|
Drain cath image guided visceral pq
|
$1,420.95 |
$1,420.95 |
$1,420.95 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$586.18 |
$586.18 |
$586.18 |
$1,113.06
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$423.81 |
$423.81 |
$423.81 |
$365.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,482.89 |
$1,482.89 |
$1,482.89 |
$1,818.32
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$3,260.96 |
$3,260.96 |
$3,260.96 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$37,141.60 |
$37,141.60 |
$37,141.60 |
$10,534.20
|
|
Drug admin & hemodynmic meas
|
$357.12 |
$357.12 |
$357.12 |
$528.50
|
|
Drug assay caffeine
|
$42.41 |
$42.41 |
$42.41 |
$81.61
|
|
Drug assay voriconazole
|
$14.79 |
$14.79 |
$14.79 |
$96.75
|
|
Drug test def 15-21 classes
|
$27.90 |
$27.90 |
$27.90 |
$218.61
|
|
Drug test def 1-7 classes
|
$279.00 |
$279.00 |
$279.00 |
$265.41
|
|
Drug test def 22+ classes
|
$50.22 |
$50.22 |
$50.22 |
$325.95
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$89.84 |
$89.84 |
$89.84 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,889.39 |
$1,889.39 |
$1,889.39 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$225.44 |
$225.44 |
$225.44 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$107.98 |
$107.98 |
$107.98 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$234.92 |
$234.92 |
$234.92 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$875.23 |
$875.23 |
$875.23 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$733.50 |
$733.50 |
$733.50 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$15,752.34 |
$15,752.34 |
$15,752.34 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,864.78 |
$2,864.78 |
$2,864.78 |
$7,687.20
|
|
Dx bronchoscope/brush 31623
|
$1,387.47 |
$1,387.47 |
$1,387.47 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,387.47 |
$1,387.47 |
$1,387.47 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,387.47 |
$1,387.47 |
$1,387.47 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$311.65 |
$311.65 |
$311.65 |
$368.50
|
|
Ecg 12 lead tracing only
|
$282.91 |
$282.91 |
$282.91 |
$245.00
|
|
Ecg < 30 days transmission & analysis
|
$816.64 |
$816.64 |
$816.64 |
$429.00
|
|
Ecg external < 48 hours recording
|
$749.12 |
$749.12 |
$749.12 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,116.28 |
$1,116.28 |
$1,116.28 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,117.34 |
$2,117.34 |
$2,117.34 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$242.46 |
$242.46 |
$242.46 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,011.59 |
$2,011.59 |
$2,011.59 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$571.68 |
$571.68 |
$571.68 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$571.68 |
$571.68 |
$571.68 |
$813.99
|
|
Echocardiograpy doppler follow up/limited study
|
$287.93 |
$287.93 |
$287.93 |
$353.46
|
|
Echo exam uterus 76831-
|
$672.12 |
$672.12 |
$672.12 |
$547.20
|
|
Echograp trans r pros study
|
$955.30 |
$955.30 |
$955.30 |
$459.40
|
|
Echo guidance radiotherapy
|
$578.93 |
$578.93 |
$578.93 |
$774.80
|
|
Echo guide for amniocentesis
|
$578.93 |
$578.93 |
$578.93 |
$384.65
|
|
Echo guide for artery repair
|
$578.93 |
$578.93 |
$578.93 |
$680.28
|
|
Echo stress
|
$913.73 |
$913.73 |
$913.73 |
$1,582.75
|
|
Echo tee guidance
|
$1,889.95 |
$1,889.95 |
$1,889.95 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,222.52 |
$2,222.52 |
$2,222.52 |
$1,871.10
|
|
Echo transesophageal
|
$857.65 |
$857.65 |
$857.65 |
$1,734.10
|
|
Echo transthoracic
|
$921.54 |
$921.54 |
$921.54 |
$1,492.50
|
|
Echo transthoracic
|
$663.47 |
$663.47 |
$663.47 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$651.75 |
$651.75 |
$651.75 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,452.69 |
$2,452.69 |
$2,452.69 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,452.69 |
$2,452.69 |
$2,452.69 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$4,084.29 |
$4,084.29 |
$4,084.29 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,084.29 |
$4,084.29 |
