|
Minocycline hydrochloride
|
$657.75 |
$657.75 |
$657.75 |
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$1,938.86 |
$13,278.75 |
$13,278.75 |
|
|
Mitomycin 40 mg intravenous solution
|
$637.72 |
$2,374.20 |
$2,374.20 |
|
|
Mitomycin instillation
|
$44,245.00 |
$44,245.00 |
$44,245.00 |
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$313.33 |
$313.33 |
$313.33 |
|
|
Mlh1 gene
|
$269.50 |
$358.63 |
$658.00 |
|
|
Mnl appl strs jt radiography
|
$420.28 |
$420.28 |
$420.28 |
|
|
Mnpj anes sho jt fixj aprats
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
|
|
Mnt subs tx for change dx
|
$37.40 |
$37.40 |
$48.50 |
|
|
Mobility cart pneum vad, rep
|
$72.00 |
$72.00 |
$72.00 |
|
|
Mog-igg1 antb flo cytmtry ea
|
$215.98 |
$215.98 |
$473.00 |
|
|
Monitor reveal linq ii cardiac
|
$2,150.00 |
$2,150.00 |
$7,518.24 |
|
|
Monovisc inj per dose
|
$1,055.38 |
$1,055.38 |
$2,852.98 |
|
|
Mopath procedure level 1
|
$165.00 |
$165.00 |
$559.00 |
|
|
Mopath procedure level 3
|
$341.30 |
$341.30 |
$1,487.00 |
|
|
Mopath procedure level 5
|
$1,085.00 |
$1,225.28 |
$1,970.00 |
|
|
Mopath procedure level 6
|
$155.63 |
$155.63 |
$1,230.50 |
|
|
Mopath procedure level 7
|
$1,910.50 |
$3,103.75 |
$3,103.75 |
|
|
Mopath procedure level 8
|
$1,345.48 |
$1,345.48 |
$1,486.50 |
|
|
Mopath procedure level 9
|
$933.40 |
$933.40 |
$3,132.00 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$121.60 |
$121.60 |
$289.07 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$13.65 |
$13.65 |
$38.54 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$776.15 |
$776.15 |
$776.15 |
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$93.50 |
$646.83 |
$928.00 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$231.50 |
$315.40 |
$1,859.00 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$164.50 |
$318.43 |
$584.00 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$56,182.95 |
$56,182.95 |
$56,182.95 |
|
|
M/phmtrc alys ishquant/semiq
|
$260.00 |
$771.38 |
$1,836.00 |
|
|
M/phmtrc alysishquant/semiq
|
$78.50 |
$385.70 |
$385.70 |
|
|
Mpl gene analysis common variants
|
$549.50 |
$564.95 |
$724.00 |
|
|
Mpsv4 vaccine subq
|
$263.25 |
$263.25 |
$263.25 |
|
|
MRA abdomen post contrast
|
$4,416.72 |
$4,416.72 |
$4,416.72 |
|
|
MRA aorta thoracic w/wo contrast
|
$3,345.28 |
$3,345.28 |
$5,330.12 |
|
|
MRA chest w IV cont
|
$1,692.00 |
$1,813.48 |
$1,813.48 |
|
|
MRA chest wo IV cont
|
$1,495.50 |
$1,527.53 |
$1,527.53 |
|
|
MRA chest wwo IV cont
|
$1,851.00 |
$2,288.40 |
$7,318.00 |
|
|
MRA pelvis w IV cont
|
$1,917.05 |
$1,917.05 |
$2,633.50 |
|
|
MRA pelvis wo IV cont
|
$1,051.93 |
$1,051.93 |
$2,405.50 |
|
|
MRA w/cont, abd
|
$1,540.50 |
$1,907.28 |
$1,907.28 |
|
|
MRA w/cont, lwr ext
|
$2,083.10 |
$2,083.10 |
$2,765.00 |
|
|
Mra, w/dye, spinal canal
|
$483.25 |
$483.25 |
$483.25 |
|
|
MRA without cont, abd
|
$1,480.50 |
$1,749.65 |
$1,749.65 |
|
|
MRA without cont, lwr ext
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
|
|
MRA without fol w/cont, abd
|
$1,797.00 |
$2,342.03 |
$8,544.00 |
|
|
MRA without fol w/cont, lwr ext
|
$2,299.58 |
$2,299.58 |
$3,179.50 |
|
|
MRA without fol w/cont, pelvis
|
$2,356.90 |
$2,356.90 |
$3,179.50 |
|
|
Mra, w/o&w/dye, spinal canal
|
$555.33 |
$555.33 |
$2,567.00 |
|
|
Mra, w/o&w/dye, upper extr
|
$2,105.40 |
$2,105.40 |
$2,567.00 |
|
|
Mr elastography
|
$1,025.58 |
$1,025.58 |
$1,207.00 |
|
|
MRI brain w/dye
|
$429.65 |
$429.65 |
$429.65 |
|
|
MRI brain without dye
