|
Metabolic Blood Panel (Comprehensive)
|
$49.00 |
$49.00 |
$49.00 |
$157.50
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$3.50 |
$3.50 |
$3.50 |
$142.46
|
|
Methotrexate therapeutic drug level
|
$322.50 |
$322.50 |
$322.50 |
$105.30
|
|
Methylphenidate
|
$84.50 |
$84.50 |
$84.50 |
$80.08
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$4.50 |
$4.50 |
$4.50 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$2.00 |
$2.00 |
$2.00 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$2.50 |
$2.50 |
$2.50 |
$16.19
|
|
Mgmt promoter methylation analysis
|
$400.00 |
$400.00 |
$400.00 |
$382.45
|
|
Microalbumin urine screen
|
$10.00 |
$10.00 |
$10.00 |
$19.04
|
|
Microdissection laser
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$534.89
|
|
Microdissection manual
|
$115.50 |
$115.50 |
$115.50 |
$289.50
|
|
Microsatellite instability
|
$704.00 |
$704.00 |
$704.00 |
$614.79
|
|
Midazolam 1 mg/ml injection solution
|
$0.50 |
$0.50 |
$0.50 |
$63.51
|
|
Mifepristone 200 mg ta
|
$107.00 |
$107.00 |
$107.00 |
$106.50
|
|
Mitomycin 40 mg intravenous solution
|
$181.00 |
$181.00 |
$181.00 |
$1,683.75
|
|
Mlh1 gene
|
$484.00 |
$484.00 |
$484.00 |
$432.90
|
|
Mnl appl strs jt radiography
|
$117.00 |
$117.00 |
$117.00 |
$196.81
|
|
Mnt subs tx for change dx
|
$52.50 |
$52.50 |
$52.50 |
$55.00
|
|
Mog-igg1 antb flo cytmtry ea
|
$501.00 |
$501.00 |
$501.00 |
$356.74
|
|
Mometasone sinus sinuva
|
$25.00 |
$25.00 |
$25.00 |
$2,578.78
|
|
Monitor reveal linq ii cardiac
|
$6,444.50 |
$6,444.50 |
$6,444.50 |
$9,583.13
|
|
Monovisc inj per dose
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$1,705.31
|
|
Mopath procedure level 5
|
$1,853.00 |
$1,853.00 |
$1,853.00 |
$886.05
|
|
Mopath procedure level 6
|
$448.00 |
$448.00 |
$448.00 |
$892.45
|
|
Mopath procedure level 7
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,135.00
|
|
Mopath procedure level 8
|
$448.00 |
$448.00 |
$448.00 |
$1,345.48
|
|
Mopath procedure level 9
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$2,000.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$41.50 |
$41.50 |
$41.50 |
$161.32
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$469.50 |
$469.50 |
$469.50 |
$402.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$518.50 |
$518.50 |
$518.50 |
$328.79
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$622.00 |
$622.00 |
$622.00 |
$318.43
|
|
M/phmtrc alys ishquant/semiq
|
$497.50 |
$497.50 |
$497.50 |
$487.50
|
|
Mpl gene analysis common variants
|
$388.00 |
$388.00 |
$388.00 |
$388.00
|
|
MRA chest w IV cont
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,813.48
|
|
MRA pelvis w IV cont
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,565.72
|
|
MRA pelvis wo IV cont
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,434.21
|
|
MRA spinal canal
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$1,988.00
|
|
MRA w/cont, abd
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,907.28
|
|
MRA w/cont, lwr ext
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,652.94
|
|
MRA without cont, abd
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,749.65
|
|
MRA without cont, lwr ext
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,648.42
|
|
MRA without fol w/cont, abd
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$2,416.27
|
|
MRA without fol w/cont, pelvis
|
$2,074.50 |
$2,074.50 |
$2,074.50 |
$2,206.29
|
|
MRI breast c- unilateral
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,084.20
|
|
MRI breast without cont bi
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$1,778.00
|
|
MRI cardiac morph & func wo IV cont
|
$358.00 |
$358.00 |
$358.00 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$948.50 |
$948.50 |
$948.50 |
$1,928.40
|
|
MRI chest without contrast
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$2,652.73
|
|
MRI chest w IV cont
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,210.00
|
|
MRI compatible system
|
$2,345.50 |
