|
Mopath procedure level 1
|
$174.00 |
$174.00 |
$174.00 |
$229.20
|
|
Mopath procedure level 3
|
$265.00 |
$265.00 |
$265.00 |
$347.20
|
|
Mopath procedure level 5
|
$747.50 |
$747.50 |
$747.50 |
$886.05
|
|
Mopath procedure level 6
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$892.45
|
|
Mopath procedure level 7
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,135.00
|
|
Mopath procedure level 8
|
$900.00 |
$900.00 |
$900.00 |
$1,345.48
|
|
Mopath procedure level 9
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$2,000.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$137.00 |
$137.00 |
$137.00 |
$328.79
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$378.00 |
$378.00 |
$378.00 |
$318.43
|
|
Motor &/ sens nrve cndj test
|
$141.50 |
$141.50 |
$141.50 |
$305.00
|
|
M/phmtrc alys ishquant/semiq
|
$115.00 |
$115.00 |
$115.00 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$487.50
|
|
M/phmtrc alysishquant/semiq
|
$199.00 |
$199.00 |
$199.00 |
$292.50
|
|
MRA abdomen post contrast
|
$2,793.50 |
$2,793.50 |
$2,793.50 |
$2,176.20
|
|
MRA aorta thoracic w/wo contrast
|
$2,523.50 |
$2,523.50 |
$2,523.50 |
$2,345.60
|
|
MRA ext low(run-off)pst cntrst
|
$3,325.50 |
$3,325.50 |
$3,325.50 |
$2,616.82
|
|
MRA pelvis
|
$2,444.50 |
$2,444.50 |
$2,444.50 |
$2,304.70
|
|
MRA upper extremity post contrast-bil
|
$2,444.50 |
$2,444.50 |
$2,444.50 |
$2,444.50
|
|
Mr elastography
|
$604.00 |
$604.00 |
$604.00 |
$950.00
|
|
MRI breast c- unilateral
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,084.20
|
|
MRI breast c-+ w/cad uni
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,880.00
|
|
MRI breast without cont bi
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,875.95
|
|
MRI cardiac morph & func wo IV cont
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$2,683.00 |
$2,683.00 |
$2,683.00 |
$1,928.40
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$2,193.00 |
$2,193.00 |
$2,193.00 |
$2,444.00
|
|
MRI chest without contrast
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$2,723.50 |
$2,723.50 |
$2,723.50 |
$2,652.73
|
|
MRI chest w IV cont
|
$2,408.50 |
$2,408.50 |
$2,408.50 |
$2,210.00
|
|
MRI compatible system
|
$937.50 |
$937.50 |
$937.50 |
$2,672.33
|
|
MRI loex nonjt w IV cont
|
$2,645.50 |
$2,645.50 |
$2,645.50 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,300.50 |
$2,300.50 |
$2,300.50 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,753.50 |
$2,753.50 |
$2,753.50 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$2,091.00 |
$2,091.00 |
$2,091.00 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$2,717.50 |
$2,717.50 |
$2,717.50 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$2,176.20
|
|
MRI tmj
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,478.50 |
$2,478.50 |
$2,478.50 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$2,192.00 |
$2,192.00 |
$2,192.00 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$2,499.50 |
$2,499.50 |
$2,499.50 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$2,167.00 |
$2,167.00 |
$2,167.00 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$3,248.00 |
$3,248.00 |
$3,248.00 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$2,817.50 |
$2,817.50 |
$2,817.50 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$81.00 |
$81.00 |
$81.00 |
$158.40
|
|
Mr sfty implt&/fb asmt stf 1
|
$22.50 |
$22.50 |
$22.50 |
$45.00
|
|
Mr spectroscopy
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$200.50 |
$200.50 |
$200.50 |
$403.20
|
|
Msh2 gene full seq
|
$351.00 |
$351.00 |
$351.00 |
$764.00
|
|
Msh6 gene dup/delete variant
|
$401.50 |
$401.50 |
$401.50 |
$453.60
|
|
Msh6 gene full seq
|
$590.50 |
$590.50 |
$590.50 |
$1,130.35
|
|
Mthfr gene analy common variants
