|
Monovisc inj per dose
|
$683.17 |
$683.17 |
$1,825.74 |
|
|
Monthly tx for dmht 20mins
|
$18.92 |
$152.50 |
$152.50 |
|
|
Mopath procedure level 1
|
$63.96 |
$63.96 |
$731.40 |
|
|
Mopath procedure level 3
|
$99.00 |
$150.33 |
$1,425.05 |
|
|
Mopath procedure level 5
|
$181.28 |
$274.83 |
$4,547.40 |
|
|
Mopath procedure level 6
|
$301.35 |
$705.12 |
$4,999.80 |
|
|
Mopath procedure level 7
|
$282.88 |
$282.88 |
$4,341.60 |
|
|
Mopath procedure level 8
|
$151.00 |
$846.27 |
$3,053.11 |
|
|
Mopath procedure level 9
|
$773.00 |
$2,000.00 |
$7,215.46 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$6.44 |
$11.15 |
$15.00 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$7.40 |
$7.40 |
$7.40 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$2.67 |
$2.67 |
$60.20 |
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$25.08 |
$202.78 |
$2,476.44 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$25.96 |
$425.68 |
$1,380.63 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$99.89 |
$202.78 |
$850.25 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$635.47 |
$635.47 |
$2,142.04 |
|
|
Motion analysis video/3d
|
$51.48 |
$627.89 |
$627.89 |
|
|
Motion test w/ft press meas
|
$65.56 |
$1,203.94 |
$1,203.94 |
|
|
Motor &/ sens nrve cndj test
|
$1.76 |
$472.21 |
$891.78 |
|
|
Mouth vestibule bx/w complex rpr 40814
|
$175.34 |
$3,837.72 |
$7,267.74 |
|
|
M/phmtrc alys ishquant/semiq
|
$15.18 |
$15.18 |
$15.18 |
|
|
M/phmtrc alys ishquant/semiq
|
$202.78 |
$202.78 |
$780.00 |
|
|
M/phmtrc alysishquant/semiq
|
$20.46 |
$20.46 |
$462.00 |
|
|
M/phmtrc alys skeletal musc
|
$49.94 |
$202.78 |
$202.78 |
|
|
Mpl gene analysis common variants
|
$99.00 |
$150.33 |
$1,227.60 |
|
|
M.pneumon dna dir probe
|
$13.20 |
$20.05 |
$20.05 |
|
|
M.pneumon dna quant
|
$199.76 |
$302.62 |
$302.62 |
|
|
Mpsv4 vaccine subq
|
$193.57 |
$208.63 |
$208.63 |
|
|
MRA abdomen post contrast
|
$3,711.24 |
$6,885.00 |
$8,913.00 |
|
|
MRA aorta thoracic w/wo contrast
|
$920.55 |
$4,124.64 |
$7,084.00 |
|
|
MRA chest w IV cont
|
$422.61 |
$422.61 |
$2,273.03 |
|
|
MRA chest wo IV cont
|
$286.04 |
$286.04 |
$2,273.03 |
|
|
MRA chest wwo IV cont
|
$422.61 |
$422.61 |
$930.00 |
|
|
MRA ext low(run-off)pst cntrst
|
$1,648.98 |
$3,432.00 |
$13,493.00 |
|
|
MRA pelvis
|
$1,648.98 |
$4,290.00 |
$11,674.00 |
|
|
MRA pelvis w IV cont
|
$422.61 |
$422.61 |
$1,652.32 |
|
|
MRA pelvis wo IV cont
|
$286.04 |
$286.04 |
$2,183.92 |
|
|
MRA spinal canal
|
$52.36 |
$2,619.00 |
$6,798.00 |
|
|
MRA upper extremity post contrast-bil
|
$3,733.86 |
$4,785.00 |
$6,798.00 |
|
|
MRA w/cont, abd
|
$422.61 |
$422.61 |
$2,794.39 |
|
|
MRA w/cont, lwr ext
|
$422.61 |
$422.61 |
$732.28 |
|
|
Mra, w/dye, spinal canal
|
$422.61 |
$422.61 |
$1,648.98 |
|
|
Mra, w/dye, upper extremity
|
$422.61 |
$422.61 |
$732.28 |
|
|
MRA without cont, abd
|
$286.04 |
$286.04 |
$4,189.21 |
|
|
MRA without cont, lwr ext
|
$286.04 |
$286.04 |
$2,273.03 |
|
|
Mra, without dye, spinal canal
|
$286.04 |
$286.04 |
$1,006.36 |
|
|
Mra, without dye, upper extr
|
$286.04 |
$286.04 |
$579.34 |
|
|
MRA without fol w/cont, abd
|
$422.61 |
$422.61 |
$3,121.77 |
|
|
MRA without fol w/cont, lwr ext
|
$422.61 |
$422.61 |
$1,652.32 |
|
|
MRA without fol w/cont, pelvis
|
$422.61 |
$422.61 |
$1,860.62 |
|
|
Mra, w/o&w/dye, spinal canal
