|
Doppler upper/lower extremity arteries limited bilateral
|
$247.68 |
$247.68 |
$247.68 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$56,941.04 |
$56,941.04 |
$56,941.04 |
$34,278.00
|
|
Dpyd gene common variants
|
$150.05 |
$150.05 |
$150.05 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$1,258.77 |
$1,258.77 |
$1,258.77 |
$3,088.80
|
|
Drainage of bladder abscess
|
$1,534.07 |
$1,534.07 |
$1,534.07 |
$3,127.88
|
|
Drainage of kidney lesion
|
$487.75 |
$487.75 |
$487.75 |
$1,506.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$995.60 |
$995.60 |
$995.60 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$715.52 |
$715.52 |
$715.52 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$327.29 |
$327.29 |
$327.29 |
$1,044.00
|
|
Drng of hydrocele 55000
|
$306.88 |
$306.88 |
$306.88 |
$867.90
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,408.90 |
$2,408.90 |
$2,408.90 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$109.72 |
$109.72 |
$109.72 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$537.47 |
$537.47 |
$537.47 |
$569.75
|
|
Drug assay caffeine
|
$17.86 |
$17.86 |
$17.86 |
$80.00
|
|
Drug assay posaconazole
|
$18.17 |
$18.17 |
$18.17 |
$96.75
|
|
Drug assay voriconazole
|
$19.56 |
$19.56 |
$19.56 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$44.81 |
$44.81 |
$44.81 |
$66.43
|
|
Drug of abuse screen urine
|
$9.86 |
$9.86 |
$9.86 |
$67.89
|
|
Drug screening tapentadol
|
$8.62 |
$8.62 |
$8.62 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$69.15 |
$69.15 |
$69.15 |
$278.85
|
|
Drvvt confirm - quest
|
$10.31 |
$10.31 |
$10.31 |
$109.20
|
|
Ductogram sgl duct
|
$186.17 |
$186.17 |
$186.17 |
$469.80
|
|
Duodenal motility study
|
$760.14 |
$760.14 |
$760.14 |
$1,143.10
|
|
Dup scan/hemodialysis access 93990
|
$174.15 |
$174.15 |
$174.15 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$439.68 |
$439.68 |
$439.68 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$46.00 |
$46.00 |
$46.00 |
$132.08
|
|
Ecg external < 48 hours recording
|
$67.15 |
$67.15 |
$67.15 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$92.11 |
$92.11 |
$92.11 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$559.70 |
$559.70 |
$559.70 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$215.90 |
$215.90 |
$215.90 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$127.49 |
$127.49 |
$127.49 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$699.73 |
$699.73 |
$699.73 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$270.03 |
$270.03 |
$270.03 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$120.17 |
$120.17 |
$120.17 |
$371.25
|
|
Echo exam uterus 76831-
|
$237.36 |
$237.36 |
$237.36 |
$561.00
|
|
Echo guide for amniocentesis
|
$122.13 |
$122.13 |
$122.13 |
$455.57
|
|
Echo guide for artery repair
|
$215.97 |
$215.97 |
$215.97 |
$696.30
|
|
Echo stress
|
$410.27 |
$410.27 |
$410.27 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$814.03 |
$814.03 |
$814.03 |
$1,913.60
|
|
Echo transthoracic
|
$423.43 |
$423.43 |
$423.43 |
$1,361.75
|
|
Echo transthoracic
|
$224.88 |
$224.88 |
$224.88 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$289.26 |
$289.26 |
$289.26 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$462.23 |
$462.23 |
$462.23 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$339.04 |
$339.04 |
$339.04 |
$994.15
|
|
Eeg during surgery
|
$547.58 |
$547.58 |
$547.58 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$321.03 |
$321.03 |
$321.03 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$543.66 |
$543.66 |
$543.66 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$382.10 |
$382.10 |
$382.10 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$244.04 |
$244.04 |
$244.04 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$195.23 |
$195.23 |
