|
Dup scan/ue art/graft/bilat/comp 93930
|
$852.57 |
$852.57 |
$852.57 |
$890.55
|
|
Duragen 1x1 5ea/bx
|
$17,151.72 |
$17,151.72 |
$17,151.72 |
$13,812.34
|
|
Durvalumab 50 mg/ml intravenous solution
|
$115.02 |
$115.02 |
$852.53 |
$9,080.81
|
|
Dxa bone density axl vrt fx
|
$245.68 |
$245.68 |
$749.00 |
$377.65
|
|
Ecallantide injection
|
$19,697.00 |
$19,697.00 |
$19,697.00 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$136.72 |
$136.72 |
$195.36 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$85.29 |
$85.29 |
$884.00 |
$129.83
|
|
Ecg external < 48 hours recording
|
$401.36 |
$456.12 |
$3,753.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$114.70 |
$114.70 |
$1,260.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$305.44 |
$305.44 |
$305.44 |
$154.30
|
|
Ecg external >7 days up to 15 days recording
|
$280.46 |
$280.46 |
$280.46 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$2,144.15 |
$2,144.15 |
$6,474.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$423.28 |
$423.28 |
$423.28 |
$463.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$472.95 |
$472.95 |
$472.95 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$462.32 |
$462.32 |
$1,482.00 |
$353.46
|
|
Echo exam of fetal heart
|
$439.65 |
$439.65 |
$3,115.00 |
$855.38
|
|
Echo exam of fetal heart
|
$274.91 |
$274.91 |
$274.91 |
$481.55
|
|
Echo exam of fetal heart
|
$283.42 |
$283.42 |
$283.42 |
$431.41
|
|
Echo exam of fetal heart
|
$273.80 |
$273.80 |
$273.80 |
$323.40
|
|
Echo exam uterus 76831-
|
$460.93 |
$460.93 |
$460.93 |
$513.00
|
|
Echograp trans r pros study
|
$1,963.78 |
$1,963.78 |
$1,963.78 |
$459.40
|
|
Echo guide for amniocentesis
|
$389.15 |
$389.15 |
$389.15 |
$377.11
|
|
Echo guide for artery repair
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$680.28
|
|
Echo tee guidance
|
$2,046.00 |
$4,111.35 |
$4,111.35 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,200.69 |
$3,200.69 |
$3,200.69 |
$1,851.45
|
|
Echo transesophageal intraop
|
$5,374.00 |
$5,374.00 |
$5,374.00 |
$1,571.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,194.18 |
$1,194.18 |
$6,362.00 |
$1,011.36
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$26,970.00 |
$26,970.00 |
$26,970.00 |
$17,641.10
|
|
Eeg 41-60 minutes 95812-26
|
$559.44 |
$559.44 |
$559.44 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$289.25 |
$289.25 |
$289.25 |
$1,025.45
|
|
Eeg monitoring/giving drugs
|
$1,303.05 |
$1,303.05 |
$1,303.05 |
$797.51
|
|
Eeg monitor/record/awake/drowsy 95816
|
$536.22 |
$536.22 |
$536.22 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$505.51 |
$505.51 |
$505.51 |
$1,117.21
|
|
Eeg/record in coma or sleep only 95822
|
$559.72 |
$559.72 |
$6,619.00 |
$936.00
|
|
Eeg recording awake and asleep
|
$559.72 |
$559.72 |
$5,056.00 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$413.94 |
$413.94 |
$413.94 |
$567.45
|
|
Eeg wo vid 2-12hr intmt mntr
|
$413.94 |
$413.94 |
$413.94 |
$622.71
|
|
Eeg wo vid ea 12-26hr unmntr
|
$763.31 |
$763.31 |
$763.31 |
$1,194.00
|
|
E equine encephalitis igg
|
$4.44 |
$4.44 |
$4.44 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$84.11 |
$84.11 |
$1,147.66 |
$79.20
|
|
Egfr gene com variants
|
$163.91 |
$163.91 |
$287.00 |
$615.57
|
|
Electrical stimulation/unattended 97014
|
$40.15 |
$40.15 |
$40.15 |
$82.20
|
|
Electroconvulsive therapy 90870
|
$3,010.00 |
$3,010.00 |
$3,010.00 |
$1,130.00
|
|
Electrocorticography durng sx
|
$1,517.83 |
$1,517.83 |
$1,517.83 |
$1,660.52
|
|
Electrode stimulation brain
|
$707.16 |
$707.16 |
$707.16 |
$1,180.80
|
|
Electrolyte panel
|
$38.48 |
$38.48 |
$969.00 |
$88.20
|
|
Electron microscopy diagnostic
|
$210.16 |
$210.16 |
$210.16 |
$981.50
|
|
Electrophysiologic study
|
$43,418.00 |
$43,418.00 |
$43,418.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$38,984.00 |
$38,984.00 |
$38,984.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$38,984.00 |
$38,984.00 |
$38,984.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$38,984.00 |
