|
Drug assay posaconazole
|
$91.00 |
$91.00 |
$91.00 |
$96.75
|
|
Drug assay voriconazole
|
$91.00 |
$91.00 |
$91.00 |
$96.75
|
|
Drug of abuse screen urine
|
$44.00 |
$44.00 |
$44.00 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$348.00 |
$348.00 |
$348.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$5,707.00 |
$5,707.00 |
$5,707.00 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$565.00 |
$565.00 |
$565.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$252.00 |
$252.00 |
$252.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$320.00 |
$320.00 |
$320.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$356.00 |
$356.00 |
$356.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$859.00 |
$859.00 |
$859.00 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$540.00 |
$540.00 |
$540.00 |
$401.20
|
|
Dx bronchoscope/lavage 31624
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$2,410.50
|
|
Ear irrigation 69209
|
$311.00 |
$311.00 |
$311.00 |
$154.70
|
|
Ecg external < 48 hours recording
|
$264.00 |
$264.00 |
$264.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$264.00 |
$264.00 |
$264.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$200.00 |
$200.00 |
$200.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$250.00 |
$250.00 |
$250.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,039.00 |
$2,039.00 |
$2,039.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$869.00 |
$869.00 |
$869.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$126.00 |
$126.00 |
$126.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,650.00 |
$2,650.00 |
$2,650.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$100.00 |
$100.00 |
$100.00 |
$371.25
|
|
Echo exam of fetal heart
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$904.80
|
|
Echo exam of fetal heart
|
$771.00 |
$771.00 |
$771.00 |
$538.27
|
|
Echo exam of fetal heart
|
$560.00 |
$560.00 |
$560.00 |
$431.41
|
|
Echo exam of fetal heart
|
$569.00 |
$569.00 |
$569.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$991.00 |
$991.00 |
$991.00 |
$561.00
|
|
Echograp trans r pros study
|
$823.00 |
$823.00 |
$823.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$602.00 |
$602.00 |
$602.00 |
$455.57
|
|
Echo guide for transfusion
|
$555.00 |
$555.00 |
$555.00 |
$332.39
|
|
Echo stress
|
$1,643.00 |
$1,643.00 |
$1,643.00 |
$1,609.44
|
|
Echo tee guidance
|
$853.00 |
$853.00 |
$853.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,302.00 |
$2,302.00 |
$2,302.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$1,650.00
|
|
Echo transthoracic
|
$2,311.00 |
$2,311.00 |
$2,311.00 |
$1,361.75
|
|
Echo transthoracic
|
$557.00 |
$557.00 |
$557.00 |
$1,052.40
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,443.00 |
$3,443.00 |
$3,443.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,443.00 |
$3,443.00 |
$3,443.00 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$5,194.00 |
$5,194.00 |
$5,194.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$5,194.00 |
$5,194.00 |
$5,194.00 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,321.00 |
$3,321.00 |
$3,321.00 |
$2,660.16
|
|
Eeg 41-60 minutes 95812-26
|
$998.00 |
$998.00 |
$998.00 |
$934.05
|
|
Eeg during surgery
|
$900.00 |
$900.00 |
$900.00 |
$775.45
|
|
Eeg monitoring/function test
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$831.00 |
$831.00 |
$831.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$871.00 |
$871.00 |
$871.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$831.00 |
$831.00 |
$831.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$895.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$721.76
|
|
Egd remove foreign body
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$1,571.40
|
|
Egfr gene com variants
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$672.88
|
|
EKG tracing for initial prev
|
$137.00 |
$137.00 |
$137.00 |
$81.76
|
|
EKG (Tracing Only)
|
$173.00 |
$173.00 |
$173.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$533.00 |
$533.00 |
$533.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$613.00 |
$613.00 |
$613.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$491.00 |
$491.00 |
$491.00 |
$616.00
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$87.49 |
$87.49 |
$87.49 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$82.75 |
$82.75 |
$82.75 |
$81.75
|
|
Electrocochleography
|
$393.00 |
$393.00 |
$393.00 |
$427.44
|
|
Electrocorticography durng sx
|
$98.00 |
$98.00 |
$98.00 |
$1,642.53
|
|
Electrolyte panel
|
$28.00 |
$28.00 |
$28.00 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$154.00 |
$154.00 |
$154.00 |
$160.00
|
|
Electrophysiology evaluation
|
$14,387.00 |
$14,387.00 |
$14,387.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$12,993.00 |
$12,993.00 |
$12,993.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,529.00 |
$4,529.00 |
$4,529.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,446.00 |
$3,446.00 |
$3,446.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,242.00 |
$2,242.00 |
$2,242.00 |
$2,914.40
|
|
Electrophysiology evaluation
|
$1,844.00 |
$1,844.00 |
$1,844.00 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$6,534.00 |
$6,534.00 |
$6,534.00 |
$5,762.40
|
|
Embolization s&i
|
$5,633.00 |
$5,633.00 |
$5,633.00 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$20,997.00 |
$20,997.00 |
$20,997.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$21,279.00 |
$21,279.00 |
$21,279.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$17,023.00 |
$17,023.00 |
$17,023.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$17,431.00 |
$17,431.00 |
$17,431.00 |
$14,741.00
|
|
Emb w/colposcopy 58110
|
$338.00 |
$338.00 |
$338.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$503.00 |
$503.00 |
$503.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$433.00 |
$433.00 |
$433.00 |
$394.80
|
|
Emg cranial nerve bilateral
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$529.10
|
|
Emg needle test 1-extremity
|
$288.00 |
$288.00 |
$288.00 |
$351.50
|
|
Emg needle test 4-extremities
|
$547.00 |
$547.00 |
$547.00 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$701.00 |
$701.00 |
$701.00 |
$309.83
|
|
Endocerv curettage w/scope 57456
|
$453.00 |
$453.00 |
$453.00 |
$515.50
|
|
Endocervical curettage 57505
|
$980.00 |
$980.00 |
$980.00 |
$1,060.50
|
|
Endoluminal bx biliary tree
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$2,237.00 |
$2,237.00 |
$2,237.00 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$572.00 |
$572.00 |
$572.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$2,787.20
|
|
Endovasc tempory vessel occl
|
$18,998.00 |
$18,998.00 |
$18,998.00 |
$11,474.40
|
|
Enzyme histochemistry
|
$815.00 |
$815.00 |
$815.00 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$35,628.00 |
$35,628.00 |
$35,628.00 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$27,243.00 |
$27,243.00 |
$27,243.00 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,987.00 |
$4,987.00 |
$4,987.00 |
$3,778.57
|
|
Epstein barr early antigen antibody
|
$132.00 |
$132.00 |
$132.00 |
$60.00
|
