|
Methotrexate sodium 2.5 mg tablet
|
$2.56 |
$2.56 |
$2.56 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$313.46 |
$313.46 |
$313.46 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$2,414.24 |
$2,414.24 |
$2,414.24 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$326.00 |
$326.00 |
$326.00 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$392.80 |
$392.80 |
$392.80 |
$407.16
|
|
Methylprednisolone 4 mg tablet
|
$2.24 |
$2.24 |
$2.24 |
$4.62
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$321.81 |
$321.81 |
$321.81 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$343.80 |
$343.80 |
$343.80 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$313.30 |
$313.30 |
$313.30 |
$15.75
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$187.19 |
$187.19 |
$187.19 |
$8.84
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$313.20 |
$313.20 |
$313.20 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$415.92 |
$415.92 |
$415.92 |
$327.37
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$561.60 |
$561.60 |
$561.60 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$354.32 |
$354.32 |
$354.32 |
$63.30
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$333.04 |
$333.04 |
$333.04 |
$108.00
|
|
Middle cerebral artery echo
|
$540.00 |
$540.00 |
$540.00 |
$331.68
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$369.76 |
$369.76 |
$369.76 |
$89.08
|
|
Minocycline hydrochloride
|
$770.20 |
$770.20 |
$770.20 |
$623.04
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$17,616.00 |
$17,616.00 |
$17,616.00 |
$11,875.32
|
|
Mitomycin 40 mg intravenous solution
|
$3,739.09 |
$3,739.09 |
$3,739.09 |
$1,683.75
|
|
Mitomycin instillation
|
$26,155.20 |
$26,155.20 |
$26,155.20 |
$43,275.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$1,209.93 |
$1,209.93 |
$1,209.93 |
$554.83
|
|
Monitor reveal linq ii cardiac
|
$18,360.00 |
$18,360.00 |
$18,360.00 |
$9,446.50
|
|
Morphine 4 mg/ml injection (wrapper)
|
$322.72 |
$322.72 |
$322.72 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$313.29 |
$313.29 |
$313.29 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$1,030.51 |
$1,030.51 |
$1,030.51 |
$148.69
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$199.20 |
$199.20 |
$199.20 |
$318.43
|
|
M/phmtrc alys ishquant/semiq
|
$801.60 |
$801.60 |
$801.60 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$231.20 |
$231.20 |
$231.20 |
$292.50
|
|
MRA abdomen post contrast
|
$3,365.60 |
$3,365.60 |
$3,365.60 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$4,384.80 |
$4,384.80 |
$4,384.80 |
$2,331.37
|
|
MRA ext low(run-off)pst cntrst
|
$3,601.60 |
$3,601.60 |
$3,601.60 |
$2,564.48
|
|
MRA pelvis
|
$3,540.80 |
$3,540.80 |
$3,540.80 |
$2,277.26
|
|
MRA spinal canal
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$4,050.40 |
$4,050.40 |
$4,050.40 |
$2,452.45
|
|
Mr elastography
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$891.60
|
|
MRI cardiac morph & func wo IV cont
|
$3,496.80 |
$3,496.80 |
$3,496.80 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$4,493.60 |
$4,493.60 |
$4,493.60 |
$1,946.48
|
|
MRI chest without contrast
|
$3,689.60 |
$3,689.60 |
$3,689.60 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$4,724.00 |
$4,724.00 |
$4,724.00 |
$2,652.73
|
|
MRI fetal ea addl gestation
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
$1,136.26
|
|
MRI loex nonjt w IV cont
|
$3,531.20 |
$3,531.20 |
$3,531.20 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$3,271.20 |
$3,271.20 |
$3,271.20 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$4,484.80 |
$4,484.80 |
$4,484.80 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$2,203.50
|
|
MRI tmj
|
$3,248.80 |
$3,248.80 |
$3,248.80 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$4,528.80 |
$4,528.80 |
$4,528.80 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$3,152.00 |
