|
MRA aorta thoracic w/wo contrast
|
$4,124.64 |
$4,124.64 |
$4,124.64 |
$2,303.43
|
|
MRA ext low(run-off)pst cntrst
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$2,542.25
|
|
MRA pelvis
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$2,230.20
|
|
MRA spinal canal
|
$52.36 |
$52.36 |
$52.36 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$3,733.86 |
$3,733.86 |
$3,733.86 |
$2,482.20
|
|
Mr elastography
|
$32.12 |
$32.12 |
$32.12 |
$840.00
|
|
Mrgfus strtctc ablt trgt icr
|
$746.02 |
$746.02 |
$746.02 |
$22,209.60
|
|
MRI brain w/dye
|
$102.74 |
$102.74 |
$102.74 |
$2,145.00
|
|
MRI brain without dye
|
$92.84 |
$92.84 |
$92.84 |
$2,005.45
|
|
MRI brain without & w/dye
|
$97.46 |
$97.46 |
$97.46 |
$2,813.09
|
|
MRI breast c- unilateral
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,128.00
|
|
MRI breast c-+ w/cad uni
|
$1,750.32 |
$1,750.32 |
$1,750.32 |
$1,704.95
|
|
MRI breast without cont bi
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,793.40
|
|
MRI breast w IV cont bi
|
$1,750.32 |
$1,750.32 |
$1,750.32 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$67.98 |
$67.98 |
$67.98 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$75.46 |
$75.46 |
$75.46 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$86.24 |
$86.24 |
$86.24 |
$2,499.60
|
|
MRI chest without contrast
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,542.02 |
$2,542.02 |
$2,542.02 |
$2,221.45
|
|
MRI fetal ea addl gestation
|
$54.56 |
$54.56 |
$54.56 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$88.22 |
$88.22 |
$88.22 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$2,196.48 |
$2,196.48 |
$2,196.48 |
$1,264.76
|
|
MRI guid parenchymal tiss ablation
|
$122.76 |
$122.76 |
$122.76 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$2,507.70 |
$2,507.70 |
$2,507.70 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$2,088.20
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,777.40
|
|
MRI orbit fac&nck w IV cont
|
$2,507.70 |
$2,507.70 |
$2,507.70 |
$2,172.95
|
|
MRI tmj
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,731.30
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$1,960.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$2,507.70 |
$2,507.70 |
$2,507.70 |
$2,017.05
|
|
Mr safety determination physician/other qhp
|
$17.38 |
$17.38 |
$17.38 |
$161.40
|
|
Mr safety implant elec prepj
|
$21.78 |
$21.78 |
$21.78 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$129.48 |
$129.48 |
$129.48 |
$53.54
|
|
Mr safety implt pos&/immoblj
|
$17.16 |
$17.16 |
$17.16 |
$126.57
|
|
Mr sfty implt&/fb asmt stf 1
|
$172.38 |
$172.38 |
$172.38 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$22.22 |
$22.22 |
$22.22 |
$444.00
|
|
Mr spectroscopy
|
$618.54 |
$618.54 |
$618.54 |
$1,322.36
|
|
Msh2 gene dup/delete variant
|
$140.80 |
$140.80 |
$140.80 |
$403.20
|
|
Msh2 gene full seq
|
$252.12 |
$252.12 |
$252.12 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$157.08 |
$157.08 |
$157.08 |
$476.00
|
|
Msh6 gene full seq
|
$423.72 |
$423.72 |
$423.72 |
$1,160.50
|
|
Mt bone graft microvasc
|
$1,695.98 |
$1,695.98 |
$1,695.98 |
$7,413.38
|
|
Mthfr gene analy common variants
|
$152.88 |
$152.88 |
$152.88 |
$184.00
|
|
M.tuberculo dna dir probe
|
$17.60 |
$17.60 |
$17.60 |
$58.40
|
|
M.tuberculo dna quant
|
$28.16 |
$28.16 |
$28.16 |
$59.12
|
|
Mucin synovial fluid
|
$3.96 |
$3.96 |
$3.96 |
$33.57
|
|
Mucopolysaccharides
|
$18.92 |
$18.92 |
$18.92 |
$178.36
|
|
Mucormycosis antibody
|
$10.12 |
$10.12 |
$10.12 |
$38.40
|
|
Multi family grp psychotherapy
|
$18.92 |
$18.92 |
$18.92 |
$250.25
|
|