$4,084.29 |
$4,324.50
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,151.09 |
$2,151.09 |
$2,151.09 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,141.67 |
$1,141.67 |
$1,141.67 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,141.67 |
$1,141.67 |
$1,141.67 |
$4,331.00
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$831.70 |
$831.70 |
$831.70 |
$1,394.09
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$831.70 |
$831.70 |
$831.70 |
$1,624.70
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$831.70 |
$831.70 |
$831.70 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$967.86 |
$967.86 |
$967.86 |
$1,128.60
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$967.86 |
$967.86 |
$967.86 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$967.86 |
$967.86 |
$967.86 |
$1,802.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$5,023.12 |
$5,023.12 |
$5,023.12 |
$13,071.00
|
|
Edetate calcium disodium inj
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$5,254.47
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$57.20 |
$57.20 |
$57.20 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$388.65 |
$388.65 |
$388.65 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$557.73 |
$557.73 |
$557.73 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$407.34 |
$407.34 |
$407.34 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$451.98 |
$451.98 |
$451.98 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$759.44 |
$759.44 |
$759.44 |
$936.00
|
|
Eeg recording awake and asleep
|
$407.34 |
$407.34 |
$407.34 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$210.93 |
$210.93 |
$210.93 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$210.93 |
$210.93 |
$210.93 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$404.83 |
$404.83 |
$404.83 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$404.83 |
$404.83 |
$404.83 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$210.93 |
$210.93 |
$210.93 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$404.83 |
$404.83 |
$404.83 |
$1,251.52
|
|
E equine encephalitis igg
|
$4.60 |
$4.60 |
$4.60 |
$48.73
|
|
Egfr gene com variants
|
$265.05 |
$265.05 |
$265.05 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$11.16 |
$11.16 |
$11.16 |
$105.00
|
|
Electrd sq emblem s-icd
|
$9,319.72 |
$9,319.72 |
$9,319.72 |
$9,761.50
|
|
Electroconvulsive therapy 90870
|
$697.78 |
$697.78 |
$697.78 |
$1,180.80
|
|
Electrolyte panel
|
$151.22 |
$151.22 |
$151.22 |
$86.33
|
|
Electron microscopy diagnostic
|
$228.59 |
$228.59 |
$228.59 |
$966.69
|
|
Electrophysiologic study
|
$3,063.98 |
$3,063.98 |
$3,063.98 |
$6,758.40
|
|
Electrophysiology evaluation
|
$3,152.15 |
$3,152.15 |
$3,152.15 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,514.50 |
$4,514.50 |
$4,514.50 |
$11,175.42
|
|
Electrophysiology evaluation
|
$812.73 |
$812.73 |
$812.73 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,218.96 |
$1,218.96 |
$1,218.96 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,003.29 |
$1,003.29 |
$1,003.29 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,364.59 |
$1,364.59 |
$1,364.59 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$948.33 |
$948.33 |
$948.33 |
$6,534.00
|
|
Embolization s&i
|
$1,994.30 |
$1,994.30 |
$1,994.30 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$8,180.01 |
$8,180.01 |
$8,180.01 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$8,822.82 |
$8,822.82 |
$8,822.82 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,847.59 |
$9,847.59 |
$9,847.59 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$7,790.52 |
$7,790.52 |
$7,790.52 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$436.64 |
$436.64 |
$436.64 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$446.13 |
$446.13 |
$446.13 |
$487.20
|
|
Emg needle test 1-extremity
|
$191.96 |
$191.96 |
$191.96 |
$342.24
|
|
Emg needle test 4-extremities
|
$493.56 |
$493.56 |
$493.56 |
$570.50
|
|
Encephalitis, california igg/igm
|
$4.60 |
$4.60 |
$4.60 |
$46.75
|