|
Digoxin total therapeutic drug level
|
$9.17 |
$9.17 |
$9.17 |
$102.07
|
|
Dilator fascial 10fx20cm
|
$351.59 |
$351.59 |
$351.59 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,351.39 |
$1,351.39 |
$1,351.39 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$2,290.52 |
$2,290.52 |
$2,290.52 |
$4,258.20
|
|
Disaccharidases
|
$62.63 |
$62.63 |
$62.63 |
$230.40
|
|
Discography cerv/thor spine
|
$835.19 |
$835.19 |
$835.19 |
$2,565.00
|
|
Dna antibody native/double stranded
|
$12.90 |
$12.90 |
$12.90 |
$100.00
|
|
Dna gardnerella
|
$16.35 |
$16.35 |
$16.35 |
$61.83
|
|
Dna trichomonas
|
$16.35 |
$16.35 |
$16.35 |
$63.00
|
|
Doppler echo complete
|
$312.26 |
$312.26 |
$312.26 |
$558.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$208.51 |
$208.51 |
$208.51 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$59,350.08 |
$59,350.08 |
$59,350.08 |
$34,278.00
|
|
Dpyd gene common variants
|
$206.54 |
$206.54 |
$206.54 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$1,523.16 |
$1,523.16 |
$1,523.16 |
$3,088.80
|
|
Drainage of kidney lesion
|
$590.19 |
$590.19 |
$590.19 |
$1,506.00
|
|
Drain bladder by trocar/cath
|
$694.41 |
$694.41 |
$694.41 |
$1,203.94
|
|
Drain cath image guided visceral pq
|
$865.80 |
$865.80 |
$865.80 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$396.04 |
$396.04 |
$396.04 |
$1,044.00
|
|
Drain shoulder bursa 23031
|
$1,464.10 |
$1,464.10 |
$1,464.10 |
$3,322.80
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,510.82 |
$2,510.82 |
$2,510.82 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$114.36 |
$114.36 |
$114.36 |
$7,465.97
|
|
Drug assay caffeine
|
$20.07 |
$20.07 |
$20.07 |
$80.00
|
|
Drug assay posaconazole
|
$20.41 |
$20.41 |
$20.41 |
$96.75
|
|
Drug assay voriconazole
|
$21.97 |
$21.97 |
$21.97 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$50.34 |
$50.34 |
$50.34 |
$66.43
|
|
Drug of abuse screen urine
|
$11.07 |
$11.07 |
$11.07 |
$67.89
|
|
Drug screening tapentadol
|
$9.69 |
$9.69 |
$9.69 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$77.68 |
$77.68 |
$77.68 |
$278.85
|
|
Ductogram sgl duct
|
$187.76 |
$187.76 |
$187.76 |
$469.80
|
|
Dup scan/hemodialysis access 93990
|
$146.61 |
$146.61 |
$146.61 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$221.72 |
$221.72 |
$221.72 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$370.14 |
$370.14 |
$370.14 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$43.20 |
$43.20 |
$43.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$128.78 |
$128.78 |
$128.78 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$176.66 |
$176.66 |
$176.66 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$728.42 |
$728.42 |
$728.42 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$280.98 |
$280.98 |
$280.98 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$165.92 |
$165.92 |
$165.92 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$910.66 |
$910.66 |
$910.66 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$351.42 |
$351.42 |
$351.42 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$156.40 |
$156.40 |
$156.40 |
$371.25
|
|
Echo exam of fetal heart
|
$606.90 |
$606.90 |
$606.90 |
$904.80
|
|
Echo exam of fetal heart
|
$288.96 |
$288.96 |
$288.96 |
$538.27
|
|
Echo exam of fetal heart
|
$322.56 |
$322.56 |
$322.56 |
$431.41
|
|
Echo exam of fetal heart
|
$253.26 |
$253.26 |
$253.26 |
$318.34
|
|
Echo exam uterus 76831-
|
$288.96 |
$288.96 |
$288.96 |
$561.00
|
|
Echograp trans r pros study
|
$221.76 |
$221.76 |
$221.76 |
$468.00
|
|
Echo guidance radiotherapy
|
$488.04 |
$488.04 |
$488.04 |
$812.00
|
|
Echo guide for amniocentesis
|
$148.68 |
$148.68 |
$148.68 |
$455.57
|
|
Echo guide for artery repair
|
$262.92 |
$262.92 |