Multifocal erg w/i&r
|
$20.24 |
$20.24 |
$20.24 |
$386.40
|
|
Multiple sleep latency test
|
$1,552.20 |
$1,552.20 |
$1,552.20 |
$2,481.00
|
|
Mumps antibody igg
|
$68.64 |
$68.64 |
$68.64 |
$78.00
|
|
Muscle-skin graft arm
|
$749.98 |
$749.98 |
$749.98 |
$3,014.40
|
|
Muscle-skin graft leg
|
$779.02 |
$779.02 |
$779.02 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$926.86 |
$926.86 |
$926.86 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$25.30 |
$25.30 |
$25.30 |
$385.07
|
|
Muscle test hemidiaphragm
|
$39.82 |
$39.82 |
$39.82 |
$296.40
|
|
Muscle test larynx
|
$49.72 |
$49.72 |
$49.72 |
$296.80
|
|
Muscle test one fiber
|
$89.76 |
$89.76 |
$89.76 |
$442.40
|
|
Muscle transfers
|
$706.20 |
$706.20 |
$706.20 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$797.50 |
$797.50 |
$797.50 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$634.48 |
$634.48 |
$634.48 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$468.82 |
$468.82 |
$468.82 |
$7,807.24
|
|
Mycobacteria dna amp probe
|
$31.68 |
$31.68 |
$31.68 |
$234.00
|
|
Mycobacteria dna dir probe
|
$13.20 |
$13.20 |
$13.20 |
$65.17
|
|
Mycobacteria dna quant
|
$28.16 |
$28.16 |
$28.16 |
$141.45
|
|
Mycoplasma antibody igm
|
$69.42 |
$69.42 |
$69.42 |
$78.40
|
|
Myd88 gene p.leu265pro vrnt
|
$115.72 |
$115.72 |
$115.72 |
$417.00
|
|
Myelogphy 2/> spine regions
|
$2,542.02 |
$2,542.02 |
$2,542.02 |
$1,569.51
|
|
Myelography l-s spine
|
$24.64 |
$24.64 |
$24.64 |
$1,334.09
|
|
Myelography neck spine
|
$2,542.02 |
$2,542.02 |
$2,542.02 |
$1,241.50
|
|
Myelography thoracic spine
|
$26.62 |
$26.62 |
$26.62 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$74.80 |
$74.80 |
$74.80 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$72.82 |
$72.82 |
$72.82 |
$1,784.80
|
|
Myelography via inj w/s&i lumbosacral
|
$71.72 |
$71.72 |
$71.72 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$72.82 |
$72.82 |
$72.82 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$60.84 |
$60.84 |
$60.84 |
$129.69
|
|
Myocardial resection 33542
|
$1,597.20 |
$1,597.20 |
$1,597.20 |
$6,414.40
|
|
Myocrd img pet 1std rst/strs
|
$44.22 |
$44.22 |
$44.22 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$5,973.24 |
$5,973.24 |
$5,973.24 |
$3,346.20
|
|
Myocrd img pet 2rtracer
|
$7,578.48 |
$7,578.48 |
$7,578.48 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$7,987.98 |
$7,987.98 |
$7,987.98 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$51.26 |
$51.26 |
$51.26 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$9,216.48 |
$9,216.48 |
$9,216.48 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$5,973.24 |
$5,973.24 |
$5,973.24 |
$3,311.85
|
|
Myomectomy abdom complex
|
$712.80 |
$712.80 |
$712.80 |
$1,893.60
|
|
Myomectomy abdom method
|
$568.92 |
$568.92 |
$568.92 |
$2,064.48
|
|
Myomectomy vag method
|
$346.94 |
$346.94 |
$346.94 |
$3,762.53
|
|
Myringoplasty
|
$304.92 |
$304.92 |
$304.92 |
$3,837.72
|
|
Nalbuphine 10 mg/ml injection solution
|
$30.21 |
$30.21 |
$30.21 |
$37.81
|
|
Narcosynthesis
|
$75.24 |
$75.24 |
$75.24 |
$378.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$39.60 |
$39.60 |
$39.60 |
$353.62
|
|
Nasal function studies
|
$16.72 |
$16.72 |
$16.72 |
$348.00
|
|
Nasal/sinus endoscopy surg
|
$123.86 |
$123.86 |
$123.86 |
$4,881.00
|
|
Nasal/sinus endoscopy surg
|
$705.98 |
$705.98 |
$705.98 |
$5,662.40
|
|
Nasal/sinus endoscopy surg
|
$755.26 |
$755.26 |
$755.26 |
$5,085.60
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$99.00 |
$99.00 |
$99.00 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$144.10 |
$144.10 |
$144.10 |
$5,741.00
|
