|
Mouth vestibule bx/w complex rpr 40814
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$202.78 |
$202.78 |
$202.78 |
$495.60
|
|
M/phmtrc alys skeletal musc
|
$202.78 |
$202.78 |
$202.78 |
$274.49
|
|
Mpl gene analysis common variants
|
$150.33 |
$150.33 |
$150.33 |
$416.16
|
|
M.pneumon dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$40.17
|
|
M.pneumon dna quant
|
$302.62 |
$302.62 |
$302.62 |
$417.62
|
|
MRA chest w IV cont
|
$422.61 |
$422.61 |
$422.61 |
$1,813.48
|
|
MRA chest wo IV cont
|
$286.04 |
$286.04 |
$286.04 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$422.61 |
$422.61 |
$422.61 |
$2,548.00
|
|
MRA pelvis w IV cont
|
$422.61 |
$422.61 |
$422.61 |
$1,648.98
|
|
MRA pelvis wo IV cont
|
$286.04 |
$286.04 |
$286.04 |
$1,509.69
|
|
MRA w/cont, abd
|
$422.61 |
$422.61 |
$422.61 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$422.61 |
$422.61 |
$422.61 |
$1,691.95
|
|
Mra, w/dye, spinal canal
|
$422.61 |
$422.61 |
$422.61 |
$836.76
|
|
Mra, w/dye, upper extremity
|
$422.61 |
$422.61 |
$422.61 |
$943.83
|
|
MRA without cont, abd
|
$286.04 |
$286.04 |
$286.04 |
$1,749.65
|
|
MRA without cont, lwr ext
|
$286.04 |
$286.04 |
$286.04 |
$1,656.00
|
|
Mra, without dye, spinal canal
|
$286.04 |
$286.04 |
$286.04 |
$1,033.39
|
|
Mra, without dye, upper extr
|
$286.04 |
$286.04 |
$286.04 |
$858.24
|
|
MRA without fol w/cont, abd
|
$422.61 |
$422.61 |
$422.61 |
$2,511.00
|
|
MRA without fol w/cont, lwr ext
|
$422.61 |
$422.61 |
$422.61 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$422.61 |
$422.61 |
$422.61 |
$2,206.29
|
|
Mra, w/o&w/dye, spinal canal
|
$422.61 |
$422.61 |
$422.61 |
$950.55
|
|
Mra, w/o&w/dye, upper extr
|
$422.61 |
$422.61 |
$422.61 |
$1,260.80
|
|
Mr elastography
|
$286.04 |
$286.04 |
$286.04 |
$840.00
|
|
Mrgfus strtctc ablt trgt icr
|
$14,756.87 |
$14,756.87 |
$14,756.87 |
$22,209.60
|
|
MRI brain w/dye
|
$210.66 |
$210.66 |
$210.66 |
$2,145.00
|
|
MRI brain without dye
|
$648.84 |
$648.84 |
$648.84 |
$2,005.45
|
|
MRI brain without & w/dye
|
$210.66 |
$210.66 |
$210.66 |
$2,813.09
|
|
MRI breast c- unilateral
|
$286.04 |
$286.04 |
$286.04 |
$1,170.40
|
|
MRI breast without cont bi
|
$286.04 |
$286.04 |
$286.04 |
$1,871.10
|
|
MRI cardiac morph & func wo IV cont
|
$286.04 |
$286.04 |
$286.04 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$422.61 |
$422.61 |
$422.61 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$934.93 |
$934.93 |
$934.93 |
$2,499.60
|
|
MRI chest without contrast
|
$286.04 |
$286.04 |
$286.04 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$422.61 |
$422.61 |
$422.61 |
$2,670.33
|
|
MRI chest w IV cont
|
$934.93 |
$934.93 |
$934.93 |
$2,278.18
|
|
MRI fetal sngl/1st gestation
|
$286.04 |
$286.04 |
$286.04 |
$1,136.26
|
|
MRI hyperpolarized xenon129
|
$1,479.79 |
$1,479.79 |
$1,479.79 |
$1,479.79
|
|
MRI loex nonjt w IV cont
|
$422.61 |
$422.61 |
$422.61 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$286.04 |
$286.04 |
$286.04 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$422.61 |
$422.61 |
$422.61 |
$2,777.40
|
|
MRI orbit fac&nck w IV cont
|
$422.61 |
$422.61 |
$422.61 |
$2,204.98
|
|
MRI tmj
|
$286.04 |
$286.04 |
$286.04 |
$1,774.30
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$286.04 |
$286.04 |
$286.04 |
$1,967.40
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$422.61 |
$422.61 |
$422.61 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$422.61 |
$422.61 |
$422.61 |
$2,061.15
|
|
MRI w/cont, breast, bi
|
$422.61 |
$422.61 |
$422.61 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$210.66 |
$210.66 |
$210.66 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$422.61 |
$422.61 |
$422.61 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$422.61 |
$422.61 |
$422.61 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$104.19 |
$104.19 |
$104.19 |
$161.40
|
|
Mr safety implant elec prepj
|
$108.62 |
$108.62 |
$108.62 |
$173.40
|
|
Mr safety implt pos&/immoblj
|
$70.29 |
$70.29 |
$70.29 |
$125.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$29.55 |
$29.55 |
$29.55 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$286.04 |
$286.04 |
$286.04 |
$444.00
|
|
Mr spectroscopy
|
$104.19 |
$104.19 |
$104.19 |
$1,375.50
|
|
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
|
|
Mt bone graft microvasc
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
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
|
$35.25 |
$35.25 |
$35.25 |
$83.14
|
|
Multi family grp psychotherapy
|
$190.13 |
$190.13 |
$190.13 |
$250.25
|
|
Multifocal erg w/i&r
|
$185.15 |
$185.15 |
$185.15 |
$386.40
|
|
Multiple sleep latency test
|
$877.34 |
$877.34 |
$877.34 |
$2,481.00
|
|
Mumps antibody igg
|
$13.05 |
$13.05 |
$13.05 |
$78.00
|
|
Muscle-skin graft arm
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$3,014.40
|
|
Muscle-skin graft leg
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$368.50 |
$368.50 |
$368.50 |
$385.07
|
|
Muscle test hemidiaphragm
|
$185.15 |
$185.15 |
$185.15 |
$296.40
|
|
Muscle test larynx
|
$152.54 |
$152.54 |
$152.54 |
$296.80
|
|
Muscle test one fiber
|
$220.60 |
$220.60 |
$220.60 |
$442.40
|
|
Muscle transfers
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$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 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$175.40 |
$175.40 |
$175.40 |
$417.00
|
|
Myelogphy 2/> spine regions
|
$934.93 |
$934.93 |
$934.93 |
$1,494.22
|
|
Myelography l-s spine
|
$934.93 |
$934.93 |
$934.93 |
$1,334.09
|
|
Myelography neck spine
|
$934.93 |
$934.93 |
$934.93 |
$1,241.50
|
|
Myelography thoracic spine
|
$934.93 |
$934.93 |
$934.93 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$934.93 |
$934.93 |
$934.93 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$934.93 |
$934.93 |
$934.93 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$934.93 |
$934.93 |
$934.93 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$934.93 |
$934.93 |
$934.93 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$11.53 |
$11.53 |
$11.53 |
$129.69
|