|
Microalbumin urine screen
|
$42.00 |
$42.00 |
$42.00 |
$19.04
|
|
Microbe susceptible mlc
|
$61.84 |
$61.84 |
$61.84 |
$80.00
|
|
Microdissection manual
|
$350.63 |
$350.63 |
$350.63 |
$306.00
|
|
Microfluid analy tears
|
$135.83 |
$135.83 |
$135.83 |
$47.20
|
|
Microprcsr cu combo vad, rep
|
$6,469.21 |
$6,469.21 |
$6,469.21 |
$5,616.00
|
|
Microsatellite instability
|
$719.78 |
$719.78 |
$719.78 |
$611.00
|
|
Microsurg tehniq require use oper micro (add-on)69990
|
$1,900.63 |
$1,900.63 |
$1,900.63 |
$537.60
|
|
Microvolt t-wave assess
|
$1,227.64 |
$1,227.64 |
$1,227.64 |
$392.35
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$57.96 |
$57.96 |
$306.05 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$6.93 |
$6.93 |
$24.84 |
$63.30
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$108.00 |
$108.00 |
$108.00 |
$108.00
|
|
Middle cerebral artery echo
|
$93.33 |
$93.33 |
$267.75 |
$329.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$53.73 |
$53.73 |
$115.20 |
$88.46
|
|
Minocycline hydrochloride
|
$648.30 |
$648.30 |
$648.30 |
$623.04
|
|
Mitochondrial gene
|
$8,112.00 |
$8,112.00 |
$8,112.00 |
$4,265.70
|
|
Mitomycin 40 mg intravenous solution
|
$244.17 |
$244.17 |
$2,305.13 |
$1,683.75
|
|
Mitomycin instillation
|
$43,275.00 |
$43,275.00 |
$43,275.00 |
$43,275.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$1,130.68 |
$1,130.68 |
$1,130.68 |
$554.83
|
|
Mlh1 gene
|
$433.80 |
$433.80 |
$433.80 |
$433.80
|
|
Mlh1 gene dup/delete variant
|
$400.65 |
$400.65 |
$400.65 |
$400.65
|
|
Mlh1 gene full seq
|
$720.73 |
$720.73 |
$720.73 |
$1,130.35
|
|
Mlh1 gene known variants
|
$397.20 |
$397.20 |
$397.20 |
$397.20
|
|
Mlt osteot rlgnm imed rd hum
|
$12,202.34 |
$12,202.34 |
$12,202.34 |
$14,162.40
|
|
Mnl appl strs jt radiography
|
$196.81 |
$196.81 |
$196.81 |
$196.81
|
|
Mnpj anes sho jt fixj aprats
|
$1,829.32 |
$1,829.32 |
$1,829.32 |
$2,211.05
|
|
Mnpj elbow under anes
|
$3,062.56 |
$3,062.56 |
$3,062.56 |
$2,094.40
|
|
Mnpj of tmj w/anesth
|
$2,207.28 |
$2,207.28 |
$2,207.28 |
$2,900.56
|
|
Mnt subs tx for change dx
|
$58.82 |
$58.82 |
$58.82 |
$55.05
|
|
Mog-igg1 antb flo cytmtry ea
|
$825.00 |
$825.00 |
$825.00 |
$350.00
|
|
Molecular pathology interpr
|
$63.20 |
$63.20 |
$63.20 |
$64.40
|
|
Mon cable elec/pneum vad rep
|
$29,944.20 |
$29,944.20 |
$29,944.20 |
$823.26
|
|
Monitor elec vad, rep
|
$6,484.80 |
$6,484.80 |
$6,484.80 |
$13,893.75
|
|
Monitor reveal linq ii cardiac
|
$9,843.00 |
$9,843.00 |
$9,843.00 |
$9,446.50
|
|
Mopath procedure level 1
|
$315.95 |
$315.95 |
$315.95 |
$230.74
|
|
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 |
$904.20
|
|
Mopath procedure level 7
|
$7,487.95 |
$7,487.95 |
$7,487.95 |
$1,135.00
|
|
Mopath procedure level 8
|
$1,995.00 |
$1,995.00 |
$1,995.00 |
$1,376.64
|
|
Mopath procedure level 9
|
$3,582.12 |
$3,582.12 |
$3,582.12 |
$2,000.00
|
|
Morphine 4 mg/ml injection (wrapper)
|
$25.92 |
$25.92 |
$156.83 |
$72.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$33.39 |
$33.39 |
$958.48 |
$149.64
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$263.25 |
$263.25 |
$1,137.00 |
$418.50
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$68.22 |
$68.22 |
$319.80 |
$330.60
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$193.14 |
$193.14 |
$239.95 |
$318.50
|
|
Motor &/ sens nrve cndj test
|
$269.93 |
$269.93 |
$269.93 |
$337.74
|
|
Mouth vestibule bx/w complex rpr 40814
|
$3,951.95 |
$3,951.95 |
$3,951.95 |
