trgt icr
|
$168,209.00 |
$168,209.00 |
$168,209.00 |
$14,756.87
|
|
MRI breast c- unilateral
|
$6,610.00 |
$6,610.00 |
$6,610.00 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$3,606.00 |
$3,606.00 |
$3,606.00 |
$1,829.72
|
|
MRI breast without cont bi
|
$934.84 |
$934.84 |
$3,857.00 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$2,291.50 |
$2,291.50 |
$16,057.00 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$1,208.60 |
$1,208.60 |
$7,221.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,785.65 |
$1,785.65 |
$9,244.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$9,246.00 |
$9,246.00 |
$9,246.00 |
$2,249.80
|
|
MRI chest without contrast
|
$6,714.00 |
$6,714.00 |
$6,892.26 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$7,813.00 |
$7,813.00 |
$10,721.55 |
$2,564.10
|
|
MRI chest w IV cont
|
$7,262.00 |
$7,262.00 |
$9,191.23 |
$2,105.25
|
|
MRI fetal sngl/1st gestation
|
$5,464.00 |
$5,464.00 |
$5,464.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$6,617.00 |
$6,617.00 |
$10,167.50 |
$1,133.22
|
|
MRI loex nonjt w IV cont
|
$15,006.00 |
$15,006.00 |
$15,006.00 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$9,511.00 |
$9,511.00 |
$9,511.00 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$15,006.00 |
$15,006.00 |
$15,006.00 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$9,527.00 |
$9,527.00 |
$11,485.54 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$10,420.00 |
$10,420.00 |
$14,386.38 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$10,020.00 |
$10,020.00 |
$10,020.00 |
$2,120.25
|
|
MRI tmj
|
$4,888.00 |
$4,888.00 |
$4,888.00 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$8,596.00 |
$8,596.00 |
$8,596.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$13,562.00 |
$13,562.00 |
$13,562.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$13,562.00 |
$13,562.00 |
$13,562.00 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$1,467.20 |
$1,467.20 |
$6,083.00 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$4,147.00 |
$4,147.00 |
$4,147.00 |
$836.00
|
|
MRI without fol w/cont, breast
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,071.85
|
|
Mr safety determination physician/other qhp
|
$285.30 |
$285.30 |
$352.00 |
$160.20
|
|
Mr safety implant elec prepj
|
$297.40 |
$297.40 |
$367.00 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$192.45 |
$192.45 |
$238.00 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$79.35 |
$79.35 |
$98.00 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$783.15 |
$783.15 |
$967.00 |
$402.40
|
|
Mr spectroscopy
|
$5,354.00 |
$5,354.00 |
$5,354.00 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$67.74 |
$68.00 |
$1,127.00 |
$211.70
|
|
M.tuberculo dna dir probe
|
$59.40 |
$59.40 |
$59.40 |
$58.40
|
|
Mucopolysaccharides
|
$113.95 |
$113.95 |
$224.00 |
$205.15
|
|
Multi family grp psychotherapy
|
$972.00 |
$972.00 |
$972.00 |
$213.27
|
|
Multifocal erg w/i&r
|
$530.00 |
$530.00 |
$530.00 |
$185.15
|
|
Multiple sleep latency test
|
$7,888.00 |
$7,888.00 |
$7,888.00 |
$2,585.70
|
|
Mumps antibody igg
|
$895.00 |
$895.00 |
$895.00 |
$78.00
|
|
Muscle test cran nerv unilat
|
$571.15 |
$571.15 |
$1,053.00 |
$385.07
|
|
Muscle test hemidiaphragm
|
$718.80 |
$718.80 |
$718.80 |
$295.20
|
|
Muscle test larynx
|
$545.00 |
$545.00 |
$817.80 |
$305.00
|
|
Muscle test one fiber
|
$1,077.35 |
$1,077.35 |
$1,077.35 |
$442.40
|
|
Mycobacteria dna amp probe
|
$322.00 |
$322.00 |
$322.00 |
$240.24
|
|
Mycophenolate mofetil 250 mg capsule
|
$20.00 |
$20.00 |
$209.89 |
$18.12
|
|
Mycophenolic acid
|
$34.00 |
$34.00 |
$36.00 |
$12.83
|
|
Mycoplasma antibody igm
|
$284.00 |
$284.00 |
$284.00 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$892.00 |
$892.00 |
$892.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$3,555.27 |
$14,343.00 |
$16,072.30 |
$1,366.30
|
|
Myelography l-s spine
|
$3,555.27 |
$14,343.00 |
$15,995.20 |
$1,334.09
|
|
Myelography neck spine
|
$3,555.27 |
$14,343.00 |
$15,995.20 |
$1,103.70
|
|
Myelography thoracic spine
|
$3,555.27 |
$14,343.00 |
$14,540.25 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$5,815.00 |
$5,815.00 |
$5,815.00 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$4,791.00 |
$4,791.00 |
$4,791.00 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$5,357.00 |
$5,357.00 |
$5,357.00 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$4,787.00 |
$4,787.00 |
$4,787.00 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$739.00 |
$739.00 |
$739.00 |
$134.40
|
|
Myocrd img pet 1std rst/strs
|
$6,951.00 |
$6,951.00 |
$6,951.00 |
$3,267.37
|
|
Myocrd img pet mlt rst&strs
|
$6,951.00 |
$6,951.00 |
$6,951.00 |
$3,055.50
|
|
Nafcillin 2 gram solution for injection
|
$41.47 |
$41.47 |
$41.47 |
$79.98
|
|
Nalbuphine 10 mg/ml injection solution
|
$125.68 |
$125.68 |
$125.68 |
$38.00
|
|
Nasal endoscopy dx uni/bi separate proc
|
$1,772.00 |
$1,772.00 |
$1,772.00 |
$372.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$5,285.00 |
$5,285.00 |
$5,285.00 |
$691.35
|
|
Nasal/sinus endoscopy surg
|
$12,122.00 |
$12,122.00 |
$12,122.00 |
$4,340.45
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$8,611.00 |
$8,611.00 |
$8,611.00 |
$2,340.78
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$12,802.00 |
$12,802.00 |
$12,802.00 |
$5,107.38
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$4,832.00 |
$4,832.00 |
$4,832.00 |
$2,030.84
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$7,552.00 |
$7,552.00 |
$7,552.00 |
$5,107.38
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$9,477.00 |
$9,477.00 |
$9,477.00 |
$5,107.38
|
|
Nasopharyngoscopy w/endoscope
|
$318.00 |
$318.00 |
$318.00 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$82,329.26 |
$82,329.26 |
$82,329.26 |
$22,257.60
|
