|
Dch validity tests
|
$44.10 |
$44.10 |
$44.10 |
$24.50
|
|
Deamidated gliadin antibody iga
|
$101.50 |
$101.50 |
$101.50 |
$43.60
|
|
Debridement (>20 cm) charge pt
|
$275.10 |
$275.10 |
$275.10 |
$260.61
|
|
Debridement bone <= 20 sq cm
|
$3,243.80 |
$3,243.80 |
$3,243.80 |
$2,316.00
|
|
Debridement/bone/20 sq cm or less 11046
|
$176.40 |
$176.40 |
$176.40 |
$663.00
|
|
Debridement/bone/ea add 20 sq cm 11047
|
$1,527.40 |
$1,527.40 |
$1,527.40 |
$1,373.46
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$798.00 |
$798.00 |
$798.00 |
$810.50
|
|
Debride nail1-5 11720
|
$122.50 |
$122.50 |
$122.50 |
$148.80
|
|
Debride nail6 or more 11721
|
$122.50 |
$122.50 |
$122.50 |
$169.60
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$384.30 |
$384.30 |
$384.30 |
$639.60
|
|
Debr musc/fascia 20sq cm/< 11043
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,160.00
|
|
Decalcification
|
$121.10 |
$121.10 |
$121.10 |
$68.90
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$213.50 |
$213.50 |
$213.50 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$294.00 |
$294.00 |
$294.00 |
$408.10
|
|
Destruction benign lesions < 14 lesions
|
$226.10 |
$226.10 |
$226.10 |
$235.13
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$132.30 |
$132.30 |
$132.30 |
$3,202.98
|
|
Determine refractive state
|
$14.70 |
$14.70 |
$14.70 |
$19.80
|
|
Devel tst phys/qhp 1st hr
|
$622.30 |
$622.30 |
$622.30 |
$337.50
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$275.80 |
$275.80 |
$275.80 |
$200.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$400.40 |
$400.40 |
$400.40 |
$227.15
|
|
Dhea-s (dehydroepiand sulfate)
|
$287.00 |
$287.00 |
$287.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$79.10 |
$79.10 |
$79.10 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$294.00 |
$294.00 |
$294.00 |
$190.68
|
|
Diagnostic Mammogram (both breasts)
|
$548.10 |
$548.10 |
$548.10 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$439.60 |
$439.60 |
$439.60 |
$301.55
|
|
Diffusing capacity
|
$238.00 |
$238.00 |
$238.00 |
$332.00
|
|
Digital analysis of eeg
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$605.60
|
|
Digoxin total therapeutic drug level
|
$147.70 |
$147.70 |
$147.70 |
$102.00
|
|
Disability dlco
|
$739.20 |
$739.20 |
$739.20 |
$282.40
|
|
Disaccharidases
|
$351.40 |
$351.40 |
$351.40 |
$216.00
|
|
Dna antibody native/double stranded
|
$204.40 |
$204.40 |
$204.40 |
$97.50
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$985.60 |
$985.60 |
$985.60 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$812.00 |
$812.00 |
$812.00 |
$471.17
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,924.30 |
$1,924.30 |
$1,924.30 |
$800.00
|
|
Drainage external ear simple 69000
|
$1,605.80 |
$1,605.80 |
$1,605.80 |
$789.60
|
|
Drainage mouth roof lesion
|
$529.90 |
$529.90 |
$529.90 |
$390.39
|
|
Drain blood from under nail 11740
|
$294.00 |
$294.00 |
$294.00 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$676.90 |
$676.90 |
$676.90 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$453.60 |
$453.60 |
$453.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$489.30 |
$489.30 |
$489.30 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,003.10 |
$1,003.10 |
$1,003.10 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$682.50 |
$682.50 |
$682.50 |
$648.00
|
|
Drug assay caffeine
|
$133.70 |
$133.70 |
$133.70 |
$83.40
|
|
Drug assay posaconazole
|
$179.90 |
$179.90 |
$179.90 |
$96.75
|
|
Drug assay rufinamide
|
$166.60 |
$166.60 |
$166.60 |
$85.80
|
|
Drug assay voriconazole
|
$184.10 |
$184.10 |
