|
Microsurg tehniq require use oper micro (add-on)69990
|
$899.60 |
$899.60 |
$899.60 |
$537.60
|
|
Microvolt t-wave assess
|
$780.00 |
$780.00 |
$780.00 |
$392.35
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$395.20 |
$395.20 |
$449.80 |
$288.80
|
|
Midazolam 1 mg/ml injection solution
|
$3.67 |
$3.67 |
$3.67 |
$63.30
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$0.62 |
$0.62 |
$0.62 |
$108.00
|
|
Middle cerebral artery echo
|
$477.10 |
$477.10 |
$659.10 |
$331.68
|
|
Mifepristone 200 mg ta
|
$67.08 |
$67.08 |
$67.08 |
$106.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$1.99 |
$1.99 |
$1.99 |
$88.46
|
|
Minocycline hydrochloride
|
$623.04 |
$623.04 |
$623.04 |
$623.04
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$1,058.04 |
$1,058.04 |
$1,058.04 |
$11,875.32
|
|
Misoprostol, oral, 200 mcg
|
$1.95 |
$1.95 |
$1.95 |
$2.78
|
|
Mitomycin 40 mg intravenous solution
|
$469.85 |
$3,680.66 |
$3,680.66 |
$1,683.75
|
|
Mitomycin instillation
|
$79,388.40 |
$79,388.40 |
$79,388.40 |
$43,275.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$127.19 |
$127.19 |
$127.19 |
$554.83
|
|
Mitral valve replacement w/bypass 33430
|
$13,241.80 |
$13,241.80 |
$13,241.80 |
$6,837.60
|
|
Mlh1 gene
|
$862.55 |
$862.55 |
$862.55 |
$433.80
|
|
Mlh1 gene dup/delete variant
|
$908.05 |
$908.05 |
$908.05 |
$400.65
|
|
Mlt fam grp bhv train 1st 60
|
$159.25 |
$159.25 |
$159.25 |
$57.12
|
|
Mlt fam grp bhv train ea add
|
$38.35 |
$38.35 |
$38.35 |
$16.50
|
|
Mlt osteot rlgnm imed rd hum
|
$3,928.60 |
$3,928.60 |
$3,928.60 |
$14,162.40
|
|
Mnl appl strs jt radiography
|
$395.20 |
$395.20 |
$395.20 |
$196.81
|
|
Mnl prep&insj dp rx dlvr dev
|
$390.00 |
$390.00 |
$390.00 |
$209.60
|
|
Mnl prep&insj i-artic rx dev
|
$676.00 |
$676.00 |
$676.00 |
$432.00
|
|
Mnl prep&insj imed rx dev
|
$650.00 |
$650.00 |
$650.00 |
$347.20
|
|
Mnpj anes sho jt fixj aprats
|
$668.20 |
$668.20 |
$668.20 |
$2,211.05
|
|
Mnpj elbow under anes
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,133.12
|
|
Mnpj of tmj w/anesth
|
$897.00 |
$897.00 |
$897.00 |
$2,900.56
|
|
Mnt subs tx for change dx
|
$128.70 |
$128.70 |
$128.70 |
$55.05
|
|
Mobilization of colon 44139
|
$579.80 |
$579.80 |
$579.80 |
$253.80
|
|
Modified maze/limited 33254
|
$6,164.60 |
$6,164.60 |
$6,164.60 |
$3,297.60
|
|
Modified maze/limited /w other op 33257
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
$1,418.40
|
|
Mog-igg1 antb flo cytmtry ea
|
$169.00 |
$169.00 |
$169.00 |
$350.00
|
|
Molded inner boot
|
$390.65 |
$390.65 |
$390.65 |
$638.40
|
|
Molecular pathology interpr
|
$532.35 |
$532.35 |
$532.35 |
$64.40
|
|
Mometasone sinus sinuva
|
$2,299.99 |
$2,299.99 |
$2,299.99 |
$2,578.78
|
|
Monitor reveal linq ii cardiac
|
$6,825.00 |
$10,032.75 |
$10,032.75 |
$9,446.50
|
|
Monovisc inj per dose
|
$877.50 |
$877.50 |
$877.50 |
$1,705.31
|
|
Monthly tx for dmht 20mins
|
$334.75 |
$334.75 |
$334.75 |
$280.00
|
|
Mopath procedure level 1
|
$286.65 |
$286.65 |
$286.65 |
$229.80
|
|
Mopath procedure level 3
|
$674.05 |
$674.05 |
$674.05 |
$347.20
|
|
Mopath procedure level 5
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$900.00
|
|
Mopath procedure level 6
|
$1,351.35 |
$1,351.35 |
$1,351.35 |
$892.45
|
|
Mopath procedure level 7
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$1,135.00
|
|
Mopath procedure level 8
|
$3,795.35 |
$3,795.35 |
$3,795.35 |
$1,376.64
|
|
Mopath procedure level 9
|
$8,970.00 |
$8,970.00 |
$8,970.00 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$1.38 |
$65.52 |
$65.52 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$7.14 |
$7.14 |
$7.14 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$18.46 |
$45.14 |
$45.14 |
$149.64
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$768.30 |
$768.30 |
$768.30 |
$419.40
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$768.30 |
$768.30 |
$768.30 |
$318.43
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$1,919.26 |
