|
Duplex scan unilateral study 93986
|
$399.38 |
$399.38 |
$527.62 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$399.38 |
$399.38 |
$527.62 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$736.84 |
$736.84 |
$973.44 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$623.70 |
$623.70 |
$823.97 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$10,989.38 |
$10,989.38 |
$14,518.08 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$3,722.57 |
$3,722.57 |
$3,722.57 |
$10,021.12
|
|
Dx bronchoscope/brush 31623
|
$653.57 |
$653.57 |
$863.43 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$971.41 |
$971.41 |
$1,283.33 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$971.41 |
$971.41 |
$1,283.33 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$220.84 |
$220.84 |
$291.75 |
$368.50
|
|
Ecg 12 lead tracing only
|
$125.35 |
$125.35 |
$165.60 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$57.34 |
$57.34 |
$75.75 |
$129.83
|
|
Ecg external < 48 hours recording
|
$91.56 |
$91.56 |
$120.96 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$121.87 |
$121.87 |
$161.00 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$121.87 |
$121.87 |
$161.00 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,062.10 |
$1,062.10 |
$1,403.14 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$281.22 |
$281.22 |
$371.52 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,359.45 |
$1,359.45 |
$1,795.97 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$440.58 |
$440.58 |
$582.05 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$519.93 |
$519.93 |
$686.88 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$281.22 |
$281.22 |
$371.52 |
$353.46
|
|
Echo exam of fetal heart
|
$429.03 |
$429.03 |
$566.79 |
$431.41
|
|
Echo guidance radiotherapy
|
$194.90 |
$194.90 |
$257.48 |
$774.80
|
|
Echo guide for artery repair
|
$449.30 |
$449.30 |
$593.57 |
$680.28
|
|
Echo stress
|
$953.10 |
$953.10 |
$1,259.14 |
$1,582.75
|
|
Echo tee guidance
|
$1,116.60 |
$1,116.60 |
$1,475.14 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,191.37 |
$1,191.37 |
$1,573.92 |
$1,871.10
|
|
Echo transesophageal
|
$1,143.85 |
$1,143.85 |
$1,511.14 |
$913.33
|
|
Echo transthoracic
|
$953.10 |
$953.10 |
$1,259.14 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$369.95 |
$369.95 |
$488.74 |
$1,014.01
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,327.62 |
$1,327.62 |
$1,753.92 |
$4,324.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$6,825.80 |
$6,825.80 |
$6,825.80 |
$18,038.06
|
|
Edetate calcium disodium inj
|
$5,218.05 |
$5,218.05 |
$6,893.57 |
$6,086.32
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$36.63 |
$36.63 |
$48.39 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$521.90 |
$521.90 |
$689.48 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$410.28 |
$410.28 |
$542.02 |
$1,049.59
|
|
Eeg during surgery
|
$129.93 |
$129.93 |
$171.65 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$394.15 |
$394.15 |
$520.71 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$626.10 |
$626.10 |
$827.14 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$578.36 |
$578.36 |
$764.07 |
$936.00
|
|
Eeg recording awake and asleep
|
$449.30 |
$449.30 |
$593.57 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$241.77 |
$241.77 |
$319.40 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$241.77 |
$241.77 |
$319.40 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$464.13 |
$464.13 |
$613.16 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$464.13 |
$464.13 |
$613.16 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$241.77 |
$241.77 |
$319.40 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$464.13 |
$464.13 |
$613.16 |
$1,251.52
|
|
E equine encephalitis igg
|
$3.18 |
$3.18 |
$4.20 |
$48.73
|
|
Egfr gene com variants
|
$99.10 |
$99.10 |
$130.92 |
$619.04
|
|
EKG (Electrocardiogram)
|
$119.03 |
$119.03 |
$157.25 |
$102.44
|
|
Electrd sq emblem s-icd
|
$6,501.85 |
$6,501.85 |
$8,589.60 |
$9,175.83
|
|
Electrocorticography durng sx
|
$511.65 |
$511.65 |
$675.94 |
$1,660.52
|
|
Electrolyte panel
|
$85.02 |
$85.02 |
$112.32 |
$86.33
|
|
Electron microscopy diagnostic
|
$173.49 |
$173.49 |
$229.19 |
$966.69
|
|
Electrophysiology evaluation
|
$5,475.95 |
$5,475.95 |
$7,234.28 |
$11,175.42
|
|
Electrophysiology evaluation
|
$3,121.33 |
$3,121.33 |
$4,123.59 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,068.42 |
$1,068.42 |
$1,411.49 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,068.42 |
$1,068.42 |
$1,411.49 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$1,442.29 |
$1,442.29 |
$1,905.41 |
$6,534.00
|
|
Embolization s&i
|
$2,595.51 |
$2,595.51 |
$3,428.93 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$6,144.12 |
$6,144.12 |
$8,117.00 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,487.21 |
$7,487.21 |
$9,891.36 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$3,411.27 |
$3,411.27 |
$4,506.63 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$2,273.31 |
$2,273.31 |
$3,003.27 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$104.64 |
$104.64 |
$138.24 |
$434.00
|
|
Encephalitis, california igg/igm
|
$3.18 |
$3.18 |
$4.20 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$3.18 |
$3.18 |
$4.20 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$3.18 |
$3.18 |
$4.20 |
$50.70
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$1,554.56 |
$1,554.56 |
$2,053.73 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$612.37 |
$612.37 |
$809.00 |
$612.37
|
|
Endo cath panc duct s&i
|
$606.48 |
$606.48 |
$801.22 |
$645.00
|
|
Endoluminal bx biliary tree
|
$1,220.80 |
$1,220.80 |
$1,612.80 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$2,092.59 |
$2,092.59 |
$2,764.52 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$2,349.17 |
$2,349.17 |
$3,103.49 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$1,667.92 |
$1,667.92 |
$2,203.49 |
$2,367.97
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,224.51 |
$1,224.51 |
$1,617.70 |
$2,872.59
|
|
Endovasc rpr a-biiliac endogft 34705
|
$3,148.80 |
$3,148.80 |
$4,159.88 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$2,785.39 |
$2,785.39 |
$3,679.78 |
$11,261.25
|
|
Endovenous rf abl vein addl
|
$745.56 |
$745.56 |
$984.96 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$3,122.20 |
$3,122.20 |
$4,124.74 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$1,467.36 |
$1,467.36 |
$1,938.53 |
$3,800.23
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$3,311.86 |
$3,311.86 |
$3,311.86 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$130.15 |
$130.15 |
$171.94 |
$121.63
|
|
Enzyme histochemistry
|
$160.45 |
$160.45 |
$211.97 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$10,979.57 |
$10,979.57 |
$14,505.12 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$14,273.55 |
$14,273.55 |
$18,856.80 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$839.09 |
$839.09 |
$1,108.52 |
$1,182.00
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$5.45 |
$5.45 |
$7.20 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$294.05 |
$294.05 |
$294.05 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$115.54 |
$115.54 |
$609.99 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$279.70 |
$279.70 |
$369.51 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$38.81 |
$38.81 |
$64.80 |
$136.00
|
|
Epstein barr early antigen antibody
|
$1.48 |
$1.48 |
$1.95 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$1.48 |
$1.48 |
$1.95 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$1.75 |
$1.75 |
$2.31 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,700.40 |
$1,700.40 |
$2,246.40 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$1,564.37 |
$1,564.37 |
$1,564.37 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$565.93 |
$565.93 |
$747.65 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$145.41 |
$145.41 |
$192.10 |
$364.08
|
|
ER Visit (level 1, minor)
|
$121.21 |
$121.21 |
$160.13 |
$276.70
|
