|
Mra, w/o&w/dye, upper extr
|
$537.15 |
$537.15 |
$537.15 |
$1,260.80
|
|
MRI breast c- unilateral
|
$636.75 |
$636.75 |
$636.75 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$702.00 |
$702.00 |
$702.00 |
$1,880.00
|
|
MRI breast without cont bi
|
$668.55 |
$668.55 |
$668.55 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$737.10 |
$737.10 |
$737.10 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$636.75 |
$636.75 |
$636.75 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$668.55 |
$668.55 |
$668.55 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$664.80 |
$664.80 |
$664.80 |
$2,444.00
|
|
MRI chest without contrast
|
$604.95 |
$604.95 |
$604.95 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$668.55 |
$668.55 |
$668.55 |
$2,652.73
|
|
MRI chest w IV cont
|
$636.75 |
$636.75 |
$636.75 |
$2,210.00
|
|
MRI fetal ea addl gestation
|
$538.20 |
$538.20 |
$538.20 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$897.00 |
$897.00 |
$897.00 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$537.15 |
$537.15 |
$537.15 |
$1,267.50
|
|
MRI guid parenchymal tiss ablation
|
$537.15 |
$537.15 |
$537.15 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$971.40 |
$971.40 |
$971.40 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$679.80 |
$679.80 |
$679.80 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$668.55 |
$668.55 |
$668.55 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$604.95 |
$604.95 |
$604.95 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$668.55 |
$668.55 |
$668.55 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$636.75 |
$636.75 |
$636.75 |
$2,176.20
|
|
MRI tmj
|
$636.75 |
$636.75 |
$636.75 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$636.75 |
$636.75 |
$636.75 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$668.55 |
$668.55 |
$668.55 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$971.40 |
$971.40 |
$971.40 |
$2,021.30
|
|
MRI without fol w/cont, breast
|
$668.55 |
$668.55 |
$668.55 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$636.75 |
$636.75 |
$636.75 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$39.90 |
$39.90 |
$39.90 |
$158.40
|
|
Mr safety implant elec prepj
|
$39.45 |
$39.45 |
$39.45 |
$168.60
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$5.55 |
$5.55 |
$5.55 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$25.65 |
$25.65 |
$25.65 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$11.10 |
$11.10 |
$11.10 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$104.10 |
$104.10 |
$104.10 |
$419.20
|
|
Mr spectroscopy
|
$537.15 |
$537.15 |
$537.15 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$119.10 |
$119.10 |
$119.10 |
$403.20
|
|
Msh2 gene full seq
|
$2,311.95 |
$2,311.95 |
$2,311.95 |
$764.00
|
|
Msh2 gene known variants
|
$166.20 |
$166.20 |
$166.20 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$127.20 |
$127.20 |
$127.20 |
$453.60
|
|
Msh6 gene full seq
|
$2,599.35 |
$2,599.35 |
$2,599.35 |
$1,130.35
|
|
Msh6 gene known variants
|
$207.00 |
$207.00 |
$207.00 |
$369.60
|
|
Mthfr gene analy common variants
|
$76.35 |
$76.35 |
$76.35 |
$184.00
|
|
M.tuberculo dna dir probe
|
$18.75 |
$18.75 |
$18.75 |
$58.40
|
|
Mucin synovial fluid
|
$10.20 |
$10.20 |
$10.20 |
$33.57
|
|
Mucopolysaccharides
|
$34.95 |
$34.95 |
$34.95 |
$178.36
|
|
Multiple sleep latency test
|
$338.40 |
$338.40 |
$338.40 |
$2,440.50
|
|
Mumps antibody igg
