|
Drainage of kidney lesion
|
$520.54 |
$520.54 |
$755.72 |
$1,506.00
|
|
Drainage of prostate abscess
|
$1,747.85 |
$1,747.85 |
$1,747.85 |
$3,863.60
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,640.03 |
$1,640.03 |
$2,380.99 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,431.67 |
$1,431.67 |
$2,078.49 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$372.44 |
$372.44 |
$540.70 |
$1,044.00
|
|
Drain thigh/knee lesion 27301
|
$3,782.81 |
$3,782.81 |
$3,782.81 |
$3,986.00
|
|
Drng of hydrocele 55000
|
$337.59 |
$337.59 |
$337.59 |
$867.90
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,612.73 |
$2,612.73 |
$2,723.91 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$119.00 |
$119.00 |
$124.07 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$502.66 |
$502.66 |
$922.28 |
$569.75
|
|
Drug assay caffeine
|
$18.10 |
$18.10 |
$18.79 |
$80.00
|
|
Drug assay posaconazole
|
$18.41 |
$18.41 |
$19.12 |
$96.75
|
|
Drug assay rufinamide
|
$18.95 |
$18.95 |
$18.95 |
$87.10
|
|
Drug assay vedolizumab
|
$51.35 |
$51.35 |
$51.35 |
$154.00
|
|
Drug assay voriconazole
|
$19.81 |
$19.81 |
$20.57 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$45.40 |
$45.40 |
$47.14 |
$66.43
|
|
Drug of abuse screen urine
|
$9.98 |
$9.98 |
$10.37 |
$67.89
|
|
Drug screening tapentadol
|
$8.74 |
$8.74 |
$9.07 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$70.04 |
$70.04 |
$72.74 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,605.19 |
$1,605.19 |
$1,605.19 |
$2,980.00
|
|
Ductogram sgl duct
|
$207.30 |
$207.30 |
$212.83 |
$469.80
|
|
Dup scan/hemodialysis access 93990
|
$93.15 |
$93.15 |
$101.44 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$227.18 |
$227.18 |
$247.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$405.88 |
$405.88 |
$442.02 |
$904.78
|
|
Dx aly aud oi snd prcsr 1st
|
$168.00 |
$168.00 |
$168.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$42.00 |
$42.00 |
$42.00 |
$51.52
|
|
Dx bronchoscope/lavage 31624
|
$2,637.04 |
$2,637.04 |
$2,637.04 |
$2,446.60
|
|
Ecg/1-3 leads/tracing only 93041
|
$17.38 |
$17.38 |
$18.75 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$165.82 |
$165.82 |
$177.07 |
$412.88
|
|
Ecg external < 48 hours recording
|
$110.84 |
$110.84 |
$118.36 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$165.23 |
$165.23 |
$176.44 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$73.01 |
$73.01 |
$77.96 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$77.96 |
$77.96 |
$77.96 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$491.71 |
$491.71 |
$673.74 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$170.56 |
$170.56 |
$233.70 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$90.69 |
$90.69 |
$124.26 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$614.64 |
$614.64 |
$842.18 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$213.20 |
$213.20 |
$292.12 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$107.74 |
$107.74 |
$147.63 |
$371.25
|
|
Echo exam of eye
|
$48.89 |
$48.89 |
$48.89 |
$143.75
|
|
Echo exam of eye
|
$67.72 |
$67.72 |
$67.72 |
$172.00
|
|
Echo exam of eye
|
$84.58 |
$84.58 |
$100.23 |
$169.62
|
|
Echo exam of eye thickness
|
$73.34 |
$73.34 |
$73.34 |
$40.30
|
|
Echograp trans r pros study
|
$103.13 |
$103.13 |
$122.21 |
$468.00
|
|
Echo guidance radiotherapy
|
$294.71 |
$294.71 |
$294.71 |
$812.00
|
|
Echo guide for amniocentesis
|
$165.50 |
$165.50 |
$165.50 |
$455.57
|
|
Echo guide for artery repair
|
$232.77 |
$232.77 |
$232.77 |
$696.30
|
|
Echo stress
|
$419.12 |
$419.12 |
$574.28 |
$1,609.44
|
|
Echo tee guidance
|
$507.31 |
$507.31 |
$507.31 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$644.80 |
$644.80 |
$883.50 |
$1,913.60
|
|
Echo transesophageal
|
$412.67 |
$412.67 |
$565.44 |