$2,345.50 |
$2,345.50 |
$2,672.33
|
|
MRI fetal sngl/1st gestation
|
$366.50 |
$366.50 |
$366.50 |
$1,136.26
|
|
MRI loex nonjt w IV cont
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,092.50
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,104.85
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,309.50 |
$2,309.50 |
$2,309.50 |
$2,753.50
|
|
MRI orbit/face/neck without contrast
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$1,883.25
|
|
MRI orbit/face/neck without & w/contrast
|
$2,455.50 |
$2,455.50 |
$2,455.50 |
$2,812.50
|
|
MRI orbit fac&nck w IV cont
|
$2,005.00 |
$2,005.00 |
$2,005.00 |
$2,176.20
|
|
MRI tmj
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,736.28
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$2,637.60
|
|
MRI upper extremity w/dye
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,021.30
|
|
MRI w/cont, breast, bi
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$2,119.87
|
|
MRI w/cont, breast, uni
|
$1,318.50 |
$1,318.50 |
$1,318.50 |
$1,443.12
|
|
MRI without fol w/cont, breast
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$2,449.20
|
|
MRI without fol w/cont, brst, un
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$1,720.40
|
|
Mr safety determination physician/other qhp
|
$292.50 |
$292.50 |
$292.50 |
$158.40
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$59.50 |
$59.50 |
$59.50 |
$49.60
|
|
Mr safety implt pos&/immoblj
|
$72.50 |
$72.50 |
$72.50 |
$118.80
|
|
Mr sfty implt&/fb asmt stf 1
|
$30.00 |
$30.00 |
$30.00 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$111.50 |
$111.50 |
$111.50 |
$419.20
|
|
Mthfr gene analy common variants
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$184.00
|
|
Mucopolysaccharides
|
$471.50 |
$471.50 |
$471.50 |
$178.36
|
|
Multi family grp psychotherapy
|
$501.50 |
$501.50 |
$501.50 |
$250.25
|
|
Multiple sleep latency test
|
$3,197.00 |
$3,197.00 |
$3,197.00 |
$2,440.50
|
|
Mumps antibody igg
|
$49.00 |
$49.00 |
$49.00 |
$77.35
|
|
Muscle test cran nerv unilat
|
$403.00 |
$403.00 |
$403.00 |
$385.07
|
|
Muscle test larynx
|
$145.00 |
$145.00 |
$145.00 |
$296.80
|
|
Muscle test one fiber
|
$248.50 |
$248.50 |
$248.50 |
$442.40
|
|
Mycoplasma antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$76.59
|
|
Myd88 gene p.leu265pro vrnt
|
$375.50 |
$375.50 |
$375.50 |
$397.50
|
|
Myelogphy 2/> spine regions
|
$1,847.00 |
$1,847.00 |
$1,847.00 |
$1,494.22
|
|
Myelography l-s spine
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$1,334.09
|
|
Myelography neck spine
|
$1,394.50 |
$1,394.50 |
$1,394.50 |
$1,241.50
|
|
Myelography thoracic spine
|
$1,305.50 |
$1,305.50 |
$1,305.50 |
$1,255.00
|
|
Myelography via inj w/s&i 2+ regions
|
$902.50 |
$902.50 |
$902.50 |
$2,193.60
|
|
Myelography via inj w/s&i cervical
|
$1,232.50 |
$1,232.50 |
$1,232.50 |
$1,745.94
|
|
Myelography via inj w/s&i lumbosacral
|
$902.50 |
$902.50 |
$902.50 |
$1,843.92
|
|
Myelography via inj w/s&i thoracic
|
$1,287.50 |
$1,287.50 |
$1,287.50 |
$1,738.08
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$557.50 |
$557.50 |
$557.50 |
$135.50
|
|
Myocrd img pet 1 std w/ct
|
$3,104.50 |
$3,104.50 |
$3,104.50 |
$3,252.00
|
|
Myocrd img pet 2rtracer CT
|
$4,840.50 |
$4,840.50 |
$4,840.50 |
$5,083.90
|
|
Myocrd img pet rst&strs CT
|
$4,840.50 |
$4,840.50 |
$4,840.50 |
$4,846.40
|
|
Myocrd img pet rst/strs w/ct
|
$3,104.50 |
$3,104.50 |
$3,104.50 |
$3,311.85
|
|
Myringoplasty
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,837.72
|
|
Naltrexone, depot form
|
$10.50 |
$10.50 |
$10.50 |
$3,249.40
|
|
Nasal endoscopy dx uni/bi separate proc
|
$263.50 |
$263.50 |
$263.50 |
$353.62
|
|
Nasal endoscopy with removal of nasal foreign body
|
$339.50 |
$339.50 |
$339.50 |
$406.00
|
|
Nasal/sinus endoscopy surg w/bx 31237
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,709.50
|
|
Nasal/sinus endo surg w/concha bullosa resct 31240
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,040.67
|