|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$99.50 |
$20,601.45 |
$20,601.45 |
|
|
Misoprostol, oral, 200 mcg
|
$1.20 |
$2.44 |
$3.60 |
|
|
Mitochondrial gene
|
$6,648.00 |
$6,648.00 |
$6,648.00 |
|
|
Mitomycin 40 mg intravenous solution
|
$84.80 |
$2,466.94 |
$6,967.60 |
|
|
Mitomycin instillation
|
$2,438.84 |
$2,787.24 |
$66,330.00 |
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$214.26 |
$3,514.20 |
$3,514.20 |
|
|
Mitral valve replacement w/bypass 33430
|
$5,207.40 |
$6,837.60 |
$9,063.00 |
|
|
Mlh1 gene
|
$283.40 |
$384.80 |
$576.00 |
|
|
Mlh1 gene dup/delete variant
|
$404.80 |
$404.80 |
$404.80 |
|
|
Mlh1 gene full seq
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
|
|
Mlh1 gene known variants
|
$662.40 |
$662.40 |
$662.40 |
|
|
Mlt osteot rlgnm imed rd hum
|
$5,200.00 |
$5,200.00 |
$5,200.00 |
|
|
Mnl appl strs jt radiography
|
$48.48 |
$97.60 |
$450.00 |
|
|
Mnl prep&insj dp rx dlvr dev
|
$117.00 |
$209.60 |
$209.60 |
|
|
Mnl prep&insj i-artic rx dev
|
$361.60 |
$361.60 |
$361.60 |
|
|
Mnl prep&insj imed rx dev
|
$347.20 |
$347.20 |
$347.20 |
|
|
Mnpj anes sho jt fixj aprats
|
$677.00 |
$961.60 |
$15,993.85 |
|
|
Mnpj elbow under anes
|
$2,094.40 |
$2,094.40 |
$2,094.40 |
|
|
Mnpj of tmj w/anesth
|
$1,891.20 |
$1,891.20 |
$5,818.72 |
|
|
Mnt subs tx for change dx
|
$21.12 |
$72.00 |
$292.00 |
|
|
Mobilization of colon 44139
|
$241.80 |
$298.40 |
$428.00 |
|
|
Modification of contact lens
|
$88.80 |
$88.80 |
$88.80 |
|
|
Modified maze/limited 33254
|
$2,528.40 |
$3,297.60 |
$4,407.00 |
|
|
Modified maze/limited /w other op 33257
|
$1,083.00 |
$1,418.40 |
$1,896.00 |
|
|
Mog-igg1 antb flo cytmtry ea
|
$76.00 |
$76.00 |
$487.50 |
|
|
Molecular pathology interpr
|
$68.40 |
$100.00 |
$100.00 |
|
|
Mometasone sinus sinuva
|
$12.80 |
$12.80 |
$22.63 |
|
|
Monitor reveal linq ii cardiac
|
$4,578.53 |
$6,355.52 |
$17,979.94 |
|
|
Monovisc inj per dose
|
$1,300.00 |
$1,300.00 |
$2,669.22 |
|
|
Mopath procedure level 1
|
$128.00 |
$128.00 |
$128.00 |
|
|
Mopath procedure level 3
|
$276.90 |
$300.80 |
$300.80 |
|
|
Mopath procedure level 5
|
$461.50 |
$550.40 |
$4,774.90 |
|
|
Mopath procedure level 6
|
$603.20 |
$603.20 |
$603.20 |
|
|
Mopath procedure level 7
|
$566.40 |
$566.40 |
$566.40 |
|
|
Mopath procedure level 8
|
$1,692.80 |
$1,692.80 |
$1,692.80 |
|
|
Mopath procedure level 9
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$74.00 |
$207.75 |
$56,233.78 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$10.50 |
$47.76 |
$18,641.49 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$3.00 |
$88.53 |
$908.40 |
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$185.25 |
$491.20 |
$20,654.05 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$148.20 |
$313.95 |
$328.79 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$178.56 |
$311.20 |
$108,313.84 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$58,093.20 |
$58,093.20 |
$58,093.20 |
|
|
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 |
$124.80 |
$124.80 |
|
|
Mouth piece
|
$3.60 |
$8.80 |
$8.80 |
|
|
Mouth vestibule bx/w complex rpr 40814
|
$703.20 |
$941.60 |
$1,575.00 |
|
|
M/phmtrc alys ishquant/semiq
|
$292.13 |
$292.13 |
$292.13 |
|
|
