|
Mitomycin 40 mg intravenous solution
|
$3,739.09 |
$3,739.09 |
$3,739.09 |
|
|
Mitomycin instillation
|
$26,155.20 |
$26,155.20 |
$26,155.20 |
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$677.28 |
$677.28 |
$1,209.93 |
|
|
Mnt subs tx for change dx
|
$48.80 |
$48.80 |
$48.80 |
|
|
Mog-igg1 antb flo cytmtry ea
|
$344.00 |
$344.00 |
$420.00 |
|
|
Monitor reveal linq ii cardiac
|
$6,648.00 |
$6,648.00 |
$18,360.00 |
|
|
Morphine 4 mg/ml injection (wrapper)
|
$61.08 |
$113.64 |
$322.72 |
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$61.22 |
$61.53 |
$313.29 |
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$64.23 |
$81.52 |
$1,030.51 |
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$186.40 |
$267.20 |
$339.20 |
|
|
M/phmtrc alys ishquant/semiq
|
$801.60 |
$801.60 |
$801.60 |
|
|
M/phmtrc alysishquant/semiq
|
$231.20 |
$231.20 |
$231.20 |
|
|
MRA abdomen post contrast
|
$2,388.00 |
$2,696.80 |
$3,365.60 |
|
|
MRA aorta thoracic w/wo contrast
|
$2,345.60 |
$3,060.00 |
$4,384.80 |
|
|
MRA ext low(run-off)pst cntrst
|
$2,680.00 |
$2,756.80 |
$3,601.60 |
|
|
MRA pelvis
|
$2,344.00 |
$2,864.00 |
$3,540.80 |
|
|
MRA spinal canal
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
|
|
MRA upper extremity post contrast-bil
|
$3,126.40 |
$3,440.80 |
$4,050.40 |
|
|
Mr elastography
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
|
|
MRI cardiac morph & func wo IV cont
|
$2,902.40 |
$2,902.40 |
$3,496.80 |
|
|
MRI cardiac morph & func wwo IV cont
|
$3,546.40 |
$3,546.40 |
$4,493.60 |
|
|
MRI chest without contrast
|
$2,736.00 |
$2,800.00 |
$3,689.60 |
|
|
MRI chest without & w/contrast
|
$3,756.00 |
$3,997.60 |
$4,724.00 |
|
|
MRI chest w IV cont
|
$3,175.20 |
$3,200.00 |
$3,504.00 |
|
|
MRI fetal ea addl gestation
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
|
|
MRI fetal sngl/1st gestation
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
|
|
MRI loex nonjt w IV cont
|
$3,467.20 |
$3,531.20 |
$3,652.80 |
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,609.60 |
$2,995.20 |
$3,271.20 |
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,580.80 |
$3,785.60 |
$4,484.80 |
|
|
MRI orbit fac&nck w IV cont
|
$3,516.00 |
$3,656.00 |
$3,851.20 |
|
|
MRI tmj
|
$2,715.20 |
$2,836.80 |
$3,248.80 |
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,579.20 |
$2,829.60 |
$3,146.40 |
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,544.80 |
$3,820.80 |
$4,528.80 |
|
|
MRI upper extremity w/dye
|
$3,067.20 |
$3,152.00 |
$3,563.20 |
|
|
Mr spectroscopy
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
|
|
Mucopolysaccharides
|
$255.20 |
$255.20 |
$255.20 |
|
|
Multi family grp psychotherapy
|
$243.20 |
$243.20 |
$243.20 |
|
|
Multiple sleep latency test
|
$2,999.20 |
$3,217.60 |
$3,346.40 |
|
|
Mumps antibody igg
|
$72.00 |
$124.80 |
$149.60 |
|
|
Muscle-skin graft leg
|
$5,597.60 |
$5,597.60 |
$5,597.60 |
|
|
Muscle test cran nerv unilat
|
$1,465.60 |
$1,465.60 |
$1,465.60 |
|
|
Muscle test one fiber
|
$915.20 |
$915.20 |
$915.20 |
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.20 |
$1.20 |
$1.60 |
|
|
Mycophenolic acid
|
$1.20 |
$6.00 |
$9.48 |
|
|
Mycoplasma antibody igm
|
$56.80 |
$98.40 |
$126.40 |
|
|
Myelogphy 2/> spine regions
|
$2,453.60 |
$2,453.60 |
$2,453.60 |
|
|
Myelography l-s spine
|
$1,810.40 |
$1,810.40 |
$1,900.80 |
|
|
Myelography neck spine
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
|
|
Myelography thoracic spine
|
$1,817.60 |
$1,817.60 |
$1,817.60 |
|
|
Myelography via inj w/s&i 2+ regions
|
$5,378.40 |
$5,378.40 |
$5,378.40 |
|
|
Myelography via inj w/s&i cervical
|
$2,568.00 |
$2,568.00 |
$3,936.00 |
|
|