|
$1,059.45 |
$1,059.45 |
$1,059.45 |
|
|
MRI brain without & w/dye
|
$3,676.13 |
$3,676.13 |
$3,676.13 |
|
|
MRI breast c- unilateral
|
$3,151.50 |
$3,151.50 |
$3,151.50 |
|
|
MRI breast c-+ w/cad uni
|
$6,757.00 |
$6,757.00 |
$6,757.00 |
|
|
MRI breast without cont bi
|
$3,276.50 |
$3,276.50 |
$5,282.00 |
|
|
MRI breast w IV cont bi
|
$9,095.00 |
$9,095.00 |
$9,095.00 |
|
|
MRI cardiac morph & func wo IV cont
|
$1,367.88 |
$1,367.88 |
$1,742.50 |
|
|
MRI cardiac morph & func wwo IV cont
|
$1,946.48 |
$1,946.48 |
$2,459.50 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$2,043.80 |
$2,043.80 |
$2,798.00 |
|
|
MRI chest without contrast
|
$1,525.00 |
$2,258.28 |
$4,343.12 |
|
|
MRI chest without & w/contrast
|
$2,394.50 |
$2,652.73 |
$7,374.00 |
|
|
MRI chest w IV cont
|
$1,832.00 |
$2,424.00 |
$2,424.00 |
|
|
MRI compatible system
|
$1,042.24 |
$1,042.24 |
$1,042.24 |
|
|
MRI fetal ea addl gestation
|
$340.93 |
$340.93 |
$456.50 |
|
|
MRI fetal sngl/1st gestation
|
$575.50 |
$1,363.35 |
$1,363.35 |
|
|
MRI guid ndl plc s&i
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
|
|
MRI loex nonjt w IV cont
|
$1,960.00 |
$2,116.20 |
$2,116.20 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,501.50 |
$1,699.03 |
$3,954.00 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,978.50 |
$2,533.23 |
$7,320.00 |
|
|
MRI orbit fac&nck w IV cont
|
$1,511.50 |
$2,204.98 |
$5,469.00 |
|
|
MRI tmj
|
$435.44 |
$2,652.08 |
$4,211.00 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,737.00 |
$1,737.00 |
$4,669.00 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,527.50 |
$2,574.18 |
$8,289.00 |
|
|
MRI upper extremity w/dye
|
$1,978.50 |
$2,410.45 |
$3,356.01 |
|
|
MRI w/cont, breast, bi
|
$3,873.50 |
$3,873.50 |
$3,873.50 |
|
|
MRI w/cont, breast, uni
|
$3,467.50 |
$3,467.50 |
$3,467.50 |
|
|
MRI without fol w/cont, breast
|
$3,587.08 |
$3,587.08 |
$4,066.50 |
|
|
MRI without fol w/cont, brst, un
|
$1,793.53 |
$1,793.53 |
$3,661.50 |
|
|
Mr safety determination physician/other qhp
|
$146.55 |
$146.55 |
$226.75 |
|
|
Mr safety implant elec prepj
|
$152.78 |
$152.78 |
$237.69 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$81.55 |
$81.55 |
$126.63 |
|
|
Mr safety implt pos&/immoblj
|
$98.88 |
$98.88 |
$151.01 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$40.78 |
$40.78 |
$63.32 |
|
|
Mr sfty med physics xm cstmz
|
$402.28 |
$402.28 |
$624.82 |
|
|
Mr spectroscopy
|
$1,025.58 |
$1,025.58 |
$2,199.00 |
|
|
Msh6 gene dup/delete variant
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
|
|
Msh6 gene known variants
|
$216.00 |
$216.00 |
$216.00 |
|
|
Mthfr gene analy common variants
|
$184.00 |
$676.88 |
$763.00 |
|
|
M.tuberculo dna dir probe
|
$19.50 |
$19.50 |
$19.50 |
|
|
Mucopolysaccharides
|
$90.50 |
$591.88 |
$591.88 |
|
|
Multi family grp psychotherapy
|
$53.53 |
$53.53 |
$53.53 |
|
|
Multiple sleep latency test
|
$1,392.50 |
$2,182.18 |
$5,547.00 |
|
|
Mumps antibody igg
|
$42.00 |
$81.45 |
$131.00 |
|
|
Muscle test cran nerv unilat
|
$246.50 |
$394.20 |
$394.20 |
|
|
Muscle test one fiber
|
$246.50 |
$484.18 |
$484.18 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$97.10 |
$2,089.60 |
$2,089.60 |
|
|
Mycophenolic acid
|
$3,309.38 |
$3,309.38 |
$3,309.38 |
|
|
Mycoplasma antibody igm
|
$56.00 |
$104.23 |
$104.23 |
|
|
Myd88 gene p.leu265pro vrnt
|
$363.60 |
$363.60 |
$736.68 |
|
|
Myelogphy 2/> spine regions
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
|
