|
Metyrapone panel
|
$63.02 |
$63.02 |
$63.02 |
$125.80
|
|
Mgmt promoter methylation analysis
|
$86.02 |
$86.02 |
$86.02 |
$382.45
|
|
Micafungin 100 mg intravenous solution
|
$75.27 |
$75.27 |
$75.27 |
$324.39
|
|
Microalbumin urine screen
|
$4.14 |
$4.14 |
$4.14 |
$19.04
|
|
Microbe susceptible mlc
|
$27.60 |
$27.60 |
$27.60 |
$80.00
|
|
Microdissection laser
|
$33.35 |
$33.35 |
$33.35 |
$517.20
|
|
Microdissection manual
|
$897.05 |
$897.05 |
$897.05 |
$289.50
|
|
Microfluid analy tears
|
$15.64 |
$15.64 |
$15.64 |
$47.20
|
|
Microsatellite instability
|
$1,019.48 |
$1,019.48 |
$1,019.48 |
$614.79
|
|
Microsurg tehniq require use oper micro (add-on)69990
|
$140.07 |
$140.07 |
$140.07 |
$537.60
|
|
Microvolt t-wave assess
|
$23.46 |
$23.46 |
$23.46 |
$392.35
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$354.20 |
$354.20 |
$354.20 |
$286.65
|
|
Midazolam 1 mg/ml injection solution
|
$27.85 |
$27.85 |
$27.85 |
$63.30
|
|
Middle cerebral artery echo
|
$21.39 |
$21.39 |
$21.39 |
$331.68
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$70.54 |
$70.54 |
$70.54 |
$88.35
|
|
Mitomycin 40 mg intravenous solution
|
$508.74 |
$508.74 |
$508.74 |
$1,683.75
|
|
Mitral valve replacement w/bypass 33430
|
$1,779.05 |
$1,779.05 |
$1,779.05 |
$6,837.60
|
|
Mlh1 gene
|
$562.87 |
$562.87 |
$562.87 |
$433.80
|
|
Mlh1 gene dup/delete variant
|
$592.90 |
$592.90 |
$592.90 |
$400.65
|
|
Mlh1 gene full seq
|
$1,976.59 |
$1,976.59 |
$1,976.59 |
$1,130.35
|
|
Mlt fam grp bhv train 1st 60
|
$13.80 |
$13.80 |
$13.80 |
$57.12
|
|
Mlt fam grp bhv train ea add
|
$3.91 |
$3.91 |
$3.91 |
$16.50
|
|
Mlt osteot rlgnm imed rd hum
|
$688.16 |
$688.16 |
$688.16 |
$14,162.40
|
|
Mnl appl strs jt radiography
|
$354.20 |
$354.20 |
$354.20 |
$196.81
|
|
Mnl prep&insj dp rx dlvr dev
|
$54.05 |
$54.05 |
$54.05 |
$209.60
|
|
Mnl prep&insj i-artic rx dev
|
$96.60 |
$96.60 |
$96.60 |
$432.00
|
|
Mnl prep&insj imed rx dev
|
$92.00 |
$92.00 |
$92.00 |
$347.20
|
|
Mnpj anes sho jt fixj aprats
|
$128.11 |
$128.11 |
$128.11 |
$2,211.05
|
|
Mnpj elbow under anes
|
$290.26 |
$290.26 |
$290.26 |
$2,133.12
|
|
Mnpj of tmj w/anesth
|
$159.39 |
$159.39 |
$159.39 |
$2,900.56
|
|
Mnt subs tx for change dx
|
$17.48 |
$17.48 |
$17.48 |
$55.05
|
|
Mobilization of colon 44139
|
$77.05 |
$77.05 |
$77.05 |
$253.80
|
|
Modified maze/limited 33254
|
$865.72 |
$865.72 |
$865.72 |
$3,297.60
|
|
Modified maze/limited /w other op 33257
|
$372.14 |
$372.14 |
$372.14 |
$1,418.40
|
|
Mog-igg1 antb flo cytmtry ea
|
$248.71 |
$248.71 |
$248.71 |
$336.00
|
|
Molecular pathology interpr
|
$29.44 |
$29.44 |
$29.44 |
$64.40
|
|
Monthly tx for dmht 20mins
|
$19.78 |
$19.78 |
$19.78 |
$280.00
|
|
Mopath procedure level 1
|
$44.16 |
$44.16 |
$44.16 |
$229.80
|
|
Mopath procedure level 3
|
$103.50 |
$103.50 |
$103.50 |
$355.50
|
|
Mopath procedure level 5
|
$803.88 |
$803.88 |
$803.88 |
$900.00
|
|
Mopath procedure level 6
|
$881.65 |
$881.65 |
$881.65 |
$892.45
|
|
Mopath procedure level 7
|
$827.75 |
$827.75 |
$827.75 |
$1,135.00
|
|
Mopath procedure level 8
|
$2,476.32 |
$2,476.32 |
$2,476.32 |
$1,376.64
|
|
Mopath procedure level 9
|
$5,852.00 |
$5,852.00 |
$5,852.00 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$10.26 |
$10.26 |
$10.26 |
$72.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$23.31 |
$23.31 |
$23.31 |
$149.64
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$501.27 |
$501.27 |
$501.27 |
$419.40
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$27.14 |
$27.14 |
$27.14 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$501.27 |
$501.27 |
$501.27 |
$318.43
|
|
Motion analysis video/3d
|
$53.82 |
$53.82 |
$53.82 |
$1,072.50
|
|
Motion test w/ft press meas
