|
Middle cerebral artery echo
|
$261.50 |
$434.50 |
$1,687.00 |
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$78.95 |
$78.95 |
$88.35 |
|
|
Milwaukee type superstructur
|
$3,771.41 |
$3,771.41 |
$3,771.41 |
|
|
Minocycline hydrochloride
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
|
|
Miroderm
|
$52,668.00 |
$52,668.00 |
$52,668.00 |
|
|
Mitomycin 40 mg intravenous solution
|
$4,520.75 |
$6,294.52 |
$7,204.57 |
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
|
|
Mlh1 gene
|
$577.20 |
$577.20 |
$577.20 |
|
|
Mnpj anes sho jt fixj aprats
|
$1,586.00 |
$2,192.50 |
$14,013.94 |
|
|
Mnpj elbow under anes
|
$5,322.60 |
$5,322.60 |
$5,322.60 |
|
|
Mnpj of tmj w/anesth
|
$3,089.50 |
$4,194.00 |
$4,194.00 |
|
|
Mnt subs tx for change dx
|
$13.50 |
$18.50 |
$19.00 |
|
|
Mog-igg1 antb flo cytmtry ea
|
$495.00 |
$665.00 |
$858.00 |
|
|
Molded inner boot
|
$571.50 |
$853.00 |
$1,275.00 |
|
|
Mon cable elec/pneum vad rep
|
$963.00 |
$963.00 |
$963.00 |
|
|
Monitor cable elec vad, rep
|
$721.50 |
$721.50 |
$721.50 |
|
|
Monitor elec vad, rep
|
$3,695.00 |
$5,423.50 |
$8,249.50 |
|
|
Monitor reveal linq ii cardiac
|
$8,906.00 |
$14,274.50 |
$31,036.50 |
|
|
Mopath procedure level 1
|
$415.00 |
$415.00 |
$415.00 |
|
|
Mopath procedure level 3
|
$304.50 |
$486.00 |
$617.00 |
|
|
Mopath procedure level 5
|
$337.50 |
$614.50 |
$1,009.00 |
|
|
Mopath procedure level 6
|
$337.50 |
$469.00 |
$2,966.00 |
|
|
Mopath procedure level 7
|
$337.50 |
$674.50 |
$1,079.00 |
|
|
Mopath procedure level 8
|
$304.50 |
$440.00 |
$2,590.80 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$48.62 |
$660.65 |
$739.35 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$45.00 |
$45.00 |
$45.00 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$1,728.48 |
$1,728.48 |
$1,934.40 |
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$322.50 |
$398.50 |
$1,833.00 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$115.50 |
$318.50 |
$777.60 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$215.00 |
$447.60 |
$773.50 |
|
|
Mosunetuzumab-axgb 1 mg/ml intravenous solution
|
$56,182.95 |
$56,182.95 |
$56,182.95 |
|
|
M/phmtrc alys ishquant/semiq
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
|
|
M/phmtrc alys ishquant/semiq
|
$153.00 |
$512.50 |
$1,323.00 |
|
|
M/phmtrc alysishquant/semiq
|
$587.40 |
$1,031.00 |
$1,031.00 |
|
|
Mpl gene analysis common variants
|
$451.20 |
$451.20 |
$451.20 |
|
|
Mpsv4 vaccine subq
|
$1,514.00 |
$1,514.00 |
$1,514.00 |
|
|
MRA abdomen post contrast
|
$739.00 |
$874.50 |
$3,615.50 |
|
|
MRA chest w IV cont
|
$771.00 |
$829.00 |
$1,562.50 |
|
|
MRA chest wo IV cont
|
$665.00 |
$714.50 |
$1,288.00 |
|
|
MRA chest wwo IV cont
|
$848.00 |
$3,568.20 |
$6,113.00 |
|
|
MRA pelvis w IV cont
|
$543.50 |
$653.50 |
$2,462.00 |
|
|
MRA pelvis wo IV cont
|
$4,397.00 |
$4,397.00 |
$4,397.00 |
|
|
MRA spinal canal
|
$468.00 |
$503.50 |
$503.50 |
|
|
MRA upper extremity post contrast-bil
|
$665.00 |
$714.50 |
$714.50 |
|
|
MRA w/cont, abd
|
$592.80 |
$1,050.50 |
$2,261.00 |
|
|
MRA w/cont, lwr ext
|
$845.50 |
$1,034.50 |
$18,899.00 |
|
|
Mra, w/dye, upper extremity
|
$771.00 |
$1,664.50 |
$5,539.00 |
|
|
MRA without cont, abd
|
$560.40 |
$874.50 |
$1,863.00 |
|
|
MRA without cont, lwr ext
|
$605.50 |
$1,937.50 |
$18,899.00 |
|
|
Mra, without dye, upper extr
|
$5,539.00 |
$5,539.00 |
$5,539.00 |
|
|
