|
Drug test prsmv instrmnt
|
$114.64 |
$114.64 |
$114.64 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$459.16 |
$459.16 |
$459.16 |
$278.85
|
|
Drvvt confirm - quest
|
$132.94 |
$132.94 |
$132.94 |
$101.66
|
|
Ductogram sgl duct
|
$1,025.07 |
$1,025.07 |
$1,025.07 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$2,388.50 |
$2,388.50 |
$2,388.50 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$1,510.34 |
$1,510.34 |
$1,510.34 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$1,729.53 |
$1,729.53 |
$1,729.53 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$625.33 |
$625.33 |
$625.33 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$3,332.08 |
$3,332.08 |
$3,332.08 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$27,531.11 |
$27,531.11 |
$27,531.11 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$870.37 |
$870.37 |
$870.37 |
$374.00
|
|
Ear irrigation 69209
|
$246.20 |
$246.20 |
$246.20 |
$165.42
|
|
Ecg 12 lead tracing only
|
$846.41 |
$846.41 |
$846.41 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$259.61 |
$259.61 |
$259.61 |
$129.83
|
|
Ecg external < 48 hours recording
|
$1,531.79 |
$1,531.79 |
$1,531.79 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$6,805.02 |
$6,805.02 |
$6,805.02 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$2,228.15 |
$2,228.15 |
$2,228.15 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,024.90 |
$2,024.90 |
$2,024.90 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$1,040.66 |
$1,040.66 |
$1,040.66 |
$353.46
|
|
Echo exam of fetal heart
|
$1,425.75 |
$1,425.75 |
$1,425.75 |
$855.38
|
|
Echo exam uterus 76831-
|
$1,025.07 |
$1,025.07 |
$1,025.07 |
$547.20
|
|
Echograp trans r pros study
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,527.04 |
$1,527.04 |
$1,527.04 |
$774.80
|
|
Echo guide for amniocentesis
|
$1,321.95 |
$1,321.95 |
$1,321.95 |
$384.65
|
|
Echo guide for artery repair
|
$1,816.93 |
$1,816.93 |
$1,816.93 |
$680.28
|
|
Echo guide for heart biopsy
|
$1,749.30 |
$1,749.30 |
$1,749.30 |
$455.26
|
|
Echo stress
|
$3,751.43 |
$3,751.43 |
$3,751.43 |
$1,582.75
|
|
Echo tee guidance
|
$5,408.55 |
$5,408.55 |
$5,408.55 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,921.12 |
$6,921.12 |
$6,921.12 |
$1,871.10
|
|
Echo transthoracic
|
$5,409.30 |
$5,409.30 |
$5,409.30 |
$1,492.50
|
|
Echo transthoracic
|
$2,180.75 |
$2,180.75 |
$2,180.75 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,968.54 |
$1,968.54 |
$1,968.54 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,432.64 |
$2,432.64 |
$2,432.64 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,432.64 |
$2,432.64 |
$2,432.64 |
$4,324.50
|
|
Eeg 41-60 minutes 95812-26
|
$872.52 |
$872.52 |
$872.52 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,084.80 |
$2,084.80 |
$2,084.80 |
$1,049.59
|
|
Eeg during surgery
|
$7,317.69 |
$7,317.69 |
$7,317.69 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,105.12 |
$2,105.12 |
$2,105.12 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$965.01 |
$965.01 |
$965.01 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$2,105.12 |
$2,105.12 |
$2,105.12 |
$936.00
|
|
Eeg recording awake and asleep
|
$2,328.26 |
$2,328.26 |
$2,328.26 |
$1,030.27
|
|
Eeg without vid ea 12-26hr cont
|
$5,468.79 |
$5,468.79 |
$5,468.79 |
$1,353.60
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,200.08 |
$4,200.08 |
$4,200.08 |
$1,251.52
|
|
E equine encephalitis igg
|
$87.93 |
$87.93 |
$87.93 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$349,333.36 |
$349,333.36 |
$349,333.36 |
$13,756.97
|
|
Egfr gene com variants
|
$2,396.71 |
$2,396.71 |
$2,396.71 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$234.84 |
$234.84 |
$234.84 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$317.21 |
$317.21 |
$317.21 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$5,389.78 |
$5,389.78 |
$5,389.78 |
$1,180.80
|
|
Electrolyte panel
|
$51.71 |
$51.71 |
$51.71 |
$86.33
|
|
Electron microscopy diagnostic
|
$4,381.88 |
$4,381.88 |
