|
Mog-igg1 antb flo cytmtry ea
|
$260.00 |
$265.00 |
$3,117.74 |
|
|
Mometasone sinus sinuva
|
$10,361.40 |
$10,361.40 |
$14,244.99 |
|
|
Monitor reveal linq ii cardiac
|
$13,865.00 |
$13,865.00 |
$41,788.13 |
|
|
Monovisc inj per dose
|
$2,401.18 |
$2,401.18 |
$6,290.73 |
|
|
Mopath procedure level 1
|
$347.40 |
$419.50 |
$942.81 |
|
|
Mopath procedure level 3
|
$177.60 |
$431.50 |
$3,205.79 |
|
|
Mopath procedure level 5
|
$404.40 |
$536.40 |
$3,598.72 |
|
|
Mopath procedure level 6
|
$1,261.80 |
$1,734.60 |
$13,101.32 |
|
|
Mopath procedure level 7
|
$1,219.80 |
$1,219.80 |
$14,371.50 |
|
|
Mopath procedure level 8
|
$6,126.79 |
$6,126.79 |
$6,126.79 |
|
|
Mopath procedure level 9
|
$8,258.79 |
$8,258.79 |
$8,258.79 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$43.04 |
$191.54 |
$450.02 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$23.65 |
$34.16 |
$39.99 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$75.59 |
$439.54 |
$3,411.29 |
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$299.00 |
$393.60 |
$1,058.92 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$360.00 |
$475.20 |
$581.40 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$217.88 |
$461.40 |
$2,090.89 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$904.46 |
$45,926.98 |
$45,926.98 |
|
|
M/phmtrc alys ishquant/semiq
|
$183.50 |
$186.50 |
$193.00 |
|
|
M/phmtrc alys ishquant/semiq
|
$380.00 |
$606.00 |
$1,237.18 |
|
|
M/phmtrc alysishquant/semiq
|
$154.00 |
$157.00 |
$241.79 |
|
|
M/phmtrc alys skeletal musc
|
$301.20 |
$344.40 |
$361.32 |
|
|
Mpl gene analysis common variants
|
$2,120.90 |
$2,120.90 |
$2,120.90 |
|
|
M.pneumon dna quant
|
$834.00 |
$834.00 |
$834.00 |
|
|
Mpsv4 vaccine subq
|
$307.03 |
$307.03 |
$345.49 |
|
|
MRA abdomen post contrast
|
$582.60 |
$1,093.00 |
$4,773.00 |
|
|
MRA aorta thoracic w/wo contrast
|
$582.60 |
$987.00 |
$3,258.04 |
|
|
MRA chest w IV cont
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
|
|
MRA chest wo IV cont
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
|
|
MRA chest wwo IV cont
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
|
|
MRA ext low(run-off)pst cntrst
|
$1,019.00 |
$1,165.20 |
$9,799.20 |
|
|
MRA pelvis
|
$582.60 |
$1,035.00 |
$2,863.20 |
|
|
MRA pelvis w IV cont
|
$3,053.54 |
$3,053.54 |
$3,053.54 |
|
|
MRA pelvis wo IV cont
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
|
|
MRA spinal canal
|
$582.60 |
$995.50 |
$3,581.40 |
|
|
MRA upper extremity post contrast-bil
|
$582.60 |
$604.20 |
$3,833.63 |
|
|
MRA w/cont, abd
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
|
|
MRA w/cont, lwr ext
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
|
|
Mra, w/dye, upper extremity
|
$3,758.63 |
$3,758.63 |
$3,758.63 |
|
|
MRA without cont, abd
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
|
|
MRA without cont, lwr ext
|
$3,015.20 |
$3,015.20 |
$3,015.20 |
|
|
Mra, without dye, upper extr
|
$3,560.52 |
$3,560.52 |
$3,560.52 |
|
|
MRA without fol w/cont, abd
|
$3,258.04 |
$3,258.04 |
$3,258.04 |
|
|
MRA without fol w/cont, lwr ext
|
$3,787.36 |
$3,787.36 |
$3,787.36 |
|
|
MRA without fol w/cont, pelvis
|
$3,870.45 |
$3,870.45 |
$3,870.45 |
|
|
Mr elastography
|
$1,017.60 |
$1,017.60 |
$3,258.04 |
|
|
Mrgfus strtctc ablt trgt icr
|
$34,495.50 |
$35,039.00 |
$36,235.00 |
|
|
MRI breast c- unilateral
|
$582.60 |
$753.00 |
$3,015.20 |
|
|
MRI breast c-+ w/cad uni
|
$619.20 |
$901.50 |
