|
MRA without fol w/cont, pelvis
|
$1,641.79 |
$1,641.79 |
$1,641.79 |
$2,206.29
|
|
Mra, w/o&w/dye, spinal canal
|
$1,641.79 |
$1,641.79 |
$1,641.79 |
$950.55
|
|
Mra, w/o&w/dye, upper extr
|
$1,641.79 |
$1,641.79 |
$1,641.79 |
$1,260.80
|
|
Mr elastography
|
$969.07 |
$969.07 |
$969.07 |
$891.60
|
|
Mrgfus strtctc ablt trgt icr
|
$20,950.13 |
$20,950.13 |
$20,950.13 |
$22,209.60
|
|
MRI brain w/dye
|
$4,387.20 |
$4,387.20 |
$4,387.20 |
$2,174.90
|
|
MRI brain without dye
|
$4,378.18 |
$4,378.18 |
$4,378.18 |
$2,005.45
|
|
MRI brain without & w/dye
|
$4,378.18 |
$4,378.18 |
$4,378.18 |
$2,813.09
|
|
MRI breast c- unilateral
|
$364.85 |
$364.85 |
$364.85 |
$1,170.40
|
|
MRI breast c-+ w/cad uni
|
$548.35 |
$548.35 |
$548.35 |
$1,880.00
|
|
MRI breast without cont bi
|
$456.05 |
$456.05 |
$456.05 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$594.10 |
$594.10 |
$594.10 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,276.99 |
$1,276.99 |
$1,276.99 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$1,553.76 |
$1,553.76 |
$1,553.76 |
$2,499.60
|
|
MRI chest without contrast
|
$820.99 |
$820.99 |
$820.99 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$1,185.79 |
$1,185.79 |
$1,185.79 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,003.30 |
$1,003.30 |
$1,003.30 |
$2,252.39
|
|
MRI compatible system
|
$2,052.29 |
$2,052.29 |
$2,052.29 |
$2,672.33
|
|
MRI fetal ea addl gestation
|
$649.30 |
$649.30 |
$649.30 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$1,108.00
|
|
MRI guid ndl plc s&i
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$1,334.45
|
|
MRI loex nonjt w IV cont
|
$751.39 |
$751.39 |
$751.39 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,368.19 |
$1,368.19 |
$1,368.19 |
$2,770.95
|
|
MRI orbit fac&nck w IV cont
|
$912.00 |
$912.00 |
$912.00 |
$2,204.98
|
|
MRI tmj
|
$820.99 |
$820.99 |
$820.99 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,094.50 |
$1,094.50 |
$1,094.50 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,459.39 |
$1,459.39 |
$1,459.39 |
$2,669.70
|
|
MRI w/cont, breast, bi
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$877.44 |
$877.44 |
$877.44 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$547.30 |
$547.30 |
$547.30 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$501.70 |
$501.70 |
$501.70 |
$1,779.08
|
|
Mr spectroscopy
|
$1,096.80 |
$1,096.80 |
$1,096.80 |
$1,340.00
|
|
Mthfr gene analy common variants
|
$104.93 |
$104.93 |
$104.93 |
$184.00
|
|
Multi-axial knee/shin system
|
$6,637.49 |
$6,637.49 |
$6,637.49 |
$4,538.80
|
|
Multi-axial rotation unit
|
$1,400.16 |
$1,400.16 |
$1,400.16 |
$952.00
|
|
Multi den insert direct form
|
$55.73 |
$55.73 |
$55.73 |
$51.00
|
|
Multi-durometer below knee
|
$1,045.25 |
$1,045.25 |
$1,045.25 |
$770.00
|
|
Multi-durometer symes
|
$1,175.66 |
$1,175.66 |
$1,175.66 |
$845.60
|
|
Multi family grp psychotherapy
|
$47.38 |
$47.38 |
$47.38 |
$250.25
|
|
Multiple sleep latency test
|
$1,443.70 |
$1,443.70 |
$1,443.70 |
$2,466.00
|
|
Multipo locking shoulder jnt
|
$5,368.27 |
$5,368.27 |
$5,368.27 |
$3,483.20
|
|
Mumps antibody igg
|
$46.70 |
$46.70 |
$46.70 |
$78.00
|
|
Muscle test cran nerv unilat
|
$117.55 |
$117.55 |
$117.55 |
$385.07
|
|
Muscle test hemidiaphragm
|
$54.14 |
$54.14 |
$54.14 |
$296.40
|
|
Muscle test larynx
|
$54.14 |
$54.14 |
$54.14 |
$296.80
|
|
Muscle test one fiber
|
$117.26 |
$117.26 |
$117.26 |
$432.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$3.07 |