|
$94.00 |
$94.00 |
$94.00 |
$184.00
|
|
Mucin synovial fluid
|
$12.50 |
$12.50 |
$12.50 |
$33.57
|
|
Multiple sleep latency test
|
$2,061.50 |
$2,061.50 |
$2,061.50 |
$2,440.50
|
|
Mumps antibody igg
|
$54.50 |
$54.50 |
$54.50 |
$77.35
|
|
Muscle test cran nerv unilat
|
$236.00 |
$236.00 |
$236.00 |
$385.07
|
|
Muscle test larynx
|
$258.50 |
$258.50 |
$258.50 |
$296.80
|
|
Mycobacteria dna amp probe
|
$213.50 |
$213.50 |
$213.50 |
$275.71
|
|
Mycoplasma antibody igm
|
$66.00 |
$66.00 |
$66.00 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$240.00 |
$240.00 |
$240.00 |
$397.50
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$121.50 |
$121.50 |
$121.50 |
$135.50
|
|
Myocrd img pet 1std rst/strs
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$3,558.50
|
|
Myocrd img pet mlt rst&strs
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$3,980.50
|
|
Natriuretic peptide
|
$389.00 |
$389.00 |
$389.00 |
$176.15
|
|
Natural killer cells total count
|
$109.00 |
$109.00 |
$109.00 |
$132.63
|
|
Ndl emg musc 1 xtr/non-limb
|
$141.50 |
$141.50 |
$141.50 |
$213.75
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,745.50 |
$2,745.50 |
$2,745.50 |
$2,030.60
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$1,708.20
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,112.50 |
$2,112.50 |
$2,112.50 |
$1,498.90
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,146.00 |
$3,146.00 |
$3,146.00 |
$2,855.40
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,783.00 |
$2,783.00 |
$2,783.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,650.00
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,338.50 |
$2,338.50 |
$2,338.50 |
$2,055.58
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,034.00 |
$2,034.00 |
$2,034.00 |
$1,790.58
|
|
Neisseria meningitidis
|
$39.50 |
$39.50 |
$39.50 |
$75.00
|
|
Nerve conduction studies 3-4
|
$369.50 |
$369.50 |
$369.50 |
$469.98
|
|
Nerve conduction studies 5-6
|
$389.00 |
$389.00 |
$389.00 |
$573.30
|
|
Nerve teasing preparations
|
$109.00 |
$109.00 |
$109.00 |
$698.49
|
|
Neuromuscular junction testing ea nerve any 1 method
|
$226.00 |
$226.00 |
$226.00 |
$250.14
|
|
New Patient Office Visit (level 2)
|
$195.00 |
$195.00 |
$195.00 |
$159.70
|
|
New Patient Office Visit (level 3)
|
$211.00 |
$211.00 |
$211.00 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$321.00 |
$321.00 |
$321.00 |
$291.06
|
|
New Patient Office Visit (level 5)
|
$367.50 |
$367.50 |
$367.50 |
$349.70
|
|
N-invas est c ffr sw aly cta
|
$983.50 |
$983.50 |
$983.50 |
$2,194.83
|
|
Nm imaging bone/joint 3 phase study
|
$1,514.50 |
$1,514.50 |
$1,514.50 |
$1,676.35
|
|
Nm imaging bone/joint whole body
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$1,570.65
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$914.00 |
$914.00 |
$914.00 |
$1,382.40
|
|
Nm imaging gastric emptying study
|
$888.50 |
$888.50 |
$888.50 |
$1,340.15
|
|
Nm imaging gastrointestinal acute blood loss
|
$655.50 |
$655.50 |
$655.50 |
$1,200.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$1,612.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$1,517.10
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,590.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$816.00 |
$816.00 |
$816.00 |
$1,079.00
|
|
Nm radiopharmaceutical therapy oral administration
|
$1,672.50 |
$1,672.50 |
$1,672.50 |
$1,056.33
|
|
Noninv pace analysis
|
$199.50 |
$199.50 |
$199.50 |
$761.60
|
|
Npm1 gene
|
$202.00 |
$202.00 |
$202.00 |
$457.50
|
|
Nras gene variants exon 2&3
|
$260.50 |
$260.50 |
$260.50 |
$592.00
|
|
Nr lnr acclrtr tx max 5 sessions
|
$2,921.00 |
$2,921.00 |
$2,921.00 |
$6,737.40
|
|
Nuclear rx intra-arterial
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$765.00
|