|
MRA without fol w/cont, lwr ext
|
$909.12 |
$909.12 |
$909.12 |
|
|
MRA without fol w/cont, pelvis
|
$909.12 |
$909.12 |
$909.12 |
|
|
Mra, w/o&w/dye, spinal canal
|
$881.92 |
$881.92 |
$881.92 |
|
|
Mr elastography
|
$840.00 |
$840.00 |
$840.00 |
|
|
MRI brain w/dye
|
$5,670.00 |
$5,670.00 |
$5,670.00 |
|
|
MRI brain without dye
|
$5,317.50 |
$5,317.50 |
$5,317.50 |
|
|
MRI brain without & w/dye
|
$5,430.00 |
$5,430.00 |
$5,430.00 |
|
|
MRI breast c- unilateral
|
$657.92 |
$657.92 |
$870.00 |
|
|
MRI breast c-+ w/cad uni
|
$789.76 |
$789.76 |
$1,455.00 |
|
|
MRI breast without cont bi
|
$1,037.76 |
$1,037.76 |
$1,312.50 |
|
|
MRI breast w IV cont bi
|
$1,184.64 |
$1,184.64 |
$1,822.50 |
|
|
MRI cardiac morph & func wo IV cont
|
$1,312.50 |
$1,312.50 |
$1,312.50 |
|
|
MRI cardiac morph & func wwo IV cont
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
|
|
MRI chest without contrast
|
$927.36 |
$927.36 |
$1,822.50 |
|
|
MRI chest without & w/contrast
|
$1,040.00 |
$1,040.00 |
$2,182.50 |
|
|
MRI chest w IV cont
|
$961.60 |
$961.60 |
$2,062.50 |
|
|
MRI fetal ea addl gestation
|
$695.25 |
$695.25 |
$695.25 |
|
|
MRI fetal sngl/1st gestation
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
|
|
MRI guid ndl plc s&i
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
|
|
MRI guid parenchymal tiss ablation
|
$2,490.00 |
$2,490.00 |
$2,490.00 |
|
|
MRI loex nonjt w IV cont
|
$946.88 |
$946.88 |
$1,965.00 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,337.28 |
$1,337.28 |
$1,672.50 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,675.20 |
$1,675.20 |
$2,730.00 |
|
|
MRI orbit/face/neck without contrast
|
$784.64 |
$784.64 |
$1,380.00 |
|
|
MRI orbit/face/neck without & w/contrast
|
$1,127.04 |
$1,127.04 |
$2,812.50 |
|
|
MRI orbit fac&nck w IV cont
|
$896.00 |
$896.00 |
$1,732.50 |
|
|
MRI tmj
|
$700.80 |
$700.80 |
$1,620.00 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$883.52 |
$883.52 |
$1,597.50 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,695.36 |
$1,695.36 |
$2,257.50 |
|
|
MRI upper extremity w/dye
|
$934.40 |
$934.40 |
$1,732.50 |
|
|
Mr spectroscopy
|
$657.92 |
$657.92 |
$1,597.50 |
|
|
Msh2 gene dup/delete variant
|
$284.16 |
$284.16 |
$284.16 |
|
|
Msh2 gene full seq
|
$284.16 |
$284.16 |
$284.16 |
|
|
Msh6 gene dup/delete variant
|
$284.16 |
$284.16 |
$284.16 |
|
|
Msh6 gene full seq
|
$288.64 |
$288.64 |
$288.64 |
|
|
Mthfr gene analy common variants
|
$180.48 |
$180.48 |
$180.48 |
|
|
M.tuberculo dna dir probe
|
$41.60 |
$41.60 |
$132.75 |
|
|
M.tuberculo dna quant
|
$261.00 |
$261.00 |
$261.00 |
|
|
Mucin synovial fluid
|
$39.00 |
$39.00 |
$39.00 |
|
|
Mucopolysaccharides
|
$141.00 |
$141.00 |
$141.00 |
|
|
Mucormycosis antibody
|
$81.00 |
$81.00 |
$81.00 |
|
|
Multiple sleep latency test
|
$45.12 |
$45.12 |
$1,441.50 |
|
|
Mumps antibody igg
|
$60.16 |
$60.16 |
$113.25 |
|
|
Muscle test cran nerv unilat
|
$120.96 |
$120.96 |
$830.25 |
|
|
Muscle test larynx
|
$81.28 |
$81.28 |
$459.00 |
|
|
Muscle test one fiber
|
$625.50 |
$625.50 |
$625.50 |
|
|
Musc myoq/fscq flp h&n pedcl
|
$823.36 |
$823.36 |
$823.36 |
|
|
Mycobacteria dna amp probe
|
$245.25 |
$245.25 |
$245.25 |
|
|
Mycobacteria dna dir probe
|
$122.25 |
$122.25 |
$122.25 |
|
|
Mycobacteria dna quant
|
$261.00 |
$261.00 |
$261.00 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$2.20 |
$2.20 |
$3,232.89 |
|
|
Mycophenolic acid
|
$5.28 |
$5.28 |
$47.14 |
|
|
Mycoplasma antibody igm
