|
Dmpk gene detc abnor allele
|
$316.40 |
$316.40 |
$316.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$130.20 |
$130.20 |
$130.20 |
$100.00
|
|
Dna trichomonas
|
$88.90 |
$88.90 |
$88.90 |
$63.00
|
|
Doppler echo complete
|
$1,038.10 |
$1,038.10 |
$1,038.10 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,260.20 |
$4,260.20 |
$4,260.20 |
$2,777.60
|
|
Dpyd gene common variants
|
$477.40 |
$477.40 |
$477.40 |
$423.60
|
|
Drainage ext aud canal abscess 69020
|
$1,531.60 |
$1,531.60 |
$1,531.60 |
$914.34
|
|
Drainage external ear complex 69005
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$2,888.03
|
|
Drainage mouth roof lesion
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$405.60
|
|
Drainage of eye
|
$5,379.50 |
$5,379.50 |
$5,379.50 |
$2,415.65
|
|
Drainage of mouth lesion
|
$751.80 |
$751.80 |
$751.80 |
$535.20
|
|
Drainage of nose lesion int 30000
|
$742.70 |
$742.70 |
$742.70 |
$548.00
|
|
Drainage of salivary gland
|
$5,553.10 |
$5,553.10 |
$5,553.10 |
$4,560.40
|
|
Drainage of urethra abscess 53060
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$556.50 |
$556.50 |
$556.50 |
$1,198.14
|
|
Drain thigh/knee lesion 27301
|
$5,505.50 |
$5,505.50 |
$5,505.50 |
$3,824.50
|
|
Drill hole implt ventricular cath/device 61107
|
$1,912.40 |
$1,912.40 |
$1,912.40 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$3,839.54
|
|
Drng of hydrocele 55000
|
$2,342.20 |
$2,342.20 |
$2,342.20 |
$832.60
|
|
Drng of ovarian cyst(s) 58800
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$3,474.84
|
|
Drug assay caffeine
|
$184.80 |
$184.80 |
$184.80 |
$81.61
|
|
Drug assay posaconazole
|
$158.20 |
$158.20 |
$158.20 |
$96.75
|
|
Drug assay vedolizumab
|
$509.60 |
$509.60 |
$509.60 |
$157.00
|
|
Drug assay voriconazole
|
$120.40 |
$120.40 |
$120.40 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$367.50 |
$367.50 |
$367.50 |
$66.43
|
|
Drug of abuse screen urine
|
$81.90 |
$81.90 |
$81.90 |
$64.50
|
|
Drug screen quant tiagabine
|
$100.80 |
$100.80 |
$100.80 |
$107.59
|
|
Drug test def 1-7 classes
|
$257.60 |
$257.60 |
$257.60 |
$263.25
|
|
Drug test def 22+ classes
|
$405.30 |
$405.30 |
$405.30 |
$423.00
|
|
Drug test def 8-14 classes
|
$289.80 |
$289.80 |
$289.80 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$437.50 |
$437.50 |
$437.50 |
$280.95
|
|
Drvvt confirm - quest
|
$116.20 |
$116.20 |
$116.20 |
$109.20
|
|
Dry needling (97799)
|
$700.00 |
$700.00 |
$700.00 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$5,598.60 |
$5,598.60 |
$5,598.60 |
$2,967.48
|
|
Duodenal motility study
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$1,143.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$903.50
|
|
Dxa bone density axl vrt fx
|
$550.20 |
$550.20 |
$550.20 |
$410.25
|
|
Dx laryngoscopy newborn
|
$408.80 |
$408.80 |
$408.80 |
$658.00
|
|
Ecg 12 lead tracing only
|
$78.40 |
$78.40 |
$78.40 |
$226.50
|
|
Ecg external < 48 hours scanning analysis w/report
|
$234.50 |
$234.50 |
$234.50 |
$541.20
|
|
Echocardiography doppler color flow mapping
|
$863.80 |
$863.80 |
$863.80 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,305.50 |
$1,305.50 |
$1,305.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,383.90 |
$1,383.90 |
$1,383.90 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$877.80 |
$877.80 |
$877.80 |
$371.25
|
|
Echo exam of fetal heart
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$904.80
|
|
Echo exam of fetal heart
|
$952.00 |
$952.00 |
$952.00 |
$538.27
|
|
Echo exam of fetal heart
|
$987.70 |
$987.70 |
$987.70 |
$431.41
|
|
Echo exam of fetal heart
|
$387.80 |
$387.80 |
$387.80 |
$319.00
|
|
Echo exam uterus 76831-
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$552.50
|
|
Echograp trans r pros study
|
$2,104.90 |
$2,104.90 |
$2,104.90 |
$466.20
|
|
Echo guide for amniocentesis
|
