|
Mra, without dye, upper extr
|
$328.08 |
$328.08 |
$328.08 |
|
|
MRA without fol w/cont, abd
|
$360.49 |
$479.72 |
$1,972.32 |
|
|
MRA without fol w/cont, lwr ext
|
$360.49 |
$479.72 |
$2,416.40 |
|
|
MRA without fol w/cont, pelvis
|
$360.49 |
$479.72 |
$1,518.16 |
|
|
Mra, w/o&w/dye, spinal canal
|
$479.72 |
$479.72 |
$880.32 |
|
|
Mra, w/o&w/dye, upper extr
|
$360.49 |
$479.72 |
$1,093.68 |
|
|
Mr elastography
|
$132.07 |
$749.00 |
$1,523.00 |
|
|
Mrgfus strtctc ablt trgt icr
|
$15,321.63 |
$15,321.63 |
$39,301.00 |
|
|
MRI brain w/dye
|
$241.18 |
$2,145.00 |
$5,953.00 |
|
|
MRI brain without dye
|
$751.34 |
$1,652.00 |
$3,841.00 |
|
|
MRI brain without & w/dye
|
$241.18 |
$6,642.00 |
$7,891.00 |
|
|
MRI breast c- unilateral
|
$233.59 |
$328.08 |
$2,118.40 |
|
|
MRI breast c-+ w/cad uni
|
$316.81 |
$1,299.00 |
$4,673.60 |
|
|
MRI breast without cont bi
|
$328.08 |
$1,902.00 |
$4,732.00 |
|
|
MRI breast w IV cont bi
|
$210.00 |
$618.00 |
$7,011.20 |
|
|
MRI cardiac morph & func wo IV cont
|
$296.10 |
$1,661.00 |
$3,078.00 |
|
|
MRI cardiac morph & func wwo IV cont
|
$360.49 |
$3,043.00 |
$3,256.00 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$1,077.92 |
$3,076.00 |
$4,741.00 |
|
|
MRI chest without contrast
|
$233.59 |
$1,902.00 |
$3,458.00 |
|
|
MRI chest without & w/contrast
|
$360.49 |
$3,520.00 |
$5,801.60 |
|
|
MRI chest w IV cont
|
$287.17 |
$2,447.00 |
$3,280.80 |
|
|
MRI compatible system
|
$825.72 |
$1,186.76 |
$1,931.85 |
|
|
MRI fetal ea addl gestation
|
$148.90 |
$148.90 |
$904.00 |
|
|
MRI fetal sngl/1st gestation
|
$328.08 |
$1,577.00 |
$4,741.60 |
|
|
MRI guid ndl plc s&i
|
$475.71 |
$475.71 |
$1,494.40 |
|
|
MRI guid parenchymal tiss ablation
|
$268.40 |
$268.40 |
$268.40 |
|
|
MRI hyperpolarized xenon129
|
$1,683.03 |
$1,683.03 |
$1,683.03 |
|
|
MRI loex nonjt w IV cont
|
$479.72 |
$1,175.00 |
$6,268.00 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$317.25 |
$3,636.00 |
$8,136.00 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$421.59 |
$5,536.00 |
$15,053.00 |
|
|
MRI orbit fac&nck w IV cont
|
$479.72 |
$1,283.00 |
$3,280.80 |
|
|
MRI tmj
|
$328.08 |
$2,097.00 |
$3,636.00 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$317.72 |
$1,902.00 |
$5,048.00 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$418.77 |
$3,520.00 |
$8,028.00 |
|
|
MRI upper extremity w/dye
|
$383.05 |
$1,175.00 |
$7,441.60 |
|
|
MRI w/cont, breast, bi
|
$479.72 |
$1,958.00 |
$2,665.04 |
|
|
MRI w/cont, breast, uni
|
$241.18 |
$241.18 |
$1,654.24 |
|
|
MRI without fol w/cont, breast
|
$479.72 |
$3,520.00 |
$5,759.00 |
|
|
MRI without fol w/cont, brst, un
|
$360.49 |
$479.72 |
$2,137.52 |
|
|
Mr safety determination physician/other qhp
|
$119.66 |
$119.66 |
$220.00 |
|
|
Mr safety implant elec prepj
|
$130.73 |
$130.73 |
$228.80 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$72.71 |
$72.71 |
$121.60 |
|
|
Mr safety implt pos&/immoblj
|
$81.12 |
$81.12 |
$148.00 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$39.77 |
$39.77 |
$60.80 |
|
|
Mr sfty med physics xm cstmz
|
$328.08 |
$328.08 |
$603.20 |
|
|
Mr spectroscopy
|
$119.66 |
$1,882.00 |
$4,024.00 |
|
|
Msh2 gene dup/delete variant
|
$44.80 |
$294.35 |
$294.35 |
|
|
Msh2 gene full seq
|
$82.88 |
$526.75 |
$1,540.80 |
|
|
Msh2 gene known variants
|
$466.07 |
$466.07 |
$466.07 |
|
|
Msh6 gene dup/delete variant
