|
Drug test def 1-7 classes
|
$105.60 |
$105.60 |
$105.60 |
$263.25
|
|
Drug test prsmv instrmnt
|
$26.88 |
$26.88 |
$26.88 |
$87.84
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$342.24 |
$342.24 |
$342.24 |
$278.85
|
|
Drvvt confirm - quest
|
$155.04 |
$155.04 |
$155.04 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$2,979.74
|
|
Ductogram sgl duct
|
$202.56 |
$202.56 |
$202.56 |
$481.80
|
|
Duplex scan bilateral study 93985
|
$1,810.08 |
$1,810.08 |
$1,810.08 |
$680.50
|
|
Duplex scan unilateral study 93986
|
$87.36 |
$87.36 |
$87.36 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$422.88 |
$422.88 |
$422.88 |
$479.81
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$733.44 |
$733.44 |
$733.44 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$620.16 |
$620.16 |
$620.16 |
$890.55
|
|
Duragen 1x1 5ea/bx
|
$1,529.28 |
$1,529.28 |
$1,529.28 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,105.08 |
$10,105.08 |
$10,105.08 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$99.84 |
$99.84 |
$99.84 |
$397.65
|
|
Dx bronchoscope/brush 31623
|
$991.68 |
$991.68 |
$991.68 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$921.60 |
$921.60 |
$921.60 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$896.16 |
$896.16 |
$896.16 |
$2,347.80
|
|
Ear irrigation 69209
|
$121.44 |
$121.44 |
$121.44 |
$150.00
|
|
Ecg 12 lead tracing only
|
$148.32 |
$148.32 |
$148.32 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$84.00 |
$84.00 |
$84.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$207.84 |
$207.84 |
$207.84 |
$477.75
|
|
Ecg external < 48 hours recording
|
$340.80 |
$340.80 |
$340.80 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$525.12 |
$525.12 |
$525.12 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$51.84 |
$51.84 |
$51.84 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$314.88 |
$314.88 |
$314.88 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,284.48 |
$1,284.48 |
$1,284.48 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$240.48 |
$240.48 |
$240.48 |
$475.10
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,965.12 |
$1,965.12 |
$1,965.12 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$548.64 |
$548.64 |
$548.64 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$855.84 |
$855.84 |
$855.84 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$132.96 |
$132.96 |
$132.96 |
$363.22
|
|
Echo exam uterus 76831-
|
$281.76 |
$281.76 |
$281.76 |
$560.50
|
|
Echo guide for amniocentesis
|
$1,031.52 |
$1,031.52 |
$1,031.52 |
$455.57
|
|
Echo stress
|
$802.56 |
$802.56 |
$802.56 |
$1,607.45
|
|
Echo tee guidance
|
$1,465.92 |
$1,465.92 |
$1,465.92 |
$1,821.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$806.40 |
$806.40 |
$806.40 |
$1,002.00
|
|
E coli 0157 ag ia
|
$122.88 |
$122.88 |
$122.88 |
$72.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$285.60 |
$285.60 |
$285.60 |
$835.00
|
|
Eeg recording awake and asleep
|
$376.32 |
$376.32 |
$376.32 |
$931.20
|
|
E equine encephalitis igg
|
$61.44 |
$61.44 |
$61.44 |
$50.88
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$14,856.92 |
$14,856.92 |
$14,856.92 |
$12,393.28
|
|
Egd balloon dil esoph30 mm/>
|
$302.88 |
$302.88 |
$302.88 |
$2,101.52
|
|
Egd control bleeding any
|
$884.16 |
$884.16 |
$884.16 |
$2,501.40
|
|
Egd dilate stricture
|
$837.60 |
$837.60 |
$837.60 |
$2,244.82
|
|
Egd endo mucosal resection
|
$361.92 |
$361.92 |
$361.92 |
$2,430.40
|
|
Egd endoscopic stent place
|
$289.92 |
$289.92 |
$289.92 |
$3,705.00
|
|
Egd guide wire insertion
|
$577.44 |
$577.44 |
$577.44 |
$1,664.00
|
|
Egd injection varices
|
$316.32 |
$316.32 |
$316.32 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$189.60 |
$189.60 |
$189.60 |
$2,107.20
|
|
Egd optical endomicroscopy
|
$469.44 |
$469.44 |
$469.44 |
$2,244.82
|
|
Egd remove foreign body
|
$608.64 |
