|
Drug assay vedolizumab
|
$44.00 |
$44.00 |
$44.00 |
$152.79
|
|
Drug screening tapentadol
|
$1.32 |
$1.32 |
$1.32 |
$36.00
|
|
Drug test prsmv instrmnt
|
$135.08 |
$135.08 |
$135.08 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$139.48 |
$139.48 |
$139.48 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$1,057.10 |
$1,057.10 |
$1,057.10 |
$690.95
|
|
Dup scan/hemodialysis access 93990
|
$576.18 |
$576.18 |
$576.18 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,122.88 |
$1,122.88 |
$1,122.88 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,748.96 |
$1,748.96 |
$1,748.96 |
$7,973.90
|
|
Dx bronchoscope/lavage 31624
|
$1,365.76 |
$1,365.76 |
$1,365.76 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$85.01 |
$85.01 |
$85.01 |
$2,322.60
|
|
Ear irrigation 69209
|
$3.96 |
$3.96 |
$3.96 |
$149.76
|
|
Ecg 12 lead tracing only
|
$179.30 |
$179.30 |
$179.30 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$51.92 |
$51.92 |
$51.92 |
$135.80
|
|
Ecg external < 48 hours recording
|
$125.62 |
$125.62 |
$125.62 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$168.96 |
$168.96 |
$168.96 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$53.02 |
$53.02 |
$53.02 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$64.24 |
$64.24 |
$64.24 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$850.74 |
$850.74 |
$850.74 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$203.06 |
$203.06 |
$203.06 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$432.52 |
$432.52 |
$432.52 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$248.38 |
$248.38 |
$248.38 |
$362.50
|
|
Echo stress
|
$914.76 |
$914.76 |
$914.76 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,057.98 |
$1,057.98 |
$1,057.98 |
$1,849.50
|
|
Echo transesophageal
|
$500.72 |
$500.72 |
$500.72 |
$1,559.35
|
|
Echo transesophageal intraop
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$1,571.70
|
|
Echo transthoracic
|
$832.70 |
$832.70 |
$832.70 |
$1,361.75
|
|
Echo transthoracic
|
$595.32 |
$595.32 |
$595.32 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$676.50 |
$676.50 |
$676.50 |
$985.15
|
|
Eeg 41-60 minutes 95812-26
|
$550.44 |
$550.44 |
$550.44 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$207.02 |
$207.02 |
$207.02 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$443.30 |
$443.30 |
$443.30 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$596.42 |
$596.42 |
$596.42 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$590.92 |
$590.92 |
$590.92 |
$907.80
|
|
Eeg recording awake and asleep
|
$477.40 |
$477.40 |
$477.40 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$365.86 |
$365.86 |
$365.86 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$463.76 |
$463.76 |
$463.76 |
$1,460.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$293.04 |
$293.04 |
$293.04 |
$671.00
|
|
E equine encephalitis igg
|
$2.58 |
$2.58 |
$2.58 |
$49.92
|
|
Egd balloon dil esoph30 mm/>
|
$2,602.38 |
$2,602.38 |
$2,602.38 |
$2,244.82
|
|
Egd dilate stricture
|
$1,434.40 |
$1,434.40 |
$1,434.40 |
$2,244.82
|
|
Egd endoscopic stent place
|
$13,277.22 |
$13,277.22 |
$13,277.22 |
$3,774.00
|
|
Egfr gene com variants
|
$73.48 |
$73.48 |
$73.48 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$6.63 |
$6.63 |
$6.63 |
$93.00
|
|
Electrd sq emblem s-icd
|
$3,520.22 |
$3,520.22 |
$3,520.22 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$21.56 |
$21.56 |
$21.56 |
$79.20
|
|
Electrolyte panel
|
$185.46 |
$185.46 |
$185.46 |
$84.24
|
|
Electron microscopy diagnostic
|
$288.82 |
$288.82 |
$288.82 |
$983.41
|
|
Electrophysiology evaluation
|
$7,958.50 |
$7,958.50 |
$7,958.50 |
$8,979.45
|
|
Electrophysiology evaluation
|
$10,012.20 |
$10,012.20 |
$10,012.20 |
$10,233.60
|
|
Electrophysiology evaluation
|
$2,860.22 |
$2,860.22 |
$2,860.22 |
$6,760.00
|
|
Electrophysiology evaluation
|
$2,741.86 |
$2,741.86 |
$2,741.86 |
$5,854.80
|
|
