|
Middle cerebral artery echo
|
$223.05 |
$223.05 |
$332.64 |
$329.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$84.84 |
$84.84 |
$115.20 |
$88.46
|
|
Minocycline hydrochloride
|
$541.95 |
$541.95 |
$648.30 |
$623.04
|
|
Mitochondrial gene
|
$1,010.00 |
$1,010.00 |
$1,500.00 |
$4,265.70
|
|
Mitomycin 40 mg intravenous solution
|
$1,167.91 |
$1,167.91 |
$2,305.13 |
$1,683.75
|
|
Mitomycin instillation
|
$43,275.00 |
$43,275.00 |
$43,275.00 |
$43,275.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$880.55 |
$880.55 |
$1,130.68 |
$554.83
|
|
Mlh1 gene
|
$834.75 |
$834.75 |
$1,536.54 |
$433.80
|
|
Mlh1 gene dup/delete variant
|
$226.65 |
$226.65 |
$226.65 |
$400.65
|
|
Mlh1 gene full seq
|
$226.65 |
$226.65 |
$290.00 |
$1,130.35
|
|
Mnl appl strs jt radiography
|
$101.73 |
$101.73 |
$101.73 |
$196.81
|
|
Mnt subs tx for change dx
|
$57.53 |
$90.00 |
$90.00 |
$55.05
|
|
Mog-igg1 antb flo cytmtry ea
|
$825.00 |
$825.00 |
$825.00 |
$350.00
|
|
Molecular pathology interpr
|
$389.70 |
$389.70 |
$389.70 |
$64.40
|
|
Mon cable elec/pneum vad rep
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$823.26
|
|
Monitor reveal linq ii cardiac
|
$9,446.50 |
$11,280.00 |
$11,280.00 |
$9,446.50
|
|
Mopath procedure level 1
|
$307.50 |
$371.95 |
$440.40 |
$230.74
|
|
Mopath procedure level 3
|
$713.40 |
$713.40 |
$1,198.70 |
$360.47
|
|
Mopath procedure level 5
|
$711.00 |
$1,140.00 |
$7,487.95 |
$900.00
|
|
Mopath procedure level 6
|
$321.60 |
$631.95 |
$2,250.00 |
$904.20
|
|
Mopath procedure level 7
|
$615.00 |
$615.00 |
$7,487.95 |
$1,135.00
|
|
Mopath procedure level 8
|
$259.32 |
$2,412.00 |
$3,496.50 |
$1,376.64
|
|
Mopath procedure level 9
|
$631.95 |
$1,668.00 |
$2,939.33 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$118.17 |
$118.17 |
$156.83 |
$72.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$763.89 |
$763.89 |
$958.48 |
$149.64
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$639.60 |
$866.40 |
$1,137.00 |
$418.50
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$197.10 |
$322.24 |
$774.00 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$285.90 |
$477.90 |
$477.90 |
$318.50
|
|
Motor &/ sens nrve cndj test
|
$296.34 |
$296.34 |
$296.34 |
$337.74
|
|
M/phmtrc alys ishquant/semiq
|
$381.30 |
$381.30 |
$1,194.59 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$331.55 |
$331.55 |
$331.55 |
$292.50
|
|
M/phmtrc alys skeletal musc
|
$326.83 |
$326.83 |
$326.83 |
$274.49
|
|
Mpl gene analysis common variants
|
$369.60 |
$369.60 |
$802.20 |
$416.16
|
|
MRA abdomen post contrast
|
$1,948.22 |
$1,948.22 |
$1,948.22 |
$2,146.32
|
|
MRA aorta thoracic w/wo contrast
|
$2,552.76 |
$2,552.76 |
$2,552.76 |
$2,360.00
|
|
MRA chest wo IV cont
|
$2,939.25 |
$2,939.25 |
$2,939.25 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$2,939.25 |
$2,939.25 |
$2,939.25 |
$2,548.00
|
|
MRA ext low(run-off)pst cntrst
|
$1,982.02 |
$1,982.02 |
$1,982.02 |
$2,564.48
|
|
MRA pelvis
|
$2,364.48 |
$2,364.48 |
$2,364.48 |
$2,304.70
|
|
MRA pelvis w IV cont
|
$2,929.95 |
$2,929.95 |
$2,929.95 |
$1,648.98
|
|
MRA pelvis wo IV cont
|
$3,047.25 |
$3,047.25 |
$3,047.25 |
$1,509.69
|
|
MRA spinal canal
|
$1,803.94 |
$1,803.94 |
$1,803.94 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$1,224.43 |
$2,482.20 |
$2,482.20 |
$2,482.20
|
|
MRA w/cont, abd
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$1,691.95 |
$1,691.95 |
$1,691.95 |
$1,691.95
|
|
Mra, w/dye, spinal canal
|
$1,033.39 |
$1,033.39 |
$1,033.39 |
$836.76
|
|
MRA without cont, abd
|
$2,274.45 |
$2,274.45 |
$2,274.45 |
$1,749.65
|
|
MRA without cont, lwr ext
|
$1,691.95 |
$3,082.65 |
$3,082.65 |
$1,656.00
|
|
Mra, without dye, spinal canal
|
$1,033.39 |
$1,033.39 |
$1,033.39 |
$1,033.39
|
|
MRA without fol w/cont, abd
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,511.00
|
|
