|
M/phmtrc alys skeletal musc
|
$236.33 |
$236.33 |
$236.33 |
|
|
Mpl gene analysis common variants
|
$168.43 |
$200.22 |
$441.97 |
|
|
MRA abdomen post contrast
|
$674.07 |
$754.90 |
$2,258.88 |
|
|
MRA aorta thoracic w/wo contrast
|
$697.78 |
$842.85 |
$848.90 |
|
|
MRA chest w IV cont
|
$514.15 |
$602.99 |
$842.85 |
|
|
MRA chest wo IV cont
|
$514.15 |
$514.15 |
$602.99 |
|
|
MRA chest wwo IV cont
|
$514.15 |
$602.99 |
$623.30 |
|
|
MRA ext low(run-off)pst cntrst
|
$598.42 |
$697.42 |
$2,564.48 |
|
|
MRA pelvis
|
$732.60 |
$848.90 |
$1,059.45 |
|
|
MRA pelvis w IV cont
|
$474.95 |
$539.86 |
$676.87 |
|
|
MRA pelvis wo IV cont
|
$539.86 |
$539.86 |
$676.87 |
|
|
MRA spinal canal
|
$664.80 |
$664.80 |
$664.80 |
|
|
MRA upper extremity post contrast-bil
|
$633.39 |
$697.42 |
$848.90 |
|
|
MRA w/cont, abd
|
$630.53 |
$716.99 |
$1,057.10 |
|
|
MRA w/cont, lwr ext
|
$484.02 |
$484.02 |
$1,091.98 |
|
|
Mra, w/dye, spinal canal
|
$514.15 |
$514.15 |
$602.99 |
|
|
Mra, w/dye, upper extremity
|
$648.31 |
$648.31 |
$690.97 |
|
|
MRA without cont, abd
|
$612.33 |
$716.99 |
$1,057.10 |
|
|
MRA without cont, lwr ext
|
$426.07 |
$484.02 |
$1,091.98 |
|
|
Mra, without dye, spinal canal
|
$514.15 |
$514.15 |
$602.99 |
|
|
Mra, without dye, upper extr
|
$646.80 |
$646.80 |
$648.31 |
|
|
MRA without fol w/cont, abd
|
$630.53 |
$716.99 |
$5,542.92 |
|
|
MRA without fol w/cont, lwr ext
|
$484.02 |
$484.02 |
$1,091.98 |
|
|
MRA without fol w/cont, pelvis
|
$539.86 |
$539.86 |
$633.14 |
|
|
Mra, w/o&w/dye, spinal canal
|
$514.15 |
$514.15 |
$602.99 |
|
|
Mra, w/o&w/dye, upper extr
|
$646.80 |
$646.80 |
$648.31 |
|
|
MRI breast c- unilateral
|
$490.87 |
$490.87 |
$490.87 |
|
|
MRI breast c-+ w/cad uni
|
$17.28 |
$17.28 |
$864.27 |
|
|
MRI breast without cont bi
|
$577.45 |
$733.86 |
$783.42 |
|
|
MRI breast w IV cont bi
|
$338.28 |
$370.83 |
$541.39 |
|
|
MRI cardiac morph & func wo IV cont
|
$647.27 |
$647.27 |
$647.27 |
|
|
MRI cardiac morph & func wwo IV cont
|
$945.00 |
$945.00 |
$945.00 |
|
|
MRI chest without contrast
|
$581.69 |
$741.02 |
$3,605.98 |
|
|
MRI chest without & w/contrast
|
$703.89 |
$937.46 |
$4,207.84 |
|
|
MRI chest w IV cont
|
$640.67 |
$798.29 |
$902.65 |
|
|
MRI guid ndl plc s&i
|
$233.78 |
$233.78 |
$274.18 |
|
|
MRI loex nonjt w IV cont
|
$891.29 |
$1,301.07 |
$1,601.67 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$856.84 |
$1,089.62 |
$4,578.42 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$882.86 |
$1,275.33 |
$5,448.36 |
|
|
MRI orbit/face/neck without contrast
|
$747.19 |
$1,021.75 |
$4,620.48 |
|
|
MRI orbit/face/neck without & w/contrast
|
$990.13 |
$1,219.17 |
$5,547.38 |
|
|
MRI orbit fac&nck w IV cont
|
$937.46 |
$990.63 |
$1,207.86 |
|
|
MRI tmj
|
$561.14 |
$703.56 |
$1,361.95 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$812.27 |
$1,070.31 |
$4,467.59 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,051.80 |
$1,152.75 |
$5,407.08 |
|
|
MRI upper extremity w/dye
|
$1,012.59 |
$1,143.57 |
$1,226.09 |
|
|
MRI w/cont, breast, bi
|
$614.36 |
$733.86 |
$903.54 |
|
|
MRI w/cont, breast, uni
|
$535.84 |
$535.84 |
$662.82 |
|
|
MRI without fol w/cont, breast
|
$532.05 |
$732.73 |
$903.54 |
|
|
MRI without fol w/cont, brst, un
|
$491.32 |
$587.25 |
$723.12 |
|
|
Mr safety determination physician/other qhp
|
$81.72 |
$94.62 |
$234.12 |
|