$3,152.00 |
$3,152.00 |
$2,061.15
|
|
Mr spectroscopy
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,352.40
|
|
Multi family grp psychotherapy
|
$243.20 |
$243.20 |
$243.20 |
$250.25
|
|
Multiple sleep latency test
|
$3,346.40 |
$3,346.40 |
$3,346.40 |
$2,466.00
|
|
Muscle-skin graft leg
|
$5,597.60 |
$5,597.60 |
$5,597.60 |
$4,633.78
|
|
Muscle test cran nerv unilat
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
$385.07
|
|
Muscle test one fiber
|
$915.20 |
$915.20 |
$915.20 |
$432.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.60 |
$1.60 |
$1.60 |
$10.79
|
|
Mycophenolic acid
|
$6.00 |
$6.00 |
$6.00 |
$12.84
|
|
Myelography l-s spine
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,334.09
|
|
Myelography via inj w/s&i 2+ regions
|
$5,378.40 |
$5,378.40 |
$5,378.40 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$3,936.00 |
$3,936.00 |
$3,936.00 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$4,362.40 |
$4,362.40 |
$4,362.40 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
$1,742.95
|
|
Myocrd img pet 1std rst/strs
|
$5,818.40 |
$5,818.40 |
$5,818.40 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$4,938.40 |
$4,938.40 |
$4,938.40 |
$3,314.15
|
|
Myocrd img pet mlt rst&strs
|
$6,462.40 |
$6,462.40 |
$6,462.40 |
$4,060.00
|
|
Myocrd img pet rst&strs CT
|
$7,006.40 |
$7,006.40 |
$7,006.40 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$5,207.20 |
$5,207.20 |
$5,207.20 |
$3,311.85
|
|
Nafcillin 2 gram solution for injection
|
$332.81 |
$332.81 |
$332.81 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$320.80 |
$320.80 |
$320.80 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$161.31 |
$161.31 |
$161.31 |
$70.87
|
|
Naltrexone, depot form
|
$3,549.53 |
$3,549.53 |
$3,549.53 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$477.60 |
$477.60 |
$477.60 |
$353.62
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$700.80 |
$700.80 |
$700.80 |
$973.39
|
|
Nasopharyngoscopy w/endoscope
|
$400.80 |
$400.80 |
$400.80 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$22,116.37 |
$22,116.37 |
$22,116.37 |
$16,254.52
|
|
Ndl emg musc 1 xtr/non-limb
|
$183.20 |
$183.20 |
$183.20 |
$228.50
|
|
Ndl insj without njx 1 or 2 musc
|
$37.60 |
$37.60 |
$37.60 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$64.00 |
$64.00 |
$64.00 |
$45.00
|
|
Ndl round specialty proguide
|
$60.00 |
$60.00 |
$60.00 |
$329.50
|
|
Nebulizer Breathing Treatment
|
$788.00 |
$788.00 |
$788.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$388.00 |
$388.00 |
$388.00 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,256.00 |
$3,256.00 |
$3,256.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,797.60 |
$2,797.60 |
$2,797.60 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,715.20 |
$2,715.20 |
$2,715.20 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$5,033.60 |
$5,033.60 |
$5,033.60 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,257.60 |
$3,257.60 |
$3,257.60 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,659.20 |
$3,659.20 |
$3,659.20 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$505.60 |
$505.60 |
$505.60 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$736.00 |
$736.00 |
$736.00 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,557.60 |
$3,557.60 |
$3,557.60 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,000.80 |
$3,000.80 |
$3,000.80 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,566.40 |
$2,566.40 |
$2,566.40 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$3,290.40 |
$3,290.40 |
$3,290.40 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
$1,312.00
|
|
Needle emg guid w/chemodenervation add-on
|
$175.20 |
$175.20 |
$175.20 |
$164.80
|
|
Nelarabine injection
|
$2,126.83 |
$2,126.83 |
$2,126.83 |
$975.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$312.07 |
$312.07 |
$312.07 |
$60.16
|
