|
Doppler intravascular pressure flow initial vessel
|
$804.32 |
$804.32 |
$804.32 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$285.76 |
$285.76 |
$285.76 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$267.84 |
$267.84 |
$267.84 |
$471.17
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$26.86 |
$26.86 |
$26.86 |
$84.80
|
|
Dpyd gene common variants
|
$27.97 |
$27.97 |
$27.97 |
$380.50
|
|
Drainage of kidney lesion
|
$313.60 |
$313.60 |
$313.60 |
$1,506.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,296.16 |
$1,296.16 |
$1,296.16 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$486.72 |
$486.72 |
$486.72 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$170.88 |
$170.88 |
$170.88 |
$1,044.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$107.20 |
$107.20 |
$107.20 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$96.96 |
$96.96 |
$96.96 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$100.32 |
$100.32 |
$100.32 |
$523.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$332.80 |
$332.80 |
$332.80 |
$1,956.48
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,247.52 |
$7,247.52 |
$7,247.52 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$133.12 |
$133.12 |
$133.12 |
$569.75
|
|
Drug assay posaconazole
|
$3.47 |
$3.47 |
$3.47 |
$96.75
|
|
Drug assay rufinamide
|
$2.42 |
$2.42 |
$2.42 |
$85.80
|
|
Drug assay vedolizumab
|
$32.00 |
$32.00 |
$32.00 |
$152.79
|
|
Drug assay voriconazole
|
$3.47 |
$3.47 |
$3.47 |
$96.75
|
|
Drug of abuse screen urine
|
$90.88 |
$90.88 |
$90.88 |
$63.75
|
|
Drug screening tapentadol
|
$3.44 |
$3.44 |
$3.44 |
$36.00
|
|
Drug screen quant tiagabine
|
$11.04 |
$11.04 |
$11.04 |
$114.62
|
|
Drug test prsmv instrmnt
|
$48.16 |
$48.16 |
$48.16 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$133.12 |
$133.12 |
$133.12 |
$278.85
|
|
Drvvt confirm - quest
|
$2.56 |
$2.56 |
$2.56 |
$109.20
|
|
Ductogram sgl duct
|
$250.08 |
$250.08 |
$250.08 |
$463.10
|
|
Dup scan/hemodialysis access 93990
|
$412.48 |
$412.48 |
$412.48 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$613.44 |
$613.44 |
$613.44 |
$887.25
|
|
Dx bronchoscope/lavage 31624
|
$1,643.68 |
$1,643.68 |
$1,643.68 |
$2,365.20
|
|
Ecg 12 lead tracing only
|
$160.64 |
$160.64 |
$160.64 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$118.08 |
$118.08 |
$118.08 |
$135.80
|
|
Ecg external < 48 hours recording
|
$162.24 |
$162.24 |
$162.24 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$251.36 |
$251.36 |
$251.36 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,005.76 |
$1,005.76 |
$1,005.76 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$224.96 |
$224.96 |
$224.96 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$246.88 |
$246.88 |
$246.88 |
$703.25
|
|
Echo exam of eye thickness
|
$11.52 |
$11.52 |
$11.52 |
$50.91
|
|
Echo exam uterus 76831-
|
$146.72 |
$146.72 |
$146.72 |
$523.71
|
|
Echo guide for amniocentesis
|
$89.44 |
$89.44 |
$89.44 |
$456.30
|
|
Echo guide for artery repair
|
$187.84 |
$187.84 |
$187.84 |
$664.00
|
|
Echo guide for transfusion
|
$114.72 |
$114.72 |
$114.72 |
$324.60
|
|
Echo stress
|
$917.44 |
$917.44 |
$917.44 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,292.48 |
$1,292.48 |
$1,292.48 |
$1,849.50
|
|
Echo transesophageal
|
$645.44 |
$645.44 |
$645.44 |
$1,559.35
|
|
Echo transesophageal intraop
|
$648.96 |
$648.96 |
$648.96 |
$1,571.70
|
|
Echo transthoracic
|
$425.28 |
$425.28 |
$425.28 |
$1,361.75
|
|
Echo transthoracic
|
$513.60 |
$513.60 |
$513.60 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$924.48 |
$924.48 |
$924.48 |
$985.15
|
|
Eeg 41-60 minutes 95812-26
|
$369.92 |
$369.92 |
$369.92 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$508.64 |
$508.64 |
$508.64 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$370.56 |
