|
Drug admin & hemodynmic meas
|
$696.80 |
$696.80 |
$696.80 |
$590.00
|
|
Drug assay caffeine
|
$145.08 |
$145.08 |
$145.08 |
$82.32
|
|
Drug assay posaconazole
|
$110.76 |
$110.76 |
$110.76 |
$96.39
|
|
Drug assay rufinamide
|
$141.44 |
$141.44 |
$141.44 |
$78.59
|
|
Drug assay vedolizumab
|
$110.76 |
$110.76 |
$110.76 |
$157.00
|
|
Drug assay voriconazole
|
$110.76 |
$110.76 |
$110.76 |
$96.75
|
|
Drug of abuse screen urine
|
$84.76 |
$84.76 |
$84.76 |
$63.75
|
|
Drug screening tapentadol
|
$48.88 |
$48.88 |
$48.88 |
$40.60
|
|
Drug screen quant tiagabine
|
$160.68 |
$160.68 |
$160.68 |
$108.48
|
|
Drug test def 1-7 classes
|
$210.08 |
$210.08 |
$210.08 |
$263.25
|
|
Drug test prsmv instrmnt
|
$112.84 |
$112.84 |
$112.84 |
$88.37
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$433.16 |
$433.16 |
$433.16 |
$278.85
|
|
Drvvt confirm - quest
|
$145.08 |
$145.08 |
$145.08 |
$109.20
|
|
Dry needling (97799)
|
$163.28 |
$163.28 |
$163.28 |
$114.27
|
|
Dstrj extensive retinopathy
|
$5,101.20 |
$5,101.20 |
$5,101.20 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$2,980.00
|
|
Ductogram sgl duct
|
$691.60 |
$691.60 |
$691.60 |
$481.80
|
|
Duplex scan bilateral study 93985
|
$949.00 |
$949.00 |
$949.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$949.00 |
$949.00 |
$949.00 |
$360.33
|
|
Dup scan/hemodialysis access 93990
|
$633.88 |
$633.88 |
$633.88 |
$479.81
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$573.04 |
$573.04 |
$573.04 |
$755.30
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,032.72 |
$1,032.72 |
$1,032.72 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$4,264.65 |
$4,264.65 |
$4,264.65 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,695.64 |
$1,695.64 |
$1,695.64 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$2,766.40 |
$2,766.40 |
$2,766.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,369.64
|
|
Dx bronchoscope/wash 31622
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$2,356.20
|
|
Dx duod intub w/asp spec 43756
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,247.13
|
|
Dx gastr intub w/asp spec
|
$587.60 |
$587.60 |
$587.60 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$728.00 |
$728.00 |
$728.00 |
$308.70
|
|
Dx laryngoscopy newborn
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$665.60
|
|
Dx laryngoscopy w/oper scope
|
$3,437.20 |
$3,437.20 |
$3,437.20 |
$2,624.16
|
|
Dynamic cavernosometry
|
$3,442.40 |
$3,442.40 |
$3,442.40 |
$3,442.40
|
|
Dynamic surface emg
|
$574.08 |
$574.08 |
$574.08 |
$447.20
|
|
Ear and throat examination
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$602.63
|
|
Ear canal biopsy 69105
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$1,889.50
|
|
Ear cartilage graft
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$6,385.40
|
|
Ear irrigation 69209
|
$187.20 |
$187.20 |
$187.20 |
$150.00
|
|
Ear protector evaluation
|
$144.56 |
$144.56 |
$144.56 |
$112.56
|
|
Ecallantide injection
|
$9,260.95 |
$9,260.95 |
$9,260.95 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$338.00 |
$338.00 |
$338.00 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$140.40 |
$140.40 |
$140.40 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$629.20 |
$629.20 |
$629.20 |
$477.75
|
|
Ecg external < 48 hours recording
|
$509.60 |
$509.60 |
$509.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$618.80 |
$618.80 |
$618.80 |
$536.50
|
|
Ecg external > 48 hours up to 7 days recording
|
$67.60 |
$67.60 |
$67.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$109.20 |
$109.20 |
