|
Doppler upper/lower extremity arteries complete bilateral
|
$1,369.16 |
$1,369.16 |
$1,369.16 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$889.06 |
$889.06 |
$889.06 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$44.10 |
$44.10 |
$44.10 |
$71.58
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$54.10 |
$54.10 |
$54.10 |
$384.57
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,580.34 |
$3,580.34 |
$3,580.34 |
$2,278.13
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$2,770.37 |
$2,770.37 |
$2,770.37 |
$89.34
|
|
Drainage of kidney lesion
|
$1,488.82 |
$1,488.82 |
$1,488.82 |
$1,706.65
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$3,857.87 |
$3,857.87 |
$3,857.87 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,967.35 |
$2,967.35 |
$2,967.35 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$298.12 |
$298.12 |
$298.12 |
$1,113.06
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,878.75 |
$3,878.75 |
$3,878.75 |
$6,438.00
|
|
Drng of pelvic abscess transrectal 45000
|
$3,720.28 |
$3,720.28 |
$3,720.28 |
$1,614.45
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$664.74 |
$664.74 |
$664.74 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,356.81 |
$1,356.81 |
$1,356.81 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$5,042.10 |
$5,042.10 |
$5,042.10 |
$189.68
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$5,042.10 |
$5,042.10 |
$5,042.10 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$1,764.89 |
$1,764.89 |
$1,764.89 |
$5,835.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$9,414.77 |
$9,414.77 |
$9,414.77 |
$12,232.79
|
|
Drug admin & hemodynmic meas
|
$722.07 |
$722.07 |
$722.07 |
$528.50
|
|
Drug assay caffeine
|
$10.42 |
$10.42 |
$20.23 |
$81.61
|
|
Drug assay posaconazole
|
$16.76 |
$16.76 |
$32.55 |
$96.39
|
|
Drug assay voriconazole
|
$15.59 |
$15.59 |
$30.27 |
$96.75
|
|
Drug of abuse screen urine
|
$231.09 |
$231.09 |
$445.38 |
$63.75
|
|
Drug test def 15-21 classes
|
$36.75 |
$36.75 |
$71.38 |
$203.97
|
|
Drug test def 1-7 classes
|
$348.98 |
$348.98 |
$713.75 |
$263.25
|
|
Drug test def 22+ classes
|
$52.92 |
$52.92 |
$102.78 |
$271.61
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$259.31 |
$259.31 |
$427.68 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,421.20 |
$1,421.20 |
$1,421.20 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$167.58 |
$167.58 |
$167.58 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$83.79 |
$83.79 |
$83.79 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$2,093.28 |
$2,093.28 |
$2,093.28 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,706.97 |
$1,706.97 |
$1,706.97 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$707.37 |
$707.37 |
$707.37 |
$903.00
|
|
Dxa bone density axl vrt fx
|
$321.93 |
$321.93 |
$321.93 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$720.60 |
$720.60 |
$1,300.17 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,300.17 |
$1,300.17 |
$1,348.58 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,668.45 |
$1,668.45 |
$3,223.30 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$500.98 |
$500.98 |
$500.98 |
$368.50
|
|
Ecg 12 lead tracing only
|
$220.21 |
$220.21 |
$346.60 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$53.51 |
$53.51 |
$53.51 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$1,895.42 |
$1,895.42 |
$1,895.42 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$376.62 |
$376.62 |
$376.62 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,047.13 |
$2,047.13 |
$2,047.13 |
$2,047.13
|
|
Echocardiography transthoracic 2d followup/limited
|
$526.85 |
$526.85 |
$526.85 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$526.85 |
$526.85 |
$526.85 |
$802.10
|
|
Echocardiograpy doppler follow up/limited study
|
$259.02 |
$259.02 |
$259.02 |
$353.46
|
|
Echo exam of fetal heart
|
$2,147.38 |
$2,147.38 |
$2,147.38 |
$855.38
|
|
Echo exam of fetal heart
|
$512.45 |
$512.45 |
$512.45 |
$431.41
|
|
Echo exam of fetal heart
|
$270.19 |
