|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$87.50 |
$460.60 |
$17,426.50 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$82.50 |
$367.50 |
$52,804.85 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$87.50 |
$337.50 |
$22,480.23 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$1,008.60 |
$78,470.70 |
$117,262.60 |
|
|
Motion analysis video/3d
|
$209.60 |
$209.60 |
$209.60 |
|
|
Motion test w/ft press meas
|
$248.00 |
$248.00 |
$248.00 |
|
|
Motor &/ sens nrve cndj test
|
$124.80 |
$251.40 |
$251.40 |
|
|
Mouth piece
|
$3.60 |
$3.60 |
$8.80 |
|
|
Mouth vestibule bx/w complex rpr 40814
|
$738.60 |
$738.60 |
$34,767.99 |
|
|
M/phmtrc alys ishquant/semiq
|
$292.13 |
$331.92 |
$441.36 |
|
|
M/phmtrc alys ishquant/semiq
|
$125.00 |
$580.00 |
$29,710.36 |
|
|
M/phmtrc alysishquant/semiq
|
$111.87 |
$465.00 |
$8,034.48 |
|
|
M/phmtrc alys skeletal musc
|
$138.27 |
$138.27 |
$380.80 |
|
|
Mpl gene analysis common variants
|
$105.00 |
$605.00 |
$863.10 |
|
|
M.pneumon dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
M.pneumon dna quant
|
$605.60 |
$605.60 |
$605.60 |
|
|
Mpsv4 vaccine subq
|
$148.80 |
$148.80 |
$148.80 |
|
|
MRA abdomen post contrast
|
$945.60 |
$3,282.60 |
$5,186.40 |
|
|
MRA aorta thoracic w/wo contrast
|
$945.60 |
$2,783.20 |
$5,108.80 |
|
|
MRA chest w IV cont
|
$990.72 |
$2,995.85 |
$4,767.84 |
|
|
MRA chest wo IV cont
|
$604.08 |
$2,523.13 |
$3,813.84 |
|
|
MRA chest wwo IV cont
|
$1,150.00 |
$3,335.20 |
$5,959.44 |
|
|
MRA ext low(run-off)pst cntrst
|
$945.60 |
$4,027.10 |
$7,381.20 |
|
|
MRA pelvis
|
$945.60 |
$3,060.00 |
$5,296.00 |
|
|
MRA pelvis w IV cont
|
$733.60 |
$1,850.75 |
$4,767.84 |
|
|
MRA pelvis wo IV cont
|
$733.60 |
$2,124.50 |
$3,813.84 |
|
|
MRA spinal canal
|
$290.40 |
$2,360.00 |
$5,472.80 |
|
|
MRA upper extremity post contrast-bil
|
$968.00 |
$3,196.90 |
$7,381.20 |
|
|
MRA w/cont, abd
|
$990.72 |
$3,118.32 |
$4,043.52 |
|
|
MRA w/cont, lwr ext
|
$872.64 |
$3,054.15 |
$6,318.20 |
|
|
Mra, w/dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
|
|
Mra, w/dye, upper extremity
|
$1,786.32 |
$2,070.00 |
$3,801.60 |
|
|
MRA without cont, abd
|
$565.20 |
$2,124.50 |
$3,215.52 |
|
|
MRA without cont, lwr ext
|
$604.08 |
$2,846.80 |
$4,346.57 |
|
|
Mra, without dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
|
|
Mra, without dye, upper extr
|
$1,611.36 |
$3,085.92 |
$3,123.36 |
|
|
MRA without fol w/cont, abd
|
$1,150.00 |
$3,318.48 |
$5,086.80 |
|
|
MRA without fol w/cont, lwr ext
|
$990.72 |
$3,763.65 |
$6,668.20 |
|
|
MRA without fol w/cont, pelvis
|
$733.60 |
$2,114.75 |
$5,959.44 |
|
|
Mra, w/o&w/dye, spinal canal
|
$2,876.30 |
$2,876.30 |
$3,270.24 |
|
|
Mra, w/o&w/dye, upper extr
|
$2,334.96 |
$2,555.85 |
$3,932.64 |
|
|
Mr elastography
|
$238.92 |
$493.50 |
$3,703.20 |
|
|
Mrgfus strtctc ablt trgt icr
|
$2,038.40 |
$80,831.10 |
$82,520.37 |
|
|
MRI brain w/dye
|
$3,091.80 |
$5,653.90 |
$5,653.90 |
|
|
MRI brain without dye
|
$2,982.00 |
$5,490.80 |
$5,490.80 |
|
|
MRI brain without & w/dye
|
$3,091.80 |
$6,161.40 |
$6,161.40 |
|
|
MRI breast c- unilateral
|
$553.68 |
$2,643.30 |
$4,771.20 |
|
|
MRI breast c-+ w/cad uni
|
$650.00 |
$3,292.80 |
$4,828.00 |
|
|
MRI breast without cont bi
|
$551.52 |
$3,122.64 |
$7,156.80 |
|
|
MRI breast w IV cont bi
|
$847.20 |
$4,099.20 |
$7,381.20 |
|
|
MRI cardiac morph & func wo IV cont