$184.10 |
$96.75
|
|
Drug of abuse screen urine
|
$400.40 |
$400.40 |
$400.40 |
$63.75
|
|
Drug test def 1-7 classes
|
$245.00 |
$245.00 |
$245.00 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$400.40 |
$400.40 |
$400.40 |
$278.85
|
|
Drvvt confirm - quest
|
$220.50 |
$220.50 |
$220.50 |
$109.20
|
|
Ear irrigation 69209
|
$135.80 |
$135.80 |
$135.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$149.80 |
$149.80 |
$149.80 |
$226.50
|
|
Ecg external < 48 hours recording
|
$324.80 |
$324.80 |
$324.80 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$149.80 |
$149.80 |
$149.80 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$108.50 |
$108.50 |
$108.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$98.70 |
$98.70 |
$98.70 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$646.80 |
$646.80 |
$646.80 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$558.60 |
$558.60 |
$558.60 |
$851.50
|
|
Echo exam uterus 76831-
|
$1,861.30 |
$1,861.30 |
$1,861.30 |
$523.71
|
|
Echo guide for amniocentesis
|
$216.30 |
$216.30 |
$216.30 |
$456.30
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$1,849.50
|
|
Eeg 41-60 minutes 95812-26
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,599.80 |
$2,599.80 |
$2,599.80 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,678.60 |
$1,678.60 |
$1,678.60 |
$931.20
|
|
Egfr gene com variants
|
$3,257.80 |
$3,257.80 |
$3,257.80 |
$657.00
|
|
Electrolyte panel
|
$99.40 |
$99.40 |
$99.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$983.41
|
|
Electrophysiology evaluation
|
$2,666.30 |
$2,666.30 |
$2,666.30 |
$2,451.90
|
|
Embolization s&i
|
$662.20 |
$662.20 |
$662.20 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$37,709.00 |
$37,709.00 |
$37,709.00 |
$15,768.75
|
|
Embo or occlude vascular venous s&i
|
$23,815.40 |
$23,815.40 |
$23,815.40 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$211.40 |
$211.40 |
$211.40 |
$370.50
|
|
Endocerv curettage w/scope 57456
|
$310.10 |
$310.10 |
$310.10 |
$470.25
|
|
Endoluminl ivus oct c 1st
|
$2,721.60 |
$2,721.60 |
$2,721.60 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,742.30 |
$1,742.30 |
$1,742.30 |
$2,203.49
|
|
Endoscopy swallow (fees) vid
|
$719.60 |
$719.60 |
$719.60 |
$402.35
|
|
Endoven ther chem adhes 1st 36482
|
$3,722.60 |
$3,722.60 |
$3,722.60 |
$5,988.54
|
|
Enzyme cell activity ra
|
$194.60 |
$194.60 |
$194.60 |
$197.60
|
|
Enzyme histochemistry
|
$1,381.80 |
$1,381.80 |
$1,381.80 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$211.40 |
$211.40 |
$211.40 |
$1,141.80
|
|
Epstein barr early antigen antibody
|
$144.20 |
$144.20 |
$144.20 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$113.40 |
$113.40 |
$113.40 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$137.90 |
$137.90 |
$137.90 |
$91.00
|
|
Ercp biliary & pancreas
|
$907.20 |
$907.20 |
$907.20 |
$967.04
|
|
ER Visit (level 1, minor)
|
$200.90 |
$200.90 |
$200.90 |
$246.24
|
|
ER Visit (level 2)
|
$361.20 |
$361.20 |
$361.20 |
$452.20
|
|
ER Visit (level 3)
|
$632.10 |
$632.10 |
$632.10 |
$770.04
|
|
ER Visit (level 4)
|
$971.60 |
$971.60 |
$971.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$1,820.02
|
|
Estradiol total
|
$177.10 |
$177.10 |
$177.10 |
$146.50
|
|
Estrogens total-sendout
|
$305.20 |
$305.20 |
$305.20 |
$96.20
|
|
Eval/fit voice prosthesis iii, st
|
$529.90 |
$529.90 |
$529.90 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$443.10 |
$443.10 |
$443.10 |
$219.60
|
|
Evaluation psychiatric diagnostic
|
$218.40 |
$218.40 |
$218.40 |
$312.00
|
|
Event monitor
|
$93.80 |
$93.80 |
$93.80 |
$242.65
|
