|
Mnt subs tx for change dx
|
$57.53 |
$57.53 |
$103.77 |
$56.00
|
|
Mog-igg1 antb flo cytmtry ea
|
$825.00 |
$825.00 |
$825.00 |
$350.00
|
|
Molded inner boot
|
$3,022.00 |
$3,022.00 |
$3,022.00 |
$638.40
|
|
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 |
$9,446.50 |
$9,446.50 |
$9,446.50
|
|
Mopath procedure level 1
|
$371.95 |
$371.95 |
$371.95 |
$234.65
|
|
Mopath procedure level 3
|
$1,198.70 |
$1,198.70 |
$1,198.70 |
$360.47
|
|
Mopath procedure level 5
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$900.00
|
|
Mopath procedure level 6
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$916.44
|
|
Mopath procedure level 7
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$1,135.00
|
|
Mopath procedure level 8
|
$3,496.50 |
$3,496.50 |
$3,496.50 |
$1,376.64
|
|
Mopath procedure level 9
|
$2,939.33 |
$2,939.33 |
$2,939.33 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$156.83 |
$156.83 |
$156.83 |
$72.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$958.48 |
$958.48 |
$958.48 |
$148.69
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$418.44
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$322.24 |
$322.24 |
$322.24 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$285.90 |
$285.90 |
$1,168.37 |
$318.43
|
|
Motor &/ sens nrve cndj test
|
$296.34 |
$296.34 |
$296.34 |
$337.74
|
|
M/phmtrc alys ishquant/semiq
|
$1,194.59 |
$1,194.59 |
$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
|
$622.13 |
$622.13 |
$622.13 |
$416.16
|
|
MRA abdomen post contrast
|
$1,948.22 |
$1,948.22 |
$1,948.22 |
$2,144.35
|
|
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 |
$1,224.43 |
$2,452.45
|
|
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, 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 |
$3,093.28 |
$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 |
$4,734.33 |
$2,499.60
|
|
MRI chest without contrast
|
$1,593.75 |
$1,593.75 |
$1,593.75 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,270.14 |
$2,270.14 |
$2,270.14 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,581.08 |
$1,581.08 |
$1,581.08 |
$2,249.10
|
|
MRI compatible system
|
$25,168.00 |
$25,168.00 |
$25,168.00 |
$2,672.33
|
|
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 |
$1,037.97 |
$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 |
$1,720.74 |
$2,203.50
|
|
MRI tmj
|
$1,658.77 |
$1,658.77 |
$8,200.72 |
$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 |
$8,006.00 |
$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
|
$45.00 |
$45.00 |
$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 |
$50.40 |
$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 |
$1,453.87 |
$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 |
$15,399.43 |
$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 |
$3,084.81 |
$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 |
$16.28 |
$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 |
$1,350.68 |
$1,334.09
|
|
Myelography neck spine
|
$875.40 |
$875.40 |
$875.40 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,014.13 |
$1,014.13 |
$1,014.13 |
$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 |
$10,481.71 |
$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
|