$3.07 |
$3.07 |
$10.79
|
|
Mycophenolic acid
|
$25.83 |
$25.83 |
$25.83 |
$12.84
|
|
Mycoplasma antibody igm
|
$29.38 |
$29.38 |
$29.38 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$918.91 |
$918.91 |
$918.91 |
$416.00
|
|
Myelography l-s spine
|
$282.67 |
$282.67 |
$282.67 |
$1,334.09
|
|
Myelography neck spine
|
$277.34 |
$277.34 |
$277.34 |
$1,241.50
|
|
Myelography thoracic spine
|
$277.34 |
$277.34 |
$277.34 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,705.39 |
$1,705.39 |
$1,705.39 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,318.80 |
$1,318.80 |
$1,318.80 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$301.15 |
$301.15 |
$301.15 |
$130.41
|
|
Myocrd img pet 1 std w/ct
|
$4,399.30 |
$4,399.30 |
$4,399.30 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$7,229.90 |
$7,229.90 |
$7,229.90 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$8,201.42 |
$8,201.42 |
$8,201.42 |
$5,083.90
|
|
Myocrd img pet rst&strs CT
|
$5,256.72 |
$5,256.72 |
$5,256.72 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$2,830.51 |
$2,830.51 |
$2,830.51 |
$3,311.85
|
|
Nafcillin 2 gram solution for injection
|
$79.98 |
$79.98 |
$79.98 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$30.60 |
$30.60 |
$30.60 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$38.73 |
$38.73 |
$38.73 |
$70.87
|
|
Naltrexone, depot form
|
$2,561.48 |
$2,561.48 |
$2,561.48 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$192.72 |
$192.72 |
$192.72 |
$351.52
|
|
Nasopharyngoscopy w/endoscope
|
$169.68 |
$169.68 |
$169.68 |
$293.58
|
|
Natriuretic peptide
|
$87.98 |
$87.98 |
$87.98 |
$176.15
|
|
Natural killer cells total count
|
$105.60 |
$105.60 |
$105.60 |
$135.00
|
|
N block inj hypogas plxs
|
$1,387.15 |
$1,387.15 |
$1,387.15 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$65.04 |
$65.04 |
$65.04 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$28.80 |
$28.80 |
$28.80 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$40.32 |
$40.32 |
$40.32 |
$45.00
|
|
Ndl oculoelectromyography 1+
|
$71.23 |
$71.23 |
$71.23 |
$158.50
|
|
Ndl round specialty proguide
|
$129.41 |
$129.41 |
$129.41 |
$324.40
|
|
Nebulizer Breathing Treatment
|
$161.09 |
$161.09 |
$161.09 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$207.79 |
$207.79 |
$207.79 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$912.00 |
$912.00 |
$912.00 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$729.74 |
$729.74 |
$729.74 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$547.30 |
$547.30 |
$547.30 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$207.79 |
$207.79 |
$207.79 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$138.43 |
$138.43 |
$138.43 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$207.79 |
$207.79 |
$207.79 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$912.00 |
$912.00 |
$912.00 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$731.28 |
$731.28 |
$731.28 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$547.30 |
$547.30 |
$547.30 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$287.90 |
$287.90 |
$287.90 |
$1,311.05
|
|
Needle emg guid w/chemodenervation add-on
|
$29.42 |
$29.42 |
$29.42 |
$164.80
|
|
Neg pres wound ther drsg set
|
$469.20 |
$469.20 |
$469.20 |
$676.00
|
|
Nelarabine injection
|
$1,313.92 |
$1,313.92 |
$1,313.92 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$22.80 |
$22.80 |
$22.80 |
$59.80
|
