|
MRI w/cont, breast, bi
|
$479.72 |
$479.72 |
$479.72 |
$1,994.42
|
|
MRI w/cont, breast, uni
|
$241.18 |
$241.18 |
$241.18 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$479.72 |
$479.72 |
$479.72 |
$2,492.50
|
|
MRI without fol w/cont, brst, un
|
$479.72 |
$479.72 |
$479.72 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$119.66 |
$119.66 |
$119.66 |
$161.40
|
|
Mr safety implant elec prepj
|
$130.73 |
$130.73 |
$130.73 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$72.71 |
$72.71 |
$72.71 |
$53.54
|
|
Mr safety implt pos&/immoblj
|
$81.12 |
$81.12 |
$81.12 |
$126.57
|
|
Mr sfty implt&/fb asmt stf 1
|
$39.77 |
$39.77 |
$39.77 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$328.08 |
$328.08 |
$328.08 |
$444.00
|
|
Mr spectroscopy
|
$119.66 |
$119.66 |
$119.66 |
$1,322.36
|
|
Msh2 gene dup/delete variant
|
$294.35 |
$294.35 |
$294.35 |
$403.20
|
|
Msh2 gene full seq
|
$526.75 |
$526.75 |
$526.75 |
$764.00
|
|
Msh2 gene known variants
|
$466.07 |
$466.07 |
$466.07 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$328.44 |
$328.44 |
$328.44 |
$476.00
|
|
Msh6 gene full seq
|
$885.75 |
$885.75 |
$885.75 |
$1,160.50
|
|
Msh6 gene known variants
|
$425.04 |
$425.04 |
$425.04 |
$369.60
|
|
Mt bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Mthfr gene analy common variants
|
$90.17 |
$90.17 |
$90.17 |
$184.00
|
|
M.tuberculo dna dir probe
|
$37.09 |
$37.09 |
$37.09 |
$58.40
|
|
M.tuberculo dna quant
|
$59.12 |
$59.12 |
$59.12 |
$59.12
|
|
Mucin synovial fluid
|
$8.09 |
$8.09 |
$8.09 |
$33.57
|
|
Mucopolysaccharides
|
$39.33 |
$39.33 |
$39.33 |
$178.36
|
|
Mucormycosis antibody
|
$20.70 |
$20.70 |
$20.70 |
$38.40
|
|
Mult fam adapt bhv tx gdn
|
$51.52 |
$51.52 |
$51.52 |
$83.14
|
|
Multi-axial knee/shin system
|
$6,626.70 |
$6,626.70 |
$6,626.70 |
$4,538.80
|
|
Multi-axial rotation unit
|
$1,318.01 |
$1,318.01 |
$1,318.01 |
$952.00
|
|
Multi den insert custom mold
|
$76.12 |
$76.12 |
$76.12 |
$56.00
|
|
Multi den insert direct form
|
$51.00 |
$51.00 |
$51.00 |
$51.00
|
|
Multi-durometer below knee
|
$983.90 |
$983.90 |
$983.90 |
$770.00
|
|
Multi-durometer symes
|
$1,106.70 |
$1,106.70 |
$1,106.70 |
$845.60
|
|
Multi family grp psychotherapy
|
$244.07 |
$244.07 |
$244.07 |
$250.25
|
|
Multifocal erg w/i&r
|
$176.93 |
$176.93 |
$176.93 |
$386.40
|
|
Multiple sleep latency test
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$2,481.00
|
|
Multipo locking shoulder jnt
|
$5,359.51 |
$5,359.51 |
$5,359.51 |
$3,483.20
|
|
Mumps antibody igg
|
$18.01 |
$18.01 |
$18.01 |
$78.00
|
|
Muscle-skin graft arm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$3,014.40
|
|
Muscle-skin graft leg
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$296.91 |
$296.91 |
$296.91 |
$385.07
|
|
Muscle test hemidiaphragm
|
$176.93 |
$176.93 |
$176.93 |
$296.40
|
|
Muscle test larynx
|
$182.95 |
$182.95 |
$182.95 |
$296.80
|
|
Muscle test one fiber
|
$296.91 |
$296.91 |
$296.91 |
$442.40
|
|
Muscle transfers
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Mycobacteria dna amp probe
|
$66.57 |
$66.57 |
$66.57 |
$234.00
|
|
Mycobacteria dna dir probe
|
$27.67 |
$27.67 |
$27.67 |
$65.17
|
|
Mycobacteria dna quant
|
$59.12 |
$59.12 |
$59.12 |
$141.45
|
|
Mycophenolate mofetil 250 mg capsule
|
$0.20 |
$0.20 |
$0.20 |
$10.79
|
|
Mycophenolic acid
|
$0.44 |
$0.44 |
$0.44 |
$12.84
|
|
Mycoplasma antibody igm
|