MRA without fol w/cont, lwr ext
|
$1,965.82 |
$3,082.65 |
$3,082.65 |
$2,192.59
|
|
MRA without fol w/cont, pelvis
|
$3,047.25 |
$3,047.25 |
$3,047.25 |
$2,206.29
|
|
Mra, w/o&w/dye, spinal canal
|
$1,590.76 |
$1,590.76 |
$1,590.76 |
$950.55
|
|
Mr elastography
|
$1,736.89 |
$1,736.89 |
$1,736.89 |
$891.60
|
|
MRI brain w/dye
|
$2,505.67 |
$2,505.67 |
$2,505.67 |
$2,174.90
|
|
MRI brain without dye
|
$2,005.45 |
$2,005.45 |
$2,005.45 |
$2,005.45
|
|
MRI brain without & w/dye
|
$2,813.09 |
$2,813.09 |
$2,813.09 |
$2,813.09
|
|
MRI breast c- unilateral
|
$1,780.67 |
$1,780.67 |
$1,780.67 |
$1,170.40
|
|
MRI breast c-+ w/cad uni
|
$2,003.54 |
$2,003.54 |
$2,003.54 |
$1,880.00
|
|
MRI breast without cont bi
|
$2,083.19 |
$2,610.75 |
$2,610.75 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$1,876.12 |
$1,876.12 |
$1,876.12 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$1,244.85 |
$1,244.85 |
$2,445.07 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,902.00 |
$1,902.00 |
$2,959.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$2,499.60
|
|
MRI chest without contrast
|
$1,593.75 |
$2,830.05 |
$2,830.05 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,270.14 |
$3,482.70 |
$3,482.70 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,581.08 |
$2,997.75 |
$2,997.75 |
$2,252.39
|
|
MRI compatible system
|
$6,120.00 |
$6,120.00 |
$6,120.00 |
$2,672.33
|
|
MRI fetal ea addl gestation
|
$477.93 |
$477.93 |
$477.93 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$1,136.26 |
$1,136.26 |
$1,136.26 |
$1,108.00
|
|
MRI guid ndl plc s&i
|
$1,037.97 |
$1,037.97 |
$1,037.97 |
$1,334.45
|
|
MRI loex nonjt w IV cont
|
$1,541.64 |
$3,482.70 |
$3,482.70 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,115.46 |
$3,264.90 |
$3,264.90 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,700.05 |
$3,700.05 |
$3,830.86 |
$2,770.95
|
|
MRI orbit fac&nck w IV cont
|
$1,720.74 |
$3,156.60 |
$3,156.60 |
$2,204.98
|
|
MRI tmj
|
$1,658.77 |
$1,731.30 |
$1,731.30 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,074.10 |
$2,394.15 |
$2,394.15 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,264.90 |
$3,264.90 |
$3,402.00 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$1,447.90 |
$2,687.10 |
$2,687.10 |
$2,076.72
|
|
MRI w/cont, breast, bi
|
$1,994.42 |
$2,574.45 |
$2,574.45 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$2,039.11 |
$2,039.11 |
$2,039.11 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$2,056.69 |
$3,209.55 |
$3,209.55 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$1,938.60 |
$2,610.75 |
$2,610.75 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$186.00 |
$186.00 |
$186.00 |
$161.40
|
|
Mr safety implant elec prepj
|
$192.90 |
$192.90 |
$204.73 |
$173.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$45.00 |
$102.90 |
$102.90 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$137.25 |
$137.25 |
$137.25 |
$125.00
|
|
Mr sfty implt&/fb asmt stf 1
|
$50.40 |
$51.45 |
$51.45 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$507.75 |
$507.75 |
$513.60 |
$444.00
|
|
Mr spectroscopy
|
$1,322.36 |
$1,742.10 |
$1,742.10 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$226.65 |
$226.65 |
$226.65 |
$422.64
|
|
Msh2 gene full seq
|
$163.88 |
$163.88 |
$226.65 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$226.65 |
$226.65 |
$226.65 |
$476.00
|
|
Msh6 gene full seq
|
$226.65 |
$226.65 |
$275.58 |
$1,160.50
|
|
Mthfr gene analy common variants
|
$123.00 |
$123.00 |
$286.88 |
$184.00
|
|
Mucopolysaccharides
|
$270.00 |
$270.00 |
$277.05 |
$178.36
|
|
Multi family grp psychotherapy
|
$543.60 |
$543.60 |
$543.60 |
$250.25
|
|
Multifocal erg w/i&r
|
$574.20 |
$574.20 |
$574.20 |
$386.40
|
|
Multiple sleep latency test
|
$2,440.50 |
$2,440.50 |
$2,763.80 |
$2,466.00
|
|
Mumps antibody igg
|
$97.52 |
$498.60 |
$498.60 |
$78.00
|