Electrophysiology evaluation
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,451.90
|
|
Electrophysiology evaluation
|
$1,329.68 |
$1,329.68 |
$1,329.68 |
$2,821.00
|
|
Electrophysiology evaluation
|
$780.34 |
$780.34 |
$780.34 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$2,449.92 |
$2,449.92 |
$2,449.92 |
$5,881.00
|
|
Embolization s&i
|
$2,864.62 |
$2,864.62 |
$2,864.62 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$8,048.48 |
$8,048.48 |
$8,048.48 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,285.78 |
$11,285.78 |
$11,285.78 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$10,031.56 |
$10,031.56 |
$10,031.56 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$8,048.48 |
$8,048.48 |
$8,048.48 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$2.58 |
$2.58 |
$2.58 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$2.58 |
$2.58 |
$2.58 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$2.58 |
$2.58 |
$2.58 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,743.76 |
$5,743.76 |
$5,743.76 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$589.82 |
$589.82 |
$589.82 |
$694.06
|
|
Endoluminl ivus oct c 1st
|
$3,012.02 |
$3,012.02 |
$3,012.02 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$3,012.02 |
$3,012.02 |
$3,012.02 |
$2,203.49
|
|
Endoscopic Ultrasound exam esoph
|
$4,325.42 |
$4,325.42 |
$4,325.42 |
$2,557.50
|
|
Endovenous rf abl vein addl
|
$1,723.63 |
$1,723.63 |
$1,723.63 |
$3,226.73
|
|
Endoven ther chem adhes 1st 36482
|
$2,734.16 |
$2,734.16 |
$2,734.16 |
$5,988.54
|
|
Endoven ther chem adhes sbsq 36483
|
$2,982.99 |
$2,982.99 |
$2,982.99 |
$3,130.60
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$1,810.91 |
$1,810.91 |
$1,810.91 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$32.61 |
$32.61 |
$32.61 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$29.70 |
$29.70 |
$29.70 |
$56.89
|
|
Enzyme histochemistry
|
$53.68 |
$53.68 |
$53.68 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$12,887.38 |
$12,887.38 |
$12,887.38 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$14,123.56 |
$14,123.56 |
$14,123.56 |
$28,199.40
|
|
Ep induct arrhy by elect pacing
|
$519.20 |
$519.20 |
$519.20 |
$2,635.75
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$18.54 |
$18.54 |
$18.54 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$20.92 |
$20.92 |
$20.92 |
$25.30
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1.24 |
$1.24 |
$1.24 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$14.82 |
$14.82 |
$14.82 |
$34.13
|
|
Epstein barr early antigen antibody
|
$25.74 |
$25.74 |
$25.74 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$34.10 |
$34.10 |
$34.10 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$37.18 |
$37.18 |
$37.18 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$339.65 |
$339.65 |
$339.65 |
$393.98
|
|
Ercp biliary & pancreas
|
$1,046.32 |
$1,046.32 |
$1,046.32 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$744.48 |
$744.48 |
$744.48 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$92.85 |
$92.85 |
$92.85 |
$222.98
|
|
ER Visit (level 1, minor)
|
$121.88 |
$121.88 |
$121.88 |
$246.24
|
|
ER Visit (level 2)
|
$282.26 |
$282.26 |
$282.26 |
$452.20
|
|
ER Visit (level 3)
|
$4,622.20 |
$4,622.20 |
$4,622.20 |
$770.04
|
|
ER Visit (level 4)
|
$4,968.70 |
$4,968.70 |
$4,968.70 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$5,460.40 |
$5,460.40 |
$5,460.40 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$74.33 |
$74.33 |
$74.33 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$499.33 |
$499.33 |
$499.33 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$56.76 |
$56.76 |
$56.76 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$67.54 |
$67.54 |
$67.54 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$82.06 |
$82.06 |
$82.06 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$95.04 |
$95.04 |
$95.04 |
$231.75
|
