|
Drng of eyelid abscess 67700
|
$1,667.20 |
$1,667.20 |
$1,667.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$5,422.40 |
$5,422.40 |
$5,422.40 |
$1,917.33
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$84.00 |
$84.00 |
$84.00 |
$127.14
|
|
Drug assay posaconazole
|
$216.00 |
$216.00 |
$216.00 |
$96.75
|
|
Drug assay rufinamide
|
$144.00 |
$144.00 |
$144.00 |
$85.80
|
|
Drug assay vedolizumab
|
$490.40 |
$490.40 |
$490.40 |
$152.79
|
|
Drug assay voriconazole
|
$179.20 |
$179.20 |
$179.20 |
$96.75
|
|
Drug test prsmv instrmnt
|
$949.60 |
$949.60 |
$949.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$892.00 |
$892.00 |
$892.00 |
$278.85
|
|
Drvvt confirm - quest
|
$286.40 |
$286.40 |
$286.40 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$9,624.00 |
$9,624.00 |
$9,624.00 |
$3,020.80
|
|
Ductogram sgl duct
|
$511.20 |
$511.20 |
$511.20 |
$463.10
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,772.80 |
$1,772.80 |
$1,772.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$18,401.60 |
$18,401.60 |
$18,401.60 |
$887.25
|
|
Ear irrigation 69209
|
$323.20 |
$323.20 |
$323.20 |
$149.76
|
|
Ecg 12 lead tracing only
|
$351.20 |
$351.20 |
$351.20 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$721.60 |
$721.60 |
$721.60 |
$487.60
|
|
Ecg external < 48 hours recording
|
$721.60 |
$721.60 |
$721.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$721.60 |
$721.60 |
$721.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$254.40 |
$254.40 |
$254.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$424.00 |
$424.00 |
$424.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$3,112.00 |
$3,112.00 |
$3,112.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$916.00 |
$916.00 |
$916.00 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$362.50
|
|
Echo stress
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,374.40 |
$3,374.40 |
$3,374.40 |
$1,849.50
|
|
Echo transesophageal
|
$916.00 |
$916.00 |
$916.00 |
$664.39
|
|
Echo transesophageal
|
$1,286.40 |
$1,286.40 |
$1,286.40 |
$603.20
|
|
Echo transthoracic
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$96.80 |
$96.80 |
$96.80 |
$87.84
|
|
Eeg 41-60 minutes 95812-26
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$931.20
|
|
E equine encephalitis igg
|
$66.40 |
$66.40 |
$66.40 |
$49.92
|
|
Egd remove foreign body
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$1,505.50
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,219.20 |
$2,219.20 |
$2,219.20 |
$2,392.00
|
|
Egfr gene com variants
|
$8,329.60 |
$8,329.60 |
$8,329.60 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$50.40 |
$50.40 |
$50.40 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$1,384.80 |
$1,384.80 |
$1,384.80 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$563.20
|
|
Electrical stimulation/unattended 97014
|
$70.40 |
$70.40 |
$70.40 |
$79.20
|
|
Electrolyte panel
|
$190.40 |
$190.40 |
$190.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$3,398.40 |
$3,398.40 |
$3,398.40 |
$983.41
|
|
Encephalitis, california igg/igm
|
$66.40 |
$66.40 |
$66.40 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$66.40 |
$66.40 |
$66.40 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$66.40 |
$66.40 |
$66.40 |
$53.10
|
|
Endo cath bile duct s&i
|
$941.60 |
$941.60 |
$941.60 |
$694.06
|
|
Endo cath panc duct s&i
|
$941.60 |
$941.60 |
$941.60 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$500.80 |
$500.80 |
$500.80 |
$402.35
|
|
Enzyme histochemistry
|
$708.80 |
$708.80 |
$708.80 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$20,607.20 |
$20,607.20 |
$20,607.20 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$20,607.20 |
$20,607.20 |
$20,607.20 |
$28,199.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$4,568.00 |
$4,568.00 |
$4,568.00 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$7,786.40 |
$7,786.40 |
$7,786.40 |
$2,202.48
|
|
Epstein barr early antigen antibody
|
$187.20 |
$187.20 |
$187.20 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$184.00 |
$184.00 |
$184.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$220.80 |
$220.80 |
$220.80 |
$91.00
|
|
Ercp biliary & pancreas
|
$941.60 |
$941.60 |
$941.60 |
$967.04
|
|
ER Visit (level 1, minor)
|
$244.00 |
$244.00 |
$244.00 |
$246.24
|
|
ER Visit (level 2)
|
$506.40 |
$506.40 |
$506.40 |
$452.20
|
|
ER Visit (level 3)
|
$864.00 |
$864.00 |
$864.00 |
$770.04
|
|
ER Visit (level 4)
|
$1,368.80 |
$1,368.80 |
$1,368.80 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$1,820.02
|
|
Established Patient Office Visit (level 1)
|
$123.20 |
$123.20 |
$123.20 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$140.80 |
$140.80 |
$140.80 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$236.00 |
$236.00 |
$236.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$356.00 |
$356.00 |
$356.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$503.20 |
$503.20 |
$503.20 |
$280.33
|
|
Estradiol total
|
$342.40 |
$342.40 |
$342.40 |
$146.50
|
|
Ethylene glycol -sendout
|
$285.60 |
$285.60 |
$285.60 |
$89.40
|
|
Euglobulin lysis
|
$342.40 |
$342.40 |
$342.40 |
$56.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$257.60 |
$257.60 |
$257.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$483.20 |
$483.20 |
$483.20 |
$311.50
|
|
Event monitor
|
$254.40 |
$254.40 |
$254.40 |
$242.65
|
|
Evoked auditory tst complete
|
$354.40 |
$354.40 |
$354.40 |
$344.68
|
|
Evoked oa emissions ltd
|
$264.00 |
$264.00 |
$264.00 |
$234.32
|
|
Exc benign tal 0.5 < cm 11400
|
$591.20 |
$591.20 |
$591.20 |
$827.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$336.00 |
$336.00 |
$336.00 |
$765.50
|
|
Exchange biliary drg cath
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$3,909.56
|
|
Exchange nephrostomy cath
|
$1,666.40 |
$1,666.40 |
$1,666.40 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,768.00 |
$2,768.00 |
$2,768.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$563.20 |
$563.20 |
$563.20 |
$1,012.86
|
|
Excision of gum flap
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$1,944.80
|
|
Ext ecg>48hr<7d scan a/r
|
$721.60 |
$721.60 |
$721.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$721.60 |
$721.60 |
$721.60 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$604.80 |
$604.80 |
$604.80 |
$108.60
|
|
Facial bones <3
|
$439.20 |
$439.20 |
$439.20 |
$252.60
|
|
Factor ix
|
$324.00 |
$324.00 |
$324.00 |
$156.13
|
|
Factor viii
|
$317.60 |
$317.60 |
$317.60 |
$133.81
|
|
Fancc gene
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$147.00
|
|
Fat/lipids feces qualitative
|
$102.40 |
$102.40 |
$102.40 |
$38.35
|
|
Fatty acids nonesterified
|
$258.40 |
$258.40 |
$258.40 |
$64.28
|
|
#fecal-sodium
|
$232.80 |
$232.80 |
$232.80 |
$37.50
|