$195.23 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$341.65 |
$341.65 |
$341.65 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$322.34 |
$322.34 |
$322.34 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$224.72 |
$224.72 |
$224.72 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$292.84 |
$292.84 |
$292.84 |
$1,632.95
|
|
E equine encephalitis igg
|
$8.52 |
$8.52 |
$8.52 |
$51.84
|
|
Egfr gene com variants
|
$173.37 |
$173.37 |
$173.37 |
$672.88
|
|
EKG (Tracing Only)
|
$105.57 |
$105.57 |
$105.57 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$78.99 |
$78.99 |
$78.99 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$85.74 |
$85.74 |
$85.74 |
$364.20
|
|
Electrd sq emblem s-icd
|
$5,125.64 |
$5,125.64 |
$5,125.64 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$20.99 |
$20.99 |
$20.99 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$16.01 |
$16.01 |
$16.01 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$426.82 |
$426.82 |
$426.82 |
$1,235.00
|
|
Electrolyte panel
|
$34.34 |
$34.34 |
$34.34 |
$79.30
|
|
Electron microscopy diagnostic
|
$385.20 |
$385.20 |
$385.20 |
$1,011.98
|
|
Electrophysiology evaluation
|
$509.08 |
$509.08 |
$509.08 |
$2,559.70
|
|
Embolization s&i
|
$630.96 |
$630.96 |
$630.96 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$3,248.38 |
$3,248.38 |
$3,248.38 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$3,248.38 |
$3,248.38 |
$3,248.38 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,816.26 |
$4,816.26 |
$4,816.26 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$3,248.38 |
$3,248.38 |
$3,248.38 |
$14,741.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$139.78 |
$139.78 |
$139.78 |
$394.80
|
|
Emg needle test 1-extremity
|
$97.73 |
$97.73 |
$97.73 |
$351.50
|
|
Emg needle test 4-extremities
|
$202.56 |
$202.56 |
$202.56 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$89.66 |
$89.66 |
$89.66 |
$309.83
|
|
Encephalitis, california igg/igm
|
$8.52 |
$8.52 |
$8.52 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$8.52 |
$8.52 |
$8.52 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$8.52 |
$8.52 |
$8.52 |
$54.99
|
|
Endo cath bile duct s&i
|
$218.32 |
$218.32 |
$218.32 |
$714.24
|
|
Endoluminal bx biliary tree
|
$1,134.68 |
$1,134.68 |
$1,134.68 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$1,095.99 |
$1,095.99 |
$1,095.99 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$876.75 |
$876.75 |
$876.75 |
$2,158.95
|
|
Endovasc rpr a-biiliac endogft 34705
|
$13,067.84 |
$13,067.84 |
$13,067.84 |
$9,122.40
|
|
Endovasc visc aorta 2 graft
|
$13,721.15 |
$13,721.15 |
$13,721.15 |
$7,081.75
|
|
Endovas iliac a device addon
|
$1,938.24 |
$1,938.24 |
$1,938.24 |
$950.38
|
|
Endoven ther chem adhes 1st 36482
|
$5,337.83 |
$5,337.83 |
$5,337.83 |
$6,366.08
|
|
Endoven ther chem adhes sbsq 36483
|
$2,589.32 |
$2,589.32 |
$2,589.32 |
$2,794.37
|
|
Enzyme histochemistry
|
$385.20 |
$385.20 |
$385.20 |
$455.91
|
|
Epoetin alfa, 100 units esrd
|
$3.72 |
$3.72 |
$3.72 |
$6.00
|
|
Epstein barr early antigen antibody
|
$7.20 |
$7.20 |
$7.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$7.07 |
$7.07 |
$7.07 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$8.12 |
$8.12 |
$8.12 |
$85.50
|
|
Ercp biliary & pancreas
|
$256.77 |
$256.77 |
$256.77 |
$967.04
|
|
ER Visit (level 1, minor)
|
$176.78 |
$176.78 |
$176.78 |
$252.60
|
|
ER Visit (level 2)
|
$373.40 |
$373.40 |
$373.40 |
$463.00
|
|
ER Visit (level 3)
|
$692.32 |
$692.32 |
$692.32 |
$812.18
|
|
ER Visit (level 4)
|
$1,172.49 |
$1,172.49 |
$1,172.49 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,428.14 |
$1,428.14 |
$1,428.14 |
$1,871.60
|
|
Esophageal dilat s&i
|
$123.72 |
$123.72 |
$123.72 |
$551.20
|
|
Esophagus motility study
|
$371.45 |
$371.45 |
$371.45 |
$1,257.17
|
