|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$278.85
|
|
Drvvt confirm - quest
|
$38.42 |
$277.53 |
$277.53 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$6,574.59 |
$6,574.59 |
$6,574.59 |
$3,390.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$670.00
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,978.81 |
$1,978.81 |
$1,978.81 |
$886.40
|
|
Ductogram sgl duct
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$1,480.20 |
$2,833.35 |
$11,803.55 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$711.56 |
$1,344.82 |
$5,899.06 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$2,124.85 |
$2,124.85 |
$5,961.81 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,212.94 |
$3,212.94 |
$8,753.86 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,788.71 |
$2,788.71 |
$14,942.61 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$216.92 |
$216.92 |
$216.92 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$96,821.98 |
$96,821.98 |
$97,572.28 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$427.91 |
$427.91 |
$427.91 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$17,485.67 |
$17,485.67 |
$17,485.67 |
$2,780.40
|
|
Ear canal biopsy 69105
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$1,768.50
|
|
Ear irrigation 69209
|
$670.29 |
$670.29 |
$670.29 |
$165.42
|
|
Ecg 12 lead tracing only
|
$747.05 |
$747.05 |
$1,951.43 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$670.29 |
$670.29 |
$1,504.03 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$1,236.88 |
$1,236.88 |
$1,236.88 |
$429.00
|
|
Ecg external < 48 hours recording
|
$960.74 |
$1,252.04 |
$8,731.97 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,252.04 |
$1,252.04 |
$3,801.82 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$670.29 |
$670.29 |
$670.29 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$670.29 |
$670.29 |
$670.29 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,964.88 |
$3,964.88 |
$11,010.03 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$986.65 |
$986.65 |
$2,720.30 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,224.85 |
$2,224.85 |
$4,199.04 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$659.36 |
$659.36 |
$1,598.80 |
$353.46
|
|
Echo exam of fetal heart
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$855.38
|
|
Echo exam of fetal heart
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$503.80
|
|
Echo exam of fetal heart
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$431.41
|
|
Echo exam of fetal heart
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$323.40
|
|
Echo exam uterus 76831-
|
$2,833.35 |
$2,833.35 |
$3,543.12 |
$547.20
|
|
Echograp trans r pros study
|
$1,344.82 |
$1,344.82 |
$6,029.13 |
$459.40
|
|
Echo guidance radiotherapy
|
$2,063.30 |
$2,063.30 |
$23,784.31 |
$774.80
|
|
Echo guide for amniocentesis
|
$581.71 |
$581.71 |
$581.71 |
$384.65
|
|
Echo guide for artery repair
|
$1,420.18 |
$2,194.29 |
$8,385.30 |
$680.28
|
|
Echo stress
|
$5,551.89 |
$5,551.89 |
$16,847.40 |
$1,582.75
|
|
Echo tee guidance
|
$9,177.95 |
$9,177.95 |
$11,028.85 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$5,928.41 |
$5,928.41 |
$11,028.85 |
$1,871.10
|
|
Echo transesophageal
|
$2,113.63 |
$2,113.63 |
$2,113.63 |
$913.33
|
|
Echo transesophageal
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$1,734.10
|
|
Echo transesophageal intraop
|
$5,928.41 |
$5,928.41 |
$11,028.85 |
$1,571.70
|
|
Echo transthoracic
|
$2,519.53 |
$5,928.41 |
$5,928.41 |
$1,492.50
|
|
Echo transthoracic
|
$945.32 |
$5,928.41 |
$5,928.41 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$3,206.60 |
$3,206.60 |
$5,497.34 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,560.67 |
$2,560.67 |
$2,560.67 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,560.67 |