$262.92 |
$696.30
|
|
Echo guide for heart biopsy
|
$238.98 |
$238.98 |
$238.98 |
$666.40
|
|
Echo guide for transfusion
|
$261.24 |
$261.24 |
$261.24 |
$332.39
|
|
Echo guide ova aspiration
|
$114.24 |
$114.24 |
$114.24 |
$174.20
|
|
Echo stress
|
$533.94 |
$533.94 |
$533.94 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$681.63 |
$681.63 |
$681.63 |
$1,913.60
|
|
Echo transesophageal
|
$640.83 |
$640.83 |
$640.83 |
$602.00
|
|
Echo transthoracic
|
$551.07 |
$551.07 |
$551.07 |
$1,361.75
|
|
Echo transthoracic
|
$292.67 |
$292.67 |
$292.67 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$376.45 |
$376.45 |
$376.45 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$207.21 |
$207.21 |
$207.21 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$151.98 |
$151.98 |
$151.98 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$143.91 |
$143.91 |
$143.91 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$243.71 |
$243.71 |
$243.71 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$168.83 |
$168.83 |
$168.83 |
$871.00
|
|
Eeg recording awake and asleep
|
$171.29 |
$171.29 |
$171.29 |
$931.20
|
|
E equine encephalitis igg
|
$13.52 |
$13.52 |
$13.52 |
$51.84
|
|
Egfr gene com variants
|
$238.63 |
$238.63 |
$238.63 |
$672.88
|
|
EKG (Tracing Only)
|
$99.14 |
$99.14 |
$99.14 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$79.66 |
$79.66 |
$79.66 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$86.48 |
$86.48 |
$86.48 |
$364.20
|
|
Electrd sq emblem s-icd
|
$5,342.49 |
$5,342.49 |
$5,342.49 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$12.37 |
$12.37 |
$12.37 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$9.43 |
$9.43 |
$9.43 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$425.44 |
$425.44 |
$425.44 |
$1,235.00
|
|
Electrolyte panel
|
$38.58 |
$38.58 |
$38.58 |
$79.30
|
|
Electron microscopy diagnostic
|
$469.09 |
$469.09 |
$469.09 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$13.52 |
$13.52 |
$13.52 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$13.52 |
$13.52 |
$13.52 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$13.52 |
$13.52 |
$13.52 |
$54.99
|
|
Endo cath bile duct s&i
|
$220.20 |
$220.20 |
$220.20 |
$714.24
|
|
Endo cath panc duct s&i
|
$223.48 |
$223.48 |
$223.48 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$101.10 |
$101.10 |
$101.10 |
$402.35
|
|
Enzyme histochemistry
|
$469.09 |
$469.09 |
$469.09 |
$455.91
|
|
Epoetin alfa, 100 units esrd
|
$8.06 |
$8.06 |
$8.06 |
$6.00
|
|
Epstein barr early antigen antibody
|
$11.44 |
$11.44 |
$11.44 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$11.23 |
$11.23 |
$11.23 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$12.90 |
$12.90 |
$12.90 |
$85.50
|
|
Ercp biliary & pancreas
|
$258.97 |
$258.97 |
$258.97 |
$967.04
|
|
ER Visit (level 1, minor)
|
$271.88 |
$271.88 |
$271.88 |
$252.60
|
|
ER Visit (level 2)
|
$634.34 |
$634.34 |
$634.34 |
$463.00
|
|
ER Visit (level 3)
|
$1,129.66 |
$1,129.66 |
$1,129.66 |
$812.18
|
|
ER Visit (level 4)
|
$1,618.05 |
$1,618.05 |
$1,618.05 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,722.97 |
$1,722.97 |
$1,722.97 |
$1,871.60
|
|
Esophageal dilat s&i
|
$124.78 |
$124.78 |
$124.78 |
$551.20
|
|
Esophagus motility study
|
$463.10 |
$463.10 |
$463.10 |
$1,257.17
|
|
Established Patient Office Visit (level 1)
|
$217.79 |
$217.79 |
$217.79 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$551.98 |
$551.98 |
$551.98 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$1,107.72 |
$1,107.72 |
$1,107.72 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$1,708.53 |
$1,708.53 |
$1,708.53 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$2,406.96 |
$2,406.96 |
$2,406.96 |
$290.68
|
