|
Mitomycin 40 mg intravenous solution
|
$140.76 |
$140.76 |
$140.76 |
$1,650.98
|
|
Mitomycin instillation
|
$7,695.36 |
$7,695.36 |
$7,695.36 |
$14,202.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$413.46 |
$413.46 |
$413.46 |
$437.16
|
|
Mlh1 gene
|
$213.39 |
$213.39 |
$213.39 |
$414.86
|
|
Mopath procedure level 5
|
$507.42 |
$507.42 |
$507.42 |
$886.05
|
|
Mopath procedure level 6
|
$408.87 |
$408.87 |
$408.87 |
$976.30
|
|
Morphine 4 mg/ml injection (wrapper)
|
$221.22 |
$221.22 |
$221.22 |
$60.61
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$407.16 |
$407.16 |
$407.16 |
$257.19
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$196.02 |
$196.02 |
$196.02 |
$402.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$338.76 |
$338.76 |
$338.76 |
$309.50
|
|
M/phmtrc alys ishquant/semiq
|
$456.57 |
$456.57 |
$456.57 |
$574.00
|
|
Mpl gene analysis common variants
|
$218.34 |
$218.34 |
$218.34 |
$444.00
|
|
MRA chest w IV cont
|
$1,821.96 |
$1,821.96 |
$1,821.96 |
$1,537.90
|
|
MRA chest wo IV cont
|
$1,337.22 |
$1,337.22 |
$1,337.22 |
$1,268.15
|
|
MRA chest wwo IV cont
|
$2,143.62 |
$2,143.62 |
$2,143.62 |
$2,492.05
|
|
MRA upper extremity post contrast-bil
|
$1,358.46 |
$1,358.46 |
$1,358.46 |
$1,943.87
|
|
MRA w/cont, abd
|
$1,602.54 |
$1,602.54 |
$1,602.54 |
$1,509.90
|
|
MRA w/cont, lwr ext
|
$1,821.96 |
$1,821.96 |
$1,821.96 |
$1,191.96
|
|
Mra, w/dye, spinal canal
|
$1,040.49 |
$1,040.49 |
$1,040.49 |
$422.61
|
|
Mra, w/dye, upper extremity
|
$1,040.49 |
$1,040.49 |
$1,040.49 |
$943.83
|
|
MRA without cont, abd
|
$1,523.97 |
$1,523.97 |
$1,523.97 |
$1,523.97
|
|
MRA without cont, lwr ext
|
$1,517.22 |
$1,517.22 |
$1,517.22 |
$1,091.98
|
|
Mra, without dye, spinal canal
|
$697.86 |
$697.86 |
$697.86 |
$286.04
|
|
Mra, without dye, upper extr
|
$697.86 |
$697.86 |
$697.86 |
$697.86
|
|
MRA without fol w/cont, abd
|
$2,009.43 |
$2,009.43 |
$2,009.43 |
$3,331.46
|
|
MRA without fol w/cont, lwr ext
|
$1,676.34 |
$1,676.34 |
$1,676.34 |
$1,954.80
|
|
MRA without fol w/cont, pelvis
|
$1,779.12 |
$1,779.12 |
$1,779.12 |
$2,305.60
|
|
Mra, w/o&w/dye, spinal canal
|
$1,176.75 |
$1,176.75 |
$1,176.75 |
$422.61
|
|
Mra, w/o&w/dye, upper extr
|
$1,176.75 |
$1,176.75 |
$1,176.75 |
$1,085.03
|
|
Mr elastography
|
$375.66 |
$375.66 |
$375.66 |
$684.06
|
|
MRI brain w/dye
|
$1,821.96 |
$1,821.96 |
$1,821.96 |
$1,713.40
|
|
MRI brain without dye
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,558.05
|
|
MRI brain without & w/dye
|
$2,061.00 |
$2,061.00 |
$2,061.00 |
$2,608.50
|
|
MRI breast c- unilateral
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,097.50
|
|
MRI breast without cont bi
|
$1,825.38 |
$1,825.38 |
$1,825.38 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,704.42 |
$1,704.42 |
$1,704.42 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$4,866.66 |
$4,866.66 |
$4,866.66 |
$2,249.80
|
|
MRI chest without contrast
|
$1,167.39 |
$1,167.39 |
$1,167.39 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$1,373.31 |
$1,373.31 |
$1,373.31 |
$2,564.10
|
|
MRI chest w IV cont
|
$1,315.98 |
$1,315.98 |
$1,315.98 |
$2,105.25
|
|
MRI fetal ea addl gestation
|
$227.07 |
$227.07 |
$227.07 |
$576.10
|
|
MRI fetal sngl/1st gestation
|
$453.87 |
$453.87 |
$453.87 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$820.08 |
$820.08 |
$820.08 |
$1,133.22
|
|
MRI guid parenchymal tiss ablation
|
$1,276.47 |
$1,276.47 |
$1,276.47 |
$1,638.65
|
|
MRI loex nonjt w IV cont
|
$1,334.97 |
$1,334.97 |
$1,334.97 |
$2,035.00
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,135.53 |
$1,135.53 |
$1,135.53 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,977.03 |
$1,977.03 |
$1,977.03 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$1,288.44 |
$1,288.44 |
$1,288.44 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$2,584.35 |
