|
Doppler echo complete
|
$223.20 |
$223.20 |
$223.20 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$6,399.60 |
$6,399.60 |
$6,399.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$815.40 |
$815.40 |
$815.40 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$420.00 |
$420.00 |
$420.00 |
$471.17
|
|
Dpyd gene common variants
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$475.20 |
$475.20 |
$475.20 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$914.34
|
|
Drainage external ear simple 69000
|
$483.00 |
$483.00 |
$483.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$775.80 |
$775.80 |
$775.80 |
$390.39
|
|
Drainage of arm bursa 23931
|
$4,168.20 |
$4,168.20 |
$4,168.20 |
$2,197.48
|
|
Drainage of kidney lesion
|
$2,146.80 |
$2,146.80 |
$2,146.80 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,309.80 |
$4,309.80 |
$4,309.80 |
$3,900.60
|
|
Drain blood from under nail 11740
|
$109.80 |
$109.80 |
$109.80 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,955.40 |
$4,955.40 |
$4,955.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,955.40 |
$4,955.40 |
$4,955.40 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,278.60 |
$1,278.60 |
$1,278.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$555.60 |
$555.60 |
$555.60 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$519.00 |
$519.00 |
$519.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$591.60 |
$591.60 |
$591.60 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$519.00 |
$519.00 |
$519.00 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$3,020.40 |
$3,020.40 |
$3,020.40 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$1,356.00 |
$1,356.00 |
$1,356.00 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,911.60 |
$1,911.60 |
$1,911.60 |
$1,917.33
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$60.60 |
$60.60 |
$60.60 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$195.60 |
$195.60 |
$195.60 |
$569.75
|
|
Drug assay posaconazole
|
$190.80 |
$190.80 |
$190.80 |
$96.75
|
|
Drug assay rufinamide
|
$115.20 |
$115.20 |
$115.20 |
$85.80
|
|
Drug assay vedolizumab
|
$435.00 |
$435.00 |
$435.00 |
$152.79
|
|
Drug assay voriconazole
|
$157.80 |
$157.80 |
$157.80 |
$96.75
|
|
Drug test prsmv instrmnt
|
$414.60 |
$414.60 |
$414.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$885.60 |
$885.60 |
$885.60 |
$278.85
|
|
Drvvt confirm - quest
|
$230.40 |
$230.40 |
$230.40 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$7,251.60 |
$7,251.60 |
$7,251.60 |
$3,020.80
|
|
Duplex scan bilateral study 93985
|
$655.80 |
$655.80 |
$655.80 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$316.20 |
$316.20 |
$316.20 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$395.40 |
$395.40 |
$395.40 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$416.40 |
$416.40 |
$416.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$912.00 |
$912.00 |
$912.00 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$425.40 |
$425.40 |
$425.40 |
$392.60
|
|
Dx bronchoscope/wash 31622
|
$4,458.60 |
$4,458.60 |
$4,458.60 |
$2,322.60
|
|
Ear irrigation 69209
|
$222.00 |
$222.00 |
$222.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$243.60 |
$243.60 |
$243.60 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$541.20 |
$541.20 |
$541.20 |
$487.60
|
|
Ecg external < 48 hours recording
|
$541.20 |
$541.20 |
$541.20 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$541.20 |
$541.20 |
$541.20 |
$541.20
|
|
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)
|
$2,403.60 |
$2,403.60 |
$2,403.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$223.20 |
$223.20 |
$223.20 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$435.60 |
$435.60 |
$435.60 |
$362.50
|
|
Echo guide for amniocentesis
|
$997.80 |
$997.80 |
$997.80 |
$456.30
|
|
Echo guide for artery repair
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$664.00
|
|
Echo tee guidance
|
$3,804.60 |
$3,804.60 |
$3,804.60 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,568.80 |
$3,568.80 |
$3,568.80 |
$1,849.50
|
|
Echo transthoracic
|
$1,693.80 |
$1,693.80 |
$1,693.80 |
$1,361.75
|
|
Echo transthoracic
|
$979.80 |
$979.80 |
$979.80 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,667.40 |
$1,667.40 |
$1,667.40 |
$985.15
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$345.60 |
$345.60 |
$345.60 |
$2,825.34
|
|
Eeg 41-60 minutes 95812-26
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$920.00
|
|
Eeg during surgery
|
$784.80 |
$784.80 |
$784.80 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,326.80 |
$2,326.80 |
$2,326.80 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,600.80 |
$1,600.80 |
$1,600.80 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$3,360.60 |
$3,360.60 |
$3,360.60 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$3,360.60 |
$3,360.60 |
$3,360.60 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$4,474.80 |
$4,474.80 |
$4,474.80 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$4,474.80 |
$4,474.80 |
$4,474.80 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,360.60 |
$3,360.60 |
$3,360.60 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,474.80 |
$4,474.80 |
$4,474.80 |
$1,502.40
|
|
E equine encephalitis igg
|
$58.80 |
$58.80 |
$58.80 |
$49.92
|
|
Egd remove foreign body
|
$3,808.80 |
$3,808.80 |
$3,808.80 |
$1,505.50
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,837.20 |
$1,837.20 |
$1,837.20 |
$2,392.00
|
|
Egfr gene com variants
|
$4,894.80 |
$4,894.80 |
$4,894.80 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$40.80 |
$40.80 |
$40.80 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$748.20 |
$748.20 |
$748.20 |
$616.11
|
|
Electrical stimulation/unattended 97014
|
$52.80 |
$52.80 |
$52.80 |
$79.20
|
|
Electric stim/w chemodenervation 95873
|
$190.80 |
$190.80 |
$190.80 |
$166.40
|
|
Electrocorticography durng sx
|
$3,397.20 |
$3,397.20 |
$3,397.20 |
$1,660.52
|
|
Electrode stimulation brain
|
$664.80 |
$664.80 |
$664.80 |
$1,180.80
|
|
Electrolyte panel
|
$93.60 |
$93.60 |
$93.60 |
$84.24
|
|
Electron microscopy diagnostic
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$983.41
|
|
Electrophysiologic study
|
$7,023.00 |
$7,023.00 |
$7,023.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$8,949.00 |
$8,949.00 |
$8,949.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$11,556.60 |
$11,556.60 |
$11,556.60 |
$10,233.60
|
|
Electrophysiology evaluation
|
$6,684.60 |
$6,684.60 |
$6,684.60 |
$6,760.00
|
|
Electrophysiology evaluation
|
$7,356.60 |
$7,356.60 |
$7,356.60 |
$5,854.80
|
|
Electrophysiology evaluation
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$2,451.90
|
|
Electrophysiology evaluation
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$4,061.40 |
$4,061.40 |
$4,061.40 |
$5,881.00
|
|
Embolization s&i
|
$3,578.40 |
$3,578.40 |
$3,578.40 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$13,294.80 |
$13,294.80 |
$13,294.80 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$13,294.80 |
$13,294.80 |
$13,294.80 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$13,294.80 |
$13,294.80 |
$13,294.80 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$13,294.80 |
$13,294.80 |
$13,294.80 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$236.40 |
$236.40 |
$236.40 |
$370.50
|