M/phmtrc alys ishquant/semiq
|
$166.40 |
$694.40 |
$694.40 |
|
|
M/phmtrc alysishquant/semiq
|
$157.95 |
$292.13 |
$435.12 |
|
|
M/phmtrc alys skeletal musc
|
$380.80 |
$380.80 |
$380.80 |
|
|
Mpl gene analysis common variants
|
$300.80 |
$300.80 |
$449.40 |
|
|
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 |
$945.60 |
$3,282.60 |
|
|
MRA aorta thoracic w/wo contrast
|
$801.78 |
$945.60 |
$2,536.20 |
|
|
MRA chest w IV cont
|
$733.60 |
$733.60 |
$3,640.10 |
|
|
MRA chest wo IV cont
|
$733.60 |
$2,013.37 |
$2,784.88 |
|
|
MRA chest wwo IV cont
|
$733.60 |
$3,007.65 |
$4,477.34 |
|
|
MRA ext low(run-off)pst cntrst
|
$945.60 |
$945.60 |
$3,552.00 |
|
|
MRA pelvis
|
$945.60 |
$945.60 |
$1,995.00 |
|
|
MRA pelvis w IV cont
|
$733.60 |
$1,505.31 |
$3,650.28 |
|
|
MRA pelvis wo IV cont
|
$733.60 |
$733.60 |
$2,906.88 |
|
|
MRA spinal canal
|
$996.00 |
$996.00 |
$2,612.19 |
|
|
MRA upper extremity post contrast-bil
|
$748.02 |
$968.00 |
$3,207.60 |
|
|
MRA w/cont, abd
|
$733.60 |
$2,247.05 |
$3,888.77 |
|
|
MRA w/cont, lwr ext
|
$733.60 |
$2,725.41 |
$4,477.34 |
|
|
Mra, w/dye, spinal canal
|
$1,120.64 |
$1,751.99 |
$3,888.77 |
|
|
Mra, w/dye, upper extremity
|
$1,269.75 |
$2,559.65 |
$3,288.84 |
|
|
MRA without cont, abd
|
$733.60 |
$1,999.62 |
$3,289.59 |
|
|
MRA without cont, lwr ext
|
$733.60 |
$1,657.50 |
$4,346.57 |
|
|
Mra, without dye, spinal canal
|
$853.80 |
$1,420.27 |
$3,288.84 |
|
|
Mra, without dye, upper extr
|
$1,142.78 |
$2,559.65 |
$3,288.84 |
|
|
MRA without fol w/cont, abd
|
$733.60 |
$3,039.40 |
$5,086.00 |
|
|
MRA without fol w/cont, lwr ext
|
$733.60 |
$2,725.41 |
$5,855.32 |
|
|
MRA without fol w/cont, pelvis
|
$733.60 |
$733.60 |
$2,906.88 |
|
|
Mra, w/o&w/dye, upper extr
|
$1,396.71 |
$2,559.65 |
$4,776.21 |
|
|
Mr elastography
|
$194.04 |
$488.80 |
$488.80 |
|
|
Mrgfus strtctc ablt trgt icr
|
$1,415.52 |
$2,038.40 |
$2,038.40 |
|
|
MRI brain w/dye
|
$3,514.40 |
$3,514.40 |
$3,514.40 |
|
|
MRI brain without dye
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
|
|
MRI brain without & w/dye
|
$3,313.60 |
$3,313.60 |
$3,313.60 |
|
|
MRI breast c- unilateral
|
$201.60 |
$636.00 |
$2,089.45 |
|
|
MRI breast c-+ w/cad uni
|
$60.48 |
$710.40 |
$3,035.40 |
|
|
MRI breast without cont bi
|
$201.60 |
$1,151.40 |
$2,518.72 |
|
|
MRI breast w IV cont bi
|
$847.20 |
$1,543.20 |
$3,904.69 |
|
|
MRI cardiac morph & func wo IV cont
|
$610.26 |
$1,151.01 |
$4,436.00 |
|
|
MRI cardiac morph & func wwo IV cont
|
$1,021.60 |
$1,419.18 |
$5,996.00 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$1,209.60 |
$1,209.60 |
$5,098.00 |
|
|
MRI chest without contrast
|
$972.00 |
$1,621.10 |
$4,402.00 |
|
|
MRI chest without & w/contrast
|
$724.10 |
$2,592.85 |
$4,520.28 |
|
|
MRI chest w IV cont
|
$1,072.80 |
$1,790.40 |
$3,826.41 |
|
|
MRI fetal ea addl gestation
|
$219.66 |
$420.00 |
$3,856.15 |
|
|
MRI fetal sngl/1st gestation
|
$227.52 |
$864.00 |
$3,856.15 |
|
|
MRI guid ndl plc s&i
|
$744.60 |
$931.20 |
$2,581.53 |
|
|
MRI guid parenchymal tiss ablation
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
|
|
MRI loex nonjt w IV cont
|
$1,178.36 |
$2,340.60 |
$4,633.07 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,063.34 |
$2,729.83 |
$9,257.00 |
|