$2,584.35 |
$2,584.35 |
$2,674.83
|
|
MRI orbit fac&nck w IV cont
|
$1,470.42 |
$1,470.42 |
$1,470.42 |
$2,120.25
|
|
MRI tmj
|
$1,210.32 |
$1,210.32 |
$1,210.32 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,103.76 |
$1,103.76 |
$1,103.76 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,041.20 |
$2,041.20 |
$2,041.20 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$1,592.82 |
$1,592.82 |
$1,592.82 |
$1,968.59
|
|
MRI w/cont, breast, bi
|
$1,821.96 |
$1,821.96 |
$1,821.96 |
$1,831.25
|
|
MRI w/cont, breast, uni
|
$1,652.94 |
$1,652.94 |
$1,652.94 |
$836.00
|
|
MRI without fol w/cont, breast
|
$835.20 |
$835.20 |
$835.20 |
$2,071.85
|
|
MRI without fol w/cont, brst, un
|
$2,061.00 |
$2,061.00 |
$2,061.00 |
$888.25
|
|
Mr safety determination physician/other qhp
|
$120.51 |
$120.51 |
$120.51 |
$160.20
|
|
Mr safety implant elec prepj
|
$125.19 |
$125.19 |
$125.19 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$81.63 |
$81.63 |
$81.63 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$33.48 |
$33.48 |
$33.48 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$329.31 |
$329.31 |
$329.31 |
$402.40
|
|
Mr spectroscopy
|
$2,136.51 |
$2,136.51 |
$2,136.51 |
$1,322.36
|
|
Mthfr gene analy common variants
|
$212.94 |
$212.94 |
$212.94 |
$211.70
|
|
Mucopolysaccharides
|
$431.37 |
$431.37 |
$431.37 |
$205.15
|
|
Multiple sleep latency test
|
$1,731.69 |
$1,731.69 |
$1,731.69 |
$2,585.70
|
|
Mumps antibody igg
|
$106.38 |
$106.38 |
$106.38 |
$78.00
|
|
Muscle test cran nerv unilat
|
$229.77 |
$229.77 |
$229.77 |
$385.07
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.31 |
$5.31 |
$5.31 |
$18.12
|
|
Mycophenolic acid
|
$5.67 |
$5.67 |
$5.67 |
$12.83
|
|
Mycoplasma antibody igm
|
$99.09 |
$99.09 |
$99.09 |
$79.20
|
|
Myd88 gene p.leu265pro vrnt
|
$436.41 |
$436.41 |
$436.41 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$682.65 |
$682.65 |
$682.65 |
$1,366.30
|
|
Myelography l-s spine
|
$656.10 |
$656.10 |
$656.10 |
$1,334.09
|
|
Myelography neck spine
|
$727.83 |
$727.83 |
$727.83 |
$1,103.70
|
|
Myelography thoracic spine
|
$727.83 |
$727.83 |
$727.83 |
$1,085.32
|
|
Myelography via inj w/s&i 2+ regions
|
$1,210.23 |
$1,210.23 |
$1,210.23 |
$2,352.78
|
|
Myelography via inj w/s&i cervical
|
$1,210.23 |
$1,210.23 |
$1,210.23 |
$1,910.79
|
|
Myelography via inj w/s&i lumbosacral
|
$1,503.09 |
$1,503.09 |
$1,503.09 |
$2,006.40
|
|
Myelography via inj w/s&i thoracic
|
$1,391.67 |
$1,391.67 |
$1,391.67 |
$1,931.60
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$139.50 |
$139.50 |
$139.50 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$2.61 |
$2.61 |
$2.61 |
$38.00
|
|
Nasopharyngoscopy w/endoscope
|
$236.88 |
$236.88 |
$236.88 |
$298.52
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$10,137.51 |
$10,137.51 |
$10,137.51 |
$22,257.60
|
|
Natriuretic peptide
|
$239.94 |
$239.94 |
$239.94 |
$176.15
|
|
Natural killer cells total count
|
$71.19 |
$71.19 |
$71.19 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,055.15 |
$2,055.15 |
$2,055.15 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,695.06 |
$1,695.06 |
$1,695.06 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,637.64 |
$1,637.64 |
$1,637.64 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,122.56 |
$2,122.56 |
$2,122.56 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,216.52 |
$2,216.52 |
$2,216.52 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,310.04 |
$1,310.04 |
$1,310.04 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,214.91 |
$1,214.91 |
$1,214.91 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,790.58
|
|
Neisseria meningitidis
|
$153.63 |
$153.63 |
$153.63 |
$59.15
|
|
Nelarabine injection
|
$1,370.07 |
$1,370.07 |
$1,370.07 |
$1,051.57
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$18.81 |
$18.81 |
$18.81 |
$56.70
|