|
$68.54 |
$68.54 |
$68.54 |
$1,203.94
|
|
Motor &/ sens nrve cndj test
|
$1.84 |
$1.84 |
$1.84 |
$337.74
|
|
Mouth vestibule bx/w complex rpr 40814
|
$183.31 |
$183.31 |
$183.31 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$15.87 |
$15.87 |
$15.87 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$501.27 |
$501.27 |
$501.27 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$21.39 |
$21.39 |
$21.39 |
$292.50
|
|
M/phmtrc alys skeletal musc
|
$52.21 |
$52.21 |
$52.21 |
$274.49
|
|
Mpl gene analysis common variants
|
$439.67 |
$439.67 |
$439.67 |
$416.16
|
|
M.pneumon dna dir probe
|
$13.80 |
$13.80 |
$13.80 |
$40.17
|
|
M.pneumon dna quant
|
$208.84 |
$208.84 |
$208.84 |
$417.62
|
|
MRA abdomen post contrast
|
$4,640.79 |
$4,640.79 |
$4,640.79 |
$2,132.00
|
|
MRA aorta thoracic w/wo contrast
|
$5,157.46 |
$5,157.46 |
$5,157.46 |
$2,303.43
|
|
MRA ext low(run-off)pst cntrst
|
$5,363.82 |
$5,363.82 |
$5,363.82 |
$2,542.25
|
|
MRA pelvis
|
$5,363.82 |
$5,363.82 |
$5,363.82 |
$2,230.20
|
|
MRA spinal canal
|
$54.74 |
$54.74 |
$54.74 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$5,835.83 |
$5,835.83 |
$5,835.83 |
$2,482.20
|
|
Mr elastography
|
$33.58 |
$33.58 |
$33.58 |
$840.00
|
|
Mrgfus strtctc ablt trgt icr
|
$779.93 |
$779.93 |
$779.93 |
$22,209.60
|
|
MRI brain w/dye
|
$107.41 |
$107.41 |
$107.41 |
$2,145.00
|
|
MRI brain without dye
|
$97.06 |
$97.06 |
$97.06 |
$2,005.45
|
|
MRI brain without & w/dye
|
$101.89 |
$101.89 |
$101.89 |
$2,813.09
|
|
MRI breast c- unilateral
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$1,128.00
|
|
MRI breast c-+ w/cad uni
|
$64.40 |
$64.40 |
$64.40 |
$1,704.95
|
|
MRI breast without cont bi
|
$48.76 |
$48.76 |
$48.76 |
$1,793.40
|
|
MRI breast w IV cont bi
|
$70.61 |
$70.61 |
$70.61 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$71.07 |
$71.07 |
$71.07 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$78.89 |
$78.89 |
$78.89 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$90.16 |
$90.16 |
$90.16 |
$2,499.60
|
|
MRI chest without contrast
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,918.53 |
$3,918.53 |
$3,918.53 |
$2,652.73
|
|
MRI chest w IV cont
|
$6,935.39 |
$6,935.39 |
$6,935.39 |
$2,221.45
|
|
MRI fetal ea addl gestation
|
$57.04 |
$57.04 |
$57.04 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$92.23 |
$92.23 |
$92.23 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$45.54 |
$45.54 |
$45.54 |
$1,264.76
|
|
MRI guid parenchymal tiss ablation
|
$128.34 |
$128.34 |
$128.34 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$3,135.44 |
$3,135.44 |
$3,135.44 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$2,088.20
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,918.53 |
$3,918.53 |
$3,918.53 |
$2,777.40
|
|
MRI orbit fac&nck w IV cont
|
$3,135.44 |
$3,135.44 |
$3,135.44 |
$2,172.95
|
|
MRI tmj
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$1,731.30
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$1,960.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,918.53 |
$3,918.53 |
$3,918.53 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$3,135.44 |
$3,135.44 |
$3,135.44 |
$2,017.05
|
|
Mr safety determination physician/other qhp
|
$773.08 |
$773.08 |
$773.08 |
$161.40
|
|
Mr safety implant elec prepj
|
$805.42 |
$805.42 |
$805.42 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$161.70 |
$161.70 |
$161.70 |
$53.54
|
|
Mr safety implt pos&/immoblj
|
$521.29 |
$521.29 |
$521.29 |
$126.57
|
|
Mr sfty implt&/fb asmt stf 1
|
$214.83 |
$214.83 |
$214.83 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$444.00
|
|
Msh2 gene dup/delete variant
|
$623.70 |
$623.70 |
$623.70 |
$403.20
|