|
Drug test def 22+ classes
|
$119.88 |
$119.88 |
$119.88 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$356.31 |
$356.31 |
$356.31 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$492.84 |
$492.84 |
$492.84 |
$3,390.00
|
|
Dup scan/hemodialysis access 93990
|
$3,300.03 |
$3,300.03 |
$3,300.03 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,343.32 |
$3,343.32 |
$3,343.32 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$4,237.10 |
$4,237.10 |
$4,237.10 |
$903.00
|
|
Dxa bone density axl vrt fx
|
$1,341.99 |
$1,341.99 |
$1,341.99 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,402.60 |
$1,402.60 |
$1,402.60 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,402.60 |
$1,402.60 |
$1,402.60 |
$2,780.40
|
|
Dx gastr intub w/asp spec
|
$81.92 |
$81.92 |
$81.92 |
$368.50
|
|
Ear canal biopsy 69105
|
$109.23 |
$109.23 |
$109.23 |
$1,768.50
|
|
Ear irrigation 69209
|
$121.22 |
$121.22 |
$121.22 |
$165.42
|
|
Ecg 12 lead tracing only
|
$360.98 |
$360.98 |
$360.98 |
$245.00
|
|
Ecg external < 48 hours recording
|
$45.29 |
$45.29 |
$45.29 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,962.04 |
$1,962.04 |
$1,962.04 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$152.52 |
$152.52 |
$152.52 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$165.17 |
$165.17 |
$165.17 |
$724.20
|
|
Echo exam of fetal heart
|
$3,066.27 |
$3,066.27 |
$3,066.27 |
$855.38
|
|
Echo exam uterus 76831-
|
$1,470.53 |
$1,470.53 |
$1,470.53 |
$547.20
|
|
Echo guide for amniocentesis
|
$242.43 |
$242.43 |
$242.43 |
$384.65
|
|
Echo guide for artery repair
|
$3,168.83 |
$3,168.83 |
$3,168.83 |
$680.28
|
|
Echo tee probe placement image acquisition interpretation & report
|
$213.12 |
$213.12 |
$213.12 |
$1,871.10
|
|
Echo transesophageal
|
$173.16 |
$173.16 |
$173.16 |
$572.25
|
|
Echo transthoracic
|
$1,252.08 |
$1,252.08 |
$1,252.08 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,082.25 |
$1,082.25 |
$1,082.25 |
$1,014.01
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$167.17 |
$167.17 |
$167.17 |
$81.90
|
|
Eeg monitor/record/awake/drowsy 95816
|
$616.05 |
$616.05 |
$616.05 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$684.65 |
$684.65 |
$684.65 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$724.61 |
$724.61 |
$724.61 |
$1,030.27
|
|
Egd balloon dil esoph30 mm/>
|
$414.92 |
$414.92 |
$414.92 |
$2,244.82
|
|
Egd control bleeding any
|
$556.78 |
$556.78 |
$556.78 |
$2,553.75
|
|
Egd dilate stricture
|
$370.30 |
$370.30 |
$370.30 |
$2,638.57
|
|
Egd endo mucosal resection
|
$498.84 |
$498.84 |
$498.84 |
$2,433.60
|
|
Egd endoscopic stent place
|
$413.59 |
$413.59 |
$413.59 |
$4,379.25
|
|
Egd flx trnsorl rmvl balo
|
$259.08 |
$259.08 |
$259.08 |
$1,104.13
|
|
Egd guide wire insertion
|
$373.63 |
$373.63 |
$373.63 |
$2,250.00
|
|
Egd injection varices
|
$526.81 |
$526.81 |
$526.81 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$308.36 |
$308.36 |
$308.36 |
$2,244.82
|
|
Egd lesion ablation
|
$526.14 |
$526.14 |
$526.14 |
$2,805.40
|
|
Egd remove foreign body
|
$395.61 |
$395.61 |
$395.61 |
$1,588.55
|
|
Egd remove lesion snare
|
$430.91 |
$430.91 |
$430.91 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$371.63 |
$371.63 |
$371.63 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$644.03 |
$644.03 |
$644.03 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$420.92 |
$420.92 |
$420.92 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$480.19 |
$480.19 |
$480.19 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$480.19 |
$480.19 |
$480.19 |
$2,638.57
|
|
Egd varices ligation
|
$582.75 |
$582.75 |
$582.75 |
$2,576.75
|
|
Egd w/transmural drain cyst
|
$733.94 |
$733.94 |
$733.94 |
$4,379.25
|
|
Egfr gene com variants
|
$209.79 |
$209.79 |
$209.79 |
$619.04
|
|
Electrolyte panel
|
$95.24 |
$95.24 |
$95.24 |
$86.33
|
|
Electron microscopy diagnostic
|
$458.21 |
