|
Drain finger abscess;simple 26010
|
$442.00 |
$442.00 |
$485.55 |
|
|
Drain thigh/knee lesion 27301
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$256.75 |
$260.00 |
$306.80 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$157.30 |
$173.55 |
$270.40 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$298.35 |
$298.35 |
$385.45 |
|
|
Drng of eyelid abscess 67700
|
$411.45 |
$411.45 |
$411.45 |
|
|
Drng of finger abscess comp 26011
|
$780.00 |
$780.00 |
$949.65 |
|
|
Drng of hydrocele 55000
|
$278.20 |
$278.20 |
$278.20 |
|
|
Drng of scrotum abscess 55100
|
$541.45 |
$541.45 |
$616.85 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.13 |
$32.82 |
$32.82 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14.30 |
$14.30 |
$146.25 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11.05 |
$11.05 |
$11.05 |
|
|
Drug admin & hemodynmic meas
|
$586.30 |
$586.30 |
$586.30 |
|
|
Drug assay caffeine
|
$110.50 |
$110.50 |
$113.10 |
|
|
Drug assay posaconazole
|
$132.60 |
$132.60 |
$175.50 |
|
|
Drug assay vedolizumab
|
$220.35 |
$220.35 |
$220.35 |
|
|
Drug assay voriconazole
|
$14.30 |
$104.65 |
$104.65 |
|
|
Drug of abuse screen urine
|
$58.50 |
$58.50 |
$102.05 |
|
|
Drug test prsmv instrmnt
|
$83.20 |
$83.20 |
$89.05 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$230.10 |
$236.60 |
$346.45 |
|
|
Drvvt confirm - quest
|
$101.40 |
$112.45 |
$112.45 |
|
|
Dstrj nulyt agt gnclr nrv
|
$2,314.49 |
$2,314.49 |
$2,314.49 |
|
|
Dstr mal les s/n/h/f/g >4.0
|
$395.20 |
$395.20 |
$395.20 |
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$314.60 |
$314.60 |
$314.60 |
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$386.75 |
$386.75 |
$386.75 |
|
|
Ductogram sgl duct
|
$216.45 |
$216.45 |
$216.45 |
|
|
Duplex scan bilateral study 93985
|
$824.20 |
$824.20 |
$824.20 |
|
|
Duplex scan unilateral study 93986
|
$598.00 |
$598.00 |
$598.00 |
|
|
Dup scan/hemodialysis access 93990
|
$488.80 |
$488.80 |
$488.80 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$542.75 |
$542.75 |
$542.75 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$530.40 |
$716.95 |
$812.50 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,021.12 |
$10,021.12 |
$10,021.12 |
|
|
Dx bronchoscope/brush 31623
|
$13,312.56 |
$13,312.56 |
$13,312.56 |
|
|
Dx bronchoscope/lavage 31624
|
$13,360.41 |
$13,360.41 |
$13,360.41 |
|
|
Dx bronchoscope/wash 31622
|
$2,861.18 |
$2,861.18 |
$2,861.18 |
|
|
Dx laryngoscopy w/oper scope
|
$4,013.29 |
$4,013.29 |
$4,013.29 |
|
|
Ear irrigation 69209
|
$61.10 |
$104.00 |
$113.10 |
|
|
Ecg 12 lead tracing only
|
$187.20 |
$195.00 |
$236.60 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$130.65 |
$130.65 |
$133.90 |
|
|
Ecg external < 48 hours recording
|
$302.25 |
$323.70 |
$399.75 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$309.40 |
$331.50 |
$473.85 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$325.65 |
$325.65 |
$382.85 |
|
|
Ecg external >7 days up to 15 days recording
|
$382.85 |
$382.85 |
$546.65 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,480.05 |
$1,645.80 |
$2,030.60 |
|
|
Echocardiography doppler color flow mapping
|
$463.45 |
$469.95 |
$511.55 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,119.65 |
$2,119.65 |
$2,125.50 |
|
|
Echocardiography transthoracic 2d followup/limited
|
$417.95 |
$737.10 |
$773.50 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,122.55 |
$1,122.55 |
$1,295.45 |
|
|
Echocardiograpy doppler follow up/limited study
|
$272.35 |
$356.20 |
$389.35 |
|