$2,560.67 |
$2,560.67 |
$4,324.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$29,555.71 |
$29,555.71 |
$29,555.71 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$1,442.90 |
$1,442.90 |
$6,543.99 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,618.79 |
$1,680.14 |
$6,033.67 |
$1,049.59
|
|
Eeg during surgery
|
$3,869.06 |
$3,869.06 |
$9,224.74 |
$775.45
|
|
Eeg monitoring/function test
|
$11,386.02 |
$11,386.02 |
$11,386.02 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,179.34 |
$2,179.34 |
$6,543.99 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,195.17 |
$2,195.17 |
$13,085.25 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$3,212.94 |
$3,212.94 |
$10,545.51 |
$936.00
|
|
Eeg recording awake and asleep
|
$3,212.94 |
$3,212.94 |
$11,375.82 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$1,908.85 |
$1,908.85 |
$1,908.85 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$1,251.52
|
|
E equine encephalitis igg
|
$63.22 |
$203.58 |
$203.58 |
$48.73
|
|
Egd control bleeding any
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,553.75
|
|
Egd dilate stricture
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,638.57
|
|
Egd remove foreign body
|
$8,175.03 |
$8,175.03 |
$8,175.03 |
$1,588.55
|
|
Egd remove lesion snare
|
$17,266.53 |
$17,266.53 |
$17,266.53 |
$2,506.40
|
|
Egfr gene com variants
|
$1,197.35 |
$1,197.35 |
$5,009.90 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$128.96 |
$128.96 |
$211.96 |
$105.00
|
|
EKG tracing for initial prev
|
$304.65 |
$304.65 |
$304.65 |
$56.65
|
|
Elec analys infus pump w/reprog 62368
|
$957.46 |
$957.46 |
$957.46 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$957.46 |
$957.46 |
$957.46 |
$535.43
|
|
Electrical stimulation/unattended 97014
|
$240.63 |
$240.63 |
$240.63 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$209.35 |
$209.35 |
$209.35 |
$128.40
|
|
Electrocochleography
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$393.00
|
|
Electroconvulsive therapy 90870
|
$1,883.00 |
$1,883.00 |
$6,030.09 |
$1,180.80
|
|
Electrocorticography durng sx
|
$1,642.53 |
$1,642.53 |
$1,642.53 |
$1,660.52
|
|
Electrode stimulation brain
|
$12,378.73 |
$12,378.73 |
$12,378.73 |
$1,180.80
|
|
Electrolyte panel
|
$494.60 |
$494.60 |
$2,141.84 |
$86.33
|
|
Electron microscopy diagnostic
|
$566.80 |
$2,854.84 |
$7,752.38 |
$966.69
|
|
Electrophysiologic study
|
$11,176.17 |
$11,176.17 |
$43,274.07 |
$6,758.40
|
|
Electrophysiology evaluation
|
$12,772.16 |
$15,945.81 |
$15,945.81 |
$8,979.45
|
|
Electrophysiology evaluation
|
$12,772.16 |
$21,906.42 |
$21,906.42 |
$11,175.42
|
|
Electrophysiology evaluation
|
$14,368.15 |
$27,820.68 |
$27,820.68 |
$7,769.30
|
|
Electrophysiology evaluation
|
$13,826.18 |
$13,826.18 |
$14,368.15 |
$6,516.00
|
|
Electrophysiology evaluation
|
$8,060.12 |
$8,060.12 |
$8,060.12 |
$2,845.10
|
|
Electrophysiology evaluation
|
$7,105.02 |
$7,105.02 |
$7,105.02 |
$2,803.20
|
|
Electrophysiology evaluation
|
$6,581.96 |
$6,581.96 |
$6,581.96 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$6,386.99 |
$6,567.10 |
$6,567.10 |
$6,534.00
|
|
Embolization s&i
|
$6,974.40 |
$6,974.40 |
$10,491.75 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$57,748.07 |
$57,748.07 |
$57,748.07 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$57,056.01 |
$57,056.01 |
$57,056.01 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$57,239.33 |
$57,239.33 |
$57,239.33 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$57,239.33 |
$57,239.33 |
$57,239.33 |
$15,038.25
|
|
Emb w/colposcopy 58110
|
$1,376.74 |
$1,376.74 |
$1,376.74 |
$290.55
|
|
Emb without cervical dilation 58100
|
$2,089.82 |
$2,089.82 |
$2,089.82 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$2,411.73 |
$2,411.73 |
$2,411.73 |
$434.00
|