Myelography via inj w/s&i lumbosacral
|
$2,941.60 |
$2,941.60 |
$4,362.40 |
|
|
Myelography via inj w/s&i thoracic
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$100.00 |
$116.80 |
$188.00 |
|
|
Myocrd img pet 1std rst/strs
|
$5,665.60 |
$5,665.60 |
$5,818.40 |
|
|
Myocrd img pet 1 std w/ct
|
$4,938.40 |
$4,938.40 |
$4,938.40 |
|
|
Myocrd img pet mlt rst&strs
|
$6,296.80 |
$6,296.80 |
$6,462.40 |
|
|
Myocrd img pet rst&strs CT
|
$7,006.40 |
$7,006.40 |
$7,006.40 |
|
|
Myocrd img pet rst/strs w/ct
|
$5,207.20 |
$5,207.20 |
$5,207.20 |
|
|
Nafcillin 2 gram solution for injection
|
$63.87 |
$64.46 |
$332.81 |
|
|
Nalbuphine 10 mg/ml injection solution
|
$72.00 |
$72.00 |
$320.80 |
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$62.09 |
$63.12 |
$161.31 |
|
|
Naltrexone, depot form
|
$3,549.53 |
$3,549.53 |
$3,549.53 |
|
|
Nasal endoscopy dx uni/bi separate proc
|
$477.60 |
$477.60 |
$477.60 |
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$700.80 |
$700.80 |
$847.20 |
|
|
Nasopharyngoscopy w/endoscope
|
$308.80 |
$308.80 |
$400.80 |
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$7,996.08 |
$12,002.38 |
$22,116.37 |
|
|
Natriuretic peptide
|
$140.00 |
$174.40 |
$289.60 |
|
|
Natural killer cells total count
|
$104.80 |
$124.80 |
$146.40 |
|
|
Ndl emg musc 1 xtr/non-limb
|
$183.20 |
$183.20 |
$183.20 |
|
|
Ndl insj without njx 1 or 2 musc
|
$37.60 |
$38.40 |
$41.60 |
|
|
Ndl insj without njx 3+ musc
|
$63.20 |
$64.00 |
$68.00 |
|
|
Ndl round specialty proguide
|
$60.00 |
$60.00 |
$60.00 |
|
|
Nebulizer Breathing Treatment
|
$151.20 |
$252.80 |
$788.00 |
|
|
Neck Airway (Soft Tissue) X-ray
|
$252.00 |
$289.60 |
$388.00 |
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,704.80 |
$2,748.00 |
$3,256.00 |
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,361.60 |
$2,424.80 |
$2,797.60 |
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,997.60 |
$2,253.60 |
$2,715.20 |
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,052.00 |
$4,230.40 |
$5,033.60 |
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,216.80 |
$3,257.60 |
$3,585.60 |
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,884.80 |
$3,250.40 |
$3,659.20 |
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$275.20 |
$432.00 |
$505.60 |
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$364.80 |
$582.40 |
$736.00 |
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$463.20 |
$760.00 |
$1,072.00 |
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,511.20 |
$3,592.80 |
$4,024.80 |
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,823.20 |
$2,936.00 |
$3,220.00 |
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,470.40 |
$2,566.40 |
$2,756.00 |
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,452.00 |
$2,680.80 |
$3,290.40 |
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,157.60 |
$2,427.20 |
$2,808.00 |
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$1,791.20 |
$2,102.40 |
$2,528.00 |
|
|
Needle emg guid w/chemodenervation add-on
|
$175.20 |
$175.20 |
$175.20 |
|
|
Nelarabine injection
|
$2,126.83 |
$2,126.83 |
$2,126.83 |
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$60.08 |
$60.16 |
$312.07 |
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$414.40 |
$414.40 |
$414.40 |
|
|
Nerve conduction 7-8 studies
|
$899.20 |
$899.20 |
$1,203.20 |
|
|
Nerve conduction studies 11-12
|
$1,950.40 |
$1,950.40 |
$2,119.20 |
|
|
Nerve conduction studies 1-2
|
$503.20 |
$503.20 |
$567.20 |
|
|
Nerve conduction studies 13+
|
$2,183.20 |
$2,183.20 |
$2,183.20 |
|
|
Nerve conduction studies 3-4
|
$812.80 |
$812.80 |
$915.20 |
|
|
Nerve conduction studies 5-6
|
$1,021.60 |
$1,021.60 |
$1,029.60 |
|