$458.21 |
$458.21 |
$966.69
|
|
Emb without cervical dilation 58100
|
$187.15 |
$187.15 |
$187.15 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$173.83 |
$173.83 |
$173.83 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$232.44 |
$232.44 |
$232.44 |
$487.20
|
|
Emg needle test 1-extremity
|
$135.20 |
$135.20 |
$135.20 |
$342.24
|
|
Emg thor paraspinal without t1/t2
|
$139.86 |
$139.86 |
$139.86 |
$309.83
|
|
Endo cath bile duct s&i
|
$2,319.68 |
$2,319.68 |
$2,319.68 |
$612.37
|
|
Endo cath panc duct s&i
|
$2,319.68 |
$2,319.68 |
$2,319.68 |
$645.00
|
|
Endocervical curettage 57505
|
$161.84 |
$161.84 |
$161.84 |
$1,030.40
|
|
Endo cholangiopancreatograph
|
$717.29 |
$717.29 |
$717.29 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$842.49 |
$842.49 |
$842.49 |
$4,450.00
|
|
Endome abla/them without hystero guide 58353
|
$394.94 |
$394.94 |
$394.94 |
$4,317.40
|
|
Endoscopic injection/implant
|
$362.31 |
$362.31 |
$362.31 |
$4,081.37
|
|
Endoscopic pancreatoscopy
|
$249.75 |
$249.75 |
$249.75 |
$2,363.00
|
|
Endoscopic Ultrasound exam esoph
|
$370.30 |
$370.30 |
$370.30 |
$2,638.57
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$121.63 |
$121.63 |
$121.63 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$13.03 |
$13.03 |
$13.03 |
$66.47
|
|
Enterectomy small intestine single 44120
|
$2,167.17 |
$2,167.17 |
$2,167.17 |
$3,002.40
|
|
Enterorrhaphy 1perforation 44602
|
$2,476.86 |
$2,476.86 |
$2,476.86 |
$3,465.60
|
|
Enterorrhaphy multiple perforations 44603
|
$2,871.80 |
$2,871.80 |
$2,871.80 |
$3,984.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$749.25 |
$749.25 |
$749.25 |
$1,182.00
|
|
Epoetin alfa, 100 units esrd
|
$3,488.58 |
$3,488.58 |
$3,488.58 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,439.82 |
$1,439.82 |
$1,439.82 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,488.58 |
$3,488.58 |
$3,488.58 |
$950.55
|
|
Epstein barr early antigen antibody
|
$21.85 |
$21.85 |
$21.85 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$25.47 |
$25.47 |
$25.47 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$171.17 |
$171.17 |
$171.17 |
$95.04
|
|
Ercp biliary & pancreas
|
$662.01 |
$662.01 |
$662.01 |
$943.50
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$847.16 |
$847.16 |
$847.16 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$841.83 |
$841.83 |
$841.83 |
$4,211.08
|
|
Ercp lesion ablate w/dilate 43278
|
$842.49 |
$842.49 |
$842.49 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$1,132.87 |
$1,132.87 |
$1,132.87 |
$5,378.40
|
|
Ercp remove duct calculi 43264
|
$1,010.33 |
$1,010.33 |
$1,010.33 |
$4,214.73
|
|
Ercp remove forgn body duct 43275
|
$933.74 |
$933.74 |
$933.74 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$831.84 |
$831.84 |
$831.84 |
$2,244.82
|
|
Ercp stent exchange w/dilate
|
$889.78 |
$889.78 |
$889.78 |
$5,718.03
|
|
Ercp w/specimen collection
|
$682.65 |
$682.65 |
$682.65 |
$4,440.54
|
|
ER Visit (level 1, minor)
|
$262.41 |
$262.41 |
$262.41 |
$276.70
|
|
ER Visit (level 2)
|
$458.88 |
$458.88 |
$458.88 |
$487.50
|
|
ER Visit (level 3)
|
$746.59 |
$746.59 |
$746.59 |
$850.50
|
|
ER Visit (level 4)
|
$1,310.03 |
$1,310.03 |
$1,310.03 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,886.78 |
$1,886.78 |
$1,886.78 |
$2,007.00
|
|
Esophageal dilat s&i
|
$3,749.58 |
$3,749.58 |
$3,749.58 |
$525.00
|
|
Esophageal motility
|
$3,659.01 |
$3,659.01 |
$3,659.01 |
$573.20
|
|
Esophagosc dilate balloon 30
|
$348.99 |
$348.99 |
$348.99 |
$2,234.01
|
|
Esophagoscop stent placement
|
$338.33 |
$338.33 |
$338.33 |
$6,505.71
|
|
Esophagoscopy balloon <30mm
|
$252.42 |
$252.42 |
$252.42 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$416.92 |
$416.92 |
$416.92 |
$2,244.82
|
|
Esophagoscopy flex biopsy
|
$595.41 |
$595.41 |
$595.41 |
$2,244.82
|
|
Esophagoscopy/flex/diagnostic 43200
|
$451.55 |
$451.55 |
$451.55 |
$1,109.47
|
