|
Drainage of mouth lesion
|
$640.00 |
$640.00 |
$640.00 |
$535.20
|
|
Drainage of mouth lesion
|
$7,986.85 |
$7,986.85 |
$7,986.85 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,562.65 |
$1,562.65 |
$1,562.65 |
$905.30
|
|
Drainage of mouth lesion
|
$15,342.35 |
$15,342.35 |
$15,342.35 |
$6,781.90
|
|
Drainage of pelvis bursa
|
$4,121.80 |
$4,121.80 |
$4,121.80 |
$2,840.80
|
|
Drain blood from under nail 11740
|
$144.25 |
$144.25 |
$144.25 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,730.65 |
$6,730.65 |
$6,730.65 |
$2,540.00
|
|
Drain cerebro spinal fluid 62272
|
$218.80 |
$218.80 |
$218.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$885.60 |
$885.60 |
$885.60 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$8,016.40 |
$8,016.40 |
$8,016.40 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$502.80 |
$502.80 |
$502.80 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$417.90 |
$417.90 |
$417.90 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$523.00 |
$523.00 |
$523.00 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$1,012.40 |
$1,012.40 |
$1,012.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,841.35 |
$1,841.35 |
$1,841.35 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$1,646.85 |
$1,646.85 |
$1,646.85 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,178.40 |
$2,178.40 |
$2,178.40 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$3,988.50 |
$3,988.50 |
$3,988.50 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$59.28 |
$59.28 |
$59.28 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$729.42 |
$729.42 |
$729.42 |
$1,818.32
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$336.20 |
$336.20 |
$336.20 |
$193.15
|
|
Drug assay posaconazole
|
$207.20 |
$207.20 |
$207.20 |
$96.75
|
|
Drug assay vedolizumab
|
$484.30 |
$484.30 |
$484.30 |
$154.00
|
|
Drug assay voriconazole
|
$174.95 |
$174.95 |
$174.95 |
$96.75
|
|
Drug of abuse screen urine
|
$46.65 |
$46.65 |
$46.65 |
$67.89
|
|
Drug test prsmv instrmnt
|
$66.10 |
$66.10 |
$66.10 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$156.10 |
$156.10 |
$156.10 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$5,515.95 |
$5,515.95 |
$5,515.95 |
$2,980.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$975.95 |
$975.95 |
$975.95 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$12,805.67 |
$12,805.67 |
$12,805.67 |
$8,445.90
|
|
Dx bronchoscope/wash 31622
|
$4,843.05 |
$4,843.05 |
$4,843.05 |
$2,410.50
|
|
Ear irrigation 69209
|
$209.80 |
$209.80 |
$209.80 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$186.00 |
$186.00 |
$186.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$441.40 |
$441.40 |
$441.40 |
$412.88
|
|
Ecg external < 48 hours recording
|
$395.00 |
$395.00 |
$395.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$163.10 |
$163.10 |
$163.10 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$399.65 |
$399.65 |
$399.65 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$399.65 |
$399.65 |
$399.65 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$865.55 |
$865.55 |
$865.55 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$777.00 |
$777.00 |
$777.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,007.60 |
$1,007.60 |
$1,007.60 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$553.00 |
$553.00 |
$553.00 |
$371.25
|
|
Echo exam uterus 76831-
|
$620.05 |
$620.05 |
$620.05 |
$561.00
|
|
Echo guide for amniocentesis
|
$164.00 |
$164.00 |
$164.00 |
$455.57
|
|
Echo stress
|
$1,736.30 |
$1,736.30 |
$1,736.30 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,794.65 |
$3,794.65 |
$3,794.65 |
$1,913.60
|
|
Echo transthoracic
|
$1,633.30 |
$1,633.30 |
$1,633.30 |
$1,361.75
|
|
Echo transthoracic
|
$1,633.30 |
$1,633.30 |
