|
MRA ext low(run-off)pst cntrst
|
$1,229.35 |
$1,229.35 |
$1,229.35 |
|
|
MRA pelvis w IV cont
|
$787.29 |
$937.25 |
$1,565.72 |
|
|
MRA pelvis wo IV cont
|
$656.25 |
$656.25 |
$1,565.72 |
|
|
MRA spinal canal
|
$832.13 |
$832.13 |
$832.13 |
|
|
MRA upper extremity post contrast-bil
|
$832.13 |
$832.13 |
$832.13 |
|
|
MRA w/cont, abd
|
$787.29 |
$1,001.50 |
$1,419.60 |
|
|
MRA w/cont, lwr ext
|
$787.50 |
$900.00 |
$1,093.65 |
|
|
Mra, w/dye, upper extremity
|
$836.74 |
$873.12 |
$909.50 |
|
|
MRA without cont, abd
|
$444.18 |
$761.02 |
$1,089.51 |
|
|
MRA without cont, lwr ext
|
$656.60 |
$784.25 |
$985.55 |
|
|
Mra, without dye, upper extr
|
$733.70 |
$765.60 |
$797.50 |
|
|
MRA without fol w/cont, abd
|
$951.51 |
$1,207.60 |
$1,614.48 |
|
|
MRA without fol w/cont, lwr ext
|
$623.70 |
$1,069.00 |
$1,336.25 |
|
|
MRA without fol w/cont, pelvis
|
$873.92 |
$951.51 |
$1,565.72 |
|
|
Mra, w/o&w/dye, upper extr
|
$1,192.78 |
$1,244.64 |
$1,296.50 |
|
|
MRI breast c- unilateral
|
$723.87 |
$800.00 |
$861.75 |
|
|
MRI breast c-+ w/cad uni
|
$613.87 |
$846.00 |
$855.54 |
|
|
MRI breast without cont bi
|
$300.52 |
$924.84 |
$1,120.00 |
|
|
MRI breast w IV cont bi
|
$747.27 |
$1,268.25 |
$1,599.36 |
|
|
MRI cardiac morph & func wo IV cont
|
$710.20 |
$710.20 |
$710.20 |
|
|
MRI cardiac morph & func wwo IV cont
|
$856.20 |
$856.20 |
$856.20 |
|
|
MRI chest without contrast
|
$313.50 |
$876.00 |
$1,312.29 |
|
|
MRI chest without & w/contrast
|
$444.18 |
$1,457.74 |
$2,131.65 |
|
|
MRI chest w IV cont
|
$817.00 |
$857.85 |
$1,838.25 |
|
|
MRI guid ndl plc s&i
|
$496.34 |
$513.00 |
$721.77 |
|
|
MRI loex nonjt w IV cont
|
$858.40 |
$1,093.88 |
$1,410.57 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$377.96 |
$1,041.44 |
$1,364.79 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$444.18 |
$1,145.92 |
$2,131.65 |
|
|
MRI orbit/face/neck without contrast
|
$313.50 |
$876.00 |
$2,223.52 |
|
|
MRI orbit/face/neck without & w/contrast
|
$457.38 |
$1,381.00 |
$2,071.80 |
|
|
MRI orbit fac&nck w IV cont
|
$942.78 |
$1,186.57 |
$1,501.08 |
|
|
MRI tmj
|
$252.78 |
$792.00 |
$1,654.65 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$313.50 |
$930.25 |
$1,931.80 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$444.18 |
$1,094.11 |
$2,241.20 |
|
|
MRI upper extremity w/dye
|
$950.08 |
$998.76 |
$1,093.88 |
|
|
MRI w/cont, breast, bi
|
$1,016.82 |
$1,064.67 |
$1,157.25 |
|
|
MRI w/cont, breast, uni
|
$771.12 |
$844.56 |
$918.00 |
|
|
MRI without fol w/cont, breast
|
$300.52 |
$945.53 |
$1,617.60 |
|
|
MRI without fol w/cont, brst, un
|
$776.71 |
$1,070.25 |
$1,178.88 |
|
|
Mr spectroscopy
|
$123.05 |
$123.05 |
$524.79 |
|
|
Msh6 gene known variants
|
$91.60 |
$109.92 |
$164.01 |
|
|
Mthfr gene analy common variants
|
$43.34 |
$148.42 |
$1,018.80 |
|
|
Multiple sleep latency test
|
$470.36 |
$718.08 |
$1,654.40 |
|
|
Mumps antibody igg
|
$6.60 |
$31.44 |
$134.25 |
|
|
Muscle test cran nerv unilat
|
$111.00 |
$111.00 |
$138.18 |
|
|
Muscle test hemidiaphragm
|
$136.80 |
$136.80 |
$136.80 |
|
|
Muscle test one fiber
|
$138.18 |
$138.18 |
$140.80 |
|
|
Mycobacteria dna amp probe
|
$32.60 |
$39.12 |
$84.76 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$174.40 |
$209.28 |
$837.12 |
|
|
Mycophenolic acid
|
$2.26 |
$2.71 |
$10.84 |
|
|
Mycoplasma antibody igm
|
$11.96 |
$52.32 |
$247.20 |
|
|
Myd88 gene p.leu265pro vrnt
|
$89.67 |
$106.75 |
$160.08 |