$18.27 |
$18.27 |
$18.27 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$242.05 |
$242.05 |
$242.05 |
$417.00
|
|
Myelogphy 2/> spine regions
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,569.51
|
|
Myelography l-s spine
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,334.09
|
|
Myelography neck spine
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$15.91 |
$15.91 |
$15.91 |
$129.69
|
|
Myocardial resection 33542
|
$3,732.15 |
$3,732.15 |
$3,732.15 |
$6,414.40
|
|
Myocrd img pet 1std rst/strs
|
$1,966.24 |
$1,966.24 |
$1,966.24 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$1,966.24 |
$1,966.24 |
$1,966.24 |
$3,346.20
|
|
Myocrd img pet 2rtracer
|
$2,086.79 |
$2,086.79 |
$2,086.79 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$3,028.92 |
$3,028.92 |
$3,028.92 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$1,966.24 |
$1,966.24 |
$1,966.24 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$3,028.92 |
$3,028.92 |
$3,028.92 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$1,966.24 |
$1,966.24 |
$1,966.24 |
$3,311.85
|
|
Myomectomy abdom complex
|
$1,498.61 |
$1,498.61 |
$1,498.61 |
$1,893.60
|
|
Myomectomy abdom method
|
$1,197.22 |
$1,197.22 |
$1,197.22 |
$2,064.48
|
|
Myomectomy vag method
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Myringoplasty
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Nafcillin 2 gram solution for injection
|
$0.09 |
$0.09 |
$0.09 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$4.76 |
$4.76 |
$4.76 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$0.09 |
$0.09 |
$0.09 |
$70.87
|
|
Naltrexone, depot form
|
$5.86 |
$5.86 |
$5.86 |
$3,249.40
|
|
Narcosynthesis
|
$244.07 |
$244.07 |
$244.07 |
$378.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$274.47 |
$274.47 |
$274.47 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$325.68 |
$325.68 |
$325.68 |
$406.00
|
|
Nasal function studies
|
$296.91 |
$296.91 |
$296.91 |
$348.00
|
|
Nasal septal prosthesis
|
$2,338.99 |
$2,338.99 |
$2,338.99 |
$1,607.20
|
|
Nasal/sinus endoscopy surg
|
$9,704.27 |
$9,704.27 |
$9,704.27 |
$4,881.00
|
|
Nasal/sinus endoscopy surg
|
$1,445.15 |
$1,445.15 |
$1,445.15 |
$5,662.40
|
|
Nasal/sinus endoscopy surg
|
$1,586.77 |
$1,586.77 |
$1,586.77 |
$5,085.60
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$2,447.43 |
$2,447.43 |
$2,447.43 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$9,704.27 |
$9,704.27 |
$9,704.27 |
$5,741.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$2,447.43 |
$2,447.43 |
$2,447.43 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$9,704.27 |
$9,704.27 |
$9,704.27 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$9,704.27 |
$9,704.27 |
$9,704.27 |
$7,662.21
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$9,704.27 |
$9,704.27 |
$9,704.27 |
$6,698.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$537.80 |
$537.80 |
$537.80 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$2,447.43 |
$2,447.43 |
$2,447.43 |
$2,232.24
|
|
Nasal sinus therapy
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,752.89
|
|
Nasopharyngoscopy w/endoscope
|
$274.47 |
$274.47 |
$274.47 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$33.83 |
$33.83 |
$33.83 |
$16,254.52
|
|
Natriuretic peptide
|
$54.18 |
$54.18 |
$54.18 |
$176.00
|
|
Natural killer cells total count
|
$52.07 |
$52.07 |
$52.07 |
$135.00
|