|
$150.00 |
$1,340.00 |
$3,834.60 |
|
|
MRI cardiac morph & func wwo IV cont
|
$325.00 |
$2,115.00 |
$4,523.04 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$1,209.60 |
$3,068.40 |
$4,594.80 |
|
|
MRI chest without contrast
|
$950.00 |
$2,876.30 |
$4,771.20 |
|
|
MRI chest without & w/contrast
|
$1,250.00 |
$3,889.20 |
$5,927.20 |
|
|
MRI chest w IV cont
|
$1,310.00 |
$3,368.16 |
$4,771.20 |
|
|
MRI compatible system
|
$2,068.50 |
$2,068.50 |
$2,298.96 |
|
|
MRI fetal ea addl gestation
|
$1,250.00 |
$1,250.00 |
$3,379.80 |
|
|
MRI fetal sngl/1st gestation
|
$522.00 |
$1,560.00 |
$3,996.72 |
|
|
MRI guid ndl plc s&i
|
$597.00 |
$1,600.00 |
$4,771.20 |
|
|
MRI guid parenchymal tiss ablation
|
$712.80 |
$2,663.40 |
$3,379.80 |
|
|
MRI loex nonjt w IV cont
|
$1,050.00 |
$3,672.60 |
$7,156.80 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$950.00 |
$3,407.76 |
$7,156.80 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,050.00 |
$4,053.00 |
$8,284.00 |
|
|
MRI orbit fac&nck w IV cont
|
$1,050.00 |
$3,143.25 |
$4,818.10 |
|
|
MRI tmj
|
$750.00 |
$2,938.10 |
$5,635.44 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$950.00 |
$3,407.76 |
$7,156.80 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,350.00 |
$4,088.00 |
$7,381.20 |
|
|
MRI upper extremity w/dye
|
$945.60 |
$3,628.10 |
$7,381.20 |
|
|
MRI w/cont, breast, bi
|
$625.60 |
$2,329.92 |
$4,637.40 |
|
|
MRI w/cont, breast, uni
|
$508.00 |
$2,286.72 |
$3,501.36 |
|
|
MRI without fol w/cont, breast
|
$1,909.55 |
$4,253.76 |
$5,685.40 |
|
|
MRI without fol w/cont, brst, un
|
$936.72 |
$2,741.76 |
$4,052.88 |
|
|
Mr safety determination physician/other qhp
|
$132.80 |
$179.20 |
$260.00 |
|
|
Mr safety implant elec prepj
|
$140.40 |
$214.20 |
$462.50 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$25.00 |
$58.80 |
$100.80 |
|
|
Mr safety implt pos&/immoblj
|
$90.60 |
$133.00 |
$705.00 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$19.20 |
$50.00 |
$65.10 |
|
|
Mr sfty med physics xm cstmz
|
$369.60 |
$492.80 |
$1,417.68 |
|
|
Mr spectroscopy
|
$446.82 |
$2,207.10 |
$4,472.64 |
|
|
Msh2 gene dup/delete variant
|
$227.37 |
$517.30 |
$1,631.70 |
|
|
Msh2 gene full seq
|
$407.88 |
$1,040.40 |
$3,313.80 |
|
|
Msh2 gene known variants
|
$676.00 |
$676.00 |
$676.00 |
|
|
Msh6 gene dup/delete variant
|
$313.17 |
$476.00 |
$1,631.70 |
|
|
Msh6 gene full seq
|
$808.56 |
$1,556.80 |
$3,313.80 |
|
|
Msh6 gene known variants
|
$616.00 |
$711.20 |
$4,389.60 |
|
|
Mthfr gene analy common variants
|
$37.50 |
$392.70 |
$1,424.00 |
|
|
M.tuberculo dna dir probe
|
$58.40 |
$58.40 |
$58.40 |
|
|
M.tuberculo dna quant
|
$106.56 |
$106.56 |
$108.00 |
|
|
Mucin synovial fluid
|
$21.12 |
$54.72 |
$240.00 |
|
|
Mucopolysaccharides
|
$60.20 |
$275.04 |
$1,101.60 |
|
|
Mucormycosis antibody
|
$38.40 |
$38.40 |
$38.40 |
|
|
Multi den insert custom mold
|
$108.80 |
$108.80 |
$108.80 |
|
|
Multi family grp psychotherapy
|
$80.80 |
$93.75 |
$184.80 |
|
|
Multifocal erg w/i&r
|
$181.60 |
$181.60 |
$181.60 |
|
|
Multiple sleep latency test
|
$264.60 |
$2,440.08 |
$9,016.00 |
|
|
Mumps antibody igg
|
$35.00 |
$102.20 |
$356.30 |
|
|
Muscle-skin graft arm
|
$2,195.00 |
$2,195.00 |
$3,014.40 |
|
|
Muscle-skin graft leg
|
$2,716.80 |
$2,716.80 |
$3,197.60 |
|
|
Muscle-skin graft trunk
|
$2,268.00 |
$2,268.00 |
$3,704.80 |
|
