|
Drug assay caffeine
|
$78.38 |
$78.38 |
$78.38 |
$81.61
|
|
Drug assay posaconazole
|
$263.98 |
$263.98 |
$263.98 |
$96.39
|
|
Drug assay vedolizumab
|
$164.16 |
$164.16 |
$164.16 |
$164.16
|
|
Drug assay voriconazole
|
$164.16 |
$164.16 |
$164.16 |
$96.75
|
|
Drug of abuse screen urine
|
$217.75 |
$217.75 |
$217.75 |
$63.75
|
|
Drug screen quant tiagabine
|
$249.45 |
$249.45 |
$249.45 |
$91.80
|
|
Drug test def 1-7 classes
|
$228.15 |
$228.15 |
$228.15 |
$250.52
|
|
Drug test prsmv instrmnt
|
$35.18 |
$35.18 |
$35.18 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$177.02 |
$177.02 |
$177.02 |
$278.85
|
|
Drvvt confirm - quest
|
$229.83 |
$229.83 |
$229.83 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$11,080.22 |
$11,080.22 |
$11,080.22 |
$3,390.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$681.12 |
$681.12 |
$681.12 |
$670.00
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$472.99 |
$472.99 |
$472.99 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$567.59 |
$567.59 |
$567.59 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$681.12 |
$681.12 |
$681.12 |
$886.40
|
|
Ductogram sgl duct
|
$1,566.12 |
$1,566.12 |
$1,566.12 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$3,989.41 |
$3,989.41 |
$3,989.41 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$2,659.60 |
$2,659.60 |
$2,659.60 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$2,924.83 |
$2,924.83 |
$2,924.83 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$432.98 |
$432.98 |
$432.98 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$432.98 |
$432.98 |
$432.98 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$53,053.41 |
$53,053.41 |
$53,053.41 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$1,528.69 |
$1,528.69 |
$1,528.69 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$1,778.67 |
$1,778.67 |
$1,778.67 |
$2,780.40
|
|
Ear canal biopsy 69105
|
$4,045.88 |
$4,045.88 |
$4,045.88 |
$1,768.50
|
|
Ear irrigation 69209
|
$122.01 |
$122.01 |
$122.01 |
$165.42
|
|
Ecg 12 lead tracing only
|
$898.71 |
$898.71 |
$898.71 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$370.65 |
$370.65 |
$370.65 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$3,556.23 |
$3,556.23 |
$3,556.23 |
$429.00
|
|
Ecg external < 48 hours recording
|
$3,934.36 |
$3,934.36 |
$3,934.36 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,527.81 |
$1,527.81 |
$1,527.81 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$3,924.26 |
$3,924.26 |
$3,924.26 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$3,884.21 |
$3,884.21 |
$3,884.21 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$4,220.95 |
$4,220.95 |
$4,220.95 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$774.10 |
$774.10 |
$774.10 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,191.24 |
$2,191.24 |
$2,191.24 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$387.06 |
$387.06 |
$387.06 |
$353.46
|
|
Echo exam of fetal heart
|
$5,448.65 |
$5,448.65 |
$5,448.65 |
$855.38
|
|
Echo exam of fetal heart
|
$2,403.83 |
$2,403.83 |
$2,403.83 |
$503.80
|
|
Echo exam of fetal heart
|
$2,403.83 |
$2,403.83 |
$2,403.83 |
$431.41
|
|
Echo exam of fetal heart
|
$1,842.92 |
$1,842.92 |
$1,842.92 |
$323.40
|
|
Echo exam uterus 76831-
|
$2,403.83 |
$2,403.83 |
$2,403.83 |
$547.20
|
|
Echograp trans r pros study
|
$1,842.92 |
$1,842.92 |
$1,842.92 |
$459.40
|
|
Echo guidance radiotherapy
|
$7,985.95 |
$7,985.95 |
$7,985.95 |
$774.80
|
|
Echo guide for amniocentesis
|
$2,153.70 |
$2,153.70 |
$2,153.70 |
$384.65
|
|
Echo guide for artery repair
|
$2,113.79 |
$2,113.79 |
$2,113.79 |
$680.28
|
|
Echo stress
|
$3,788.60 |
$3,788.60 |
$3,788.60 |
$1,582.75
|
|
Echo tee guidance
|
$4,807.63 |
$4,807.63 |
$4,807.63 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,188.32 |
$4,188.32 |
$4,188.32 |
$1,871.10
|
|
Echo transesophageal
|
$4,193.09 |
$4,193.09 |
$4,193.09 |
$1,734.10
|
|
Echo transesophageal intraop
|
$4,193.09 |
$4,193.09 |
$4,193.09 |
$1,571.70
