|
Drng of mouth lesion 40801
|
$3,546.00 |
$3,546.00 |
$3,546.00 |
$1,392.50
|
|
Drng of scrotum abscess 55100
|
$4,095.00 |
$4,095.00 |
$4,095.00 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$4,464.00 |
$4,464.00 |
$4,464.00 |
$2,113.90
|
|
Drug admin & hemodynmic meas
|
$951.00 |
$951.00 |
$951.00 |
$569.75
|
|
Drug assay caffeine
|
$127.00 |
$127.00 |
$127.00 |
$80.00
|
|
Drug assay posaconazole
|
$97.00 |
$97.00 |
$97.00 |
$96.75
|
|
Drug assay rufinamide
|
$72.30 |
$72.30 |
$72.30 |
$87.10
|
|
Drug assay voriconazole
|
$82.00 |
$82.00 |
$82.00 |
$96.75
|
|
Drug of abuse screen urine
|
$39.00 |
$39.00 |
$39.00 |
$67.50
|
|
Drug test def 1-7 classes
|
$406.00 |
$406.00 |
$406.00 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$70.00 |
$70.00 |
$70.00 |
$278.85
|
|
Drvvt confirm - quest
|
$37.00 |
$37.00 |
$37.00 |
$109.20
|
|
Dry needling (97799)
|
$138.00 |
$138.00 |
$138.00 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$7,434.00 |
$7,434.00 |
$7,434.00 |
$3,020.80
|
|
Ductogram sgl duct
|
$855.00 |
$855.00 |
$855.00 |
$484.25
|
|
Duplex scan bilateral study 93985
|
$493.00 |
$493.00 |
$493.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$238.00 |
$238.00 |
$238.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$899.00 |
$899.00 |
$899.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,058.00 |
$1,058.00 |
$1,058.00 |
$748.15
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$326.00 |
$326.00 |
$326.00 |
$397.65
|
|
Dx bronchoscope/lavage 31624
|
$5,049.00 |
$5,049.00 |
$5,049.00 |
$2,457.88
|
|
Dx bronchoscope/wash 31622
|
$5,320.00 |
$5,320.00 |
$5,320.00 |
$2,459.93
|
|
Ear irrigation 69209
|
$309.00 |
$309.00 |
$309.00 |
$154.70
|
|
Ecg external < 48 hours recording
|
$690.00 |
$690.00 |
$690.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$779.00 |
$779.00 |
$779.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$123.00 |
$123.00 |
$123.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$200.00 |
$200.00 |
$200.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,260.00 |
$2,260.00 |
$2,260.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$668.00 |
$668.00 |
$668.00 |
$520.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$454.00 |
$454.00 |
$454.00 |
$372.60
|
|
Echo exam of fetal heart
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$904.80
|
|
Echo exam of fetal heart
|
$1,753.00 |
$1,753.00 |
$1,753.00 |
$539.56
|
|
Echo exam of fetal heart
|
$796.00 |
$796.00 |
$796.00 |
$431.41
|
|
Echo exam of fetal heart
|
$801.00 |
$801.00 |
$801.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$968.00 |
$968.00 |
$968.00 |
$562.85
|
|
Echograp trans r pros study
|
$436.00 |
$436.00 |
$436.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$456.30
|
|
Echo guide for artery repair
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$699.76
|
|
Echo guide villus sampling
|
$560.00 |
$560.00 |
$560.00 |
$362.88
|
|
Echo stress
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,609.44
|
|
Echo tee guidance
|
$451.00 |
$451.00 |
$451.00 |
$1,854.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,461.00 |
$2,461.00 |
$2,461.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$1,650.00
|
|
Echo transthoracic
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$1,361.75
|
|
Echo transthoracic
|
$854.00 |
$854.00 |
$854.00 |
$1,045.16
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$790.00 |
$790.00 |
$790.00 |
$1,026.40
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,971.00 |
$3,971.00 |
$3,971.00 |
$3,099.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,971.00 |
$3,971.00 |
$3,971.00 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$5,991.00 |
$5,991.00 |
$5,991.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$5,991.00 |
$5,991.00 |
$5,991.00 |
$4,293.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,321.00 |
$3,321.00 |
$3,321.00 |
$2,825.34
|
|
Ecog impltd brn npgt <30 d
|
$146.00 |
$146.00 |
$146.00 |
$146.00
|
|
Eeg 41-60 minutes 95812-26
|
$2,794.00 |
$2,794.00 |
$2,794.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$1,007.40
|
|
Eeg during surgery
|
$933.00 |
$933.00 |
$933.00 |
$779.25
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$3,086.00 |
$3,086.00 |
$3,086.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$911.00 |
$911.00 |
$911.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$2,911.00 |
$2,911.00 |
$2,911.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$965.00 |
$965.00 |
$965.00 |
$926.16
|
|
Eeg without vid 2-12 hr unmntr
|
$853.00 |
$853.00 |
$853.00 |
$730.91
|
|
Eeg without vid ea 12-26hr cont
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,632.95
|
|
Egd remove foreign body
|
$3,068.00 |
$3,068.00 |
$3,068.00 |
$1,571.40
|
|
Egfr gene com variants
|
$657.00 |
$657.00 |
$657.00 |
$672.88
|
|
EKG tracing for initial prev
|
$84.00 |
$84.00 |
$84.00 |
$81.76
|
|
EKG (Tracing Only)
|
$200.00 |
$200.00 |
$200.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$359.00 |
$359.00 |
$359.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$389.00 |
$389.00 |
$389.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$575.13
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$618.80
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$122.00 |
$122.00 |
$122.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$50.00 |
$50.00 |
$50.00 |
$81.75
|
|
Electrocorticography durng sx
|
$6,791.00 |
$6,791.00 |
$6,791.00 |
$1,642.53
|
|
Electrode stimulation brain
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$1,203.94
|
|
Electrolyte panel
|
$32.00 |
$32.00 |
$32.00 |
$78.65
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$181.00 |
$181.00 |
$181.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$331.00 |
$331.00 |
$331.00 |
$160.00
|
|
Electron microscopy diagnostic
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$1,024.80
|
|
Electrophysiology evaluation
|
$55,227.00 |
$55,227.00 |
$55,227.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$24,364.00 |
$24,364.00 |
$24,364.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,977.00 |
$3,977.00 |
$3,977.00 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$5,488.00 |
$5,488.00 |
$5,488.00 |
$5,762.40
|
|
Embolization s&i
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$3,253.20
|
|
Embo or occlude vascular arterial s&i
|
$35,026.00 |
$35,026.00 |
$35,026.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$45,800.00 |
$45,800.00 |
$45,800.00 |
$14,743.50
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$45,800.00 |
$45,800.00 |
$45,800.00 |
$15,316.50
|
|
Embo or occlude vascular venous s&i
|
$22,900.00 |
$22,900.00 |
$22,900.00 |
$14,809.85
|
|
Emb w/colposcopy 58110
|
$413.00 |
$413.00 |
$413.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$688.00 |
$688.00 |
$688.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$547.00 |
$547.00 |
$547.00 |
$399.50
|