|
Echo exam of fetal heart
|
$260.65 |
$260.65 |
$260.65 |
|
|
Echo exam of fetal heart
|
$240.50 |
$240.50 |
$240.50 |
|
|
Echo exam uterus 76831-
|
$323.70 |
$323.70 |
$399.75 |
|
|
Echograp trans r pros study
|
$523.90 |
$523.90 |
$523.90 |
|
|
Echo guide for amniocentesis
|
$282.10 |
$282.10 |
$350.35 |
|
|
Echo guide for artery repair
|
$599.30 |
$599.30 |
$599.30 |
|
|
Echo tee guidance
|
$2,145.65 |
$2,145.65 |
$2,145.65 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
|
|
Echo transthoracic
|
$624.00 |
$624.00 |
$624.00 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$218.40 |
$714.35 |
$982.15 |
|
|
E coli 0157 ag ia
|
$72.15 |
$72.15 |
$84.50 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$14,211.61 |
$14,211.61 |
$14,846.31 |
|
|
Eeg 41-60 minutes 95812-26
|
$662.35 |
$662.35 |
$662.35 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$808.60 |
$808.60 |
$808.60 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$743.60 |
$743.60 |
$743.60 |
|
|
Eeg recording awake and asleep
|
$959.40 |
$959.40 |
$959.40 |
|
|
E equine encephalitis igg
|
$49.40 |
$53.30 |
$54.60 |
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$14,371.30 |
$14,371.30 |
$14,371.30 |
|
|
Egd balloon dil esoph30 mm/>
|
$461.50 |
$461.50 |
$4,834.83 |
|
|
Egd control bleeding any
|
$635.05 |
$635.05 |
$4,764.45 |
|
|
Egd dilate stricture
|
$555.75 |
$555.75 |
$3,157.83 |
|
|
Egd guide wire insertion
|
$456.30 |
$456.30 |
$4,553.60 |
|
|
Egd/insert intraluminal tube/cath 43241
|
$387.40 |
$394.55 |
$394.55 |
|
|
Egd lesion ablation
|
$978.90 |
$978.90 |
$3,734.70 |
|
|
Egd remove foreign body
|
$576.55 |
$576.55 |
$3,203.13 |
|
|
Egd remove lesion snare
|
$625.95 |
$3,686.24 |
$4,751.82 |
|
|
Egd varices ligation
|
$3,272.23 |
$3,272.23 |
$3,272.23 |
|
|
Egfr gene com variants
|
$588.90 |
$672.10 |
$721.50 |
|
|
Ehrlicha chaffeensis amp prb
|
$161.20 |
$255.45 |
$274.30 |
|
|
Elbow arthroscopy/surgery
|
$8,679.13 |
$8,679.13 |
$8,679.13 |
|
|
Elbow arthroscopy/surgery
|
$8,679.13 |
$8,679.13 |
$8,679.13 |
|
|
Electrical stimulation/unattended 97014
|
$61.75 |
$65.65 |
$73.45 |
|
|
Electrolyte panel
|
$100.75 |
$100.75 |
$119.60 |
|
|
Electronic analysis with brain program first 15 min 95983
|
$76.70 |
$76.70 |
$76.70 |
|
|
Electron microscopy diagnostic
|
$585.00 |
$585.00 |
$7,056.20 |
|
|
Electrophysiology evaluation
|
$7,388.55 |
$7,388.55 |
$7,388.55 |
|
|
Electrophysiology evaluation
|
$9,158.50 |
$9,158.50 |
$9,158.50 |
|
|
Electrophysiology evaluation
|
$5,170.10 |
$5,170.10 |
$5,170.10 |
|
|
Electrophysiology evaluation
|
$4,669.60 |
$4,669.60 |
$4,669.60 |
|
|
Electrophysiology evaluation
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
|
|
Electrophysiology evaluation
|
$3,129.75 |
$3,129.75 |
$3,129.75 |
|
|
Electrophys map 3d add-on
|
$7,462.65 |
$7,462.65 |
$7,462.65 |
|
|
Elosulfase alfa, injection
|
$3,519.10 |
$3,519.10 |
$3,519.10 |
|
|
Elotuzumab 300 mg intravenous solution
|
$7,188.13 |
$7,188.13 |
$7,188.13 |
|
|
Embolization s&i
|
$1,872.65 |
$1,872.65 |
$1,872.65 |
|
|
Embo or occlude vascular arterial s&i
|
$13,500.62 |
$13,500.62 |
$13,500.62 |
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,381.78 |
$16,381.78 |
$16,381.78 |
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$401.70 |
$401.70 |
$401.70 |
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$482.30 |
$482.30 |
$482.30 |
|
|
Emg needle test 1-extremity
|
$338.00 |
$338.00 |
$338.00 |
|
|
Emg needle test 4-extremities
|
$563.55 |
$563.55 |
$563.55 |
|