$3,312.35 |
|
|
MRI breast without cont bi
|
$582.60 |
$1,072.50 |
$6,030.40 |
|
|
MRI breast w IV cont bi
|
$606.00 |
$1,417.00 |
$3,525.36 |
|
|
MRI cardiac morph & func wo IV cont
|
$291.00 |
$797.50 |
$7,833.56 |
|
|
MRI cardiac morph & func wwo IV cont
|
$582.60 |
$1,043.50 |
$7,833.56 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$582.60 |
$1,240.50 |
$10,892.21 |
|
|
MRI chest without contrast
|
$582.60 |
$731.00 |
$3,258.04 |
|
|
MRI chest without & w/contrast
|
$582.60 |
$955.00 |
$3,919.20 |
|
|
MRI chest w IV cont
|
$582.60 |
$2,552.40 |
$3,301.71 |
|
|
MRI fetal ea addl gestation
|
$582.60 |
$604.20 |
$2,964.08 |
|
|
MRI fetal sngl/1st gestation
|
$582.60 |
$741.50 |
$2,964.08 |
|
|
MRI guid ndl plc s&i
|
$582.60 |
$582.60 |
$3,180.29 |
|
|
MRI loex nonjt w IV cont
|
$582.60 |
$1,165.20 |
$6,998.40 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$945.50 |
$1,165.20 |
$6,515.00 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,165.20 |
$1,364.00 |
$8,400.00 |
|
|
MRI orbit fac&nck w IV cont
|
$582.60 |
$1,713.00 |
$3,327.27 |
|
|
MRI tmj
|
$582.60 |
$680.00 |
$3,556.25 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$582.60 |
$1,165.20 |
$7,068.05 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,161.75 |
$1,349.00 |
$7,582.80 |
|
|
MRI upper extremity w/dye
|
$582.60 |
$2,176.20 |
$6,319.20 |
|
|
MRI w/cont, breast, bi
|
$3,364.55 |
$3,364.55 |
$3,364.55 |
|
|
MRI w/cont, breast, uni
|
$3,068.45 |
$3,068.45 |
$3,068.45 |
|
|
MRI without fol w/cont, breast
|
$3,474.60 |
$3,474.60 |
$3,474.60 |
|
|
MRI without fol w/cont, brst, un
|
$3,261.59 |
$3,261.59 |
$3,261.59 |
|
|
Mr safety determination physician/other qhp
|
$130.00 |
$130.00 |
$305.17 |
|
|
Mr safety implant elec prepj
|
$436.99 |
$436.99 |
$436.99 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$55.00 |
$55.00 |
$87.44 |
|
|
Mr safety implt pos&/immoblj
|
$282.79 |
$282.79 |
$282.79 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$37.50 |
$37.50 |
$116.60 |
|
|
Mr sfty med physics xm cstmz
|
$1,150.76 |
$1,150.76 |
$1,150.76 |
|
|
Mr spectroscopy
|
$582.60 |
$817.00 |
$3,258.04 |
|
|
Msh2 gene dup/delete variant
|
$899.59 |
$899.59 |
$899.59 |
|
|
Msh2 gene full seq
|
$2,841.08 |
$2,841.08 |
$2,841.08 |
|
|
Msh6 gene dup/delete variant
|
$899.59 |
$899.59 |
$899.59 |
|
|
Msh6 gene full seq
|
$1,661.80 |
$1,661.80 |
$1,661.80 |
|
|
Msh6 gene known variants
|
$2,171.89 |
$2,171.89 |
$2,171.89 |
|
|
Mthfr gene analy common variants
|
$175.88 |
$403.20 |
$567.56 |
|
|
Mucin synovial fluid
|
$32.67 |
$54.00 |
$72.00 |
|
|
Mucopolysaccharides
|
$71.40 |
$147.00 |
$421.20 |
|
|
Multiple sleep latency test
|
$1,274.12 |
$2,806.20 |
$5,082.95 |
|
|
Mumps antibody igg
|
$83.12 |
$107.50 |
$221.40 |
|
|
Muscle test cran nerv unilat
|
$159.60 |
$484.20 |
$583.22 |
|
|
Muscle test hemidiaphragm
|
$582.99 |
$582.99 |
$582.99 |
|
|
Muscle test larynx
|
$176.40 |
$176.40 |
$216.60 |
|
|
Muscle test one fiber
|
$693.60 |
$693.60 |
$850.20 |
|
|
Mycobacteria dna amp probe
|
$438.14 |
$550.20 |
$550.20 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.95 |
$822.38 |
$1,661.86 |
|
|
Mycophenolic acid
|
$1.11 |
$1.11 |
$12.84 |
|
|
Mycoplasma antibody igm
|
$120.60 |
$166.66 |
$271.80 |
|
|
Myd88 gene p.leu265pro vrnt
|
$480.50 |
$495.00 |
$1,019.63 |
|
|
Myelogphy 2/> spine regions
|
$314.40 |
$2,082.00 |
$2,153.00 |
|
|
Myelography l-s spine
|
$921.00 |
$938.50 |
$4,219.01 |
|