|
$422.61 |
$422.61 |
$1,648.98 |
|
|
Mra, w/o&w/dye, upper extr
|
$422.61 |
$422.61 |
$732.28 |
|
|
Mr elastography
|
$32.12 |
$286.04 |
$2,646.00 |
|
|
Mrgfus strtctc ablt trgt icr
|
$746.02 |
$14,756.87 |
$14,756.87 |
|
|
MRI brain w/dye
|
$102.74 |
$210.66 |
$210.66 |
|
|
MRI brain without dye
|
$92.84 |
$648.84 |
$5,379.00 |
|
|
MRI brain without & w/dye
|
$97.46 |
$210.66 |
$8,101.00 |
|
|
MRI breast c- unilateral
|
$286.04 |
$286.04 |
$6,429.00 |
|
|
MRI breast c-+ w/cad uni
|
$1,750.32 |
$5,987.00 |
$6,429.00 |
|
|
MRI breast without cont bi
|
$286.04 |
$539.88 |
$7,711.00 |
|
|
MRI breast w IV cont bi
|
$1,750.32 |
$7,182.00 |
$7,711.00 |
|
|
MRI cardiac morph & func wo IV cont
|
$67.98 |
$286.04 |
$5,732.00 |
|
|
MRI cardiac morph & func wwo IV cont
|
$75.46 |
$422.61 |
$5,924.00 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$86.24 |
$934.93 |
$6,353.00 |
|
|
MRI chest without contrast
|
$286.04 |
$684.60 |
$6,747.00 |
|
|
MRI chest without & w/contrast
|
$422.61 |
$981.60 |
$10,547.00 |
|
|
MRI chest w IV cont
|
$934.93 |
$934.93 |
$7,597.00 |
|
|
MRI fetal ea addl gestation
|
$54.56 |
$915.78 |
$2,356.00 |
|
|
MRI fetal sngl/1st gestation
|
$88.22 |
$286.04 |
$4,710.00 |
|
|
MRI guid ndl plc s&i
|
$693.28 |
$1,880.00 |
$4,492.00 |
|
|
MRI guid parenchymal tiss ablation
|
$122.76 |
$287.10 |
$4,060.00 |
|
|
MRI hyperpolarized xenon129
|
$1,479.79 |
$1,479.79 |
$1,479.79 |
|
|
MRI loex nonjt w IV cont
|
$422.61 |
$422.61 |
$4,880.00 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$286.04 |
$685.80 |
$6,712.00 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$422.61 |
$979.80 |
$5,229.00 |
|
|
MRI orbit fac&nck w IV cont
|
$422.61 |
$697.80 |
$7,064.00 |
|
|
MRI tmj
|
$286.04 |
$286.04 |
$6,747.00 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$286.04 |
$685.80 |
$4,301.00 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$422.61 |
$982.80 |
$8,432.00 |
|
|
MRI upper extremity w/dye
|
$422.61 |
$422.61 |
$4,880.00 |
|
|
MRI w/cont, breast, bi
|
$422.61 |
$422.61 |
$1,652.32 |
|
|
MRI w/cont, breast, uni
|
$210.66 |
$210.66 |
$1,987.67 |
|
|
MRI without fol w/cont, breast
|
$422.61 |
$422.61 |
$3,306.99 |
|
|
MRI without fol w/cont, brst, un
|
$422.61 |
$422.61 |
$1,987.67 |
|
|
Mr safety determination physician/other qhp
|
$17.38 |
$104.19 |
$223.54 |
|
|
Mr safety implant elec prepj
|
$21.78 |
$108.62 |
$234.32 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$18.00 |
$38.03 |
$129.48 |
|
|
Mr safety implt pos&/immoblj
|
$17.16 |
$70.29 |
$148.86 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$28.98 |
$29.55 |
$172.38 |
|
|
Mr sfty med physics xm cstmz
|
$22.22 |
$286.04 |
$615.93 |
|
|
Mr spectroscopy
|
$104.19 |
$104.19 |
$6,004.00 |
|
|
Msh2 gene dup/delete variant
|
$140.80 |
$213.30 |
$1,098.00 |
|
|
Msh2 gene full seq
|
$252.12 |
$381.70 |
$1,041.48 |
|
|
Msh2 gene known variants
|
$337.73 |
$337.73 |
$1,218.00 |
|
|
Msh6 gene dup/delete variant
|
$157.08 |
$238.00 |
$1,225.00 |
|
|
Msh6 gene full seq
|
$423.72 |
$641.85 |
$1,751.30 |
|
|
Msh6 gene known variants
|
$308.00 |
$308.00 |
$308.00 |
|
|
Mt bone graft microvasc
|
$1,695.98 |
$7,413.38 |
$7,413.38 |
|
|
Mthfr gene analy common variants
|
$65.34 |
$65.34 |
$407.41 |
|
|
M.tuberculo dna dir probe
|
$17.60 |
$26.88 |
$96.97 |
|
