|
MRA pelvis w IV cont
|
$420.58 |
$420.58 |
$420.58 |
$607.89
|
|
MRA pelvis wo IV cont
|
$284.66 |
$284.66 |
$284.66 |
$838.88
|
|
MRA w/cont, abd
|
$420.58 |
$420.58 |
$420.58 |
$1,254.50
|
|
MRA w/cont, lwr ext
|
$420.58 |
$420.58 |
$420.58 |
$1,191.96
|
|
Mra, w/dye, spinal canal
|
$420.58 |
$420.58 |
$420.58 |
$943.83
|
|
Mra, w/dye, upper extremity
|
$420.58 |
$420.58 |
$420.58 |
$943.83
|
|
MRA without cont, abd
|
$284.66 |
$284.66 |
$284.66 |
$1,028.25
|
|
MRA without cont, lwr ext
|
$284.66 |
$284.66 |
$284.66 |
$1,120.55
|
|
Mra, without dye, spinal canal
|
$284.66 |
$284.66 |
$284.66 |
$632.97
|
|
Mra, without dye, upper extr
|
$284.66 |
$284.66 |
$284.66 |
$696.53
|
|
MRA without fol w/cont, abd
|
$420.58 |
$420.58 |
$420.58 |
$1,892.07
|
|
MRA without fol w/cont, lwr ext
|
$420.58 |
$420.58 |
$420.58 |
$1,907.17
|
|
MRA without fol w/cont, pelvis
|
$420.58 |
$420.58 |
$420.58 |
$1,389.42
|
|
Mra, w/o&w/dye, spinal canal
|
$420.58 |
$420.58 |
$420.58 |
$420.58
|
|
Mra, w/o&w/dye, upper extr
|
$420.58 |
$420.58 |
$420.58 |
$1,085.03
|
|
Mr elastography
|
$284.66 |
$284.66 |
$284.66 |
$684.06
|
|
Mrgfus strtctc ablt trgt icr
|
$14,685.79 |
$14,685.79 |
$14,685.79 |
$15,321.63
|
|
MRI brain w/dye
|
$209.65 |
$209.65 |
$209.65 |
$1,678.95
|
|
MRI brain without dye
|
$645.71 |
$645.71 |
$645.71 |
$1,652.00
|
|
MRI brain without & w/dye
|
$209.65 |
$209.65 |
$209.65 |
$2,813.09
|
|
MRI breast c- unilateral
|
$284.66 |
$284.66 |
$284.66 |
$1,020.32
|
|
MRI breast without cont bi
|
$284.66 |
$284.66 |
$284.66 |
$1,541.80
|
|
MRI cardiac morph & func wo IV cont
|
$284.66 |
$284.66 |
$284.66 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$420.58 |
$420.58 |
$420.58 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$930.42 |
$930.42 |
$930.42 |
$2,132.00
|
|
MRI chest without contrast
|
$284.66 |
$284.66 |
$284.66 |
$1,661.55
|
|
MRI chest without & w/contrast
|
$420.58 |
$420.58 |
$420.58 |
$2,321.61
|
|
MRI chest w IV cont
|
$930.42 |
$930.42 |
$930.42 |
$2,105.25
|
|
MRI fetal sngl/1st gestation
|
$284.66 |
$284.66 |
$284.66 |
$1,136.26
|
|
MRI loex nonjt w IV cont
|
$420.58 |
$420.58 |
$420.58 |
$1,953.60
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$284.66 |
$284.66 |
$284.66 |
$2,051.28
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$420.58 |
$420.58 |
$420.58 |
$2,614.43
|
|
MRI orbit/face/neck without contrast
|
$284.66 |
$284.66 |
$284.66 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$420.58 |
$420.58 |
$420.58 |
$2,552.60
|
|
MRI orbit fac&nck w IV cont
|
$420.58 |
$420.58 |
$420.58 |
$2,002.00
|
|
MRI tmj
|
$284.66 |
$284.66 |
$284.66 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$284.66 |
$284.66 |
$284.66 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$420.58 |
$420.58 |
$420.58 |
$2,628.75
|
|
MRI upper extremity w/dye
|
$420.58 |
$420.58 |
$420.58 |
$1,854.07
|
|
MRI w/cont, breast, bi
|
$420.58 |
$420.58 |
$420.58 |
$1,225.98
|
|
MRI w/cont, breast, uni
|
$209.65 |
$209.65 |
$209.65 |
$1,225.98
|
|
MRI without fol w/cont, breast
|
$420.58 |
$420.58 |
$420.58 |
$1,312.08
|
|
MRI without fol w/cont, brst, un
|
$420.58 |
$420.58 |
$420.58 |
$1,225.98
|
|
Mr safety determination physician/other qhp
|
$103.69 |
$103.69 |
$103.69 |
$152.40
|
|
Mr safety implant elec prepj
|
$108.10 |
$108.10 |
$108.10 |
$166.80
|
|
Mr safety implt pos&/immoblj
|
$69.95 |
$69.95 |
$69.95 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$28.84 |
$28.84 |
$28.84 |
$40.78
|
|
Mr sfty med physics xm cstmz
|
$284.66 |
$284.66 |
$284.66 |
$402.40
|
|
Mr spectroscopy
|
$103.69 |
$103.69 |
$103.69 |
$1,117.20
|
|
Msh2 gene dup/delete variant
|
$213.30 |
$213.30 |
$213.30 |
$427.20
|
|
Msh2 gene full seq
|
$381.70 |
$381.70 |
$381.70 |