|
|
Myelogphy 2/> spine regions
|
$497.60 |
$506.10 |
$593.25 |
|
|
Myelography l-s spine
|
$397.00 |
$455.49 |
$781.77 |
|
|
Myelography neck spine
|
$397.00 |
$486.57 |
$781.77 |
|
|
Myelography thoracic spine
|
$416.80 |
$467.88 |
$781.77 |
|
|
Myelography via inj w/s&i 2+ regions
|
$706.60 |
$833.14 |
$1,514.80 |
|
|
Myelography via inj w/s&i cervical
|
$388.10 |
$826.77 |
$1,514.80 |
|
|
Myelography via inj w/s&i lumbosacral
|
$606.60 |
$826.77 |
$1,514.80 |
|
|
Myelography via inj w/s&i thoracic
|
$388.10 |
$826.77 |
$1,554.80 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$13.64 |
$86.32 |
$254.25 |
|
|
Myocrd img pet 1std rst/strs
|
$2,300.00 |
$2,300.00 |
$2,320.29 |
|
|
Myocrd img pet 1 std w/ct
|
$988.68 |
$1,098.48 |
$1,162.50 |
|
|
Myocrd img pet 2rtracer
|
$1,884.54 |
$2,093.69 |
$2,215.75 |
|
|
Myocrd img pet 2rtracer CT
|
$1,884.54 |
$2,093.69 |
$2,215.75 |
|
|
Myocrd img pet mlt rst&strs
|
$2,300.00 |
$2,300.00 |
$2,680.02 |
|
|
Myocrd img pet rst&strs CT
|
$1,541.82 |
$1,713.04 |
$1,813.00 |
|
|
Myocrd img pet rst/strs w/ct
|
$988.68 |
$1,098.48 |
$1,162.50 |
|
|
Nalbuphine 10 mg/ml injection solution
|
$100.74 |
$120.89 |
$402.96 |
|
|
Nasal endoscopy dx uni/bi separate proc
|
$44.00 |
$55.00 |
$274.56 |
|
|
Nasopharyngoscopy w/endoscope
|
$52.80 |
$104.37 |
$249.25 |
|
|
Natriuretic peptide
|
$54.56 |
$126.24 |
$180.90 |
|
|
Natural killer cells total count
|
$12.81 |
$36.50 |
$123.74 |
|
|
N block inj hypogas plxs
|
$280.00 |
$280.00 |
$323.00 |
|
|
Ndl emg musc 1 xtr/non-limb
|
$101.00 |
$101.00 |
$138.18 |
|
|
Ndl insj without njx 1 or 2 musc
|
$16.00 |
$16.00 |
$19.20 |
|
|
Ndl insj without njx 3+ musc
|
$16.00 |
$16.00 |
$32.00 |
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$286.88 |
$861.81 |
$1,302.75 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$239.14 |
$913.44 |
$1,169.55 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$179.30 |
$800.00 |
$978.75 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$358.82 |
$1,719.00 |
$3,254.16 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$310.86 |
$1,206.12 |
$1,364.79 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$263.12 |
$1,024.18 |
$1,342.74 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$418.00 |
$1,267.98 |
$2,131.65 |
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$873.28 |
$1,001.50 |
$1,070.68 |
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$313.50 |
$893.55 |
$1,093.50 |
|
|
Needle emg guid w/chemodenervation add-on
|
$122.22 |
$122.22 |
$122.22 |
|
|
Nelarabine injection
|
$366.90 |
$458.62 |
$1,467.60 |
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$53.08 |
$63.70 |
$212.34 |
|
|
Nerve conduction 7-8 studies
|
$102.06 |
$251.60 |
$1,162.80 |
|
|
Nerve conduction studies 11-12
|
$138.38 |
$251.60 |
$1,743.60 |
|
|
Nerve conduction studies 1-2
|
$50.82 |
$108.00 |
$304.80 |
|
|
Nerve conduction studies 13+
|
$138.38 |
$251.60 |
$1,888.60 |
|
|
Nerve conduction studies 3-4
|
$102.06 |
$304.00 |
$581.20 |
|
|
Nerve conduction studies 5-6
|
$102.06 |
$219.60 |
$872.20 |
|
|
Nerve conduction studies 9-10
|
$138.38 |
$251.60 |
$1,453.00 |
|
|
Nerve teasing preparations
|
$249.48 |
$260.82 |
$453.60 |
|
|
Neuroeltrd stim post tibial
|
$165.27 |
$194.50 |
$496.00 |
|
|
Neurolysis celiac plexus
|
$447.75 |
$458.80 |
$501.06 |
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$68.46 |
$68.46 |
$115.80 |
|