|
MRI tmj
|
$2,564.62 |
$2,564.62 |
$2,564.62 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,614.40 |
$2,614.40 |
$2,614.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,552.73 |
$3,552.73 |
$3,552.73 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$2,011.63 |
$2,011.63 |
$2,011.63 |
$2,076.72
|
|
MRI w/cont, breast, bi
|
$2,119.87 |
$2,119.87 |
$2,119.87 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$1,567.09 |
$1,567.09 |
$1,567.09 |
$1,567.09
|
|
MRI without fol w/cont, breast
|
$2,221.52 |
$2,221.52 |
$2,221.52 |
$2,550.00
|
|
MRI without fol w/cont, brst, un
|
$1,567.09 |
$1,567.09 |
$1,567.09 |
$1,779.08
|
|
Mr safety determination physician/other qhp
|
$186.00 |
$186.00 |
$186.00 |
$161.40
|
|
Mr safety implant elec prepj
|
$204.73 |
$204.73 |
$204.73 |
$173.40
|
|
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 |
$125.00
|
|
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 |
$444.00
|
|
Mr spectroscopy
|
$1,442.45 |
$1,442.45 |
$1,442.45 |
$1,340.00
|
|
Msh2 gene dup/delete variant
|
$699.66 |
$699.66 |
$699.66 |
$422.64
|
|
Msh2 gene full seq
|
$504.56 |
$504.56 |
$504.56 |
$764.00
|
|
Msh2 gene known variants
|
$405.28 |
$405.28 |
$405.28 |
$466.07
|
|
Msh6 gene dup/delete variant
|
$611.30 |
$611.30 |
$611.30 |
$476.00
|
|
Msh6 gene full seq
|
$504.56 |
$504.56 |
$504.56 |
$1,160.50
|
|
Msh6 gene known variants
|
$369.60 |
$369.60 |
$369.60 |
$369.60
|
|
Mthfr gene analy common variants
|
$355.35 |
$355.35 |
$355.35 |
$184.00
|
|
Mucin synovial fluid
|
$32.55 |
$32.55 |
$32.55 |
$33.57
|
|
Mucopolysaccharides
|
$270.00 |
$270.00 |
$270.00 |
$178.36
|
|
Multi family grp psychotherapy
|
$138.84 |
$138.84 |
$138.84 |
$250.25
|
|
Multifocal erg w/i&r
|
$620.14 |
$620.14 |
$620.14 |
$386.40
|
|
Multiple sleep latency test
|
$2,911.72 |
$2,911.72 |
$2,911.72 |
$2,466.00
|
|
Mumps antibody igg
|
$86.68 |
$86.68 |
$86.68 |
$78.00
|
|
Muscle-skin graft arm
|
$2,973.95 |
$2,973.95 |
$2,973.95 |
$3,014.40
|
|
Muscle-skin graft leg
|
$4,166.42 |
$4,166.42 |
$4,166.42 |
$4,633.78
|
|
Muscle-skin graft trunk
|
$4,082.43 |
$4,082.43 |
$4,082.43 |
$4,332.25
|
|
Muscle test cran nerv unilat
|
$448.49 |
$448.49 |
$448.49 |
$385.07
|
|
Muscle test hemidiaphragm
|
$374.90 |
$374.90 |
$374.90 |
$296.40
|
|
Muscle test larynx
|
$269.29 |
$269.29 |
$269.29 |
$296.80
|
|
Muscle test one fiber
|
$385.90 |
$385.90 |
$385.90 |
$432.00
|
|
Muscle transfers
|
$9,458.14 |
$9,458.14 |
$9,458.14 |
$8,453.60
|
|
Muscle transfer shoulder/arm
|
$8,434.13 |
$8,434.13 |
$8,434.13 |
$8,434.13
|
|
Musc myoq/fscq flp h&n pedcl
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$4,331.73
|
|
Musc/tdn transfer upr a/e 1
|
$6,021.07 |
$6,021.07 |
$6,021.07 |
$7,807.24
|
|
Mycobacteria dna amp probe
|
$496.29 |
$496.29 |
$496.29 |
$234.00
|
|
Mycobacteria dna quant
|
$288.75 |
$288.75 |
$288.75 |
$141.45
|
|
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
|
$107.77 |
$107.77 |
$107.77 |
$77.35
|
|
Myd88 gene p.leu265pro vrnt
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$416.00
|
|
Myelogphy 2/> spine regions
|
$1,569.51 |
$1,569.51 |
$1,569.51 |
$1,494.22
|
|
Myelography l-s spine
|
$1,334.09 |
$1,334.09 |
$1,334.09 |
$1,334.09
|
|
Myelography neck spine
|
$1,088.80 |
$1,088.80 |
$1,088.80 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,370.02 |
$1,370.02 |
$1,370.02 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$1,583.32 |
$1,583.32 |
$1,583.32 |
$2,267.34
|
|
Myelography via inj w/s&i cervical
|
$1,511.36 |
$1,511.36 |
$1,511.36 |
$1,775.40
|
|