$504.56
|
|
Msh2 gene known variants
|
$337.73 |
$337.73 |
$337.73 |
$405.28
|
|
Msh6 gene dup/delete variant
|
$238.00 |
$238.00 |
$238.00 |
$476.00
|
|
Msh6 gene full seq
|
$641.85 |
$641.85 |
$641.85 |
$641.85
|
|
Msh6 gene known variants
|
$308.00 |
$308.00 |
$308.00 |
$425.04
|
|
Mthfr gene analy common variants
|
$65.34 |
$65.34 |
$65.34 |
$246.35
|
|
M.tuberculo dna dir probe
|
$26.88 |
$26.88 |
$26.88 |
$58.40
|
|
Mucin synovial fluid
|
$5.86 |
$5.86 |
$5.86 |
$32.55
|
|
Mucopolysaccharides
|
$28.50 |
$28.50 |
$28.50 |
$255.20
|
|
Multi family grp psychotherapy
|
$189.21 |
$189.21 |
$189.21 |
$184.38
|
|
Multifocal erg w/i&r
|
$184.26 |
$184.26 |
$184.26 |
$184.26
|
|
Multiple sleep latency test
|
$624.87 |
$624.87 |
$624.87 |
$2,672.68
|
|
Mumps antibody igg
|
$13.05 |
$13.05 |
$13.05 |
$81.45
|
|
Muscle-skin graft arm
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,973.95
|
|
Muscle-skin graft leg
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,106.77
|
|
Muscle-skin graft trunk
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,055.70
|
|
Muscle test cran nerv unilat
|
$366.72 |
$366.72 |
$366.72 |
$377.52
|
|
Muscle test hemidiaphragm
|
$184.26 |
$184.26 |
$184.26 |
$295.20
|
|
Muscle test larynx
|
$151.80 |
$151.80 |
$151.80 |
$310.00
|
|
Muscle test one fiber
|
$184.26 |
$184.26 |
$184.26 |
$442.40
|
|
Muscle transfers
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,913.97
|
|
Muscle transfer shoulder/arm
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,913.97
|
|
Musc myoq/fscq flp h&n pedcl
|
$4,311.38 |
$4,311.38 |
$4,311.38 |
$4,055.70
|
|
Musc/tdn transfer upr a/e 1
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,021.07
|
|
Mycobacteria dna amp probe
|
$48.24 |
$48.24 |
$48.24 |
$216.45
|
|
Mycoplasma antibody igm
|
$13.24 |
$13.24 |
$13.24 |
$87.50
|
|
Myd88 gene p.leu265pro vrnt
|
$175.40 |
$175.40 |
$175.40 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$930.42 |
$930.42 |
$930.42 |
$1,389.13
|
|
Myelography l-s spine
|
$930.42 |
$930.42 |
$930.42 |
$1,275.75
|
|
Myelography neck spine
|
$930.42 |
$930.42 |
$930.42 |
$1,095.20
|
|
Myelography thoracic spine
|
$930.42 |
$930.42 |
$930.42 |
$1,077.92
|
|
Myelography via inj w/s&i 2+ regions
|
$930.42 |
$930.42 |
$930.42 |
$2,042.95
|
|
Myelography via inj w/s&i cervical
|
$930.42 |
$930.42 |
$930.42 |
$1,687.37
|
|
Myelography via inj w/s&i lumbosacral
|
$930.42 |
$930.42 |
$930.42 |
$1,923.03
|
|
Myelography via inj w/s&i thoracic
|
$930.42 |
$930.42 |
$930.42 |
$2,042.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$11.53 |
$11.53 |
$11.53 |
$116.80
|
|
Myocrd img pet 1std rst/strs
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$2,753.60
|
|
Myocrd img pet 1 std w/ct
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$2,135.64
|
|
Myocrd img pet 2rtracer CT
|
$2,297.03 |
$2,297.03 |
$2,297.03 |
$4,048.31
|
|
Myocrd img pet mlt rst&strs
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$2,770.40
|
|
Myocrd img pet rst/strs w/ct
|
$1,717.72 |
$1,717.72 |
$1,717.72 |
$3,093.78
|
|
Myomectomy vag method
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,744.41
|
|
Myringoplasty
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,589.62
|
|
Naltrexone, depot form
|
$4.12 |
$4.12 |
$4.12 |
$5,794.40
|
|
Narcosynthesis
|
$189.21 |
$189.21 |
$189.21 |
$244.07
|
|
Nasal endoscopy dx uni/bi separate proc
|
$228.63 |
$228.63 |
$228.63 |
$390.00
|
|
Nasal endoscopy with removal of nasal foreign body
|
$273.48 |
$273.48 |
$273.48 |
$283.50
|
|
Nasal function studies
|
$366.72 |
$366.72 |
$366.72 |
$298.60
|
|
Nasal/sinus endoscopy surg
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$3,585.80
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,340.78
|