|
Dress/debride pt-thick burn/<5% bs 16020
|
$329.60 |
$329.60 |
$329.60 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$532.80 |
$532.80 |
$532.80 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$2,079.50
|
|
Drng open retroperitoneal abscess 49060
|
$5,463.20 |
$5,463.20 |
$5,463.20 |
$1,924.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$65.66 |
$65.66 |
$65.66 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$1,818.32
|
|
Duplex scan bilateral study 93985
|
$868.00 |
$868.00 |
$868.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$454.40 |
$454.40 |
$454.40 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$391.20 |
$391.20 |
$391.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,127.20 |
$1,127.20 |
$1,127.20 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$90.40 |
$90.40 |
$90.40 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,731.04 |
$6,731.04 |
$6,731.04 |
$8,445.90
|
|
Ear irrigation 69209
|
$171.20 |
$171.20 |
$171.20 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$91.20 |
$91.20 |
$91.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$476.00 |
$476.00 |
$476.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$776.80 |
$776.80 |
$776.80 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,164.80 |
$2,164.80 |
$2,164.80 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$656.00 |
$656.00 |
$656.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$615.20 |
$615.20 |
$615.20 |
$371.25
|
|
Echo exam of fetal heart
|
$1,477.60 |
$1,477.60 |
$1,477.60 |
$904.80
|
|
Echo exam of fetal heart
|
$981.60 |
$981.60 |
$981.60 |
$538.27
|
|
Echo exam of fetal heart
|
$219.20 |
$219.20 |
$219.20 |
$431.41
|
|
Echo exam of fetal heart
|
$114.40 |
$114.40 |
$114.40 |
$318.34
|
|
Echo exam uterus 76831-
|
$656.00 |
$656.00 |
$656.00 |
$561.00
|
|
Echo guide for amniocentesis
|
$491.20 |
$491.20 |
$491.20 |
$455.57
|
|
Echo guide villus sampling
|
$479.20 |
$479.20 |
$479.20 |
$362.88
|
|
Echo stress
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,693.60 |
$2,693.60 |
$2,693.60 |
$1,913.60
|
|
Echo transthoracic
|
$2,061.60 |
$2,061.60 |
$2,061.60 |
$1,361.75
|
|
Echo transthoracic
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$1,033.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$77.60 |
$77.60 |
$77.60 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$768.00 |
$768.00 |
$768.00 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$768.00 |
$768.00 |
$768.00 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$931.20
|
|
EKG (Tracing Only)
|
$123.20 |
$123.20 |
$123.20 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$251.20 |
$251.20 |
$251.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$368.80 |
$368.80 |
$368.80 |
$364.20
|
|
Elec stim unattend for press
|
$95.20 |
$95.20 |
$95.20 |
$95.55
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$104.00 |
$104.00 |
$104.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$92.80 |
$92.80 |
$92.80 |
$81.75
|
|
Elotuzumab 300 mg intravenous solution
|
$7,264.00 |
$7,264.00 |
$7,264.00 |
$5,761.81
|
|
Endoscopy swallow (fees) vid
|
$464.00 |
$464.00 |
$464.00 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$6,901.60 |
$6,901.60 |
$6,901.60 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$70.28 |
$70.28 |
$70.28 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$67.72 |
$67.72 |
$67.72 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$70.46 |
$70.46 |
$70.46 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$312.29 |
$312.29 |
$312.29 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$61.96 |
$61.96 |
$61.96 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$234.40 |
$234.40 |
$234.40 |
$256.27
|
|
Epoetin beta esrd use
|
$983.20 |
$983.20 |
$983.20 |
$983.20
|
|
Epoetin beta non esrd
|
$983.20 |
$983.20 |
$983.20 |
$1,010.84
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,969.62 |
$2,969.62 |
$2,969.62 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,304.52 |
$2,304.52 |
$2,304.52 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$90.54 |
$90.54 |
$90.54 |
$232.12
|
|
ER Visit (level 1, minor)
|
$256.00 |
$256.00 |
$256.00 |
$252.60
|
|
ER Visit (level 2)
|
$432.80 |
$432.80 |
$432.80 |
$463.00
|
|
ER Visit (level 3)
|
$668.00 |
$668.00 |
$668.00 |
$812.18
|
|
ER Visit (level 4)
|
$880.00 |
$880.00 |
$880.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,335.20 |
$1,335.20 |
$1,335.20 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$116.76 |
$116.76 |
$116.76 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$300.03 |
$300.03 |
$300.03 |
$516.71
|
|
Established Patient Office Visit (level 1)
|
$167.20 |
$167.20 |
$167.20 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$251.20 |
$251.20 |
$251.20 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$453.60 |
$453.60 |
$453.60 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$680.80 |
$680.80 |
$680.80 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$290.68
|
|
Etonogestrel implant system
|
$914.66 |
$914.66 |
$914.66 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$237.40 |
$237.40 |
$237.40 |
$235.20
|
|
Euflexxa inj per dose
|
$373.95 |
$373.95 |
$373.95 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$321.60 |
$321.60 |
$321.60 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$348.00 |
$348.00 |
$348.00 |
$302.50
|
|
Evoked oa emissions ltd
|
$199.20 |
$199.20 |
$199.20 |
$244.00
|
|
Exc benign tal 0.5 < cm 11400
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$832.60
|
|
Exchange drainage catheter
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$2,220.54
|
|
Exc thrombosed hemorrhoid 46320
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$2,175.36
|
|
Explore penetrating wnd/extremity 20103
|
$2,410.40 |
$2,410.40 |
$2,410.40 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$4,452.80 |
$4,452.80 |
$4,452.80 |
$2,784.80
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$614.40 |
$614.40 |
$614.40 |
$457.07
|
|
Eye Socket (Orbit) X-ray
|
$389.60 |
$389.60 |
$389.60 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,448.80 |
$2,448.80 |
$2,448.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$371.20 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,362.40 |
$3,362.40 |
$3,362.40 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$270.40 |
$270.40 |
$270.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$412.80 |
$412.80 |
$412.80 |
$381.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$104.82 |
$104.82 |
$104.82 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$6,865.72 |
$6,865.72 |
$6,865.72 |
$5,894.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$61.40 |
$61.40 |
$61.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$920.88 |
$920.88 |
$920.88 |
$2,590.25
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$489.22 |
$489.22 |
$489.22 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$811.20 |
$811.20 |
$811.20 |
$541.74
|
|
Fetal non stress test
|
$448.00 |
$448.00 |
$448.00 |
$478.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$259.59 |
$259.59 |
$259.59 |
$595.48
|