$608.64 |
$608.64 |
$1,473.45
|
|
Egd remove lesion snare
|
$695.04 |
$695.04 |
$695.04 |
$2,476.20
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$631.68 |
$631.68 |
$631.68 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$302.40 |
$302.40 |
$302.40 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$311.04 |
$311.04 |
$311.04 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$352.32 |
$352.32 |
$352.32 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$351.84 |
$351.84 |
$351.84 |
$3,103.10
|
|
Egd varices ligation
|
$328.32 |
$328.32 |
$328.32 |
$2,202.85
|
|
Egd w/thrml txmnt gerd
|
$309.60 |
$309.60 |
$309.60 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$524.16 |
$524.16 |
$524.16 |
$4,379.25
|
|
Egfr gene com variants
|
$659.52 |
$659.52 |
$659.52 |
$672.10
|
|
EKG for initial prevent exam g0403
|
$141.12 |
$141.12 |
$141.12 |
$37.60
|
|
EKG interpret & report preve g0405
|
$54.72 |
$54.72 |
$54.72 |
$19.20
|
|
EKG tracing for initial prev
|
$30.24 |
$30.24 |
$30.24 |
$81.76
|
|
Electrd sq emblem s-icd
|
$12,180.00 |
$12,180.00 |
$12,180.00 |
$10,617.22
|
|
Electroacous eval hear aid/biaural 92595
|
$54.24 |
$54.24 |
$54.24 |
$97.50
|
|
Electrolyte panel
|
$84.96 |
$84.96 |
$84.96 |
$80.01
|
|
Electron microscopy diagnostic
|
$686.88 |
$686.88 |
$686.88 |
$983.41
|
|
Elotuzumab 300 mg intravenous solution
|
$6,999.27 |
$6,999.27 |
$6,999.27 |
$5,523.02
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$47.76 |
$47.76 |
$47.76 |
$16,066.72
|
|
Embolization s&i
|
$2,093.76 |
$2,093.76 |
$2,093.76 |
$3,215.00
|
|
Emb w/colposcopy 58110
|
$223.68 |
$223.68 |
$223.68 |
$290.55
|
|
Emb without cervical dilation 58100
|
$223.68 |
$223.68 |
$223.68 |
$379.80
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$225.60 |
$225.60 |
$225.60 |
$375.20
|
|
Emg needle test 1-extremity
|
$283.20 |
$283.20 |
$283.20 |
$340.80
|
|
Encephalitis, california igg/igm
|
$79.68 |
$79.68 |
$79.68 |
$54.99
|
|
Encephalitis, st louis igg/igm
|
$61.44 |
$61.44 |
$61.44 |
$49.92
|
|
Encephalitis, western equine igg/igm
|
$61.44 |
$61.44 |
$61.44 |
$54.14
|
|
Endocerv curettage w/scope 57456
|
$148.32 |
$148.32 |
$148.32 |
$504.40
|
|
Endoscopic Ultrasound exam esoph
|
$262.08 |
$262.08 |
$262.08 |
$2,281.50
|
|
Endoscopy bowel pouch/biop
|
$435.36 |
$435.36 |
$435.36 |
$1,983.09
|
|
Endoscopy of bowel pouch 44385
|
$296.16 |
$296.16 |
$296.16 |
$1,899.00
|
|
Endoscopy swallow (fees) vid
|
$1,373.28 |
$1,373.28 |
$1,373.28 |
$402.35
|
|
Endo, single, pulmonary
|
$426.73 |
$426.73 |
$426.73 |
$1,046.66
|
|
Endoven ther chem adhes 1st 36482
|
$3,214.08 |
$3,214.08 |
$3,214.08 |
$6,223.50
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$9,914.40 |
$9,914.40 |
$9,914.40 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$187.34 |
$187.34 |
$187.34 |
$109.71
|
|
Enzyme histochemistry
|
$372.96 |
$372.96 |
$372.96 |
$456.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$705.60 |
$705.60 |
$705.60 |
$1,110.90
|
|
Epidural lysis mult sessions
|
$858.24 |
$858.24 |
$858.24 |
$2,440.50
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$256.27
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$303.36 |
$303.36 |
$303.36 |
$3,762.53
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,336.94 |
$1,336.94 |
$1,336.94 |
$1,273.20
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$140.52 |
$140.52 |
$140.52 |
$129.30
|
|
Epstein barr early antigen antibody
|
$78.72 |
$78.72 |
$78.72 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$82.08 |
$82.08 |
$82.08 |
$76.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$96.96 |
$96.96 |
$96.96 |
$89.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,386.80 |
$4,386.80 |
$4,386.80 |
$3,788.80
|
|
Ercp w/specimen collection
|
$431.52 |
$431.52 |
$431.52 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$2,488.75
|