$1,633.30 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$939.60 |
$939.60 |
$939.60 |
$1,033.00
|
|
E equine encephalitis igg
|
$94.05 |
$94.05 |
$94.05 |
$51.84
|
|
Ehrlicha chaffeensis amp prb
|
$285.80 |
$285.80 |
$285.80 |
$93.00
|
|
EKG (Tracing Only)
|
$226.50 |
$226.50 |
$226.50 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$229.15 |
$229.15 |
$229.15 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$307.30 |
$307.30 |
$307.30 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$848.90 |
$848.90 |
$848.90 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$917.10 |
$917.10 |
$917.10 |
$563.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$114.55 |
$114.55 |
$114.55 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$109.20 |
$109.20 |
$109.20 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$922.05 |
$922.05 |
$922.05 |
$1,235.00
|
|
Electrolyte panel
|
$80.85 |
$80.85 |
$80.85 |
$79.30
|
|
Elotuzumab 300 mg intravenous solution
|
$9,228.16 |
$9,228.16 |
$9,228.16 |
$5,761.81
|
|
Emb without cervical dilation 58100
|
$213.00 |
$213.00 |
$213.00 |
$373.60
|
|
Encephalitis, california igg/igm
|
$94.05 |
$94.05 |
$94.05 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$94.05 |
$94.05 |
$94.05 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$94.05 |
$94.05 |
$94.05 |
$54.99
|
|
Endoscopy swallow (fees) vid
|
$610.00 |
$610.00 |
$610.00 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$132.99 |
$132.99 |
$132.99 |
$112.79
|
|
Enzyme histochemistry
|
$168.55 |
$168.55 |
$168.55 |
$455.91
|
|
Epidural/lumbar/sacral/ea add level64484
|
$853.80 |
$853.80 |
$853.80 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$6,556.80 |
$6,556.80 |
$6,556.80 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$865.80
|
|
Epstein barr early antigen antibody
|
$143.40 |
$143.40 |
$143.40 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$156.35 |
$156.35 |
$156.35 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$157.05 |
$157.05 |
$157.05 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$5,742.62 |
$5,742.62 |
$5,742.62 |
$3,838.45
|
|
ER Visit (level 1, minor)
|
$331.65 |
$331.65 |
$331.65 |
$252.60
|
|
ER Visit (level 2)
|
$413.90 |
$413.90 |
$413.90 |
$463.00
|
|
ER Visit (level 3)
|
$558.05 |
$558.05 |
$558.05 |
$812.18
|
|
ER Visit (level 4)
|
$920.70 |
$920.70 |
$920.70 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,141.75 |
$1,141.75 |
$1,141.75 |
$1,871.60
|
|
Escharotomy ea addl incision
|
$863.10 |
$863.10 |
$863.10 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$590.80 |
$590.80 |
$590.80 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$26.77 |
$26.77 |
$26.77 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$172.55 |
$172.55 |
$172.55 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$288.45 |
$288.45 |
$288.45 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$303.25 |
$303.25 |
$303.25 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$459.75 |
$459.75 |
$459.75 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$474.50 |
$474.50 |
$474.50 |
$290.68
|
|
Estradiol total
|
$296.95 |
$296.95 |
$296.95 |
$152.10
|
|
Estrogens total-sendout
|
$209.15 |
$209.15 |
$209.15 |
$97.50
|
|
Ethylene glycol -sendout
|
$133.40 |
$133.40 |
$133.40 |
$86.04
|
|
Euflexxa inj per dose
|
$8,226.06 |
$8,226.06 |
$8,226.06 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$448.85 |
$448.85 |
$448.85 |
$359.50
|
|
Evaluation cervical mucus
|
$56.00 |
$56.00 |
$56.00 |
$26.40
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$793.55 |
$793.55 |
$793.55 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$436.85 |
$436.85 |
$436.85 |
$302.50
|
|
Event monitor
|
$139.45 |
$139.45 |
$139.45 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$76.90 |
$76.90 |
$76.90 |
$261.30
|
