|
Drng of scrotum abscess 55100
|
$1,672.29 |
$1,672.29 |
$1,672.29 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$611.49 |
$611.49 |
$611.49 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,344.39 |
$2,344.39 |
$2,344.39 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$3,425.10 |
$3,425.10 |
$3,425.10 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$843.91 |
$843.91 |
$843.91 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,041.36 |
$5,041.36 |
$5,041.36 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$18,174.56 |
$18,174.56 |
$18,174.56 |
$18,384.03
|
|
Drug assay voriconazole
|
$81.09 |
$81.09 |
$81.09 |
$96.75
|
|
Drug of abuse screen urine
|
$103.02 |
$103.02 |
$103.02 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$420.24 |
$420.24 |
$420.24 |
$278.85
|
|
Drvvt confirm - quest
|
$3.51 |
$3.51 |
$3.51 |
$101.66
|
|
Dup scan/hemodialysis access 93990
|
$737.46 |
$737.46 |
$737.46 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,191.36 |
$1,191.36 |
$1,191.36 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$9,281.81 |
$9,281.81 |
$9,281.81 |
$14,438.37
|
|
Dx bronchoscope/lavage 31624
|
$2,445.96 |
$2,445.96 |
$2,445.96 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,234.82 |
$2,234.82 |
$2,234.82 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$374.85 |
$374.85 |
$374.85 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$194.82 |
$194.82 |
$194.82 |
$204.96
|
|
Dx laryngoscopy newborn
|
$577.32 |
$577.32 |
$577.32 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$2,445.96 |
$2,445.96 |
$2,445.96 |
$2,040.67
|
|
Ear irrigation 69209
|
$612.51 |
$612.51 |
$612.51 |
$165.42
|
|
Ecg 12 lead tracing only
|
$291.21 |
$291.21 |
$291.21 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$60.69 |
$60.69 |
$60.69 |
$129.83
|
|
Ecg external < 48 hours recording
|
$242.76 |
$242.76 |
$242.76 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$132.60 |
$132.60 |
$132.60 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$132.60 |
$132.60 |
$132.60 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,508.07 |
$1,508.07 |
$1,508.07 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$597.21 |
$597.21 |
$597.21 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,089.98 |
$2,089.98 |
$2,089.98 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$460.53 |
$460.53 |
$460.53 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$480.42 |
$480.42 |
$480.42 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$462.06 |
$462.06 |
$462.06 |
$353.46
|
|
Echograp trans r pros study
|
$1,258.68 |
$1,258.68 |
$1,258.68 |
$459.40
|
|
Echo guide for artery repair
|
$1,128.12 |
$1,128.12 |
$1,128.12 |
$680.28
|
|
Eeg 41-60 minutes 95812-26
|
$627.30 |
$627.30 |
$627.30 |
$956.45
|
|
Eeg without vid 2-12hr cont mntr
|
$622.71 |
$622.71 |
$622.71 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$622.71 |
$622.71 |
$622.71 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,296.93 |
$1,296.93 |
$1,296.93 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$1,296.93 |
$1,296.93 |
$1,296.93 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$622.71 |
$622.71 |
$622.71 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,296.93 |
$1,296.93 |
$1,296.93 |
$1,251.52
|
|
E equine encephalitis igg
|
$43.76 |
$43.76 |
$43.76 |
$48.73
|
|
Egd remove foreign body
|
$1,467.78 |
$1,467.78 |
$1,467.78 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,664.75 |
$2,664.75 |
$2,664.75 |
$2,664.75
|
|
EKG (Electrocardiogram)
|
$35.70 |
$35.70 |
$35.70 |
$102.44
|
|
Elec analys infus pump w/reprog 62368
|
$370.26 |
$370.26 |
$370.26 |
$619.45
|
|
Electrd sq emblem s-icd
|
$6,546.23 |
$6,546.23 |
$6,546.23 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$97.41 |
$97.41 |
$97.41 |
$81.75
|
|
Electrolyte panel
|
