|
Drug test prsmv instrmnt
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$28.60 |
$28.60 |
$1,477.00 |
$278.85
|
|
Drvvt confirm - quest
|
$68.00 |
$68.00 |
$181.34 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$6,863.00 |
$6,863.00 |
$6,863.00 |
$3,390.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$670.00
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,813.00 |
$1,813.00 |
$1,813.00 |
$886.40
|
|
Ductogram sgl duct
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$1,670.00 |
$1,670.00 |
$1,670.00 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$790.00 |
$790.00 |
$790.00 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,307.00 |
$1,307.00 |
$7,096.75 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,174.00 |
$2,174.00 |
$7,541.95 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$91.00 |
$91.00 |
$91.00 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$61,900.00 |
$61,900.00 |
$61,900.00 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$3,419.00 |
$3,419.00 |
$3,419.00 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$6,946.00 |
$6,946.00 |
$6,946.00 |
$2,780.40
|
|
Ear canal biopsy 69105
|
$10,130.00 |
$10,130.00 |
$10,130.00 |
$1,768.50
|
|
Ear irrigation 69209
|
$220.00 |
$220.00 |
$220.00 |
$165.42
|
|
Ecg 12 lead tracing only
|
$832.00 |
$832.00 |
$1,733.27 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$404.00 |
$404.00 |
$1,234.05 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$729.00 |
$729.00 |
$729.00 |
$429.00
|
|
Ecg external < 48 hours recording
|
$972.00 |
$972.00 |
$8,901.40 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$404.00 |
$404.00 |
$404.00 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$404.00 |
$404.00 |
$404.00 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$5,002.00 |
$14,398.57 |
$15,392.45 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$569.00 |
$569.00 |
$2,269.96 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,844.00 |
$1,844.00 |
$5,247.22 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$1,150.00 |
$1,150.00 |
$2,373.14 |
$353.46
|
|
Echo exam of fetal heart
|
$4,785.00 |
$4,785.00 |
$4,785.00 |
$855.38
|
|
Echo exam of fetal heart
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$503.80
|
|
Echo exam of fetal heart
|
$1,532.00 |
$1,532.00 |
$1,532.00 |
$431.41
|
|
Echo exam of fetal heart
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$547.20
|
|
Echograp trans r pros study
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,678.00 |
$1,678.00 |
$2,874.00 |
$774.80
|
|
Echo guide for amniocentesis
|
$1,220.31 |
$1,220.31 |
$1,678.00 |
$384.65
|
|
Echo guide for artery repair
|
$5,305.00 |
$5,305.00 |
$5,305.00 |
$680.28
|
|
Echo guide for heart biopsy
|
$1,313.00 |
$1,313.00 |
$1,313.00 |
$455.26
|
|
Echo stress
|
$4,529.00 |
$13,921.99 |
$14,882.65 |
$1,582.75
|
|
Echo tee guidance
|
$5,406.00 |
$5,406.00 |
$5,406.00 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$5,098.00 |
$5,098.00 |
$5,098.00 |
$1,871.10
|
|
Echo transesophageal
|
$14,621.50 |
$14,621.50 |
$14,621.50 |
$913.33
|
|
Echo transesophageal
|
$5,804.00 |
$5,804.00 |
$5,804.00 |
$1,734.10
|
|
Echo transesophageal intraop
|
$5,406.00 |
$5,406.00 |
$5,406.00 |
$1,571.70
|
|
Echo transthoracic
|
$1,618.20 |
$2,598.00 |
$5,098.12 |
$1,492.50
|
|
Echo transthoracic
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$3,134.00 |
$3,899.32 |
$4,168.40 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$4,820.00 |
$4,820.00 |
$4,820.00 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$4,820.00 |
$4,820.00 |
$4,820.00 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$13,252.00 |
$13,252.00 |
$13,252.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$17,654.00 |
$17,654.00 |
$17,654.00 |
$4,324.50
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$9,125.00 |
$9,125.00 |
$9,125.00 |
$1,898.66
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$14,350.60 |
$14,350.60 |
$14,350.60 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$3,876.00 |
$3,876.00 |
$5,789.50 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,470.00 |
$3,470.00 |
$5,789.50 |
$1,049.59
|
|
Eeg during surgery
|
$3,145.00 |
$3,145.00 |
$17,433.60 |
$775.45
|
|
Eeg monitoring/function test
|
$3,317.00 |
$3,317.00 |
$3,317.00 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,470.00 |
$3,470.00 |
$5,789.50 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$7,274.84 |
$7,550.15 |
$7,765.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$936.00
|
|
Eeg recording awake and asleep
|
$2,168.00 |
$2,168.00 |
$5,789.50 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$3,542.00 |
$3,542.00 |
$3,542.00 |
$1,251.52
|
|
E equine encephalitis igg
|
$153.00 |
$153.00 |
$153.00 |
$48.73
|
|
Egd control bleeding any
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$2,553.75
|
|
Egd dilate stricture
|
$6,131.00 |
$6,131.00 |
$6,131.00 |
$2,638.57
|
|
Egd remove foreign body
|
$3,055.00 |
$3,055.00 |
$3,055.00 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,674.00 |
$4,674.00 |
$4,674.00 |
$2,506.40
|
|
Egfr gene com variants
|
$1,309.20 |
$1,542.41 |
$2,665.00 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$123.86 |
$123.86 |
$755.00 |
$105.00
|
|
EKG tracing for initial prev
|
$231.00 |
$231.00 |
$231.00 |
$56.65
|
|
Elec analys infus pump w/reprog 62368
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$535.43
|
|
Electrical stimulation/unattended 97014
|
$194.00 |
$194.00 |
$194.00 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$752.00 |
$752.00 |
$752.00 |
$128.40
|
|
Electrocochleography
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$393.00
|
|
Electroconvulsive therapy 90870
|
$1,577.00 |
$1,577.00 |
$7,296.35 |
$1,180.80
|
|
Electrocorticography durng sx
|
$6,511.70 |
$6,511.70 |
$7,760.00 |
$1,660.52
|
|
Electrode stimulation brain
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$1,180.80
|
|
Electrolyte panel
|
$316.00 |
$2,045.08 |
$2,090.75 |
$86.33
|
|
Electron microscopy diagnostic
|
$672.00 |
$672.00 |
$1,008.61 |
$966.69
|
|
Electrophysiologic study
|
$37,940.50 |
$37,940.50 |
$39,296.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$16,942.70 |
$20,808.00 |
$37,940.50 |
$8,979.45
|
|
Electrophysiology evaluation
|
$21,418.00 |
$21,418.00 |
$31,317.61 |
$11,175.42
|
|
Electrophysiology evaluation
|
$385.00 |
$385.00 |
$18,588.00 |
$7,769.30
|
|
Electrophysiology evaluation
|
$800.00 |
$800.00 |
$18,588.00 |
$6,516.00
|
|
Electrophysiology evaluation
|
$5,806.00 |
$5,806.00 |
$11,971.13 |
$2,845.10
|
|
Electrophysiology evaluation
|
$8,178.92 |
$8,178.92 |
$11,047.00 |
$2,803.20
|
|
Electrophysiology evaluation
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$1,375.00 |
$9,488.20 |
$13,007.00 |
$6,534.00
|
|
Embolization s&i
|
$10,931.00 |
$10,931.00 |
$11,676.79 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$46,236.00 |
$46,236.00 |
$46,236.00 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$46,236.00 |
$46,236.00 |
$46,236.00 |
$15,027.40
|