$109.20 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,688.40 |
$2,688.40 |
$2,688.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$629.20 |
$629.20 |
$629.20 |
$480.00
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$884.00 |
$884.00 |
$884.00 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$925.60 |
$925.60 |
$925.60 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$494.00 |
$494.00 |
$494.00 |
$367.50
|
|
Echo exam of eye
|
$275.60 |
$275.60 |
$275.60 |
$143.75
|
|
Echo exam of eye
|
$223.60 |
$223.60 |
$223.60 |
$172.00
|
|
Echo exam of eye
|
$223.60 |
$223.60 |
$223.60 |
$178.85
|
|
Echo exam of eye thickness
|
$109.20 |
$109.20 |
$109.20 |
$51.00
|
|
Echo exam of fetal heart
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$914.76
|
|
Echo exam of fetal heart
|
$847.60 |
$847.60 |
$847.60 |
$538.27
|
|
Echo exam of fetal heart
|
$847.60 |
$847.60 |
$847.60 |
$431.41
|
|
Echo exam of fetal heart
|
$421.20 |
$421.20 |
$421.20 |
$318.34
|
|
Echo exam uterus 76831-
|
$904.80 |
$904.80 |
$904.80 |
$561.00
|
|
Echograp trans r pros study
|
$915.20 |
$915.20 |
$915.20 |
$462.80
|
|
Echo guidance radiotherapy
|
$936.00 |
$936.00 |
$936.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$504.40 |
$504.40 |
$504.40 |
$456.30
|
|
Echo guide for artery repair
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$687.35
|
|
Echo guide for heart biopsy
|
$780.00 |
$780.00 |
$780.00 |
$666.40
|
|
Echo guide villus sampling
|
$358.80 |
$358.80 |
$358.80 |
$362.88
|
|
Echo stress
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$1,607.45
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$751.34
|
|
Echo tee guidance
|
$462.80 |
$462.80 |
$462.80 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$1,889.20
|
|
Echo transesophageal
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$1,087.90
|
|
Echo transesophageal
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$664.39
|
|
Echo transesophageal
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$1,626.00
|
|
Echo transesophageal
|
$826.80 |
$826.80 |
$826.80 |
$603.20
|
|
Echo transesophageal intraop
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$1,571.70
|
|
Echo transthoracic
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$1,361.75
|
|
Echo transthoracic
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$980.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,003.08
|
|
E coli 0157 ag ia
|
$74.88 |
$74.88 |
$74.88 |
$72.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$19,540.29 |
$19,540.29 |
$19,540.29 |
$18,536.53
|
|
Edetate calcium disodium inj
|
$8,739.98 |
$8,739.98 |
$8,739.98 |
$8,569.35
|
|
Edetate disodium per 150 mg
|
$205.40 |
$205.40 |
$205.40 |
$221.20
|
|
Ed svc ckd grp per session
|
$103.48 |
$103.48 |
$103.48 |
$58.40
|
|
Ed svc ckd ind per session
|
$434.20 |
$434.20 |
$434.20 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$124.80 |
$124.80 |
$124.80 |
$90.89
|
|
Eeg 41-60 minutes 95812-26
|
$946.40 |
$946.40 |
$946.40 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,012.50
|
|
Eeg during surgery
|
$946.40 |
$946.40 |
$946.40 |
$775.45
|
|
Eeg monitoring/function test
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$889.20 |
$889.20 |
$889.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$1,086.80
|
|
Eeg/record in coma or sleep only 95822
|
$930.80 |
$930.80 |
$930.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$2,308.80 |
$2,308.80 |
$2,308.80 |
$673.20
|
|
Eeg without vid ea 12-26hr cont
|
$6,515.60 |
$6,515.60 |
$6,515.60 |
$1,584.70
|
