|
Drain thigh/knee lesion 27301
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$234.00 |
$234.00 |
$234.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$199.20 |
$199.20 |
$199.20 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$426.60 |
$426.60 |
$426.60 |
$523.00
|
|
Drng of finger abscess comp 26011
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$417.60 |
$417.60 |
$417.60 |
$1,917.33
|
|
Drng peritoneal abscess open 49020
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$2,520.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$31.07
|
|
Drug assay posaconazole
|
$96.00 |
$96.00 |
$96.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$363.60 |
$363.60 |
$363.60 |
$66.43
|
|
Drug of abuse screen urine
|
$122.40 |
$122.40 |
$122.40 |
$63.75
|
|
Drug screening tapentadol
|
$61.20 |
$61.20 |
$61.20 |
$36.00
|
|
Drug test def 1-7 classes
|
$199.20 |
$199.20 |
$199.20 |
$250.52
|
|
Drug test def 8-14 classes
|
$156.60 |
$156.60 |
$156.60 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$220.80 |
$220.80 |
$220.80 |
$278.85
|
|
Drvvt confirm - quest
|
$91.80 |
$91.80 |
$91.80 |
$109.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$669.60 |
$669.60 |
$669.60 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$279.60 |
$279.60 |
$279.60 |
$392.60
|
|
Ear irrigation 69209
|
$105.00 |
$105.00 |
$105.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$236.40 |
$236.40 |
$236.40 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$104.40 |
$104.40 |
$104.40 |
$135.80
|
|
Ecg external < 48 hours recording
|
$127.20 |
$127.20 |
$127.20 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$51.60 |
$51.60 |
$51.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$82.20 |
$82.20 |
$82.20 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,658.60 |
$2,658.60 |
$2,658.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$786.00 |
$786.00 |
$786.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$578.40 |
$578.40 |
$578.40 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$778.80 |
$778.80 |
$778.80 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$532.20 |
$532.20 |
$532.20 |
$362.50
|
|
Echograp trans r pros study
|
$192.00 |
$192.00 |
$192.00 |
$459.40
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,783.20 |
$1,783.20 |
$1,783.20 |
$1,849.50
|
|
Echo transesophageal intraop
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$1,571.70
|
|
Eeg 41-60 minutes 95812-26
|
$303.60 |
$303.60 |
$303.60 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$78.60 |
$78.60 |
$78.60 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$491.40 |
$491.40 |
$491.40 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$699.60 |
$699.60 |
$699.60 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$183.60 |
$183.60 |
$183.60 |
$601.30
|
|
Eeg wo vid ea 12-26hr unmntr
|
$609.00 |
$609.00 |
$609.00 |
$1,502.40
|
|
Egd control bleeding any
|
$711.00 |
$711.00 |
$711.00 |
$2,553.75
|
|
Egd lesion ablation
|
$703.20 |
$703.20 |
$703.20 |
$2,244.82
|
|
Egd remove lesion snare
|
$669.60 |
$669.60 |
$669.60 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$658.80 |
$658.80 |
$658.80 |
$2,244.82
|
|
EKG (Electrocardiogram)
|
$143.40 |
$143.40 |
$143.40 |
$89.60
|
|
Electrical stimulation/unattended 97014
|
$231.60 |
$231.60 |
$231.60 |
$79.20
|
|
Electrolyte panel
|
$102.60 |
$102.60 |
$102.60 |
$84.24
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$373.20 |
$373.20 |
$373.20 |
$109.71
|
|
Enterectomy small intestine single 44120
|
$2,025.60 |
$2,025.60 |
$2,025.60 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,021.40 |
$2,021.40 |
$2,021.40 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$2,650.80
|
|
Epidural/lumbar/sacral/ea add level64484
|
$594.00 |
$594.00 |
$594.00 |
$1,141.80
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$3,430.80 |
$3,430.80 |
$3,430.80 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$28.80 |
$28.80 |
$28.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$28.20 |
$28.20 |
$28.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$35.40 |
$35.40 |
$35.40 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
ER Visit (level 1, minor)
|
$61.20 |
$61.20 |
$61.20 |
$246.24
|
|
ER Visit (level 2)
|
$143.40 |
$143.40 |
$143.40 |
$452.20
|
|
ER Visit (level 3)
|
$277.80 |
$277.80 |
$277.80 |
$770.04
|
|
ER Visit (level 4)
|
$1,745.40 |
$1,745.40 |
$1,745.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Esoph egd dilation <30 mm
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$413.40 |
$413.40 |
$413.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$73.80 |
$73.80 |
$73.80 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$301.20 |
$301.20 |
$301.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$135.60 |
$135.60 |
$135.60 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$199.80 |
$199.80 |
$199.80 |
$280.33
|
|
Estradiol total
|
$201.60 |
$201.60 |
$201.60 |
$146.50
|
|
Estrogens total-sendout
|
$263.40 |
$263.40 |
$263.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$244.80 |
$244.80 |
$244.80 |
$89.40
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$130.80 |
$130.80 |
$130.80 |
$219.60
|
|
Event monitor
|
$181.20 |
$181.20 |
$181.20 |
$242.65
|
|
Evok oa screening qual
|
$197.40 |
$197.40 |
$197.40 |
$109.13
|
|
Exc abd les sc 3 cm/>
|
$733.80 |
$733.80 |
$733.80 |
$3,796.00
|
|
Exc abdl tum deep < 5 cm
|
$981.60 |
$981.60 |
$981.60 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$463.20 |
$463.20 |
$463.20 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$598.20 |
$598.20 |
$598.20 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$564.60 |
$564.60 |
$564.60 |
$2,676.58
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$375.00 |
$375.00 |
$375.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$532.80 |
$532.80 |
$532.80 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$383.40 |
$383.40 |
$383.40 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$187.80 |
$187.80 |
$187.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$243.00 |
$243.00 |
$243.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$301.20 |
$301.20 |
$301.20 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$145.20 |
$145.20 |
$145.20 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$337.80 |
$337.80 |
$337.80 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$523.80 |
$523.80 |
$523.80 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$136.20 |
$136.20 |
$136.20 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$308.40 |
$308.40 |
$308.40 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$408.60 |
$408.60 |
$408.60 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$612.60 |
$612.60 |
$612.60 |
$2,101.45
|
|
Exc forearm les sc 3 cm/>
|
$724.20 |
$724.20 |
$724.20 |
$3,628.50
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$3,398.50
|
|
Excise anal ext tag/papilla
|
$220.80 |
$220.80 |
$220.80 |
$1,710.00
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$699.60 |
$699.60 |
$699.60 |
$2,623.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$336.60 |
$336.60 |
$336.60 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$276.00 |
$276.00 |
$276.00 |
$1,973.12
|