|
Methotrexate sodium 2.5 mg tablet
|
$6.60 |
$6.60 |
$6.60 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$112.80 |
$112.80 |
$112.80 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$124.80 |
$124.80 |
$124.80 |
$1,068.20
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$9.60 |
$9.60 |
$9.60 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$213.00 |
$213.00 |
$213.00 |
$407.16
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$22.80 |
$22.80 |
$22.80 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$80.40 |
$80.40 |
$80.40 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$1.80 |
$1.80 |
$1.80 |
$15.75
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$6.60 |
$6.60 |
$6.60 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$234.60 |
$234.60 |
$234.60 |
$327.37
|
|
Microdissection manual
|
$497.40 |
$497.40 |
$497.40 |
$306.00
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$141.60 |
$141.60 |
$141.60 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$15.60 |
$15.60 |
$15.60 |
$63.30
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$19.20 |
$19.20 |
$19.20 |
$88.46
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$16,516.20 |
$16,516.20 |
$16,516.20 |
$11,875.32
|
|
Mitomycin 40 mg intravenous solution
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$1,683.75
|
|
Mitomycin instillation
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$43,275.00
|
|
Mlh1 gene
|
$843.60 |
$843.60 |
$843.60 |
$433.80
|
|
Mnl prep&insj dp rx dlvr dev
|
$106.20 |
$106.20 |
$106.20 |
$209.60
|
|
Mnl prep&insj i-artic rx dev
|
$192.60 |
$192.60 |
$192.60 |
$432.00
|
|
Mnpj anes sho jt fixj aprats
|
$382.20 |
$382.20 |
$382.20 |
$2,211.05
|
|
Mnpj elbow under anes
|
$708.00 |
$708.00 |
$708.00 |
$2,094.40
|
|
Mopath procedure level 3
|
$828.60 |
$828.60 |
$828.60 |
$360.47
|
|
Mopath procedure level 5
|
$1,691.40 |
$1,691.40 |
$1,691.40 |
$900.00
|
|
Mopath procedure level 6
|
$2,264.40 |
$2,264.40 |
$2,264.40 |
$904.20
|
|
Morphine 4 mg/ml injection (wrapper)
|
$76.80 |
$76.80 |
$76.80 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$3.60 |
$3.60 |
$3.60 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$443.40 |
$443.40 |
$443.40 |
$149.64
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$910.80 |
$910.80 |
$910.80 |
$418.50
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$369.60 |
$369.60 |
$369.60 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$262.20 |
$262.20 |
$262.20 |
$318.50
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$46,632.00 |
$46,632.00 |
$46,632.00 |
$1,115.89
|
|
Mouth vestibule bx/w complex rpr 40814
|
$552.60 |
$552.60 |
$552.60 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$474.60 |
$474.60 |
$474.60 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$514.80 |
$514.80 |
$514.80 |
$292.50
|
|
MRA abdomen post contrast
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$2,146.32
|
|
MRA aorta thoracic w/wo contrast
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$2,360.00
|
|
MRA ext low(run-off)pst cntrst
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$2,564.48
|
|
MRA pelvis
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$2,304.70
|
|
MRA upper extremity post contrast-bil
|
$1,561.20 |
$1,561.20 |
$1,561.20 |
$2,482.20
|
|
MRI breast c-+ w/cad uni
|
$1,966.80 |
$1,966.80 |
$1,966.80 |
$1,880.00
|
|
MRI breast without cont bi
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$1,876.12
|
|
MRI chest without contrast
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,042.40 |
$2,042.40 |
$2,042.40 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$2,252.39
|
|
MRI guid ndl plc s&i
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$1,334.45
|
|
MRI loex nonjt w IV cont
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,844.40 |
$1,844.40 |
$1,844.40 |
$2,770.95
|
|
MRI tmj
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,844.40 |
$1,844.40 |
$1,844.40 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,076.72
|
|
Mr safety determination physician/other qhp
|
$160.20 |
$160.20 |
$160.20 |
$161.40
|
|
Mr safety implant elec prepj
|
$167.40 |
$167.40 |
$167.40 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$19.20 |
$19.20 |
$19.20 |
$55.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$45.00 |
$45.00 |
$45.00 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$439.80 |
$439.80 |
$439.80 |
$444.00
|
|
Mucin synovial fluid
|
$43.20 |
$43.20 |
$43.20 |
$33.57
|
|
Mumps antibody igg
|
$94.80 |
$94.80 |
$94.80 |
$78.00
|
|
Muscle-skin graft leg
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$214.20 |
$214.20 |
$214.20 |
$385.07
|
|
Muscle test larynx
|
$231.00 |
$231.00 |
$231.00 |
$296.80
|
|
Mycoplasma antibody igm
|
$91.80 |
$91.80 |
$91.80 |
$77.35
|
|
Myelography via inj w/s&i cervical
|
$954.60 |
$954.60 |
$954.60 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$941.40 |
$941.40 |
$941.40 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$982.80 |
$982.80 |
$982.80 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$106.80 |
$106.80 |
$106.80 |
$130.41
|
|
Nalbuphine 10 mg/ml injection solution
|
$4.20 |
$4.20 |
$4.20 |
$37.81
|
|
Nasal endoscopy dx uni/bi separate proc
|
$147.00 |
$147.00 |
$147.00 |
$351.52
|
|
Nasal/sinus endoscopy surg
|
$321.00 |
$321.00 |
$321.00 |
$4,881.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$385.80 |
$385.80 |
$385.80 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$531.60 |
$531.60 |
$531.60 |
$5,741.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$222.00 |
$222.00 |
$222.00 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$536.40 |
$536.40 |
$536.40 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$792.00 |
$792.00 |
$792.00 |
$7,662.21
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$999.60 |
$999.60 |
$999.60 |
$6,698.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$210.00 |
$210.00 |
$210.00 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$393.00 |
$393.00 |
$393.00 |
$2,232.24
|
|
Nasopharyngoscopy w/endoscope
|
$99.00 |
$99.00 |
$99.00 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$21,258.60 |
$21,258.60 |
$21,258.60 |
$16,254.52
|
|
Natriuretic peptide
|
$321.60 |
$321.60 |
$321.60 |
$176.15
|
|
N block inj hypogas plxs
|
$219.60 |
$219.60 |
$219.60 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$55.80 |
$55.80 |
$55.80 |
$225.25
|
|
Nebulizer Breathing Treatment
|
$63.00 |
$63.00 |
$63.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$128.40 |
$128.40 |
$128.40 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$751.80 |
$751.80 |
$751.80 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,924.20 |
$1,924.20 |
$1,924.20 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$981.60 |
$981.60 |
$981.60 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$165.60 |
$165.60 |
$165.60 |
$334.40
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$207.00 |
$207.00 |
$207.00 |
$463.20
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$310.80 |
$310.80 |
$310.80 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$2,679.60
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,384.20 |
$1,384.20 |
$1,384.20 |
$2,116.50
|
