|
Drainage mouth roof lesion
|
$377.30 |
$377.30 |
$377.30 |
$474.39
|
|
Drainage of arm bursa 23931
|
$2,209.90 |
$2,209.90 |
$2,209.90 |
$2,419.30
|
|
Drainage of kidney lesion
|
$1,268.85 |
$1,268.85 |
$1,268.85 |
$1,706.65
|
|
Drainage of mouth lesion
|
$1,433.30 |
$1,433.30 |
$1,433.30 |
$2,320.03
|
|
Drainage of mouth lesion
|
$548.90 |
$548.90 |
$548.90 |
$1,022.40
|
|
Drainage of nose lesion int 30000
|
$466.95 |
$466.95 |
$466.95 |
$548.00
|
|
Drain blood from under nail 11740
|
$103.40 |
$103.40 |
$103.40 |
$190.33
|
|
Drain cath image guided visceral pq
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$865.15 |
$865.15 |
$865.15 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$316.80 |
$316.80 |
$316.80 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$313.50 |
$313.50 |
$313.50 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$227.70 |
$227.70 |
$227.70 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$554.40 |
$554.40 |
$554.40 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$318.45 |
$318.45 |
$318.45 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,488.30 |
$1,488.30 |
$1,488.30 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$867.90 |
$867.90 |
$867.90 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$1,546.60 |
$1,546.60 |
$1,546.60 |
$2,069.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$251.78 |
$251.78 |
$251.78 |
$1,778.40
|
|
Drug admin & hemodynmic meas
|
$202.95 |
$202.95 |
$202.95 |
$528.50
|
|
Drug assay posaconazole
|
$51.70 |
$51.70 |
$51.70 |
$96.39
|
|
Drug assay rufinamide
|
$130.90 |
$130.90 |
$130.90 |
$93.60
|
|
Drug assay vedolizumab
|
$113.85 |
$113.85 |
$113.85 |
$164.16
|
|
Drug assay voriconazole
|
$48.95 |
$48.95 |
$48.95 |
$96.75
|
|
Drug screen quant tiagabine
|
$90.75 |
$90.75 |
$90.75 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,183.05 |
$1,183.05 |
$1,183.05 |
$278.85
|
|
Drvvt confirm - quest
|
$125.40 |
$125.40 |
$125.40 |
$101.66
|
|
Ductogram sgl duct
|
$860.20 |
$860.20 |
$860.20 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$376.20 |
$376.20 |
$376.20 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$188.10 |
$188.10 |
$188.10 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$415.80 |
$415.80 |
$415.80 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$996.05 |
$996.05 |
$996.05 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$852.50 |
$852.50 |
$852.50 |
$903.00
|
|
Ear irrigation 69209
|
$143.55 |
$143.55 |
$143.55 |
$165.42
|
|
Ecg 12 lead tracing only
|
$307.45 |
$307.45 |
$307.45 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$254.10 |
$254.10 |
$254.10 |
$129.83
|
|
Ecg external < 48 hours recording
|
$933.90 |
$933.90 |
$933.90 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$864.05 |
$864.05 |
$864.05 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$940.50 |
$940.50 |
$940.50 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$89.10 |
$89.10 |
$89.10 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,501.95 |
$2,501.95 |
$2,501.95 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$554.40 |
$554.40 |
$554.40 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,644.95 |
$2,644.95 |
$2,644.95 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$701.25 |
$701.25 |
$701.25 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$444.40 |
$444.40 |
$444.40 |
$353.46
|
|
Echo exam of fetal heart
|
$468.05 |
$468.05 |
$468.05 |
$431.41
|
|
Echo exam of fetal heart
|
$353.65 |
$353.65 |
$353.65 |
$323.40
|
|
Echo exam uterus 76831-
|
$977.35 |
$977.35 |
$977.35 |
$547.20
|
|
Echo guide for amniocentesis
|
$1,114.85 |
$1,114.85 |
$1,114.85 |
$384.65
|
|
Echo guide for artery repair
|
$677.60 |
$677.60 |
$677.60 |
$680.28
|
|
Echo stress
|
$2,215.95 |
$2,215.95 |