Myelography via inj w/s&i lumbosacral
|
$1,583.32 |
$1,583.32 |
$1,583.32 |
$1,850.00
|
|
Myelography via inj w/s&i thoracic
|
$1,159.28 |
$1,159.28 |
$1,159.28 |
$1,745.94
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$130.41
|
|
Myocrd img pet 1std rst/strs
|
$3,627.73 |
$3,627.73 |
$3,627.73 |
$3,627.73
|
|
Myocrd img pet 1 std w/ct
|
$1,904.76 |
$1,904.76 |
$1,904.76 |
$3,314.15
|
|
Myocrd img pet 2rtracer
|
$2,700.60 |
$2,700.60 |
$2,700.60 |
$4,835.00
|
|
Myocrd img pet 2rtracer CT
|
$3,300.60 |
$3,300.60 |
$3,300.60 |
$5,083.90
|
|
Myocrd img pet mlt rst&strs
|
$4,225.34 |
$4,225.34 |
$4,225.34 |
$4,060.00
|
|
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
|
|
Myomectomy vag method
|
$4,461.96 |
$4,461.96 |
$4,461.96 |
$3,762.53
|
|
Myringoplasty
|
$4,925.75 |
$4,925.75 |
$4,925.75 |
$3,837.72
|
|
Nafcillin 2 gram solution for injection
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$141.23 |
$141.23 |
$141.23 |
$37.81
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$118.80 |
$118.80 |
$118.80 |
$70.87
|
|
Narcosynthesis
|
$256.79 |
$256.79 |
$256.79 |
$378.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$353.62 |
$353.62 |
$353.62 |
$351.52
|
|
Nasal endoscopy with removal of nasal foreign body
|
$4,039.68 |
$4,039.68 |
$4,039.68 |
$406.00
|
|
Nasal function studies
|
$262.87 |
$262.87 |
$262.87 |
$348.00
|
|
Nasal/sinus endoscopy surg
|
$3,585.80 |
$3,585.80 |
$3,585.80 |
$4,881.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$1,850.66 |
$1,850.66 |
$1,850.66 |
$2,831.51
|
|
Nasal/sinus endo spendt remove tiss 31288
|
$3,457.04 |
$3,457.04 |
$3,457.04 |
$5,741.00
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$1,918.22 |
$1,918.22 |
$1,918.22 |
$2,040.67
|
|
Nasal/sinus endo w/ethmoidectomy part 31254
|
$2,559.14 |
$2,559.14 |
$2,559.14 |
$6,698.00
|
|
Nasal/sinus endo w/ethmoidectomy tot 31255
|
$3,305.54 |
$3,305.54 |
$3,305.54 |
$7,662.21
|
|
Nasal/sinus endo w/front sinus expl 31276
|
$3,446.63 |
$3,446.63 |
$3,446.63 |
$6,698.00
|
|
Nasal/sinus maxillary endoscopy dx 31233
|
$973.39 |
$973.39 |
$973.39 |
$973.39
|
|
Nasal/sinus sphenoid endoscopy dx 31235
|
$2,232.24 |
$2,232.24 |
$2,232.24 |
$2,232.24
|
|
Nasal sinus therapy
|
$1,186.27 |
$1,186.27 |
$1,186.27 |
$1,752.89
|
|
Nasopharyngoscopy w/endoscope
|
$298.52 |
$298.52 |
$298.52 |
$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
|
$577.54 |
$577.54 |
$577.54 |
$540.80
|
|
N block inj hypogas plxs
|
$2,462.37 |
$2,462.37 |
$2,462.37 |
$1,912.00
|
|
Ndl emg musc 1 xtr/non-limb
|
$264.55 |
$264.55 |
$264.55 |
$225.25
|
|
Ndl insj without njx 1 or 2 musc
|
$46.08 |
$46.08 |
$46.08 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$54.38 |
$54.38 |
$54.38 |
$45.00
|
|
Ndl oculoelectromyography 1+
|
$67.16 |
$67.16 |
$67.16 |
$158.50
|
|
Ndl round specialty proguide
|
$1,286.47 |
$1,286.47 |
$1,286.47 |
$324.40
|
|
Nebulizer Breathing Treatment
|
$242.77 |
$242.77 |
$242.77 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$279.65 |
$279.65 |
$279.65 |
$237.76
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,381.40 |
$2,381.40 |
$2,381.40 |
$1,719.75
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,060.35 |
$2,060.35 |
$2,060.35 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$3,663.10 |
$3,663.10 |
$3,663.10 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$2,301.53 |
$2,301.53 |
$2,301.53 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$2,318.26 |
$2,318.26 |
$2,318.26 |
$2,039.44
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$378.40 |
$378.40 |
$378.40 |
$334.40
|