MRA without fol w/cont, abd
|
$889.00 |
$1,525.00 |
$6,113.00 |
|
|
MRA without fol w/cont, lwr ext
|
$1,059.50 |
$1,525.00 |
$5,539.00 |
|
|
MRA without fol w/cont, pelvis
|
$607.00 |
$789.50 |
$3,735.50 |
|
|
Mra, w/o&w/dye, upper extr
|
$848.00 |
$911.50 |
$1,268.50 |
|
|
Mr elastography
|
$264.00 |
$283.50 |
$283.50 |
|
|
Mrgfus strtctc ablt trgt icr
|
$11,577.00 |
$11,577.00 |
$11,577.00 |
|
|
MRI brain without dye
|
$207.50 |
$274.00 |
$274.00 |
|
|
MRI breast c- unilateral
|
$636.50 |
$684.00 |
$684.00 |
|
|
MRI breast c-+ w/cad uni
|
$636.50 |
$684.00 |
$3,766.80 |
|
|
MRI breast without cont bi
|
$849.00 |
$3,430.20 |
$15,939.00 |
|
|
MRI breast w IV cont bi
|
$1,028.00 |
$1,104.50 |
$1,411.00 |
|
|
MRI cardiac morph & func wo IV cont
|
$298.00 |
$2,209.20 |
$8,419.00 |
|
|
MRI cardiac morph & func wwo IV cont
|
$458.50 |
$512.50 |
$9,196.00 |
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$461.50 |
$496.00 |
$4,216.50 |
|
|
MRI chest without contrast
|
$717.00 |
$1,878.00 |
$11,583.00 |
|
|
MRI chest without & w/contrast
|
$1,525.00 |
$2,197.50 |
$7,157.00 |
|
|
MRI chest w IV cont
|
$912.00 |
$1,203.50 |
$9,777.00 |
|
|
MRI compatible system
|
$1,524.50 |
$8,803.08 |
$47,923.00 |
|
|
MRI fetal ea addl gestation
|
$164.00 |
$176.50 |
$6,938.00 |
|
|
MRI fetal sngl/1st gestation
|
$221.00 |
$237.50 |
$6,938.00 |
|
|
MRI guid ndl plc s&i
|
$315.50 |
$1,197.00 |
$3,837.00 |
|
|
MRI guid parenchymal tiss ablation
|
$364.50 |
$392.00 |
$392.00 |
|
|
MRI loex nonjt w IV cont
|
$848.50 |
$2,414.10 |
$4,409.00 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$718.50 |
$1,870.00 |
$4,278.50 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,492.00 |
$2,372.00 |
$4,409.00 |
|
|
MRI orbit fac&nck w IV cont
|
$734.50 |
$997.00 |
$9,777.00 |
|
|
MRI tmj
|
$1,003.00 |
$1,758.00 |
$8,991.00 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$798.50 |
$1,880.50 |
$3,981.00 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,525.00 |
$2,304.50 |
$4,278.50 |
|
|
MRI upper extremity w/dye
|
$703.50 |
$976.00 |
$4,278.50 |
|
|
MRI w/cont, breast, bi
|
$3,148.60 |
$3,148.60 |
$3,148.60 |
|
|
MRI without fol w/cont, breast
|
$1,028.00 |
$3,759.50 |
$15,939.00 |
|
|
MRI without fol w/cont, brst, un
|
$636.50 |
$684.00 |
$2,359.00 |
|
|
Mr safety determination physician/other qhp
|
$25.00 |
$25.00 |
$211.20 |
|
|
Mr safety implant elec prepj
|
$25.00 |
$25.00 |
$220.20 |
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$25.00 |
$25.00 |
$146.40 |
|
|
Mr safety implt pos&/immoblj
|
$25.00 |
$25.00 |
$142.80 |
|
|
Mr sfty implt&/fb asmt stf 1
|
$25.00 |
$25.00 |
$73.20 |
|
|
Mr sfty med physics xm cstmz
|
$25.00 |
$25.00 |
$580.20 |
|
|
Mr spectroscopy
|
$1,033.50 |
$1,110.50 |
$3,615.50 |
|
|
Mthfr gene analy common variants
|
$206.00 |
$265.50 |
$341.00 |
|
|
Multifocal erg w/i&r
|
$91.50 |
$127.00 |
$127.00 |
|
|
Multiple sleep latency test
|
$1,151.00 |
$1,591.50 |
$6,126.50 |
|
|
Mumps antibody igg
|
$95.00 |
$116.00 |
$394.00 |
|
|
Muscle-skin graft arm
|
$32,800.25 |
$32,800.25 |
$32,800.25 |
|
|
Muscle-skin graft leg
|
$2,249.50 |
$3,054.00 |
$3,054.00 |
|
|
Muscle-skin graft trunk
|
$32,405.61 |
$32,405.61 |
$32,405.61 |
|
|
Muscle test cran nerv unilat
|
$292.00 |
$404.00 |
$404.00 |
|
|
Muscle test larynx
|
$340.00 |
$419.50 |
$461.50 |
|
|
Muscle test one fiber
|
$463.50 |
$641.00 |
$641.00 |
|
