|
Drainage ext aud canal abscess 69020
|
$906.00 |
$906.00 |
$906.00 |
$914.34
|
|
Drainage external ear simple 69000
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$299.40 |
$299.40 |
$299.40 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,197.48
|
|
Drainage of kidney lesion
|
$1,648.80 |
$1,648.80 |
$1,648.80 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,134.60 |
$4,134.60 |
$4,134.60 |
$3,900.60
|
|
Drain blood from under nail 11740
|
$826.20 |
$826.20 |
$826.20 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,573.40 |
$2,573.40 |
$2,573.40 |
$2,540.00
|
|
Drain finger abscess;simple 26010
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$833.40 |
$833.40 |
$833.40 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$320.40 |
$320.40 |
$320.40 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$859.80 |
$859.80 |
$859.80 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$381.00 |
$381.00 |
$381.00 |
$648.00
|
|
Drng of scrotum abscess 55100
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,917.33
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$58.20 |
$58.20 |
$58.20 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$228.00 |
$228.00 |
$228.00 |
$569.75
|
|
Drug assay posaconazole
|
$175.20 |
$175.20 |
$175.20 |
$96.75
|
|
Drug assay rufinamide
|
$101.40 |
$101.40 |
$101.40 |
$85.80
|
|
Drug assay vedolizumab
|
$399.60 |
$399.60 |
$399.60 |
$152.79
|
|
Drug assay voriconazole
|
$146.40 |
$146.40 |
$146.40 |
$96.75
|
|
Drug test prsmv instrmnt
|
$363.60 |
$363.60 |
$363.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$692.40 |
$692.40 |
$692.40 |
$278.85
|
|
Drvvt confirm - quest
|
$202.80 |
$202.80 |
$202.80 |
$109.20
|
|
Ductogram sgl duct
|
$1,400.40 |
$1,400.40 |
$1,400.40 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$676.20 |
$676.20 |
$676.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$672.60 |
$672.60 |
$672.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$301.80 |
$301.80 |
$301.80 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$1,537.80 |
$1,537.80 |
$1,537.80 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,365.20 |
$2,365.20 |
$2,365.20 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$3,071.40 |
$3,071.40 |
$3,071.40 |
$2,322.60
|
|
Ear irrigation 69209
|
$821.40 |
$821.40 |
$821.40 |
$149.76
|
|
Ecg 12 lead tracing only
|
$246.00 |
$246.00 |
$246.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$190.20 |
$190.20 |
$190.20 |
$135.80
|
|
Ecg external < 48 hours recording
|
$541.20 |
$541.20 |
$541.20 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$190.80 |
$190.80 |
$190.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$318.00 |
$318.00 |
$318.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$3,390.60 |
$3,390.60 |
$3,390.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$467.40 |
$467.40 |
$467.40 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$385.20 |
$385.20 |
$385.20 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$254.40 |
$254.40 |
$254.40 |
$362.50
|
|
Echo exam of fetal heart
|
$831.60 |
$831.60 |
$831.60 |
$939.00
|
|
Echo exam of fetal heart
|
$334.20 |
$334.20 |
$334.20 |
$524.55
|
|
Echo exam of fetal heart
|
$466.80 |
$466.80 |
$466.80 |
$431.41
|
|
Echo exam of fetal heart
|
$303.60 |
$303.60 |
$303.60 |
$323.40
|
|
Echo exam uterus 76831-
|
$436.20 |
$436.20 |
$436.20 |
$523.71
|
|
Echo guide for amniocentesis
|
$486.60 |
$486.60 |
$486.60 |
$456.30
|
|
Echo guide for heart biopsy
|
$450.60 |
$450.60 |
$450.60 |
$666.40
|
|
Echo stress
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,465.80 |
$1,465.80 |
$1,465.80 |
$1,849.50
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$78.00 |
$78.00 |
$78.00 |
$87.84
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$931.20
|
|
E equine encephalitis igg
|
$61.80 |
$61.80 |
$61.80 |
$49.92
|
|
Egfr gene com variants
|
$4,493.40 |
$4,493.40 |
$4,493.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$39.00 |
$39.00 |
$39.00 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$52.80 |
$52.80 |
$52.80 |
$79.20
|
|
Electrolyte panel
|
$114.00 |
$114.00 |
$114.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$514.80 |
$514.80 |
$514.80 |
$983.41
|
|
Electrophysiology evaluation
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$2,451.90
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$337.20 |
$337.20 |
$337.20 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$585.00 |
$585.00 |
$585.00 |
$464.00
|
|
Emg needle test 1-extremity
|
$232.20 |
$232.20 |
$232.20 |
$334.34
|
|
Emg needle test 4-extremities
|
$787.80 |
$787.80 |
$787.80 |
$547.00
|
|
Encephalitis, california igg/igm
|
$61.80 |
$61.80 |
$61.80 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$61.80 |
$61.80 |
$61.80 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$61.80 |
$61.80 |
$61.80 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,084.40 |
$5,084.40 |
$5,084.40 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$578.40 |
$578.40 |
$578.40 |
$694.06
|
|
Endo cath panc duct s&i
|
$541.80 |
$541.80 |
$541.80 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$1,444.20 |
$1,444.20 |
$1,444.20 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$2,203.49
|
|
Endoscopy swallow (fees) vid
|
$375.60 |
$375.60 |
$375.60 |
$402.35
|
|
Endoven ther chem adhes 1st 36482
|
$7,095.60 |
$7,095.60 |
$7,095.60 |
$5,988.54
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$1,141.80
|
|
Epstein barr early antigen antibody
|
$225.60 |
$225.60 |
$225.60 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$264.60 |
$264.60 |
$264.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$242.40 |
$242.40 |
$242.40 |
$91.00
|
|
Ercp biliary & pancreas
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$967.04
|
|
ER Visit (level 1, minor)
|
$183.00 |
$183.00 |
$183.00 |
$246.24
|
|
ER Visit (level 2)
|
$379.80 |
$379.80 |
$379.80 |
$452.20
|
|
ER Visit (level 3)
|
$648.00 |
$648.00 |
$648.00 |
$770.04
|
|
ER Visit (level 4)
|
$1,026.60 |
$1,026.60 |
$1,026.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
$1,820.02
|
|
Established Patient Office Visit (level 1)
|
$86.40 |
$86.40 |
$86.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$111.60 |
$111.60 |
$111.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$186.60 |
$186.60 |
$186.60 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$281.40 |
$281.40 |
$281.40 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$398.40 |
$398.40 |
$398.40 |
$280.33
|
|
Estradiol total
|
$198.60 |
$198.60 |
$198.60 |
$146.50
|
|
Estrogens total-sendout
|
$286.20 |
$286.20 |
$286.20 |
$96.20
|
|
Ethylene glycol -sendout
|
$204.60 |
$204.60 |
$204.60 |
$89.40
|
|
Euglobulin lysis
|
$241.20 |
$241.20 |
$241.20 |
$56.70
|
|
Eval aud funcj ea addl 15
|
$97.80 |
$97.80 |
$97.80 |
$85.80
|
|
Eval aud rehab status/first hr 92626
|
$280.20 |
$280.20 |
$280.20 |
$285.60
|
|
Eval/fit voice prosthesis iii, st
|
$393.60 |
$393.60 |
$393.60 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$415.80 |
$415.80 |
$415.80 |
$219.60
|