|
$22.80 |
$22.80 |
$22.80 |
$77.35
|
|
Muscle test cran nerv unilat
|
$71.55 |
$71.55 |
$71.55 |
$385.07
|
|
Muscle test hemidiaphragm
|
$71.55 |
$71.55 |
$71.55 |
$296.40
|
|
Muscle test larynx
|
$55.20 |
$55.20 |
$55.20 |
$296.80
|
|
Mycobacteria dna dir probe
|
$18.75 |
$18.75 |
$18.75 |
$69.64
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.81 |
$1.81 |
$1.81 |
$10.79
|
|
Mycophenolic acid
|
$0.20 |
$0.20 |
$0.20 |
$12.84
|
|
Mycoplasma antibody igm
|
$23.10 |
$23.10 |
$23.10 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$225.00 |
$225.00 |
$225.00 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$223.65 |
$223.65 |
$223.65 |
$1,494.22
|
|
Myelography l-s spine
|
$203.55 |
$203.55 |
$203.55 |
$1,334.09
|
|
Myelography neck spine
|
$205.50 |
$205.50 |
$205.50 |
$1,241.50
|
|
Myelography thoracic spine
|
$205.50 |
$205.50 |
$205.50 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$406.65 |
$406.65 |
$406.65 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$406.65 |
$406.65 |
$406.65 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$406.65 |
$406.65 |
$406.65 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$406.65 |
$406.65 |
$406.65 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$19.95 |
$19.95 |
$19.95 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$1,187.10 |
$1,187.10 |
$1,187.10 |
$3,558.50
|
|
Myocrd img pet 1 std w/ct
|
$582.30 |
$582.30 |
$582.30 |
$3,252.00
|
|
Myocrd img pet 2rtracer
|
$1,967.85 |
$1,967.85 |
$1,967.85 |
$3,940.30
|
|
Myocrd img pet 2rtracer CT
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$3,980.50
|
|
Myocrd img pet rst&strs CT
|
$1,410.90 |
$1,410.90 |
$1,410.90 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$664.50 |
$664.50 |
$664.50 |
$3,311.85
|
|
Nalbuphine 10 mg/ml injection solution
|
$87.20 |
$87.20 |
$87.20 |
$38.19
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$290.37 |
$290.37 |
$290.37 |
$70.87
|
|
Naltrexone, depot form
|
$0.15 |
$0.15 |
$0.15 |
$3,249.40
|
|
Nasopharyngoscopy w/endoscope
|
$79.80 |
$79.80 |
$79.80 |
$292.50
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$11,330.09 |
$11,330.09 |
$11,330.09 |
$16,254.52
|
|
Natriuretic peptide
|
$59.40 |
$59.40 |
$59.40 |
$176.15
|
|
Natural killer cells total count
|
$66.00 |
$66.00 |
$66.00 |
$132.63
|
|
N block inj hypogas plxs
|
$528.90 |
$528.90 |
$528.90 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$71.85 |
$71.85 |
$71.85 |
$213.75
|
|
Ndl round specialty proguide
|
$25.50 |
$25.50 |
$25.50 |
$324.40
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$1,790.58
|
|
Needle emg guid w/chemodenervation add-on
|
$91.20 |
$91.20 |
$91.20 |
$164.80
|
|
Neisseria meningitidis
|
$23.10 |
$23.10 |
$23.10 |
$75.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$125.09 |
$125.09 |
$125.09 |
$60.38
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$128.40 |
$128.40 |
$128.40 |
$397.44
|
|
Nerve conduction 7-8 studies
|
$57.00 |
$57.00 |
$57.00 |
$719.39
|
|
Nerve conduction studies 11-12
|
$69.15 |
$69.15 |
$69.15 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$42.75 |
$42.75 |
$42.75 |
$340.80
|
|
Nerve conduction studies 13+
|
$76.05 |
$76.05 |
$76.05 |
$1,278.62
|
|
Nerve conduction studies 3-4
|
$46.95 |
$46.95 |
$46.95 |
$469.98
|
|
Nerve conduction studies 5-6
|
$51.75 |
$51.75 |
$51.75 |
$573.30
|
|
Nerve conduction studies 9-10
|
$62.85 |
$62.85 |
$62.85 |
$1,051.96
|