|
$50.40 |
$328.44 |
$328.44 |
|
|
Msh6 gene full seq
|
$136.08 |
$885.75 |
$2,591.20 |
|
|
Msh6 gene known variants
|
$144.76 |
$425.04 |
$425.04 |
|
|
Mt bone graft microvasc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Mthfr gene analy common variants
|
$31.50 |
$90.17 |
$1,484.00 |
|
|
M.tuberculo dna dir probe
|
$12.69 |
$37.09 |
$37.09 |
|
|
M.tuberculo dna quant
|
$59.12 |
$59.12 |
$59.12 |
|
|
Mucin synovial fluid
|
$3.29 |
$8.09 |
$231.20 |
|
|
Mucopolysaccharides
|
$13.63 |
$548.00 |
$1,124.00 |
|
|
Mucormycosis antibody
|
$20.70 |
$20.70 |
$20.70 |
|
|
Mult fam adapt bhv tx gdn
|
$51.52 |
$51.52 |
$51.52 |
|
|
Multi-axial knee/shin system
|
$6,626.70 |
$6,626.70 |
$6,626.70 |
|
|
Multi-axial rotation unit
|
$1,318.01 |
$1,318.01 |
$1,318.01 |
|
|
Multi den insert custom mold
|
$29.40 |
$76.12 |
$76.12 |
|
|
Multi den insert direct form
|
$19.74 |
$51.00 |
$51.00 |
|
|
Multi-durometer below knee
|
$983.90 |
$983.90 |
$983.90 |
|
|
Multi-durometer symes
|
$1,106.70 |
$1,106.70 |
$1,106.70 |
|
|
Multi family grp psychotherapy
|
$43.24 |
$244.07 |
$244.07 |
|
|
Multifocal erg w/i&r
|
$176.93 |
$390.00 |
$390.00 |
|
|
Multiple sleep latency test
|
$1,180.80 |
$4,671.00 |
$7,186.40 |
|
|
Multipo locking shoulder jnt
|
$5,359.51 |
$5,359.51 |
$5,359.51 |
|
|
Mumps antibody igg
|
$13.63 |
$119.00 |
$161.60 |
|
|
Muscle-skin graft arm
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Muscle-skin graft leg
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Muscle-skin graft trunk
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Muscle test cran nerv unilat
|
$152.88 |
$701.00 |
$759.00 |
|
|
Muscle test hemidiaphragm
|
$176.93 |
$176.93 |
$176.93 |
|
|
Muscle test larynx
|
$107.52 |
$310.00 |
$466.00 |
|
|
Muscle test one fiber
|
$296.91 |
$482.00 |
$482.00 |
|
|
Muscle transfers
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Muscle transfer shoulder/arm
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Musc myoq/fscq flp h&n pedcl
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Musc/tdn transfer upr a/e 1
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Mycobacteria dna amp probe
|
$22.56 |
$66.57 |
$66.57 |
|
|
Mycobacteria dna dir probe
|
$21.15 |
$27.67 |
$27.67 |
|
|
Mycobacteria dna quant
|
$59.12 |
$59.12 |
$59.12 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$0.20 |
$0.20 |
$8.29 |
|
|
Mycophenolic acid
|
$0.44 |
$0.44 |
$8.28 |
|
|
Mycoplasma antibody igm
|
$4.41 |
$122.00 |
$176.00 |
|
|
Myd88 gene p.leu265pro vrnt
|
$82.25 |
$872.00 |
$1,598.40 |
|
|
Myelogphy 2/> spine regions
|
$388.92 |
$1,077.92 |
$4,147.20 |
|
|
Myelography l-s spine
|
$483.63 |
$1,077.92 |
$3,072.00 |
|
|
Myelography neck spine
|
$541.91 |
$1,077.92 |
$2,836.80 |
|
|
Myelography thoracic spine
|
$406.98 |
$1,077.92 |
$3,570.40 |
|
|
Myelography via inj w/s&i 2+ regions
|
$1,077.92 |
$2,816.00 |
$3,468.00 |
|
|
Myelography via inj w/s&i cervical
|
$1,077.92 |
$2,816.00 |
$3,468.00 |
|
|
Myelography via inj w/s&i lumbosacral
|
$1,077.92 |
$2,816.00 |
$3,468.00 |
|
|
Myelography via inj w/s&i thoracic
|
$1,077.92 |
$2,816.00 |
$3,348.00 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$14.56 |
$67.00 |
$3,680.00 |
|
|
Myocardial resection 33542
|
$3,732.15 |
$3,732.15 |
$3,732.15 |
|
|
Myocrd img pet 1std rst/strs
|
$1,811.04 |
$1,966.24 |
$1,966.24 |
|