$1,947.69 |
$1,947.69 |
$1,115.89
|
|
Motion analysis video/3d
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$1,072.50
|
|
Motor &/ sens nrve cndj test
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$337.74
|
|
Mouth vestibule bx/w complex rpr 40814
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$768.30 |
$768.30 |
$768.30 |
$495.60
|
|
Mpl gene analysis common variants
|
$674.05 |
$674.05 |
$674.05 |
$416.16
|
|
Mpsv4 vaccine subq
|
$223.60 |
$223.60 |
$223.60 |
$223.60
|
|
MRA abdomen post contrast
|
$1,676.35 |
$1,676.35 |
$2,144.35 |
$2,154.60
|
|
MRA aorta thoracic w/wo contrast
|
$4,078.10 |
$4,078.10 |
$4,595.50 |
$2,387.55
|
|
MRA ext low(run-off)pst cntrst
|
$3,903.90 |
$3,903.90 |
$4,377.10 |
$2,584.40
|
|
MRA pelvis
|
$4,092.40 |
$4,092.40 |
$4,607.20 |
$2,344.00
|
|
MRA spinal canal
|
$1,994.20 |
$1,994.20 |
$2,462.20 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$4,092.40 |
$4,092.40 |
$32,422.00 |
$2,482.20
|
|
MRA without fol w/cont, pelvis
|
$4,607.20 |
$4,607.20 |
$4,607.20 |
$2,206.29
|
|
Mr elastography
|
$1,398.80 |
$1,398.80 |
$1,398.80 |
$840.00
|
|
Mrgfus strtctc ablt trgt icr
|
$55,929.25 |
$55,929.25 |
$55,929.25 |
$22,209.60
|
|
MRI brain w/dye
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$2,145.00
|
|
MRI brain without dye
|
$3,288.35 |
$3,288.35 |
$3,288.35 |
$2,005.45
|
|
MRI brain without & w/dye
|
$1,630.20 |
$1,630.20 |
$1,630.20 |
$2,813.09
|
|
MRI breast c- unilateral
|
$1,084.20 |
$1,084.20 |
$1,498.90 |
$1,170.40
|
|
MRI breast c-+ w/cad uni
|
$3,230.50 |
$3,230.50 |
$3,776.50 |
$1,880.00
|
|
MRI breast without cont bi
|
$1,084.20 |
$1,084.20 |
$1,541.80 |
$1,871.10
|
|
MRI breast w IV cont bi
|
$3,889.60 |
$3,889.60 |
$4,487.60 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$1,084.20 |
$1,084.20 |
$1,695.20 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,601.60 |
$1,601.60 |
$2,345.20 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,543.15 |
$3,543.15 |
$4,323.15 |
$2,499.60
|
|
MRI chest without contrast
|
$1,084.20 |
$1,084.20 |
$1,463.80 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$1,601.60 |
$1,601.60 |
$2,189.20 |
$2,670.33
|
|
MRI chest w IV cont
|
$3,543.15 |
$3,543.15 |
$3,992.95 |
$2,278.18
|
|
MRI fetal ea addl gestation
|
$1,660.75 |
$1,660.75 |
$1,660.75 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$1,084.20 |
$1,084.20 |
$1,864.20 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$1,724.45 |
$1,724.45 |
$1,724.45 |
$1,334.45
|
|
MRI guid parenchymal tiss ablation
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$1,601.60 |
$1,601.60 |
$2,065.05 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,084.20 |
$1,084.20 |
$1,470.30 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,601.60 |
$1,601.60 |
$2,216.50 |
$2,777.40
|
|
MRI orbit fac&nck w IV cont
|
$1,601.60 |
$1,601.60 |
$2,022.80 |
$2,204.98
|
|
MRI tmj
|
$1,084.20 |
$1,084.20 |
$1,469.00 |
$1,774.30
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,084.20 |
$1,084.20 |
$1,435.20 |
$1,967.40
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,601.60 |
$1,601.60 |
$2,160.60 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$1,601.60 |
$1,601.60 |
$2,022.80 |
$2,061.15
|
|
MRI without fol w/cont, breast
|
$696.15 |
$696.15 |
$696.15 |
$2,550.00
|
|
Mr safety determination physician/other qhp
|
$395.20 |
$395.20 |
$566.80 |
$161.40
|
|
Mr safety implant elec prepj
|
$411.45 |
$411.45 |
$625.95 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$222.95 |
$222.95 |
$688.35 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$266.50 |
$266.50 |
$438.10 |
$125.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$109.85 |
$109.85 |
$209.30 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$1,084.20 |
$1,084.20 |
$1,301.30 |
$444.00
|
|
Mr spectroscopy
|
$395.20 |
$395.20 |
$699.40 |
$1,375.50
|
|
Mthfr gene analy common variants
|
$293.15 |
$293.15 |
$293.15 |
$184.00
|