$2,215.95 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,119.15 |
$2,119.15 |
$2,119.15 |
$1,871.10
|
|
Echo transesophageal
|
$871.20 |
$871.20 |
$871.20 |
$913.33
|
|
Echo transthoracic
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,492.50
|
|
Echo transthoracic
|
$711.15 |
$711.15 |
$711.15 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,005.95 |
$1,005.95 |
$1,005.95 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$592.90 |
$592.90 |
$592.90 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$699.05 |
$699.05 |
$699.05 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$999.35 |
$999.35 |
$999.35 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,224.30 |
$1,224.30 |
$1,224.30 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$999.35 |
$999.35 |
$999.35 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$372.90 |
$372.90 |
$372.90 |
$586.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$928.95 |
$928.95 |
$928.95 |
$1,251.52
|
|
E equine encephalitis igg
|
$79.20 |
$79.20 |
$79.20 |
$48.73
|
|
Egd remove foreign body
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,588.55
|
|
Egfr gene com variants
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$43.45 |
$43.45 |
$43.45 |
$105.00
|
|
Elec stim unattend for press
|
$58.85 |
$58.85 |
$58.85 |
$45.63
|
|
Electroconvulsive therapy 90870
|
$655.05 |
$655.05 |
$655.05 |
$1,180.80
|
|
Electrolyte panel
|
$118.25 |
$118.25 |
$118.25 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$966.69
|
|
Electrophysiology evaluation
|
$1,258.95 |
$1,258.95 |
$1,258.95 |
$2,845.10
|
|
Embolization s&i
|
$3,877.50 |
$3,877.50 |
$3,877.50 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$14,561.80 |
$14,561.80 |
$14,561.80 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$14,809.85 |
$14,809.85 |
$14,809.85 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$14,809.85 |
$14,809.85 |
$14,809.85 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$14,809.85 |
$14,809.85 |
$14,809.85 |
$15,038.25
|
|
Emb without cervical dilation 58100
|
$259.60 |
$259.60 |
$259.60 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$236.50 |
$236.50 |
$236.50 |
$434.00
|
|
Encephalitis, california igg/igm
|
$79.20 |
$79.20 |
$79.20 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$79.20 |
$79.20 |
$79.20 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$79.20 |
$79.20 |
$79.20 |
$50.70
|
|
Endo cath bile duct s&i
|
$789.25 |
$789.25 |
$789.25 |
$612.37
|
|
Endo cath panc duct s&i
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$5,825.60 |
$5,825.60 |
$5,825.60 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$4,391.20 |
$4,391.20 |
$4,391.20 |
$2,367.97
|
|
Endoscopic pancreatoscopy
|
$2,113.10 |
$2,113.10 |
$2,113.10 |
$2,363.00
|
|
Endoscopy swallow (fees) vid
|
$401.50 |
$401.50 |
$401.50 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,346.30 |
$2,346.30 |
$2,346.30 |
$2,872.59
|
|
Endovasc rpr a-biiliac endogft 34705
|
$11,139.15 |
$11,139.15 |
$11,139.15 |
$10,604.25
|
|
Endovas iliac a device addon
|
$631.95 |
$631.95 |
$631.95 |
$1,764.36
|
|
Endoven ther chem adhes 1st 36482
|
$6,554.90 |
$6,554.90 |
$6,554.90 |
$6,459.57
|
|
Entamoeba histolytica ag eia - sendout
|
$73.70 |
$73.70 |
$73.70 |
$66.47
|
|
Enzyme histochemistry
|
$862.95 |
$862.95 |
$862.95 |
$460.32
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,093.75 |
$3,093.75 |
$3,093.75 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$45.10 |
$45.10 |
$45.10 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$50.60 |
$50.60 |
$50.60 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$84.70 |
$84.70 |
$84.70 |
$95.04
|
|
Ercp biliary & pancreas
|
$1,127.50 |
$1,127.50 |
$1,127.50 |
$943.50
|
|
ER Visit (level 1, minor)
|
$341.00 |
$341.00 |
$341.00 |
$276.70
|
