|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$18,339.75 |
$18,339.75 |
$18,339.75 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$62,936.25 |
$62,936.25 |
$62,936.25 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$43,844.45 |
$43,844.45 |
$43,844.45 |
$376.50
|
|
Drug assay caffeine
|
$199.55 |
$199.55 |
$199.55 |
$80.00
|
|
Drug assay posaconazole
|
$628.55 |
$628.55 |
$628.55 |
$96.75
|
|
Drug of abuse screen urine
|
$14.30 |
$14.30 |
$14.30 |
$67.89
|
|
Drug screening tapentadol
|
$7.15 |
$7.15 |
$7.15 |
$47.03
|
|
Drug/substance nos 4-6
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Drug test def 22+ classes
|
$221.65 |
$221.65 |
$221.65 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$369.20 |
$369.20 |
$369.20 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$11,335.35 |
$11,335.35 |
$11,335.35 |
$2,980.00
|
|
Duodenal motility study
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$836.55 |
$836.55 |
$836.55 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$403.00 |
$403.00 |
$403.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$848.90 |
$848.90 |
$848.90 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$833.30 |
$833.30 |
$833.30 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,221.35 |
$1,221.35 |
$1,221.35 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$345.80 |
$345.80 |
$345.80 |
$8,445.90
|
|
Dx intraop epcar Ultrasound chd i&r
|
$976.95 |
$976.95 |
$976.95 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$976.95 |
$976.95 |
$976.95 |
$558.11
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$976.95 |
$976.95 |
$976.95 |
$558.11
|
|
Dynamic surface emg
|
$624.65 |
$624.65 |
$624.65 |
$368.50
|
|
Ecallantide injection
|
$3,913.65 |
$3,913.65 |
$3,913.65 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$157.30 |
$157.30 |
$157.30 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$315.25 |
$315.25 |
$315.25 |
$412.88
|
|
Ecg external < 48 hours recording
|
$1,485.90 |
$1,485.90 |
$1,485.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$541.20
|
|
Ecg external >7 days up to 15 days recording
|
$446.55 |
$446.55 |
$446.55 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$4,108.65 |
$4,108.65 |
$4,108.65 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$851.50 |
$851.50 |
$851.50 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$728.65 |
$728.65 |
$728.65 |
$511.55
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$851.50 |
$851.50 |
$851.50 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$475.80 |
$475.80 |
$475.80 |
$371.25
|
|
Echo exam of fetal heart
|
$1,569.10 |
$1,569.10 |
$1,569.10 |
$904.80
|
|
Echo exam of fetal heart
|
$524.55 |
$524.55 |
$524.55 |
$538.27
|
|
Echo exam of fetal heart
|
$564.85 |
$564.85 |
$564.85 |
$431.41
|
|
Echo exam of fetal heart
|
$791.05 |
$791.05 |
$791.05 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$561.00
|
|
Echo guidance radiotherapy
|
$833.30 |
$833.30 |
$833.30 |
$812.00
|
|
Echo guide for amniocentesis
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$455.57
|
|
Echo guide for artery repair
|
$1,672.45 |
$1,672.45 |
$1,672.45 |
$696.30
|
|
Echo guide for transfusion
|
$203.45 |
$203.45 |
$203.45 |
$332.39
|
|
Echo tee guidance
|
$447.20 |
$447.20 |
$447.20 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,031.60 |
$3,031.60 |
$3,031.60 |
$1,913.60
|
|
Echo transesophageal
|
$2,261.35 |
$2,261.35 |
$2,261.35 |
$1,650.00
|
|
Echo transesophageal intraop
|
$2,351.70 |
$2,351.70 |
$2,351.70 |
$1,578.00
|
|
Echo transthoracic
|
$1,361.75 |
$1,361.75 |
$1,361.75 |
$1,361.75
|
|
Echo transthoracic
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,232.10 |
$2,232.10 |
$2,232.10 |
$1,033.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$186.55 |
$186.55 |
$186.55 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$16,038.10 |
$16,038.10 |
$16,038.10 |
$8,739.98
|
|
Eeg 41-60 minutes 95812-26
