|
Drng of eyelid abscess 67700
|
$409.20 |
$409.20 |
$409.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$2,803.80 |
$2,803.80 |
$2,803.80 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,917.33
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$58.20 |
$58.20 |
$58.20 |
$127.14
|
|
Drug assay posaconazole
|
$161.40 |
$161.40 |
$161.40 |
$96.75
|
|
Drug assay rufinamide
|
$107.40 |
$107.40 |
$107.40 |
$85.80
|
|
Drug assay vedolizumab
|
$367.80 |
$367.80 |
$367.80 |
$152.79
|
|
Drug assay voriconazole
|
$134.40 |
$134.40 |
$134.40 |
$96.75
|
|
Drug test prsmv instrmnt
|
$334.20 |
$334.20 |
$334.20 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$714.60 |
$714.60 |
$714.60 |
$278.85
|
|
Drvvt confirm - quest
|
$214.20 |
$214.20 |
$214.20 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$6,564.60 |
$6,564.60 |
$6,564.60 |
$3,020.80
|
|
Ductogram sgl duct
|
$771.00 |
$771.00 |
$771.00 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$1,565.40 |
$1,565.40 |
$1,565.40 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$472.80 |
$472.80 |
$472.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$684.60 |
$684.60 |
$684.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$368.40 |
$368.40 |
$368.40 |
$392.60
|
|
Ear irrigation 69209
|
$280.20 |
$280.20 |
$280.20 |
$149.76
|
|
Ecg 12 lead tracing only
|
$252.00 |
$252.00 |
$252.00 |
$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)
|
$3,265.20 |
$3,265.20 |
$3,265.20 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$554.40 |
$554.40 |
$554.40 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$792.00 |
$792.00 |
$792.00 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$393.00 |
$393.00 |
$393.00 |
$362.50
|
|
Echo stress
|
$1,378.80 |
$1,378.80 |
$1,378.80 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,535.60 |
$2,535.60 |
$2,535.60 |
$1,849.50
|
|
Echo transthoracic
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$1,361.75
|
|
Echo transthoracic
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$985.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$738.60 |
$738.60 |
$738.60 |
$835.00
|
|
E equine encephalitis igg
|
$44.40 |
$44.40 |
$44.40 |
$49.92
|
|
Egd remove foreign body
|
$1,602.60 |
$1,602.60 |
$1,602.60 |
$1,505.50
|
|
Egfr gene com variants
|
$5,190.60 |
$5,190.60 |
$5,190.60 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$40.80 |
$40.80 |
$40.80 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$52.80 |
$52.80 |
$52.80 |
$79.20
|
|
Electrolyte panel
|
$153.00 |
$153.00 |
$153.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$2,565.00 |
$2,565.00 |
$2,565.00 |
$983.41
|
|
Emb without cervical dilation 58100
|
$236.40 |
$236.40 |
$236.40 |
$370.50
|
|
Encephalitis, california igg/igm
|
$44.40 |
$44.40 |
$44.40 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$44.40 |
$44.40 |
$44.40 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$44.40 |
$44.40 |
$44.40 |
$53.10
|
|
Endo cath bile duct s&i
|
$966.60 |
$966.60 |
$966.60 |
$694.06
|
|
Endo cath panc duct s&i
|
$966.60 |
$966.60 |
$966.60 |
$672.43
|
|
Endovasc rpr a-biiliac endogft 34705
|
$19,343.40 |
$19,343.40 |
$19,343.40 |
$9,055.68
|
|
Enzyme histochemistry
|
$540.60 |
$540.60 |
$540.60 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$15,445.80 |
$15,445.80 |
$15,445.80 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$15,445.80 |
$15,445.80 |
$15,445.80 |
$28,199.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,197.20 |
$2,197.20 |
$2,197.20 |
$1,141.80
|
|
Epstein barr early antigen antibody
|
$138.60 |
$138.60 |
$138.60 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$134.40 |
$134.40 |
$134.40 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$166.20 |
$166.20 |
$166.20 |
$91.00
|
|
Ercp biliary & pancreas
|
$787.20 |
$787.20 |
$787.20 |
$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)
|
$93.60 |
$93.60 |
$93.60 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$105.60 |
$105.60 |
$105.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$177.00 |
$177.00 |
$177.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$267.00 |
$267.00 |
$267.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$377.40 |
$377.40 |
$377.40 |
$280.33
|
|
Estradiol total
|
$253.20 |
$253.20 |
$253.20 |
$146.50
|
|
Ethylene glycol -sendout
|
$288.60 |
$288.60 |
$288.60 |
$89.40
|
|
Euglobulin lysis
|
$260.40 |
$260.40 |
$260.40 |
$56.70
|
|
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
|
$164.40 |
$164.40 |
$164.40 |
$219.60
|
|
Evaluation heart device
|
$2,416.20 |
$2,416.20 |
$2,416.20 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$362.40 |
$362.40 |
$362.40 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$295.80 |
$295.80 |
$295.80 |
$312.00
|
|
Evasc rpr a-ao ndgft 34701
|
$13,153.80 |
$13,153.80 |
$13,153.80 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$13,153.80 |
$13,153.80 |
$13,153.80 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$26,853.00 |
$26,853.00 |
$26,853.00 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,166.60 |
$5,166.60 |
$5,166.60 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$13,153.80 |
$13,153.80 |
$13,153.80 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$6,577.20 |
$6,577.20 |
$6,577.20 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$6,577.20 |
$6,577.20 |
$6,577.20 |
$8,996.13
|
|
Event monitor
|
$190.80 |
$190.80 |
$190.80 |
$242.65
|
|
Evoked oa emissions ltd
|
$187.20 |
$187.20 |
$187.20 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$379.20 |
$379.20 |
$379.20 |
$249.71
|
|
Exchange biliary drg cath
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$3,909.56
|
|
Exchange nephrostomy cath
|
$4,114.20 |
$4,114.20 |
$4,114.20 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,081.40 |
$2,081.40 |
$2,081.40 |
$1,973.12
|
|
Excision of gum flap
|
$1,930.80 |
$1,930.80 |
$1,930.80 |
$1,944.80
|
|
Exc thrombosed hemorrhoid 46320
|
$3,309.00 |
$3,309.00 |
$3,309.00 |
$2,099.00
|
|
Exercise tst brncspsm w/ecg
|
$269.40 |
$269.40 |
$269.40 |
$318.50
|
|
Ext ecg>48hr<7d scan a/r
|
$541.20 |
$541.20 |
$541.20 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$541.20 |
$541.20 |
$541.20 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$904.20 |
$904.20 |
$904.20 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$768.60 |
$768.60 |
$768.60 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$453.60 |
$453.60 |
$453.60 |
$108.60
|
|
Facial bones <3
|
$463.20 |
$463.20 |
$463.20 |
$252.60
|
|
Factor ix
|
$291.60 |
$291.60 |
$291.60 |
$156.13
|