$602.00
|
|
Echo transesophageal
|
$518.75 |
$518.75 |
$710.79 |
$1,650.00
|
|
Echo transesophageal
|
$482.56 |
$482.56 |
$482.56 |
$603.20
|
|
Echo transesophageal intraop
|
$518.13 |
$518.13 |
$518.13 |
$1,578.00
|
|
Echo transthoracic
|
$444.08 |
$444.08 |
$608.47 |
$1,361.75
|
|
Echo transthoracic
|
$208.83 |
$208.83 |
$286.14 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$366.08 |
$366.08 |
$501.60 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$549.78 |
$549.78 |
$587.09 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$562.78 |
$562.78 |
$600.98 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$628.99 |
$628.99 |
$671.68 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$566.92 |
$566.92 |
$605.40 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$928.30 |
$928.30 |
$928.30 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$810.78 |
$810.78 |
$865.80 |
$2,660.16
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$533.43 |
$533.43 |
$533.43 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$488.61 |
$488.61 |
$488.61 |
$1,660.50
|
|
Eeg 41-60 minutes 95812-26
|
$459.82 |
$459.82 |
$923.88 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$696.73 |
$696.73 |
$696.73 |
$994.15
|
|
Eeg during surgery
|
$1,033.76 |
$1,033.76 |
$1,033.76 |
$775.45
|
|
Eeg monitoring/function test
|
$934.35 |
$934.35 |
$934.35 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$250.42 |
$250.42 |
$503.14 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$560.08 |
$560.08 |
$1,125.32 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$351.54 |
$351.54 |
$706.32 |
$871.00
|
|
Eeg recording awake and asleep
|
$374.76 |
$374.76 |
$752.97 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$197.90 |
$197.90 |
$397.63 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$158.19 |
$158.19 |
$317.84 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$276.89 |
$276.89 |
$556.34 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$261.05 |
$261.05 |
$524.51 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$182.06 |
$182.06 |
$365.80 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$237.40 |
$237.40 |
$476.98 |
$1,632.95
|
|
E equine encephalitis igg
|
$8.84 |
$8.84 |
$13.97 |
$51.84
|
|
Egfr gene com variants
|
$166.55 |
$166.55 |
$236.68 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$24.80 |
$24.80 |
$24.80 |
$93.00
|
|
EKG (Tracing Only)
|
$36.10 |
$36.10 |
$38.93 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$146.70 |
$146.70 |
$150.61 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$159.00 |
$159.00 |
$163.24 |
$364.20
|
|
Electrd sq emblem s-icd
|
$5,559.35 |
$5,559.35 |
$5,795.92 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$23.40 |
$23.40 |
$23.40 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$25.14 |
$25.14 |
$35.78 |
$81.75
|
|
Electroacous eval hear aid/biaural 92595
|
$49.28 |
$49.28 |
$49.28 |
$97.50
|
|
Electrocochleography
|
$259.35 |
$259.35 |
$259.35 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$545.42 |
$545.42 |
$545.42 |
$1,235.00
|
|
Electrocorticography durng sx
|
$1,387.79 |
$1,387.79 |
$1,387.79 |
$1,642.53
|
|
Electrode stimulation brain
|
$329.84 |
$329.84 |
$662.72 |
$1,203.94
|
|
Electrolyte panel
|
$13.73 |
$13.73 |
$14.26 |
$79.30
|
|
Electron microscopy diagnostic
|
$453.68 |
$453.68 |
$481.07 |
$1,011.98
|
|
Electrophysiology evaluation
|
$2,764.39 |
$2,764.39 |
$2,764.39 |
$8,975.40
|
|
Electrophysiology evaluation
|
$4,582.30 |
$4,582.30 |
$10,300.40 |
$10,724.84
|
|
Electrophysiology evaluation
|
$913.30 |
$913.30 |
$2,052.98 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,220.31 |
$1,220.31 |
$2,743.09 |
$5,883.66
|
|
Electrophysiology evaluation
|
$337.90 |
$337.90 |
$759.54 |
$2,559.70
|
