|
Mouth vestibule bx/w complex rpr 40814
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
M/phmtrc alys ishquant/semiq
|
$273.28 |
$273.28 |
$273.28 |
$574.00
|
|
Mpl gene analysis common variants
|
$165.36 |
$165.36 |
$165.36 |
$444.00
|
|
MRA abdomen post contrast
|
$1,390.69 |
$1,390.69 |
$1,390.69 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$1,516.50 |
$1,516.50 |
$1,516.50 |
$2,295.00
|
|
MRA pelvis
|
$1,528.09 |
$1,528.09 |
$1,528.09 |
$2,229.00
|
|
Mr elastography
|
$339.35 |
$339.35 |
$339.35 |
$684.06
|
|
MRI breast without cont bi
|
$730.79 |
$730.79 |
$730.79 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$521.83 |
$521.83 |
$521.83 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$890.95 |
$890.95 |
$890.95 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$745.45 |
$745.45 |
$745.45 |
$2,249.80
|
|
MRI chest without contrast
|
$638.89 |
$638.89 |
$638.89 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$1,034.04 |
$1,034.04 |
$1,034.04 |
$2,564.10
|
|
MRI chest w IV cont
|
$833.19 |
$833.19 |
$833.19 |
$2,105.25
|
|
MRI fetal ea addl gestation
|
$268.46 |
$268.46 |
$268.46 |
$576.10
|
|
MRI fetal sngl/1st gestation
|
$638.89 |
$638.89 |
$638.89 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$808.02 |
$808.02 |
$808.02 |
$1,133.22
|
|
MRI orbit/face/neck without contrast
|
$720.07 |
$720.07 |
$720.07 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$1,025.95 |
$1,025.95 |
$1,025.95 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$883.29 |
$883.29 |
$883.29 |
$2,120.25
|
|
MRI tmj
|
$682.65 |
$682.65 |
$682.65 |
$1,818.25
|
|
MRI w/cont, breast, bi
|
$797.08 |
$797.08 |
$797.08 |
$1,967.55
|
|
MRI without fol w/cont, breast
|
$1,584.98 |
$1,584.98 |
$1,584.98 |
$2,056.69
|
|
Mr safety determination physician/other qhp
|
$46.16 |
$46.16 |
$46.16 |
$160.20
|
|
Mr safety implant elec prepj
|
$49.01 |
$49.01 |
$49.01 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$33.69 |
$33.69 |
$33.69 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$15.31 |
$15.31 |
$15.31 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$124.05 |
$124.05 |
$124.05 |
$402.40
|
|
Mr spectroscopy
|
$685.71 |
$685.71 |
$685.71 |
$1,322.36
|
|
Msh2 gene dup/delete variant
|
$234.63 |
$234.63 |
$234.63 |
$388.30
|
|
Msh2 gene full seq
|
$419.87 |
$419.87 |
$419.87 |
$504.56
|
|
Msh2 gene known variants
|
$371.50 |
$371.50 |
$371.50 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$261.80 |
$261.80 |
$261.80 |
$476.00
|
|
Msh6 gene full seq
|
$706.04 |
$706.04 |
$706.04 |
$773.00
|
|
Msh6 gene known variants
|
$338.80 |
$338.80 |
$338.80 |
$425.04
|
|
Mthfr gene analy common variants
|
$71.87 |
$71.87 |
$71.87 |
$211.70
|
|
M.tuberculo dna dir probe
|
$29.57 |
$29.57 |
$29.57 |
$58.40
|
|
Mucin synovial fluid
|
$6.45 |
$6.45 |
$6.45 |
$30.00
|
|
Mucopolysaccharides
|
$31.35 |
$31.35 |
$31.35 |
$205.15
|
|
Multi family grp psychotherapy
|
$61.92 |
$61.92 |
$61.92 |
$213.27
|
|
Multiple sleep latency test
|
$575.44 |
$575.44 |
$575.44 |
$2,585.70
|
|
Mumps antibody igg
|
$14.36 |
$14.36 |
$14.36 |
$78.00
|
|
Muscle-skin graft arm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,973.95
|
|
Muscle-skin graft leg
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,332.25
|
|
Muscle-skin graft trunk
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,311.38
|
|
Muscle transfers
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Muscle transfer shoulder/arm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,907.11
|
|
Musc myoq/fscq flp h&n pedcl
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,076.80
|
|
Musc/tdn transfer upr a/e 1
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,021.07
|
|
Mycobacteria dna amp probe
|
$53.06 |
$53.06 |
$53.06 |
$240.24
|
|
Mycoplasma antibody igm
|
$14.56 |
$14.56 |
$14.56 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$192.94 |
$192.94 |
$192.94 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$606.73 |
$606.73 |
$606.73 |
$1,366.30
|
|
Myelography l-s spine
|
$474.79 |
$474.79 |
$474.79 |
$1,334.09
|
|
Myelography neck spine
|
$515.71 |
$515.71 |
$515.71 |
$1,103.70
|
|
Myelography thoracic spine
|
$358.83 |
$358.83 |
$358.83 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$12.68 |
$12.68 |
$12.68 |
$134.40
|
|
Myomectomy vag method
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,762.53
|
|
Myringoplasty
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,837.72
|
|
Nasal endoscopy dx uni/bi separate proc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$372.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$691.35
|
|
Nasal/sinus endoscopy surg
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,340.45
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,340.78
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,107.38
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,030.84
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,107.38
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,107.38
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,107.38
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$847.20
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,040.67
|
|
Nasal sinus therapy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,639.57
|
|
Natriuretic peptide
|
$43.19 |
$43.19 |
$43.19 |
$176.15
|
|
Natural killer cells total count
|
$41.50 |
$41.50 |
$41.50 |
$131.82
|
|
N block inj common digit
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$500.50
|
|
N block inj hypogas plxs
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,092.25
|
|
Nctrnl pen tmscn&/rgdity tst
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$287.81
|
|
Ndl insj without njx 1 or 2 musc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$43.00
|
|
Ndl insj without njx 3+ musc
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$54.60
|
|
Ndsc dcmprn 1 ntrspc lumbar
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$7,913.97
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$829.25 |
$829.25 |
$829.25 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$602.35 |
$602.35 |
$602.35 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$483.32 |
$483.32 |
$483.32 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,074.08 |
$1,074.08 |
$1,074.08 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$675.21 |
$675.21 |
$675.21 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$603.01 |
$603.01 |
$603.01 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$930.55 |
$930.55 |
$930.55 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$709.56 |
$709.56 |
$709.56 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$606.07 |
$606.07 |
$606.07 |
$1,790.58
|
|
Neck spine disk surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,839.00
|
|
Neck spine disk surgery 63075
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,311.00
|
|
Neisseria meningitidis
|
$14.51 |
$14.51 |
$14.51 |
$59.15
|
|
Nerve graft head/neck <4 cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,133.00
|
|
Nerve graft head/neck >4 cm
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,413.20
|
|
Nerve palsy fascial graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,332.25
|
|
Nerve palsy microsurg graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,459.27
|
|
Nerve palsy muscle graft
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,332.25
|