|
Droperidol 2.5 mg/ml injection solution
|
$26.85 |
$26.85 |
$26.85 |
$31.07
|
|
Drug admin & hemodynmic meas
|
$70.20 |
$70.20 |
$70.20 |
$569.75
|
|
Drug assay posaconazole
|
$6.51 |
$6.51 |
$6.51 |
$96.75
|
|
Drug assay rufinamide
|
$4.54 |
$4.54 |
$4.54 |
$85.80
|
|
Drug assay vedolizumab
|
$60.00 |
$60.00 |
$60.00 |
$152.79
|
|
Drug of abuse screen urine
|
$17.40 |
$17.40 |
$17.40 |
$63.75
|
|
Drug screening tapentadol
|
$1.80 |
$1.80 |
$1.80 |
$36.00
|
|
Drug test prsmv instrmnt
|
$39.00 |
$39.00 |
$39.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$179.10 |
$179.10 |
$179.10 |
$278.85
|
|
Drvvt confirm - quest
|
$4.79 |
$4.79 |
$4.79 |
$109.20
|
|
Dry needling (97799)
|
$23.40 |
$23.40 |
$23.40 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$152.70 |
$152.70 |
$152.70 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$301.80 |
$301.80 |
$301.80 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$259.50 |
$259.50 |
$259.50 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$294.00 |
$294.00 |
$294.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$282.90 |
$282.90 |
$282.90 |
$849.50
|
|
Ductogram sgl duct
|
$20.10 |
$20.10 |
$20.10 |
$463.10
|
|
Duodenal exclusion
|
$1,780.50 |
$1,780.50 |
$1,780.50 |
$4,393.60
|
|
Duplex scan bilateral study 93985
|
$42.90 |
$42.90 |
$42.90 |
$690.95
|
|
Dup scan/hemodialysis access 93990
|
$25.80 |
$25.80 |
$25.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$559.50 |
$559.50 |
$559.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$530.40 |
$530.40 |
$530.40 |
$887.25
|
|
Dx bronchoscope/brush 31623
|
$132.90 |
$132.90 |
$132.90 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$135.00 |
$135.00 |
$135.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,981.50 |
$1,981.50 |
$1,981.50 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$161.70 |
$161.70 |
$161.70 |
$2,607.00
|
|
Ear and throat examination
|
$71.70 |
$71.70 |
$71.70 |
$602.63
|
|
Ear canal biopsy 69105
|
$153.60 |
$153.60 |
$153.60 |
$1,889.50
|
|
Ear cartilage graft
|
$604.20 |
$604.20 |
$604.20 |
$6,385.40
|
|
Ear irrigation 69209
|
$39.00 |
$39.00 |
$39.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$161.70 |
$161.70 |
$161.70 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$7.80 |
$7.80 |
$7.80 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$112.80 |
$112.80 |
$112.80 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$156.90 |
$156.90 |
$156.90 |
$487.60
|
|
Ecg external < 48 hours recording
|
$179.70 |
$179.70 |
$179.70 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$237.60 |
$237.60 |
$237.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$34.20 |
$34.20 |
$34.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$56.40 |
$56.40 |
$56.40 |
$161.85
|
|
Ecg record/review
|
$204.60 |
$204.60 |
$204.60 |
$251.20
|
|
Ecg/review interpret only
|
$19.50 |
$19.50 |
$19.50 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$937.50 |
$937.50 |
$937.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$245.10 |
$245.10 |
$245.10 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$80.40 |
$80.40 |
$80.40 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$392.70 |
$392.70 |
$392.70 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$28.80 |
$28.80 |
$28.80 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$8.10 |
$8.10 |
$8.10 |
$362.50
|
|
Echo exam of eye
|
$36.30 |
$36.30 |
$36.30 |
$172.00
|
|
Echo exam of eye thickness
|
$13.50 |
$13.50 |
$13.50 |
$50.91
|
|
Echo exam of fetal heart
|
$32.70 |
$32.70 |
$32.70 |
$431.41
|
|
Echo exam uterus 76831-
|
$235.50 |
$235.50 |
$235.50 |
$523.71
|
|
Echograp trans r pros study
|
$111.00 |
$111.00 |