$270.19 |
$270.19 |
$323.40
|
|
Echo exam uterus 76831-
|
$500.10 |
$500.10 |
$500.10 |
$547.20
|
|
Echo guide for amniocentesis
|
$122.60 |
$122.60 |
$122.60 |
$384.65
|
|
Echo stress
|
$1,275.96 |
$1,275.96 |
$1,275.96 |
$1,582.75
|
|
Echo tee guidance
|
$1,968.33 |
$1,968.33 |
$1,968.33 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,620.13 |
$2,620.13 |
$2,620.13 |
$1,871.10
|
|
Echo transthoracic
|
$1,433.25 |
$1,433.25 |
$1,433.25 |
$1,492.50
|
|
Echo transthoracic
|
$1,017.54 |
$1,017.54 |
$1,017.54 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$603.88 |
$603.88 |
$603.88 |
$1,014.01
|
|
Edetate calcium disodium inj
|
$5,717.72 |
$5,717.72 |
$5,717.72 |
$6,086.32
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$56.45 |
$56.45 |
$56.45 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$119.66 |
$119.66 |
$264.95 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$640.92 |
$640.92 |
$1,551.41 |
$1,049.59
|
|
Eeg during surgery
|
$254.31 |
$254.31 |
$254.31 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$574.77 |
$574.77 |
$1,321.87 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$670.32 |
$670.32 |
$1,482.89 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$779.99 |
$779.99 |
$1,325.87 |
$936.00
|
|
Eeg recording awake and asleep
|
$655.33 |
$655.33 |
$1,294.46 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$193.46 |
$193.46 |
$428.25 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$428.25 |
$428.25 |
$428.25 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$371.33 |
$371.33 |
$821.10 |
$1,353.60
|
|
Eeg wo vid 2-12hr intmt mntr
|
$186.11 |
$186.11 |
$415.69 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$797.12 |
$797.12 |
$797.12 |
$1,251.52
|
|
E equine encephalitis igg
|
$5.10 |
$5.10 |
$9.91 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$6,822.27 |
$6,822.27 |
$6,822.27 |
$16,050.00
|
|
Egfr gene com variants
|
$179.87 |
$179.87 |
$454.23 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$11.76 |
$11.76 |
$22.84 |
$105.00
|
|
Electrd sq emblem s-icd
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$9,904.13
|
|
Electrolyte panel
|
$346.04 |
$346.04 |
$391.14 |
$86.33
|
|
Electron microscopy diagnostic
|
$161.70 |
$161.70 |
$314.05 |
$966.69
|
|
Electrophysiologic study
|
$3,441.27 |
$3,441.27 |
$3,441.27 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,548.77 |
$4,548.77 |
$4,548.77 |
$8,979.45
|
|
Electrophysiology evaluation
|
$7,107.45 |
$7,107.45 |
$7,107.45 |
$11,175.42
|
|
Electrophysiology evaluation
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,918.94 |
$1,918.94 |
$1,918.94 |
$6,516.00
|
|
Electrophysiology evaluation
|
$6,738.48 |
$6,738.48 |
$6,738.48 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,910.12 |
$1,910.12 |
$1,910.12 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$9,069.61 |
$9,069.61 |
$9,069.61 |
$6,534.00
|
|
Embolization s&i
|
$2,394.93 |
$2,394.93 |
$2,394.93 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$15,778.10 |
$15,778.10 |
$15,778.10 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,622.01 |
$12,622.01 |
$12,622.01 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,805.63 |
$16,805.63 |
$16,805.63 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$13,126.81 |
$13,126.81 |
$13,126.81 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$209.33 |
$209.33 |
$209.33 |
$434.00
|
|
Encephalitis, california igg/igm
|
$20.45 |
$20.45 |
$39.72 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$5.10 |
$5.10 |
$9.91 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$5.10 |
$5.10 |
$9.91 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,507.42 |
$3,507.42 |
$3,507.42 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,646.57 |
$5,646.57 |
$5,646.57 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$578.01 |
$578.01 |
$578.01 |
$612.37
|
|
Endo cath panc duct s&i
|
$572.42 |
$572.42 |
$572.42 |
$645.00
|
|
Endoluminal bx biliary tree
|
$417.48 |
$417.48 |
$417.48 |
$2,476.50
|