|
Mr safety determination physician/other qhp
|
$103.69 |
$103.69 |
$103.69 |
$161.40
|
|
Mr safety implant elec prepj
|
$108.10 |
$108.10 |
$108.10 |
$173.40
|
|
Mr safety implt pos&/immoblj
|
$69.95 |
$69.95 |
$69.95 |
$125.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$28.84 |
$28.84 |
$28.84 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$284.66 |
$284.66 |
$284.66 |
$444.00
|
|
Mr spectroscopy
|
$103.69 |
$103.69 |
$103.69 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$213.30 |
$213.30 |
$213.30 |
$422.64
|
|
Msh2 gene full seq
|
$381.70 |
$381.70 |
$381.70 |
$764.00
|
|
Msh2 gene known variants
|
$337.73 |
$337.73 |
$337.73 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$238.00 |
$238.00 |
$238.00 |
$476.00
|
|
Msh6 gene full seq
|
$641.85 |
$641.85 |
$641.85 |
$1,160.50
|
|
Msh6 gene known variants
|
$308.00 |
$308.00 |
$308.00 |
$369.60
|
|
Mthfr gene analy common variants
|
$65.34 |
$65.34 |
$65.34 |
$184.00
|
|
M.tuberculo dna dir probe
|
$26.88 |
$26.88 |
$26.88 |
$58.40
|
|
M.tuberculo dna quant
|
$42.84 |
$42.84 |
$42.84 |
$59.12
|
|
Mucin synovial fluid
|
$5.86 |
$5.86 |
$5.86 |
$33.57
|
|
Mucopolysaccharides
|
$28.50 |
$28.50 |
$28.50 |
$178.36
|
|
Mucormycosis antibody
|
$15.00 |
$15.00 |
$15.00 |
$38.40
|
|
Mult fam adapt bhv tx gdn
|
$35.08 |
$35.08 |
$35.08 |
$83.14
|
|
Multi family grp psychotherapy
|
$189.21 |
$189.21 |
$189.21 |
$250.25
|
|
Multifocal erg w/i&r
|
$184.26 |
$184.26 |
$184.26 |
$386.40
|
|
Multiple sleep latency test
|
$624.87 |
$624.87 |
$624.87 |
$2,466.00
|
|
Mumps antibody igg
|
$13.05 |
$13.05 |
$13.05 |
$78.00
|
|
Muscle-skin graft arm
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$3,014.40
|
|
Muscle-skin graft leg
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$366.72 |
$366.72 |
$366.72 |
$385.07
|
|
Muscle test hemidiaphragm
|
$184.26 |
$184.26 |
$184.26 |
$296.40
|
|
Muscle test larynx
|
$151.80 |
$151.80 |
$151.80 |
$296.80
|
|
Muscle test one fiber
|
$184.26 |
$184.26 |
$184.26 |
$432.00
|
|
Muscle transfers
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Mycobacteria dna amp probe
|
$48.24 |
$48.24 |
$48.24 |
$234.00
|
|
Mycobacteria dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$65.17
|
|
Mycobacteria dna quant
|
$42.84 |
$42.84 |
$42.84 |
$141.45
|
|
Mycoplasma antibody igm
|
$13.24 |
$13.24 |
$13.24 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$175.40 |
$175.40 |
$175.40 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$930.42 |
$930.42 |
$930.42 |
$1,494.22
|
|
Myelography l-s spine
|
$930.42 |
$930.42 |
$930.42 |
$1,334.09
|
|
Myelography neck spine
|
$930.42 |
$930.42 |
$930.42 |
$1,241.50
|
|
Myelography thoracic spine
|
$930.42 |
$930.42 |
$930.42 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$930.42 |
$930.42 |
$930.42 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$930.42 |
$930.42 |
$930.42 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$930.42 |
$930.42 |
$930.42 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$930.42 |
$930.42 |
$930.42 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$11.53 |
$11.53 |
$11.53 |
$130.41
|
|
Myocrd img pet 1std rst/strs
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$2,179.26 |
$2,179.26 |
$2,179.26 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$2,297.03 |
$2,297.03 |
$2,297.03 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$2,650.32 |
$2,650.32 |
$2,650.32 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$3,311.85
|
|
Myomectomy vag method
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,762.53
|
|
Myringoplasty
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Naltrexone, depot form
|
$4.24 |
$4.24 |
$4.24 |
$3,249.40
|
|
Narcosynthesis
|
$189.21 |
$189.21 |
$189.21 |
$378.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$228.63 |
$228.63 |
$228.63 |
$351.52
|
|
Nasal endoscopy with removal of nasal foreign body
|
$273.48 |
$273.48 |
$273.48 |
$406.00
|
|
Nasal function studies
|
$366.72 |
$366.72 |
$366.72 |
$348.00
|
|
Nasal/sinus endoscopy surg
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$4,881.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$5,741.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$7,662.21
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$6,698.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$457.30 |
$457.30 |
$457.30 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,232.24
|
|
Nasal sinus therapy
|
$1,744.44 |
$1,744.44 |
$1,744.44 |
$1,752.89
|
|
Nasopharyngoscopy w/endoscope
|
$228.63 |
$228.63 |
$228.63 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$24.13 |
$24.13 |
$24.13 |
$16,254.52
|
|
Natriuretic peptide
|
$39.26 |
$39.26 |
$39.26 |
$176.15
|
|
Natural killer cells total count
|
$37.73 |
$37.73 |
$37.73 |
$135.00
|
|
Nav srv peer sup 60 min pr m
|
$108.93 |
$108.93 |
$108.93 |
$109.46
|
|
N block inj common digit
|
$347.63 |
$347.63 |
$347.63 |
$540.80
|
|
N block inj hypogas plxs
|
$1,048.46 |
$1,048.46 |
$1,048.46 |
$1,912.00
|
|
Nctrnl pen tmscn&/rgdity tst
|
$286.42 |
$286.42 |
$286.42 |
$442.68
|
|
Ndl emg musc 1 xtr/non-limb
|
$151.80 |
$151.80 |
$151.80 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$28.84 |
$28.84 |
$28.84 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$28.84 |
$28.84 |
$28.84 |
$45.00
|
|
Ndl oculoelectromyography 1+
|
$69.95 |
$69.95 |
$69.95 |
$158.50
|
|
Ndsc dcmprn 1 ntrspc lumbar
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,412.89
|
|
Nebulizer Breathing Treatment
|
$239.52 |
$239.52 |
$239.52 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$103.69 |
$103.69 |
$103.69 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$209.65 |
$209.65 |
$209.65 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$420.58 |
$420.58 |
$420.58 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$125.23 |
$125.23 |
$125.23 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$420.58 |
$420.58 |
$420.58 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$420.58 |
$420.58 |
$420.58 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$284.66 |
$284.66 |
$284.66 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$103.69 |
$103.69 |
$103.69 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$125.23 |
$125.23 |
$125.23 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$125.23 |
$125.23 |
$125.23 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$420.58 |
$420.58 |
$420.58 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$420.58 |
$420.58 |
$420.58 |
$2,116.50
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$284.66 |
$284.66 |
$284.66 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$209.65 |
$209.65 |
$209.65 |
$1,940.00
|