$111.00 |
$459.40
|
|
Echo guide for amniocentesis
|
$21.60 |
$21.60 |
$21.60 |
$456.30
|
|
Echo guide for artery repair
|
$316.50 |
$316.50 |
$316.50 |
$664.00
|
|
Echo stress
|
$694.80 |
$694.80 |
$694.80 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,527.00 |
$1,527.00 |
$1,527.00 |
$1,849.50
|
|
Echo transesophageal
|
$31.50 |
$31.50 |
$31.50 |
$1,087.90
|
|
Echo transesophageal
|
$273.30 |
$273.30 |
$273.30 |
$664.39
|
|
Echo transesophageal
|
$146.10 |
$146.10 |
$146.10 |
$1,559.35
|
|
Echo transthoracic
|
$451.50 |
$451.50 |
$451.50 |
$1,361.75
|
|
Echo transthoracic
|
$189.60 |
$189.60 |
$189.60 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$473.40 |
$473.40 |
$473.40 |
$985.15
|
|
Ecmo/ecls initiation venous 33946
|
$298.80 |
$298.80 |
$298.80 |
$3,468.27
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$227.70 |
$227.70 |
$227.70 |
$1,240.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$32.10 |
$32.10 |
$32.10 |
$87.84
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$34.80 |
$34.80 |
$34.80 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$409.80 |
$409.80 |
$409.80 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$41.40 |
$41.40 |
$41.40 |
$907.80
|
|
Eeg recording awake and asleep
|
$355.50 |
$355.50 |
$355.50 |
$931.20
|
|
Egd balloon dil esoph30 mm/>
|
$229.50 |
$229.50 |
$229.50 |
$2,244.82
|
|
Egd control bleeding any
|
$203.10 |
$203.10 |
$203.10 |
$2,553.75
|
|
Egd dilate stricture
|
$177.90 |
$177.90 |
$177.90 |
$2,244.82
|
|
Egd endo mucosal resection
|
$272.70 |
$272.70 |
$272.70 |
$2,430.40
|
|
Egd endoscopic stent place
|
$219.00 |
$219.00 |
$219.00 |
$3,774.00
|
|
Egd guide wire insertion
|
$168.30 |
$168.30 |
$168.30 |
$1,664.00
|
|
Egd injection varices
|
$239.10 |
$239.10 |
$239.10 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$144.30 |
$144.30 |
$144.30 |
$2,237.95
|
|
Egd lesion ablation
|
$227.10 |
$227.10 |
$227.10 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$170.40 |
$170.40 |
$170.40 |
$2,244.82
|
|
Egd remove foreign body
|
$178.50 |
$178.50 |
$178.50 |
$1,505.50
|
|
Egd remove lesion snare
|
$520.20 |
$520.20 |
$520.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$171.90 |
$171.90 |
$171.90 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$228.90 |
$228.90 |
$228.90 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$235.20 |
$235.20 |
$235.20 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$265.20 |
$265.20 |
$265.20 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$265.20 |
$265.20 |
$265.20 |
$3,218.80
|
|
Egd varices ligation
|
$247.50 |
$247.50 |
$247.50 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$394.20 |
$394.20 |
$394.20 |
$4,379.25
|
|
Ehrlicha chaffeensis amp prb
|
$9.05 |
$9.05 |
$9.05 |
$93.00
|
|
EKG (Electrocardiogram)
|
$17.40 |
$17.40 |
$17.40 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$71.40 |
$71.40 |
$71.40 |
$37.60
|
|
Elbow arthroscopy
|
$487.20 |
$487.20 |
$487.20 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$525.90 |
$525.90 |
$525.90 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$541.50 |
$541.50 |
$541.50 |
$3,986.00
|
|
Elbow arthroscopy/surgery
|
$621.30 |
$621.30 |
$621.30 |
$6,839.00
|
|
Elbow arthroscopy/surgery
|
$551.40 |
$551.40 |
$551.40 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$629.70 |
$629.70 |
$629.70 |
$2,916.80
|
|
Elec analys infus pump w/reprog 62368
|
$46.80 |
$46.80 |
$46.80 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$33.30 |
$33.30 |
$33.30 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$98.70 |
$98.70 |
$98.70 |
$616.11
|
|
Electrical stimulation/unattended 97014
|
$25.50 |
$25.50 |
$25.50 |
$79.20
|