$4,381.88 |
$966.69
|
|
Electrophysiologic study
|
$25,192.38 |
$25,192.38 |
$25,192.38 |
$6,758.40
|
|
Electrophysiology evaluation
|
$18,337.68 |
$18,337.68 |
$18,337.68 |
$8,979.45
|
|
Electrophysiology evaluation
|
$25,192.38 |
$25,192.38 |
$25,192.38 |
$11,175.42
|
|
Electrophysiology evaluation
|
$31,993.78 |
$31,993.78 |
$31,993.78 |
$7,769.30
|
|
Electrophysiology evaluation
|
$15,900.11 |
$15,900.11 |
$15,900.11 |
$6,516.00
|
|
Electrophysiology evaluation
|
$9,269.14 |
$9,269.14 |
$9,269.14 |
$2,845.10
|
|
Electrophysiology evaluation
|
$8,170.77 |
$8,170.77 |
$8,170.77 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$6,238.75 |
$6,238.75 |
$6,238.75 |
$6,534.00
|
|
Embolization s&i
|
$6,567.75 |
$6,567.75 |
$6,567.75 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$66,410.28 |
$66,410.28 |
$66,410.28 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$65,614.41 |
$65,614.41 |
$65,614.41 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$65,825.23 |
$65,825.23 |
$65,825.23 |
$15,873.70
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$505.68 |
$505.68 |
$505.68 |
$434.00
|
|
Emg thor paraspinal without t1/t2
|
$629.84 |
$629.84 |
$629.84 |
$309.83
|
|
Encephalitis, california igg/igm
|
$87.93 |
$87.93 |
$87.93 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$87.93 |
$87.93 |
$87.93 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$87.93 |
$87.93 |
$87.93 |
$50.70
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$13,158.44 |
$13,158.44 |
$13,158.44 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$3,114.37 |
$3,114.37 |
$3,114.37 |
$612.37
|
|
Endo cath panc duct s&i
|
$4,355.20 |
$4,355.20 |
$4,355.20 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$6,976.99 |
$6,976.99 |
$6,976.99 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$4,945.62 |
$4,945.62 |
$4,945.62 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$274.91 |
$274.91 |
$274.91 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$19,369.48 |
$19,369.48 |
$19,369.48 |
$10,604.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$500.24 |
$500.24 |
$500.24 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$41.93 |
$41.93 |
$41.93 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$60,296.94 |
$60,296.94 |
$60,296.94 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$60,473.74 |
$60,473.74 |
$60,473.74 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,478.85
|
|
Epidrm agrft t/a/l 1st 100
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,856.87
|
|
Ep induct arrhy by elect pacing
|
$13,020.10 |
$13,020.10 |
$13,020.10 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - adult
|
$363.29 |
$363.29 |
$363.29 |
$25.61
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$358.49 |
$358.49 |
$358.49 |
$450.94
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$3,393.16 |
$3,393.16 |
$3,393.16 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$12,144.58 |
$12,144.58 |
$12,144.58 |
$950.55
|
|
Epstein barr early antigen antibody
|
$87.93 |
$87.93 |
$87.93 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$113.25 |
$113.25 |
$113.25 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$134.18 |
$134.18 |
$134.18 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,039.00 |
$1,039.00 |
$1,039.00 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$36,502.73 |
$36,502.73 |
$36,502.73 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$5,248.89 |
$5,248.89 |
$5,248.89 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$467.06 |
$467.06 |
$467.06 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$585.09 |
$585.09 |
$585.09 |
$364.08
|
|
ER Visit (level 1, minor)
|
$1,386.74 |
$1,386.74 |
$1,386.74 |
$276.70
|
|
ER Visit (level 2)
|
$2,584.59 |
$2,584.59 |
$2,584.59 |
$487.50
|
|
ER Visit (level 3)
|
$3,858.25 |
$3,858.25 |
$3,858.25 |
$850.50
|
|
ER Visit (level 4)
|
$5,468.64 |
$5,468.64 |
$5,468.64 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$7,102.65 |
$7,102.65 |
$7,102.65 |
$2,007.00
|