$3,951.95
|
|
M/phmtrc alys ishquant/semiq
|
$82.16 |
$82.16 |
$263.25 |
$210.56
|
|
M/phmtrc alys ishquant/semiq
|
$307.71 |
$307.71 |
$1,137.71 |
$495.60
|
|
M/phmtrc alysishquant/semiq
|
$100.78 |
$100.78 |
$100.78 |
$292.50
|
|
M/phmtrc alys skeletal musc
|
$274.49 |
$274.49 |
$274.49 |
$274.49
|
|
Mpl gene analysis common variants
|
$592.50 |
$592.50 |
$592.50 |
$416.16
|
|
MRA abdomen post contrast
|
$1,063.98 |
$1,063.98 |
$2,128.03 |
$2,146.32
|
|
MRA aorta thoracic w/wo contrast
|
$985.14 |
$985.14 |
$2,552.76 |
$2,360.00
|
|
MRA chest wo IV cont
|
$985.14 |
$985.14 |
$985.14 |
$1,617.00
|
|
MRA chest wwo IV cont
|
$985.14 |
$985.14 |
$985.14 |
$2,548.00
|
|
MRA ext low(run-off)pst cntrst
|
$1,934.46 |
$1,934.46 |
$1,981.99 |
$2,564.48
|
|
MRA pelvis
|
$1,352.25 |
$1,352.25 |
$2,364.48 |
$2,304.70
|
|
MRA spinal canal
|
$948.96 |
$948.96 |
$1,590.77 |
$1,988.00
|
|
MRA upper extremity post contrast-bil
|
$985.14 |
$985.14 |
$1,943.87 |
$2,482.20
|
|
MRA w/cont, lwr ext
|
$2,007.60 |
$2,007.60 |
$2,007.60 |
$1,691.95
|
|
Mra, w/dye, spinal canal
|
$1,033.39 |
$1,033.39 |
$1,033.39 |
$836.76
|
|
MRA without cont, lwr ext
|
$1,754.28 |
$1,754.28 |
$1,754.28 |
$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
|
$2,400.21 |
$2,400.21 |
$2,400.21 |
$2,192.59
|
|
Mra, w/o&w/dye, spinal canal
|
$1,590.76 |
$1,590.76 |
$1,590.76 |
$950.55
|
|
Mra, w/o&w/dye, upper extr
|
$985.14 |
$985.14 |
$985.14 |
$1,260.80
|
|
Mr elastography
|
$481.41 |
$481.41 |
$641.23 |
$891.60
|
|
MRI brain w/dye
|
$2,124.60 |
$2,124.60 |
$2,124.60 |
$2,174.90
|
|
MRI brain without dye
|
$2,459.08 |
$2,459.08 |
$2,459.08 |
$2,005.45
|
|
MRI breast c- unilateral
|
$326.21 |
$326.21 |
$326.21 |
$1,170.40
|
|
MRI breast c-+ w/cad uni
|
$346.24 |
$346.24 |
$1,352.25 |
$1,880.00
|
|
MRI breast without cont bi
|
$2,443.67 |
$2,443.67 |
$2,443.67 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$1,754.37 |
$1,754.37 |
$1,875.95 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$965.43 |
$965.43 |
$2,445.07 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,352.25 |
$1,352.25 |
$2,959.00 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$2,499.60
|
|
MRI chest without contrast
|
$888.66 |
$888.66 |
$1,746.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$1,460.43 |
$1,460.43 |
$2,597.41 |
$2,652.73
|
|
MRI chest w IV cont
|
$985.14 |
$985.14 |
$2,325.74 |
$2,252.39
|
|
MRI compatible system
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$2,672.33
|
|
MRI fetal ea addl gestation
|
$654.40 |
$654.40 |
$654.40 |
$577.07
|
|
MRI fetal sngl/1st gestation
|
$1,324.65 |
$1,324.65 |
$1,324.65 |
$1,108.00
|
|
MRI guid ndl plc s&i
|
$1,264.76 |
$1,264.76 |
$1,264.76 |
$1,334.45
|
|
MRI guid parenchymal tiss ablation
|
$2,394.95 |
$2,394.95 |
$2,394.95 |
$1,924.00
|
|
MRI loex nonjt w IV cont
|
$985.14 |
$985.14 |
$3,000.00 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$959.58 |
$959.58 |
$2,088.20 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$1,460.43 |
$1,460.43 |
$3,086.29 |
$2,770.95
|
|
MRI orbit fac&nck w IV cont
|
$985.14 |
$985.14 |
$2,251.88 |
$2,204.98
|
|
MRI tmj
|
$959.58 |
$959.58 |
$2,564.62 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$959.58 |
$959.58 |
$2,614.40 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,352.25 |
$1,352.25 |
$3,552.73 |
$2,669.70
|
|
MRI upper extremity w/dye
|
$985.14 |
$985.14 |
$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
|