|
Mr safety implant elec prepj
|
$85.65 |
$98.86 |
$245.42 |
|
|
Mr safety implt pos&/immoblj
|
$155.92 |
$155.92 |
$155.92 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$22.84 |
$26.31 |
$65.37 |
|
|
Mr sfty med physics xm cstmz
|
$224.81 |
$259.66 |
$645.13 |
|
|
Mr spectroscopy
|
$463.55 |
$463.55 |
$463.55 |
|
|
Msh2 gene dup/delete variant
|
$102.42 |
$116.49 |
$136.62 |
|
|
Msh2 gene full seq
|
$116.49 |
$146.05 |
$196.62 |
|
|
Msh6 gene full seq
|
$367.54 |
$431.05 |
$589.85 |
|
|
Mthfr gene analy common variants
|
$75.30 |
$134.50 |
$801.42 |
|
|
M.tuberculo dna dir probe
|
$105.65 |
$105.65 |
$123.90 |
|
|
Mucin synovial fluid
|
$18.32 |
$18.32 |
$32.67 |
|
|
Mucopolysaccharides
|
$95.47 |
$95.47 |
$160.58 |
|
|
Multi family grp psychotherapy
|
$60.67 |
$60.67 |
$60.67 |
|
|
Multiple sleep latency test
|
$920.25 |
$948.70 |
$1,632.31 |
|
|
Mumps antibody igg
|
$4.67 |
$62.67 |
$108.48 |
|
|
Muscle test cran nerv unilat
|
$136.17 |
$136.17 |
$159.70 |
|
|
Muscle test hemidiaphragm
|
$116.09 |
$116.09 |
$136.15 |
|
|
Muscle test larynx
|
$116.09 |
$116.09 |
$136.15 |
|
|
Mycobacteria dna amp probe
|
$99.62 |
$99.62 |
$116.83 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$15.79 |
$18.77 |
$230.20 |
|
|
Mycophenolic acid
|
$1.45 |
$1.63 |
$2.04 |
|
|
Mycoplasma antibody igm
|
$50.21 |
$66.02 |
$217.89 |
|
|
Myelogphy 2/> spine regions
|
$559.52 |
$713.65 |
$1,171.92 |
|
|
Myelography l-s spine
|
$671.93 |
$888.51 |
$1,114.01 |
|
|
Myelography neck spine
|
$588.78 |
$588.78 |
$784.83 |
|
|
Myelography thoracic spine
|
$571.99 |
$670.83 |
$1,047.55 |
|
|
Myelography via inj w/s&i 2+ regions
|
$616.62 |
$832.99 |
$977.03 |
|
|
Myelography via inj w/s&i cervical
|
$427.11 |
$561.09 |
$714.17 |
|
|
Myelography via inj w/s&i lumbosacral
|
$404.93 |
$825.23 |
$1,089.15 |
|
|
Myelography via inj w/s&i thoracic
|
$616.62 |
$694.10 |
$832.99 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$31.83 |
$70.30 |
$435.65 |
|
|
Nalbuphine 10 mg/ml injection solution
|
$22.10 |
$26.28 |
$65.70 |
|
|
Nasal endoscopy dx uni/bi separate proc
|
$315.63 |
$315.63 |
$315.63 |
|
|
Nasal endoscopy with removal of nasal foreign body
|
$701.09 |
$701.09 |
$701.09 |
|
|
Nasopharyngoscopy w/endoscope
|
$154.51 |
$175.54 |
$212.59 |
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$51,235.63 |
$51,235.63 |
$51,235.63 |
|
|
Natriuretic peptide
|
$115.26 |
$152.60 |
$365.46 |
|
|
Natural killer cells total count
|
$17.49 |
$86.13 |
$571.99 |
|
|
N block inj hypogas plxs
|
$1,373.83 |
$1,373.83 |
$1,373.83 |
|
|
Ndl emg musc 1 xtr/non-limb
|
$68.69 |
$69.42 |
$80.56 |
|
|
Ndl insj without njx 1 or 2 musc
|
$23.20 |
$31.40 |
$278.25 |
|
|
Ndl insj without njx 3+ musc
|
$24.63 |
$29.73 |
$34.87 |
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$860.95 |
$1,414.50 |
$3,426.36 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$681.63 |
$1,448.85 |
$4,543.81 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$528.34 |
$1,359.90 |
$4,093.02 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,260.46 |
$1,589.82 |
$4,667.12 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$940.73 |
$1,165.94 |
$1,987.76 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$887.71 |
$1,097.25 |
$3,788.17 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$860.13 |
$1,104.22 |
$5,550.14 |
|