|
M/phmtrc alys ishquant/semiq
|
$245.05 |
$245.05 |
$245.05 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$540.15 |
$540.15 |
$540.15 |
$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 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 spinal canal
|
$4,802.20 |
$4,802.20 |
$4,802.20 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$7,007.65 |
$7,007.65 |
$7,007.65 |
$2,452.45
|
|
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
|
$3,578.25 |
$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 |
$3,596.45 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$4,551.30 |
$4,551.30 |
$4,551.30 |
$2,652.73
|
|
MRI chest w IV cont
|
$3,656.90 |
$3,656.90 |
$3,656.90 |
$2,249.10
|
|
MRI fetal ea addl gestation
|
$3,249.35 |
$3,249.35 |
$3,249.35 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$3,249.35 |
$3,249.35 |
$3,249.35 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$4,470.05 |
$4,470.05 |
$4,470.05 |
$1,326.91
|
|
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 |
$3,835.00 |
$2,203.50
|
|
MRI tmj
|
$3,744.65 |
$3,744.65 |
$3,744.65 |
$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
|
|
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
|
$2,882.75 |
$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 |
$161.20 |
$184.00
|
|
Mumps antibody igg
|
$20.15 |
$20.15 |
$20.15 |
$78.00
|
|
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
|
|
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
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$1,494.22
|
|
Myelography l-s spine
|
$2,450.50 |
$2,450.50 |
$2,450.50 |
$1,334.09
|
|
Myelography neck spine
|
$2,490.15 |
$2,490.15 |
$2,490.15 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,922.70 |
$1,922.70 |
$1,922.70 |
$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
|
|
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
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$123.50 |
$123.50 |
$123.50 |
$16,254.52
|
|
Natriuretic peptide
|
$317.20 |
$317.20 |
$317.20 |
$176.15
|
|
Natural killer cells total count
|
$27.30 |
$27.30 |
$27.30 |
$135.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$330.20 |
$330.20 |
$330.20 |
$228.50
|
|
Ndl insj without njx 1 or 2 musc
|
$72.15 |
$72.15 |
$72.15 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$72.15 |
$72.15 |
$72.15 |
$45.00
|
|
Ndl round specialty proguide
|
$515.45 |
$515.45 |
$515.45 |
$329.50
|
|
Nebulizer Breathing Treatment
|
$193.05 |
$193.05 |
$193.05 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$596.70 |
$596.70 |
$596.70 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$4,433.00 |
$4,433.00 |
$4,433.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$3,458.65 |
$3,458.65 |
$3,458.65 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,619.20 |
$3,619.20 |
$3,619.20 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,778.80 |
$4,778.80 |
$4,778.80 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,950.70 |
$3,950.70 |
$3,950.70 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,811.60 |
$3,811.60 |
$3,811.60 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$663.00 |
$663.00 |
$663.00 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$880.10 |
$880.10 |
$880.10 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$994.50 |
$994.50 |
$994.50 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,765.10 |
$2,765.10 |
$2,765.10 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,213.25 |
$2,213.25 |
$2,213.25 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,846.65 |
$1,846.65 |
$1,846.65 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$4,092.40 |
$4,092.40 |
$4,092.40 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$3,820.05 |
$3,820.05 |
$3,820.05 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$3,328.65 |
$3,328.65 |
$3,328.65 |
$1,312.00
|
|
Needle emg guid w/chemodenervation add-on
|
$167.05 |
$167.05 |
$167.05 |
$164.80
|
|
Nelarabine injection
|
$322.40 |
$322.40 |
$322.40 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$442.65 |
$442.65 |
$442.65 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$913.25 |
$913.25 |
$913.25 |
$750.00
|
|
Nerve conduction studies 11-12
|
$1,370.85 |
$1,370.85 |
$1,370.85 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$291.85 |
$291.85 |
$291.85 |
$341.10
|
|
Nerve conduction studies 13+
|
$1,889.55 |
$1,889.55 |
$1,889.55 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$495.30 |
$495.30 |
$495.30 |
$469.98
|