|
$993.85 |
$993.85 |
$993.85 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,477.45 |
$1,477.45 |
$1,477.45 |
$994.15
|
|
Eeg during surgery
|
$150.15 |
$150.15 |
$150.15 |
$775.45
|
|
Eeg monitoring/function test
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$1,557.60
|
|
Eeg over 1 hour 95813 - 26
|
$1,230.45 |
$1,230.45 |
$1,230.45 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,252.55 |
$1,252.55 |
$1,252.55 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,252.55 |
$1,252.55 |
$1,252.55 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$826.15 |
$826.15 |
$826.15 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$826.15 |
$826.15 |
$826.15 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,584.70 |
$1,584.70 |
$1,584.70 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,584.70 |
$1,584.70 |
$1,584.70 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$826.15 |
$826.15 |
$826.15 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,584.70 |
$1,584.70 |
$1,584.70 |
$1,632.95
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$133.25 |
$133.25 |
$133.25 |
$13,130.61
|
|
Egfr gene com variants
|
$517.40 |
$517.40 |
$517.40 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$70.20 |
$70.20 |
$70.20 |
$93.00
|
|
EKG (Tracing Only)
|
$408.85 |
$408.85 |
$408.85 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$438.75 |
$438.75 |
$438.75 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$598.00 |
$598.00 |
$598.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$661.70 |
$661.70 |
$661.70 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$712.40 |
$712.40 |
$712.40 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$778.05 |
$778.05 |
$778.05 |
$618.80
|
|
Electrd sq emblem s-icd
|
$23,167.30 |
$23,167.30 |
$23,167.30 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$174.85 |
$174.85 |
$174.85 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$146.25 |
$146.25 |
$146.25 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$167.05 |
$167.05 |
$167.05 |
$166.40
|
|
Electroconvulsive therapy 90870
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$1,235.00
|
|
Electrocorticography durng sx
|
$1,795.95 |
$1,795.95 |
$1,795.95 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$1,203.94
|
|
Electrolyte panel
|
$218.40 |
$218.40 |
$218.40 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$1,011.98
|
|
Electrophysiologic study
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$7,493.20
|
|
Electrophysiology evaluation
|
$12,242.75 |
$12,242.75 |
$12,242.75 |
$8,975.40
|
|
Electrophysiology evaluation
|
$14,748.50 |
$14,748.50 |
$14,748.50 |
$10,724.84
|
|
Electrophysiology evaluation
|
$12,358.45 |
$12,358.45 |
$12,358.45 |
$6,760.00
|
|
Electrophysiology evaluation
|
$12,358.45 |
$12,358.45 |
$12,358.45 |
$5,883.66
|
|
Electrophysiology evaluation
|
$5,571.80 |
$5,571.80 |
$5,571.80 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,451.15 |
$2,451.15 |
$2,451.15 |
$2,914.40
|
|
Electrophysiology evaluation
|
$5,073.25 |
$5,073.25 |
$5,073.25 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$8,806.85 |
$8,806.85 |
$8,806.85 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$34.45 |
$34.45 |
$34.45 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$778.05 |
$778.05 |
$778.05 |
$14,606.11
|
|
Emboli detcj wo IV mbubb njx
|
$592.15 |
$592.15 |
$592.15 |
$484.25
|
|
Embolization s&i
|
$6,962.15 |
$6,962.15 |
$6,962.15 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$24,103.95 |
$24,103.95 |
$24,103.95 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$24,103.95 |
$24,103.95 |
$24,103.95 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,273.45 |
$18,273.45 |
$18,273.45 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$24,103.95 |
$24,103.95 |
$24,103.95 |
$14,741.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$29,599.70 |
$29,599.70 |
$29,599.70 |
$7,310.39
|
