|
Drug assay voriconazole
|
$102.50 |
$102.50 |
$102.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug screen quant tiagabine
|
$115.00 |
$115.00 |
$115.00 |
$107.59
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$322.50
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$426.24
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$405.00 |
$405.00 |
$405.00 |
$278.85
|
|
Ductogram sgl duct
|
$670.00 |
$670.00 |
$670.00 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$750.00 |
$750.00 |
$750.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$500.00 |
$500.00 |
$500.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$605.00 |
$605.00 |
$605.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$740.00 |
$740.00 |
$740.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$780.00 |
$780.00 |
$780.00 |
$904.78
|
|
Dx bronchoscope/lavage 31624
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$2,410.50
|
|
Ear irrigation 69209
|
$150.00 |
$150.00 |
$150.00 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$177.50 |
$177.50 |
$177.50 |
$132.08
|
|
Echocardiogram (Heart Ultrasound)
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$470.00 |
$470.00 |
$470.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$217.50 |
$217.50 |
$217.50 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$255.00 |
$255.00 |
$255.00 |
$371.25
|
|
Echo exam of fetal heart
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$904.80
|
|
Echo exam of fetal heart
|
$835.00 |
$835.00 |
$835.00 |
$538.27
|
|
Echo exam of fetal heart
|
$580.00 |
$580.00 |
$580.00 |
$431.41
|
|
Echo exam of fetal heart
|
$437.50 |
$437.50 |
$437.50 |
$318.34
|
|
Echo exam uterus 76831-
|
$610.00 |
$610.00 |
$610.00 |
$561.00
|
|
Echograp trans r pros study
|
$580.00 |
$580.00 |
$580.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$655.00 |
$655.00 |
$655.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$315.00 |
$315.00 |
$315.00 |
$455.57
|
|
Echo guide for artery repair
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$696.30
|
|
Echo tee guidance
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,650.00
|
|
Echo transthoracic
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,361.75
|
|
Echo transthoracic
|
$795.00 |
$795.00 |
$795.00 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$890.00 |
$890.00 |
$890.00 |
$1,033.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$62.50 |
$62.50 |
$62.50 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$795.00 |
$795.00 |
$795.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$835.00 |
$835.00 |
$835.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$795.00 |
$795.00 |
$795.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$905.00 |
$905.00 |
$905.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$442.50 |
$442.50 |
$442.50 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$442.50 |
$442.50 |
$442.50 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$885.00 |
$885.00 |
$885.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$885.00 |
$885.00 |
$885.00 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$442.50 |
$442.50 |
$442.50 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$885.00 |
$885.00 |
$885.00 |
$1,632.95
|
|
Egfr gene com variants
|
$590.00 |
$590.00 |
$590.00 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$112.50 |
$112.50 |
$112.50 |
$93.00
|
|
EKG (Tracing Only)
|
$232.50 |
$232.50 |
$232.50 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$285.00 |
$285.00 |
$285.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$360.00 |
$360.00 |
$360.00 |
$364.20
|
|
Elec stim unattend for press
|
$75.00 |
$75.00 |
$75.00 |
$95.55
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$75.00 |
$75.00 |
$75.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$62.50 |
$62.50 |
$62.50 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$795.00 |
$795.00 |
$795.00 |
$1,235.00
|
|
Electrolyte panel
|
$50.00 |
$50.00 |
$50.00 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$1,011.98
|
|
Electrophysiology evaluation
|
$3,855.00 |
$3,855.00 |
$3,855.00 |
$8,975.40
|
|
Electrophysiology evaluation
|
$10,545.00 |
$10,545.00 |
$10,545.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$3,405.00 |
$3,405.00 |
$3,405.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$3,015.00 |
$3,015.00 |
$3,015.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$4,025.00 |
$4,025.00 |
$4,025.00 |
$5,762.40
|
|
Emboli detcj wo IV mbubb njx
|
$760.00 |
$760.00 |
$760.00 |
$484.25
|
|
Embolization s&i
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$11,780.00 |
$11,780.00 |
$11,780.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$16,375.00 |
$16,375.00 |
$16,375.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,385.00 |
$12,385.00 |
$12,385.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$11,955.00 |
$11,955.00 |
$11,955.00 |
$14,741.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$447.50 |
$447.50 |
$447.50 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$515.00 |
$515.00 |
$515.00 |
$502.80
|
|
Emg needle test 1-extremity
|
$297.50 |
$297.50 |
$297.50 |
$351.50
|
|
Emg needle test 4-extremities
|
$590.00 |
$590.00 |
$590.00 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$280.00 |
$280.00 |
$280.00 |
$309.83
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,570.00 |
$5,570.00 |
$5,570.00 |
$4,888.00
|
|
Endo cath bile duct s&i
|
$540.00 |
$540.00 |
$540.00 |
$714.24
|
|
Endo cholangiopancreatograph
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$4,350.00
|
|
Endoluminal bx biliary tree
|
$4,090.00 |
$4,090.00 |
$4,090.00 |
$2,379.30
|
|
Endoluminal bx urtr rnl plvs
|
$770.00 |
$770.00 |
$770.00 |
$2,375.60
|
|
Endoluminl ivus oct c 1st
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$457.50 |
$457.50 |
$457.50 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,787.20
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,460.00 |
$4,460.00 |
$4,460.00 |
$9,122.40
|
|
Endovasc tempory vessel occl
|
$14,385.00 |
$14,385.00 |
$14,385.00 |
$11,474.40
|
|
Endovenous laser vein addon 36479
|
$1,490.00 |
$1,490.00 |
$1,490.00 |
$2,755.76
|
|
Endoven ther chem adhes 1st 36482
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$6,366.08
|
|
Endoven ther chem adhes sbsq 36483
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$2,794.37
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$22.33 |
$22.33 |
$22.33 |
$112.79
|
|
Enzyme histochemistry
|
$665.00 |
$665.00 |
$665.00 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$28,635.00 |
$28,635.00 |
$28,635.00 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$31,500.00 |
$31,500.00 |
$31,500.00 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$420.00 |
$420.00 |
$420.00 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,805.00 |
$1,805.00 |
$1,805.00 |
$2,702.70
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$32.69 |
$32.69 |
$32.69 |
$865.80
|
