|
MRA aorta thoracic w/wo contrast
|
$2,552.76 |
$2,552.76 |
$2,552.76 |
$2,331.37
|
|
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 |
$2,277.26
|
|
MRA spinal canal
|
$1,803.94 |
$1,803.94 |
$1,803.94 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$1,224.43 |
$1,224.43 |
$7,100.56 |
$2,452.45
|
|
MRA w/cont, abd
|
$7,100.56 |
$7,100.56 |
$7,100.56 |
$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
|
$5,922.95 |
$5,922.95 |
$5,922.95 |
$1,749.65
|
|
MRA without cont, lwr ext
|
$1,691.95 |
$1,691.95 |
$1,691.95 |
$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, lwr ext
|
$1,965.82 |
$1,965.82 |
$1,965.82 |
$2,192.59
|
|
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 |
$1,114.75
|
|
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 |
$2,083.19 |
$2,083.19 |
$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
|
$2,445.07 |
$2,445.07 |
$2,445.07 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,959.00 |
$2,959.00 |
$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 |
$1,593.75 |
$9,072.35 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,270.14 |
$2,270.14 |
$12,777.97 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,581.08 |
$1,581.08 |
$10,418.19 |
$2,249.10
|
|
MRI fetal ea addl gestation
|
$477.93 |
$477.93 |
$477.93 |
$582.60
|
|
MRI fetal sngl/1st gestation
|
$1,136.26 |
$1,136.26 |
$1,136.26 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$1,037.97 |
$1,037.97 |
$6,585.25 |
$1,326.91
|
|
MRI loex nonjt w IV cont
|
$1,541.64 |
$1,541.64 |
$1,541.64 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,115.46 |
$2,115.46 |
$2,115.46 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,830.86 |
$3,830.86 |
$3,830.86 |
$2,753.50
|
|
MRI orbit fac&nck w IV cont
|
$1,720.74 |
$1,720.74 |
$9,655.86 |
$2,203.50
|
|
MRI tmj
|
$1,658.77 |
$1,658.77 |
$10,898.64 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,074.10 |
$2,074.10 |
$2,074.10 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,402.00 |
$3,402.00 |
$3,402.00 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,447.90 |
$1,447.90 |
$1,447.90 |
$2,061.15
|
|
MRI w/cont, breast, bi
|
$1,994.42 |
$1,994.42 |
$6,883.82 |
$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 |
$2,056.69 |
$2,056.69 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$1,938.60 |
$1,938.60 |
$1,938.60 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$186.00 |
$186.00 |
$186.00 |
$160.20
|
|
Mr safety implant elec prepj
|
$204.73 |
$204.73 |
$204.73 |
$170.13
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$36.54 |
$36.54 |
$45.00 |
$55.00
|
|
Mr safety implt pos&/immoblj
|
$137.25 |
$137.25 |
$137.25 |
$122.85
|
|
Mr sfty implt&/fb asmt stf 1
|
$50.40 |
$50.40 |
$176.08 |
$46.20
|
|
Mr sfty med physics xm cstmz
|
$513.60 |
$513.60 |
$513.60 |
$439.80
|
|
Mr spectroscopy
|
$1,322.36 |
$1,322.36 |
$1,322.36 |
$1,352.40
|
|
Msh2 gene full seq
|
$163.88 |
$163.88 |
$163.88 |
$764.00
|
|
Msh6 gene full seq
|
$275.58 |
$275.58 |
$275.58 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$286.88 |
$286.88 |
$1,252.15 |
$184.00
|
|
Mucopolysaccharides
|
$270.00 |
$270.00 |
$270.00 |
$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
|
$2,763.80 |
$2,763.80 |
$2,763.80 |
$2,466.00
|
|
Mumps antibody igg
|
$97.52 |
$97.52 |
$97.52 |
$78.00
|
|
Muscle test cran nerv unilat
|
$385.07 |
$385.07 |
$385.07 |
$385.07
|
|
Muscle test hemidiaphragm
|
$300.55 |
$300.55 |
$300.55 |
$296.40
|
|
Muscle test larynx
|
$287.64 |
$287.64 |
$287.64 |
$296.80
|
|
Muscle test one fiber
|
$497.35 |
$497.35 |
$497.35 |
$432.00
|
|
Mycobacteria dna amp probe
|
$496.29 |
$496.29 |
$496.29 |
$234.00
|
|
Mycobacteria dna quant
|
$288.75 |
$288.75 |
$288.75 |
$192.80
|
|
Mycophenolate mofetil 250 mg capsule
|
$10.79 |
$10.79 |
$10.79 |
$10.79
|
|
Mycophenolic acid
|
$16.28 |
$16.28 |
$32.38 |
$12.84
|
|
Mycoplasma antibody igm
|
$107.89 |
$107.89 |
$107.89 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$1,615.24 |
$1,615.24 |
$1,615.24 |
$1,494.22
|
|
Myelography l-s spine
|
$1,350.68 |
$1,350.68 |
$5,496.94 |
$1,334.09
|
|
Myelography neck spine
|
$875.40 |
$875.40 |
$5,933.97 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,014.13 |
$1,014.13 |
$5,933.97 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$2,421.26 |
$2,421.26 |
$2,421.26 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,629.67 |
$1,629.67 |
$1,629.67 |
$1,760.85
|
|
Myelography via inj w/s&i lumbosacral
|
$1,923.03 |
$1,923.03 |
$1,923.03 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$2,218.31 |
$2,218.31 |
$2,218.31 |
$1,742.95
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$130.80
|
|
Myocrd img pet 1std rst/strs
|
$1,584.32 |
$1,584.32 |
$1,584.32 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$2,700.60 |
$2,700.60 |
$2,700.60 |
$4,240.58
|
|
Myocrd img pet 2rtracer CT
|
$3,300.60 |
$3,300.60 |
$3,300.60 |
$5,083.90
|
|
Myocrd img pet rst&strs CT
|
$2,700.60 |
$2,700.60 |
$2,700.60 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$3,311.85
|
|
Nafcillin 2 gram solution for injection
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$47.67 |
$47.67 |
$141.23 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$118.80 |
$118.80 |
$118.80 |
$70.87
|
|
Nasal endoscopy dx uni/bi separate proc
|
$469.58 |
$469.58 |
$469.58 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$4,141.64 |
$4,141.64 |
$4,141.64 |
$406.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$1,923.97 |
$1,923.97 |
$1,923.97 |
$2,831.51
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$456.46 |
$456.46 |
$456.46 |
$973.39
|
|
Nasopharyngoscopy w/endoscope
|
$351.67 |
$351.67 |
$351.67 |
$293.58
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$15,367.89 |
$15,367.89 |
$15,367.89 |
$16,254.52
|
|
Natriuretic peptide
|
$906.00 |
$906.00 |
$906.00 |
$176.15
|
|
Natural killer cells total count
|
$431.25 |
$431.25 |
$431.25 |
$135.00
|
|
N block inj common digit
|
$454.74 |
$454.74 |
$454.74 |
$540.80
|
|
N block inj hypogas plxs
|
$1,973.95 |
$1,973.95 |
$1,973.95 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$299.32 |
$299.32 |
$299.32 |
$228.50
|
|
Ndl insj without njx 1 or 2 musc
|
$129.36 |
$129.36 |
$129.36 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$131.95 |
$131.95 |
$131.95 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$203.49 |
$203.49 |
$203.49 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$191.89 |
$191.89 |
$191.89 |
$237.43
|