|
|
Echo transthoracic
|
$4,193.09 |
$4,193.09 |
$4,193.09 |
$1,492.50
|
|
Echo transthoracic
|
$3,870.55 |
$3,870.55 |
$3,870.55 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$3,870.55 |
$3,870.55 |
$3,870.55 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$5,830.97 |
$5,830.97 |
$5,830.97 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$5,830.97 |
$5,830.97 |
$5,830.97 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$6,741.30 |
$6,741.30 |
$6,741.30 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$6,741.30 |
$6,741.30 |
$6,741.30 |
$4,324.50
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$5,830.97 |
$5,830.97 |
$5,830.97 |
$1,898.66
|
|
Eeg 41-60 minutes 95812-26
|
$1,711.46 |
$1,711.46 |
$1,711.46 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,803.84 |
$2,803.84 |
$2,803.84 |
$1,049.59
|
|
Eeg during surgery
|
$362.52 |
$362.52 |
$362.52 |
$775.45
|
|
Eeg monitoring/function test
|
$1,548.52 |
$1,548.52 |
$1,548.52 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,585.15 |
$3,585.15 |
$3,585.15 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$5,305.84 |
$5,305.84 |
$5,305.84 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$3,451.19 |
$3,451.19 |
$3,451.19 |
$936.00
|
|
Eeg recording awake and asleep
|
$4,483.90 |
$4,483.90 |
$4,483.90 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,290.72 |
$1,290.72 |
$1,290.72 |
$704.79
|
|
Eeg without vid ea 12-26hr cont
|
$2,476.45 |
$2,476.45 |
$2,476.45 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$2,476.45 |
$2,476.45 |
$2,476.45 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,290.72 |
$1,290.72 |
$1,290.72 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,476.45 |
$2,476.45 |
$2,476.45 |
$1,251.52
|
|
E equine encephalitis igg
|
$198.52 |
$198.52 |
$198.52 |
$48.73
|
|
Egd control bleeding any
|
$4,086.64 |
$4,086.64 |
$4,086.64 |
$2,553.75
|
|
Egd dilate stricture
|
$4,086.64 |
$4,086.64 |
$4,086.64 |
$2,638.57
|
|
Egd remove foreign body
|
$2,735.55 |
$2,735.55 |
$2,735.55 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,086.64 |
$4,086.64 |
$4,086.64 |
$2,506.40
|
|
Egfr gene com variants
|
$2,616.96 |
$2,616.96 |
$2,616.96 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$311.69 |
$311.69 |
$311.69 |
$105.00
|
|
EKG tracing for initial prev
|
$53.67 |
$53.67 |
$53.67 |
$56.65
|
|
Elec analys infus pump w/reprog 62368
|
$1,516.38 |
$1,516.38 |
$1,516.38 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$806.33 |
$806.33 |
$806.33 |
$535.43
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,819.70 |
$1,819.70 |
$1,819.70 |
$576.81
|
|
Electrical stimulation/unattended 97014
|
$46.57 |
$46.57 |
$46.57 |
$81.75
|
|
Electrocochleography
|
$423.87 |
$423.87 |
$423.87 |
$393.00
|
|
Electroconvulsive therapy 90870
|
$4,647.26 |
$4,647.26 |
$4,647.26 |
$1,180.80
|
|
Electrode stimulation brain
|
$4,356.38 |
$4,356.38 |
$4,356.38 |
$1,180.80
|
|
Electrolyte panel
|
$410.59 |
$410.59 |
$410.59 |
$86.33
|
|
Electron microscopy diagnostic
|
$5,046.60 |
$5,046.60 |
$5,046.60 |
$966.69
|
|
Electrophysiologic study
|
$16,711.19 |
$16,711.19 |
$16,711.19 |
$6,758.40
|
|
Electrophysiology evaluation
|
$13,404.33 |
$13,404.33 |
$13,404.33 |
$8,979.45
|
|
Electrophysiology evaluation
|
$13,404.33 |
$13,404.33 |
$13,404.33 |
$11,175.42
|
|
Electrophysiology evaluation
|
$16,429.98 |
$16,429.98 |
$16,429.98 |
$7,769.30
|
|
Electrophysiology evaluation
|
$14,916.30 |
$14,916.30 |
$14,916.30 |
$6,516.00
|
|
Electrophysiology evaluation
|
$3,381.29 |
$3,381.29 |
$3,381.29 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,307.88 |
$1,307.88 |
$1,307.88 |
$2,803.20
|
|
Electrophysiology evaluation
|
$6,268.54 |
$6,268.54 |
$6,268.54 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$9,384.74 |
$9,384.74 |
$9,384.74 |
$6,534.00
|
|
Embolization s&i
|
$8,688.16 |
$8,688.16 |
$8,688.16 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$39,080.09 |
$39,080.09 |
$39,080.09 |
$16,060.54
|
