|
Drain finger abscess;simple 26010
|
$399.60 |
$399.60 |
$399.60 |
$424.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$238.20 |
$238.20 |
$238.20 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$226.20 |
$226.20 |
$226.20 |
$345.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$761.40 |
$761.40 |
$761.40 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$32,557.04 |
$32,557.04 |
$32,557.04 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$1,515.00
|
|
Drng of finger abscess comp 26011
|
$3,129.00 |
$3,129.00 |
$3,129.00 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$3,218.40 |
$3,218.40 |
$3,218.40 |
$1,935.96
|
|
Dronabinol 2.5mg oral
|
$5.10 |
$5.10 |
$5.10 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drop lock knee
|
$204.95 |
$204.95 |
$204.95 |
$204.95
|
|
Drop lock retainer each
|
$70.12 |
$70.12 |
$70.12 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,523.50 |
$4,523.50 |
$4,523.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,303.94 |
$18,303.94 |
$18,303.94 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,277.66 |
$4,277.66 |
$4,277.66 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,588.77 |
$25,588.77 |
$25,588.77 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,446.01 |
$36,446.01 |
$36,446.01 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$25,691.11 |
$25,691.11 |
$25,691.11 |
$400.98
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$83.40
|
|
Drug assay posaconazole
|
$66.00 |
$66.00 |
$66.00 |
$96.75
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$63.60 |
$63.60 |
$63.60 |
$152.79
|
|
Drug assay voriconazole
|
$72.00 |
$72.00 |
$72.00 |
$96.75
|
|
Drug of abuse screen urine
|
$97.20 |
$97.20 |
$97.20 |
$63.75
|
|
Drug screen quant tiagabine
|
$132.60 |
$132.60 |
$132.60 |
$114.62
|
|
Drug test def 1-7 classes
|
$225.00 |
$225.00 |
$225.00 |
$246.00
|
|
Drug test prsmv instrmnt
|
$186.60 |
$186.60 |
$186.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$186.60 |
$186.60 |
$186.60 |
$278.85
|
|
Drvvt confirm - quest
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$570.00 |
$570.00 |
$570.00 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$17,796.20 |
$17,796.20 |
$17,796.20 |
$10,163.72
|
|
Ear irrigation 69209
|
$149.40 |
$149.40 |
$149.40 |
$150.00
|
|
Ecg 12 lead tracing only
|
$211.80 |
$211.80 |
$211.80 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$348.00 |
$348.00 |
$348.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$370.20 |
$370.20 |
$370.20 |
$487.60
|
|
Ecg external < 48 hours recording
|
$988.20 |
$988.20 |
$988.20 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$704.40 |
$704.40 |
$704.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$186.60 |
$186.60 |
$186.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$186.60 |
$186.60 |
$186.60 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$436.80 |
$436.80 |
$436.80 |
$467.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$477.60 |
$477.60 |
$477.60 |
$705.25
|
|
Echocardiograpy doppler follow up/limited study
|
$228.00 |
$228.00 |
$228.00 |
$362.50
|
|
Echo stress
|
$2,071.20 |
$2,071.20 |
$2,071.20 |
$1,592.05
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$28,179.36 |
$28,179.36 |
$28,179.36 |
$18,199.20
|
|
Eeg monitor/record/awake/drowsy 95816
|
$870.60 |
$870.60 |
$870.60 |
$834.60
|
|
Eeg/record in coma or sleep only 95822
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$695.40 |
$695.40 |
$695.40 |
$931.20
|
|
E equine encephalitis igg
|
$72.00 |
$72.00 |
$72.00 |
$49.92
|
|
Egfr gene com variants
|
$529.20 |
$529.20 |
$529.20 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$92.40 |
$92.40 |
$92.40 |
$93.00
|
|
Electrd sq emblem s-icd
|
$14,144.54 |
$14,144.54 |
$14,144.54 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$73.20 |
$73.20 |
$73.20 |
$79.20
|
|
Electrolyte panel
|
$52.80 |
$52.80 |
$52.80 |
$84.24
|
|
Electron microscopy diagnostic
|
$726.00 |
$726.00 |
$726.00 |
$983.41
|
|
Encephalitis, california igg/igm
|
$72.00 |
$72.00 |
$72.00 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$78.60 |
$78.60 |
$78.60 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$72.00 |
$72.00 |
$72.00 |
$53.10
|
|
Endo ak/hip alignable system
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$1,165.55
|
|
Endo below knee alignable sy
|
$801.25 |
$801.25 |
$801.25 |
$611.88
|
|
Endo bk ultra-light material
|
$1,101.88 |
$1,101.88 |
$1,101.88 |
$1,012.80
|
|
Endo knee-shin frct swg & st
|
$1,241.78 |
$1,241.78 |
$1,241.78 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoscopy swallow (fees) vid
|
$402.60 |
$402.60 |
$402.60 |
$402.35
|
|
Endo, single, pulmonary
|
$8,135.08 |
$8,135.08 |
$8,135.08 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,097.21 |
$1,097.21 |
$1,097.21 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$144.66 |
$144.66 |
$144.66 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$27.60 |
$27.60 |
$27.60 |
$56.89
|
|
Entamoeb hist dispr ag ia
|
$163.20 |
$163.20 |
$163.20 |
$72.00
|
|
Enzyme cell activity ra
|
$616.20 |
$616.20 |
$616.20 |
$197.60
|
|
Enzyme histochemistry
|
$595.80 |
$595.80 |
$595.80 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$1,076.93 |
$1,076.93 |
$1,076.93 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$307.48 |
$307.48 |
$307.48 |
$145.60
|
|
Epinephrine 1 mg/ml im kit - adult
|
$6.78 |
$6.78 |
$6.78 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$6.00 |
$6.00 |
$6.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,906.02 |
$1,906.02 |
$1,906.02 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,309.04 |
$2,309.04 |
$2,309.04 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$48.00 |
$48.00 |
$48.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$48.00 |
$48.00 |
$48.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$48.00 |
$48.00 |
$48.00 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$108.24 |
$108.24 |
$108.24 |
$389.16
|
|
ER Visit (level 1, minor)
|
$337.20 |
$337.20 |
$337.20 |
$246.54
|
|
ER Visit (level 2)
|
$662.40 |
$662.40 |
$662.40 |
$452.20
|
|
ER Visit (level 3)
|
$887.40 |
$887.40 |
$887.40 |
$770.04
|
|
ER Visit (level 4)
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$5,673.54 |
$5,673.54 |
$5,673.54 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$6.00 |
$6.00 |
$6.00 |
$553.88
|
|
Esophagoscopy flex biopsy
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$3,024.60 |
$3,024.60 |
$3,024.60 |
$2,101.52
|
|
Established Patient Office Visit (level 1)
|
$122.40 |
$122.40 |
$122.40 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$195.60 |
$195.60 |
$195.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$233.40 |
$233.40 |
$233.40 |
$179.40
|
|
Established Patient Office Visit (level 4)
|
$296.40 |
$296.40 |
$296.40 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$325.80 |
$325.80 |
$325.80 |
$279.90
|
|
Estradiol total
|
$172.80 |
$172.80 |
$172.80 |
$147.00
|
|
Estrogens total-sendout
|
$57.60 |
$57.60 |
$57.60 |
$96.20
|
|
Ethylene glycol -sendout
|
$163.20 |
$163.20 |
$163.20 |
$89.40
|
|
Eval/fit voice prosthesis iii, st
|
$426.00 |
$426.00 |
$426.00 |
$357.00
|