$198.39 |
$198.39 |
$198.39 |
$86.33
|
|
Electron microscopy diagnostic
|
$778.26 |
$778.26 |
$778.26 |
$966.69
|
|
Electrophysiology evaluation
|
$2,385.27 |
$2,385.27 |
$2,385.27 |
$2,845.10
|
|
Embolization s&i
|
$8,492.01 |
$8,492.01 |
$8,492.01 |
$3,060.05
|
|
Emb without cervical dilation 58100
|
$238.68 |
$238.68 |
$238.68 |
$397.66
|
|
Encephalitis, california igg/igm
|
$43.79 |
$43.79 |
$43.79 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$43.76 |
$43.76 |
$43.76 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$68.89 |
$68.89 |
$68.89 |
$50.70
|
|
Endoscopy swallow (fees) vid
|
$400.86 |
$400.86 |
$400.86 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,445.96 |
$2,445.96 |
$2,445.96 |
$2,872.59
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$128.21 |
$128.21 |
$128.21 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$60.45 |
$60.45 |
$60.45 |
$66.47
|
|
Enzyme histochemistry
|
$945.54 |
$945.54 |
$945.54 |
$460.32
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$84.15 |
$84.15 |
$84.15 |
$450.94
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$5,218.83 |
$5,218.83 |
$5,218.83 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$316.48 |
$316.48 |
$316.48 |
$918.00
|
|
Epstein barr early antigen antibody
|
$45.90 |
$45.90 |
$45.90 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$46.23 |
$46.23 |
$46.23 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$46.23 |
$46.23 |
$46.23 |
$95.04
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,718.14 |
$4,718.14 |
$4,718.14 |
$6,313.52
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$274.74 |
$274.74 |
$274.74 |
$364.08
|
|
ER Visit (level 1, minor)
|
$349.86 |
$349.86 |
$349.86 |
$276.70
|
|
ER Visit (level 2)
|
$943.50 |
$943.50 |
$943.50 |
$487.50
|
|
ER Visit (level 3)
|
$1,764.09 |
$1,764.09 |
$1,764.09 |
$850.50
|
|
ER Visit (level 4)
|
$2,566.32 |
$2,566.32 |
$2,566.32 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$4,646.10 |
$4,646.10 |
$4,646.10 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$268.63 |
$268.63 |
$268.63 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$251.94 |
$251.94 |
$251.94 |
$540.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,263.27 |
$1,263.27 |
$1,263.27 |
$1,109.47
|
|
Esophagoscopy flex remove fb
|
$2,664.75 |
$2,664.75 |
$2,664.75 |
$2,109.53
|
|
Esoph egd dilation <30 mm
|
$2,664.75 |
$2,664.75 |
$2,664.75 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$297.84 |
$297.84 |
$297.84 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$55.08 |
$55.08 |
$55.08 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$161.16 |
$161.16 |
$161.16 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$161.16 |
$161.16 |
$161.16 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$161.16 |
$161.16 |
$161.16 |
$287.10
|
|
Estradiol total
|
$275.40 |
$275.40 |
$275.40 |
$153.00
|
|
Estrogens total-sendout
|
$73.90 |
$73.90 |
$73.90 |
$89.25
|
|
Ethylene glycol -sendout
|
$51.00 |
$51.00 |
$51.00 |
$75.00
|
|
Etonogestrel implant system
|
$3,016.77 |
$3,016.77 |
$3,016.77 |
$3,016.77
|
|
Euglobulin lysis
|
$46.03 |
$46.03 |
$46.03 |
$39.75
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$1,002.15 |
$1,002.15 |
$1,002.15 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$389.64 |
$389.64 |
$389.64 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$169.32 |
$169.32 |
$169.32 |
$320.00
|
|
Evoked potentials auditory screening automated analysis
|
$334.56 |
$334.56 |
$334.56 |
$283.62
|
|
Evok oa screening qual
|
$62.22 |
$62.22 |
$62.22 |
$120.90
|
|
Exam pelvic add-on
|
$27.54 |
$27.54 |
$27.54 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,649.80
|
|
Exc bartholins gland/cyst
|
$3,781.65 |
$3,781.65 |
$3,781.65 |
$3,744.41
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,386.84
|