|
$74.24 |
$74.24 |
$82.50 |
|
|
Myelogphy 2/> spine regions
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
|
|
Myelography l-s spine
|
$2,066.25 |
$2,066.25 |
$2,066.25 |
|
|
Myelography neck spine
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
|
|
Myelography thoracic spine
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
|
|
Myelography via inj w/s&i 2+ regions
|
$567.36 |
$567.36 |
$2,050.50 |
|
|
Myelography via inj w/s&i cervical
|
$651.84 |
$651.84 |
$2,104.50 |
|
|
Myelography via inj w/s&i lumbosacral
|
$623.36 |
$623.36 |
$807.75 |
|
|
Myelography via inj w/s&i thoracic
|
$719.36 |
$719.36 |
$719.36 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$60.75 |
$60.75 |
$105.60 |
|
|
Myocardial resection 33542
|
$925.12 |
$925.12 |
$925.12 |
|
|
Myocrd img pet 1std rst/strs
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Myocrd img pet 1 std w/ct
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Myocrd img pet 2rtracer
|
$5,313.00 |
$5,313.00 |
$5,313.00 |
|
|
Myocrd img pet 2rtracer CT
|
$5,598.00 |
$5,598.00 |
$5,598.00 |
|
|
Myocrd img pet mlt rst&strs
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Myocrd img pet rst&strs CT
|
$7,895.25 |
$7,895.25 |
$7,895.25 |
|
|
Myocrd img pet rst/strs w/ct
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
|
|
Myomectomy abdom complex
|
$913.28 |
$913.28 |
$913.28 |
|
|
Myomectomy abdom method
|
$733.12 |
$733.12 |
$733.12 |
|
|
Myomectomy vag method
|
$460.16 |
$460.16 |
$460.16 |
|
|
Nafcillin 2 gram solution for injection
|
$272.85 |
$272.85 |
$272.85 |
|
|
Nalbuphine 10 mg/ml injection solution
|
$7.17 |
$7.17 |
$7.17 |
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$45.05 |
$45.05 |
$52.20 |
|
|
Naltrexone, depot form
|
$1,395.55 |
$1,395.55 |
$3,959.15 |
|
|
Nasal endoscopy dx uni/bi separate proc
|
$128.00 |
$128.00 |
$441.00 |
|
|
Nasal endoscopy with removal of nasal foreign body
|
$653.25 |
$653.25 |
$653.25 |
|
|
Nasal/sinus endoscopy surg
|
$159.36 |
$159.36 |
$159.36 |
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$192.32 |
$192.32 |
$4,347.00 |
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$183.36 |
$183.36 |
$183.36 |
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$127.36 |
$127.36 |
$127.36 |
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$192.00 |
$192.00 |
$192.00 |
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$254.72 |
$254.72 |
$254.72 |
|
|
Nasopharyngoscopy w/endoscope
|
$110.40 |
$110.40 |
$521.25 |
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$19,182.88 |
$19,182.88 |
$19,182.88 |
|
|
Natriuretic peptide
|
$113.92 |
$113.92 |
$248.25 |
|
|
Natural killer cells total count
|
$44.48 |
$44.48 |
$249.75 |
|
|
Navigational bronchoscopy 31627
|
$932.25 |
$932.25 |
$932.25 |
|
|
Nctrnl pen tmscn&/rgdity tst
|
$750.00 |
$750.00 |
$750.00 |
|
|
Ndl emg musc 1 xtr/non-limb
|
$57.60 |
$57.60 |
$309.75 |
|
|
Ndl oculoelectromyography 1+
|
$95.25 |
$95.25 |
$95.25 |
|
|
Ndl round specialty proguide
|
$352.50 |
$352.50 |
$352.50 |
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$901.76 |
$901.76 |
$1,980.00 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$725.76 |
$725.76 |
$1,822.50 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$621.76 |
$621.76 |
$1,530.00 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,135.36 |
$1,135.36 |
$2,182.50 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$814.08 |
$814.08 |
$2,040.00 |
|