|
Drug test def 8-14 classes
|
$659.75 |
$659.75 |
$659.75 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$263.90 |
$263.90 |
$263.90 |
$278.85
|
|
Drvvt confirm - quest
|
$95.55 |
$95.55 |
$95.55 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$2,980.00
|
|
Ductogram sgl duct
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$469.80
|
|
Duodenal motility study
|
$374.40 |
$374.40 |
$374.40 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$626.60 |
$626.60 |
$626.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$496.60 |
$496.60 |
$496.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$731.25 |
$731.25 |
$731.25 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,339.94 |
$1,339.94 |
$1,339.94 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$596.70 |
$596.70 |
$596.70 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,410.50
|
|
Dx laryngoscopy w/oper scope
|
$668.20 |
$668.20 |
$668.20 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$1,028.30 |
$1,028.30 |
$1,028.30 |
$558.11
|
|
Dynamic cavernosometry
|
$583.70 |
$583.70 |
$583.70 |
$3,442.40
|
|
Dynamic fine wire emg
|
$100.10 |
$100.10 |
$100.10 |
$374.29
|
|
Dynamic surface emg
|
$117.00 |
$117.00 |
$117.00 |
$368.50
|
|
Ear and throat examination
|
$392.60 |
$392.60 |
$392.60 |
$602.63
|
|
Ear cartilage graft
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$6,385.40
|
|
Ear irrigation 69209
|
$193.70 |
$193.70 |
$193.70 |
$154.70
|
|
Ecallantide injection
|
$13,353.39 |
$13,353.39 |
$13,353.39 |
$13,357.14
|
|
Ecg/1-3 leads/interp & report only 93042
|
$42.90 |
$42.90 |
$42.90 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$278.20 |
$278.20 |
$278.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$601.90 |
$601.90 |
$601.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$278.20 |
$278.20 |
$278.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$183.95 |
$183.95 |
$183.95 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$183.95 |
$183.95 |
$183.95 |
$173.40
|
|
Ecg record/review
|
$135.20 |
$135.20 |
$135.20 |
$371.28
|
|
Ecg/review interpret only
|
$135.20 |
$135.20 |
$135.20 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,281.15 |
$1,281.15 |
$1,281.15 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$866.45 |
$866.45 |
$866.45 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,691.35 |
$3,691.35 |
$3,691.35 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,667.90 |
$1,667.90 |
$1,667.90 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$487.50 |
$487.50 |
$487.50 |
$371.25
|
|
Echo exam of eye
|
$596.70 |
$596.70 |
$596.70 |
$143.75
|
|
Echo exam of eye
|
$596.70 |
$596.70 |
$596.70 |
$172.00
|
|
Echo exam of eye thickness
|
$40.30 |
$40.30 |
$40.30 |
$40.30
|
|
Echo exam of fetal heart
|
$3,073.85 |
$3,073.85 |
$3,073.85 |
$904.80
|
|
Echo exam of fetal heart
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$538.27
|
|
Echo exam of fetal heart
|
$596.70 |
$596.70 |
$596.70 |
$431.41
|
|
Echo exam uterus 76831-
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$561.00
|
|
Echograp trans r pros study
|
$596.70 |
$596.70 |
$596.70 |
$468.00
|
|
Echo guidance radiotherapy
|
$968.50 |
$968.50 |
$968.50 |
$812.00
|
|
Echo guide for amniocentesis
|
$297.70 |
$297.70 |
$297.70 |
$455.57
|
|
Echo guide for artery repair
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$696.30
|
|
Echo guide for heart biopsy
|
$680.55 |
$680.55 |
$680.55 |
$666.40
|
|
Echo guide for transfusion
|
$588.25 |
$588.25 |
$588.25 |
$332.39
|
|
Echo guide ova aspiration
|
$174.20 |
$174.20 |
$174.20 |
$174.20
|
|
Echo guide villus sampling
|
$194.35 |
$194.35 |
$194.35 |
$362.88
|
|
Echo stress
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$171.60 |
$171.60 |
$171.60 |
$751.34
|
|
Echo tee guidance
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,913.60
|
|
Echo transesophageal
|
$74.10 |
$74.10 |
$74.10 |
$1,075.20
|
|
Echo transesophageal
|
$529.10 |
$529.10 |
$529.10 |
$602.00
|
|
Echo transesophageal
|
$769.60 |
$769.60 |
$769.60 |
$1,650.00
|
|
Echo transesophageal
|
$526.50 |
$526.50 |
$526.50 |
$603.20
|
|
Echo transesophageal intraop
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,578.00
|
|
Echo transthoracic
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,361.75
|
|
Echo transthoracic
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$2,239.90 |
$2,239.90 |
$2,239.90 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,027.35 |
$2,027.35 |
$2,027.35 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$2,368.60 |
$2,368.60 |
$2,368.60 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,171.65 |
$2,171.65 |
$2,171.65 |
$2,660.16
|
|
Ecog impltd brn npgt <30 d
|
$514.80 |
$514.80 |
$514.80 |
$148.40
|
|
E coli 0157 ag ia
|
$24.70 |
$24.70 |
$24.70 |
$71.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$508.79 |
$508.79 |
$508.79 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$3,039.48 |
$3,039.48 |
$3,039.48 |
$8,739.98
|
|
Ed svc ckd grp per session
|
$143.00 |
$143.00 |
$143.00 |
$58.40
|
|
Ed svc ckd ind per session
|
$606.45 |
$606.45 |
$606.45 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$102.70 |
$102.70 |
$102.70 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$2,026.70 |
$2,026.70 |
$2,026.70 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$994.15
|
|
Eeg during surgery
|
$969.15 |
$969.15 |
$969.15 |
$775.45
|
|
Eeg monitoring/function test
|
$5,703.75 |
$5,703.75 |
$5,703.75 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$700.70 |
$700.70 |
$700.70 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,054.65 |
$2,054.65 |
$2,054.65 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$1,119.54
|
|
Eeg phy/qhp ea incr w/veeg
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$715.00 |
$715.00 |
$715.00 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$858.00 |
$858.00 |
$858.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$2,054.65 |
$2,054.65 |
$2,054.65 |
$871.00
|
|
Eeg recording awake and asleep
|
$2,054.65 |
$2,054.65 |
$2,054.65 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$721.76
|
|
Eeg without vid ea 12-26hr intmt
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,632.95
|
|
E equine encephalitis igg
|
$35.75 |
$35.75 |
$35.75 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$738.76 |
$738.76 |
$738.76 |
$13,130.61
|
|
Egd control bleeding any
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,553.75
|