$1,050.70 |
$1,050.70 |
$1,050.70 |
$446.60
|
|
Echo guide for artery repair
|
$721.00 |
$721.00 |
$721.00 |
$687.35
|
|
Echo guide for heart biopsy
|
$781.20 |
$781.20 |
$781.20 |
$666.40
|
|
Echo guide for transfusion
|
$472.50 |
$472.50 |
$472.50 |
$332.39
|
|
Echo guide villus sampling
|
$963.20 |
$963.20 |
$963.20 |
$362.88
|
|
Echo tee guidance
|
$5,871.60 |
$5,871.60 |
$5,871.60 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$1,889.20
|
|
Echo transthoracic
|
$2,471.70 |
$2,471.70 |
$2,471.70 |
$1,361.75
|
|
Echo transthoracic
|
$1,957.90 |
$1,957.90 |
$1,957.90 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,997.10 |
$1,997.10 |
$1,997.10 |
$1,022.30
|
|
Ecmo/ecls initiation venous 33946
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$3,988.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$2,825.34
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$1,362.00
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$835.10 |
$835.10 |
$835.10 |
$1,073.80
|
|
Eeg 41-60 minutes 95812-26
|
$1,010.80 |
$1,010.80 |
$1,010.80 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$970.07
|
|
Eeg monitoring/function test
|
$707.70 |
$707.70 |
$707.70 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$885.50 |
$885.50 |
$885.50 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,022.30 |
$2,022.30 |
$2,022.30 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$4,246.90 |
$4,246.90 |
$4,246.90 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$3,033.80 |
$3,033.80 |
$3,033.80 |
$681.02
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,370.50 |
$3,370.50 |
$3,370.50 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,246.90 |
$4,246.90 |
$4,246.90 |
$1,591.10
|
|
E equine encephalitis igg
|
$162.40 |
$162.40 |
$162.40 |
$50.88
|
|
Egd esophagogastrc fndoplsty
|
$9,573.90 |
$9,573.90 |
$9,573.90 |
$7,229.60
|
|
Egd optical endomicroscopy
|
$2,372.30 |
$2,372.30 |
$2,372.30 |
$2,372.30
|
|
Egd w/transmural drain cyst
|
$4,375.00 |
$4,375.00 |
$4,375.00 |
$4,379.25
|
|
Egfr gene com variants
|
$984.20 |
$984.20 |
$984.20 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$81.20 |
$81.20 |
$81.20 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$7,676.55 |
$7,676.55 |
$7,676.55 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$677.60 |
$677.60 |
$677.60 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,070.30 |
$1,070.30 |
$1,070.30 |
$618.80
|
|
Electrical stimulation/unattended 97014
|
$189.70 |
$189.70 |
$189.70 |
$81.00
|
|
Electrolyte panel
|
$74.90 |
$74.90 |
$74.90 |
$78.65
|
|
Electron microscopy diagnostic
|
$1,185.10 |
$1,185.10 |
$1,185.10 |
$1,006.20
|
|
Electrophysiologic study
|
$9,277.80 |
$9,277.80 |
$9,277.80 |
$7,023.00
|
|
Electrophysiology evaluation
|
$8,975.40 |
$8,975.40 |
$8,975.40 |
$8,979.45
|
|
Embolization s&i
|
$4,783.80 |
$4,783.80 |
$4,783.80 |
$3,215.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$15,229.20 |
$15,229.20 |
$15,229.20 |
$7,651.38
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$13,282.50 |
$13,282.50 |
$13,282.50 |
$6,719.96
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$553.70 |
$553.70 |
$553.70 |
$487.20
|
|
Emg needle test 4-extremities
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$590.00
|
|
Encephalitis, california igg/igm
|
$182.70 |
$182.70 |
$182.70 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$162.40 |
$162.40 |
$162.40 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$162.40 |
$162.40 |
$162.40 |
$53.90
|
|
Endo cath bile duct s&i
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
$694.06
|
|
Endo cath panc duct s&i
|
$360.50 |
$360.50 |
$360.50 |
$672.43
|
|
Endo defect closure gi tract
|
$22,791.30 |
$22,791.30 |
$22,791.30 |
$11,378.21
|
|
Endoluminl ivus oct c 1st
|
$4,148.90 |
$4,148.90 |
$4,148.90 |
$3,290.30
|