$370.56 |
$370.56 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$292.96 |
$292.96 |
$292.96 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$264.64 |
$264.64 |
$264.64 |
$907.80
|
|
Eeg recording awake and asleep
|
$448.16 |
$448.16 |
$448.16 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$233.12 |
$233.12 |
$233.12 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$233.12 |
$233.12 |
$233.12 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$563.84 |
$563.84 |
$563.84 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$435.84 |
$435.84 |
$435.84 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$216.96 |
$216.96 |
$216.96 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$279.84 |
$279.84 |
$279.84 |
$1,502.40
|
|
E equine encephalitis igg
|
$1.88 |
$1.88 |
$1.88 |
$49.92
|
|
Egfr gene com variants
|
$28.80 |
$28.80 |
$28.80 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$4.82 |
$4.82 |
$4.82 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$99.36 |
$99.36 |
$99.36 |
$616.11
|
|
Electrd sq emblem s-icd
|
$76.64 |
$76.64 |
$76.64 |
$10,243.24
|
|
Electrolyte panel
|
$84.64 |
$84.64 |
$84.64 |
$84.24
|
|
Electron microscopy diagnostic
|
$207.52 |
$207.52 |
$207.52 |
$983.41
|
|
Electrophysiologic study
|
$3,057.99 |
$3,057.99 |
$3,057.99 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,104.96 |
$4,104.96 |
$4,104.96 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,510.24 |
$4,510.24 |
$4,510.24 |
$10,233.60
|
|
Electrophysiology evaluation
|
$4,383.68 |
$4,383.68 |
$4,383.68 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,468.00 |
$4,468.00 |
$4,468.00 |
$5,854.80
|
|
Electrophysiology evaluation
|
$1,054.24 |
$1,054.24 |
$1,054.24 |
$2,451.90
|
|
Electrophys map 3d add-on
|
$2,405.60 |
$2,405.60 |
$2,405.60 |
$5,881.00
|
|
Embolization s&i
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$5,636.00 |
$5,636.00 |
$5,636.00 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$6,535.36 |
$6,535.36 |
$6,535.36 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,122.08 |
$6,122.08 |
$6,122.08 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$5,636.00 |
$5,636.00 |
$5,636.00 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$1.88 |
$1.88 |
$1.88 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$1.88 |
$1.88 |
$1.88 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$1.88 |
$1.88 |
$1.88 |
$53.10
|
|
Endo cath bile duct s&i
|
$508.48 |
$508.48 |
$508.48 |
$694.06
|
|
Endo cath panc duct s&i
|
$403.20 |
$403.20 |
$403.20 |
$672.43
|
|
Endo cholangiopancreatograph
|
$995.52 |
$995.52 |
$995.52 |
$4,217.20
|
|
Endoluminl ivus oct c 1st
|
$1,499.84 |
$1,499.84 |
$1,499.84 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,262.56 |
$1,262.56 |
$1,262.56 |
$2,203.49
|
|
Endoscopic pancreatoscopy
|
$155.84 |
$155.84 |
$155.84 |
$2,635.20
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,028.64 |
$4,028.64 |
$4,028.64 |
$9,055.68
|
|
Endovasc tempory vessel occl
|
$2,881.92 |
$2,881.92 |
$2,881.92 |
$11,261.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$20.10 |
$20.10 |
$20.10 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$1.62 |
$1.62 |
$1.62 |
$56.89
|
|
Enzyme cell activity ra
|
$59.36 |
$59.36 |
$59.36 |
$197.60
|
|
Enzyme histochemistry
|
$26.56 |
$26.56 |
$26.56 |
$471.60
|
|
Eo elas w/metal jnts pre ots
|
$131.68 |
$131.68 |
$131.68 |
$145.60
|
|
Ep & ablate supravent arrhyt
|
$10,819.36 |
$10,819.36 |
$10,819.36 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$11,535.20 |
$11,535.20 |
$11,535.20 |
$28,199.40
|
|
Epidural lysis mult sessions
|
$713.92 |
$713.92 |
$713.92 |
$2,440.50
|
|
Ep induct arrhy by elect pacing
|
$508.80 |
$508.80 |
$508.80 |
$2,635.75
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$19.79 |
$19.79 |
$19.79 |
$37.86
|