$38,984.00 |
$38,984.00 |
$7,769.30
|
|
Electrophysiology evaluation
|
$38,984.00 |
$38,984.00 |
$38,984.00 |
$6,516.00
|
|
Electrophysiology evaluation
|
$4,458.41 |
$4,458.41 |
$11,943.00 |
$2,845.10
|
|
Electrophysiology evaluation
|
$11,943.00 |
$11,943.00 |
$11,943.00 |
$2,749.44
|
|
Electrophysiology evaluation
|
$1,925.00 |
$1,925.00 |
$1,925.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$29,838.00 |
$29,838.00 |
$29,838.00 |
$6,418.44
|
|
Elotuzumab 300 mg intravenous solution
|
$10.46 |
$10.46 |
$10.46 |
$8,397.94
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$446.78
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$497.35
|
|
Emg needle test 1-extremity
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$354.90
|
|
Emg needle test 4-extremities
|
$4,436.00 |
$4,436.00 |
$4,436.00 |
$570.50
|
|
Encephalitis, st louis igg/igm
|
$4.44 |
$4.44 |
$4.44 |
$47.80
|
|
Encephalitis, western equine igg/igm
|
$4.44 |
$4.44 |
$4.44 |
$50.70
|
|
Endoscopy swallow (fees) vid
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$414.06
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$130.38 |
$130.38 |
$130.38 |
$9,592.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$16.04 |
$16.04 |
$16.05 |
$121.63
|
|
Enzyme histochemistry
|
$31.27 |
$31.27 |
$31.27 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$120,110.00 |
$120,110.00 |
$120,110.00 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$120,110.00 |
$120,110.00 |
$120,110.00 |
$30,473.30
|
|
Ep induct arrhy by elect pacing
|
$8,930.00 |
$8,930.00 |
$8,930.00 |
$2,753.40
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$543.00 |
$543.00 |
$543.00 |
$59.36
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$130.00 |
$130.00 |
$130.00 |
$450.94
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1.54 |
$1.54 |
$1.54 |
$195.23
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$23.97 |
$23.97 |
$24.08 |
$884.44
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$165.17 |
$823.43
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$50.75 |
$50.75 |
$476.62 |
$136.00
|
|
Epstein barr early antigen antibody
|
$19.42 |
$19.42 |
$19.42 |
$71.64
|
|
Epstein barr nuclear antigen antibody
|
$18.00 |
$22.63 |
$22.63 |
$80.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$26.85 |
$26.85 |
$26.85 |
$92.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$87.23 |
$87.23 |
$87.23 |
$393.98
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$202.70 |
$202.70 |
$4,114.00 |
$3,109.44
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$123.95 |
$124.29 |
$323.00 |
$364.08
|
|
ER Visit (level 1, minor)
|
$211.73 |
$211.73 |
$211.73 |
$277.55
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$110.82 |
$111.40 |
$306.00 |
$253.52
|
|
Esophageal dilat s&i
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$525.00
|
|
Esophagus motility study
|
$3,614.00 |
$3,614.00 |
$3,614.00 |
$1,289.20
|
|
Established Patient Office Visit (level 1)
|
$66.97 |
$66.97 |
$80.57 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$81.03 |
$81.03 |
$107.12 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$116.18 |
$116.18 |
$153.64 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$117.29 |
$117.29 |
$155.12 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$262.70 |
$262.70 |
$347.43 |
$287.10
|
|
Estradiol total
|
$75.11 |
$75.11 |
$75.11 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$16.10 |
$16.10 |
$16.10 |
$63.50
|
|
Etanercept injection
|
$376.66 |
$376.66 |
$2,187.00 |
$1,710.79
|
|
Ethanolamine oleate 100 mg
|
$891.00 |
$891.00 |
$891.00 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$17.00 |
$17.00 |
$17.00 |
$77.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.69 |
$2.69 |
$4.34 |
$213.17
|
|
Etoposide 50 mg cap
|
$270.00 |
$270.00 |
$270.00 |
$196.27
|
|
Euflexxa inj per dose
|
$351.50 |
$351.50 |
$351.50 |
$727.80
|
|
Eval/fit voice prosthesis iii, st
|
$156.23 |
$156.23 |
$156.23 |
$363.00
|
