|
Ductogram sgl duct
|
$201.99 |
$201.99 |
$277.34 |
|
|
Duodenal motility study
|
$505.87 |
$755.27 |
$755.27 |
|
|
Duplex scan bilateral study 93985
|
$379.44 |
$868.00 |
$918.40 |
|
|
Duplex scan unilateral study 93986
|
$189.70 |
$189.70 |
$454.40 |
|
|
Dup scan/hemodialysis access 93990
|
$391.20 |
$605.60 |
$1,118.88 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$665.86 |
$974.40 |
$1,193.25 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$591.94 |
$1,203.20 |
$1,535.52 |
|
|
Duragen 1x1 5ea/bx
|
$53.44 |
$60.80 |
$90.40 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,392.00 |
$17,259.79 |
$20,136.42 |
|
|
Dxa bone density axl vrt fx
|
$288.24 |
$302.12 |
$302.12 |
|
|
Dx bronchoscope/brush 31623
|
$3,239.20 |
$3,239.20 |
$3,239.20 |
|
|
Dx bronchoscope/lavage 31624
|
$3,534.40 |
$3,534.40 |
$3,534.40 |
|
|
Dx bronchoscope/wash 31622
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
|
|
Ear irrigation 69209
|
$88.31 |
$136.03 |
$264.00 |
|
|
Ecallantide injection
|
$14,577.51 |
$14,577.51 |
$14,577.51 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$91.20 |
$152.77 |
$196.80 |
|
|
Ecg < 30 days transmission & analysis
|
$992.40 |
$1,370.26 |
$1,370.26 |
|
|
Ecg external < 48 hours recording
|
$116.21 |
$264.00 |
$708.80 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$345.60 |
$479.53 |
$826.40 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$174.38 |
$194.40 |
$412.00 |
|
|
Ecg external >7 days up to 15 days recording
|
$174.38 |
$239.20 |
$432.80 |
|
|
Echocardiogram (Heart Ultrasound)
|
$830.21 |
$1,397.60 |
$2,535.20 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$577.63 |
$753.48 |
$1,147.20 |
|
|
Echocardiography doppler color flow mapping
|
$254.97 |
$503.20 |
$756.00 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$869.18 |
$1,347.14 |
$2,818.40 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$577.63 |
$753.48 |
$1,436.80 |
|
|
Echocardiograpy doppler follow up/limited study
|
$124.18 |
$324.80 |
$615.20 |
|
|
Echo exam of eye
|
$415.20 |
$415.20 |
$415.20 |
|
|
Echo exam of fetal heart
|
$141.68 |
$210.34 |
$1,704.00 |
|
|
Echo exam of fetal heart
|
$105.11 |
$105.11 |
$981.60 |
|
|
Echo exam of fetal heart
|
$219.20 |
$604.97 |
$881.71 |
|
|
Echo exam of fetal heart
|
$114.40 |
$455.28 |
$455.28 |
|
|
Echo exam uterus 76831-
|
$376.80 |
$610.34 |
$676.00 |
|
|
Echograp trans r pros study
|
$227.57 |
$227.57 |
$227.57 |
|
|
Echo guidance radiotherapy
|
$910.61 |
$910.61 |
$910.61 |
|
|
Echo guide for amniocentesis
|
$288.00 |
$563.20 |
$608.89 |
|
|
Echo guide for artery repair
|
$493.15 |
$1,009.51 |
$1,009.51 |
|
|
Echo guide for heart biopsy
|
$476.16 |
$476.16 |
$476.16 |
|
|
Echo guide for transfusion
|
$455.28 |
$455.28 |
$455.28 |
|
|
Echo guide villus sampling
|
$455.28 |
$598.14 |
$608.89 |
|
|
Echo stress
|
$1,770.10 |
$2,179.20 |
$3,114.16 |
|
|
Echo tee guidance
|
$1,580.43 |
$1,580.43 |
$2,599.20 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,862.26 |
$2,886.86 |
$3,103.20 |
|
|
Echo transesophageal
|
$535.58 |
$535.58 |
$1,844.80 |
|
|
Echo transesophageal
|
$2,579.20 |
$4,853.86 |
$4,853.86 |
|
|
Echo transthoracic
|
$745.54 |
$1,154.78 |
$2,436.80 |
|
|
Echo transthoracic
|
$527.04 |
$588.62 |
$1,518.40 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$558.72 |
$866.15 |
$1,879.20 |
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,785.60 |
$1,785.60 |
$1,785.60 |
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,831.73 |
$1,831.73 |
$1,831.73 |
|
|
Ecmo/ecls initiation artery 33947
|
$2,610.24 |
$2,610.24 |
$2,610.24 |
|
|
Ecmo/ecls initiation venous 33946
|
$2,395.63 |
$2,395.63 |
$2,395.63 |
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$6,760.32 |
$6,760.32 |
$6,760.32 |
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$6,388.27 |
$6,388.27 |
$6,388.27 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$3,275.28 |
$3,275.28 |
$3,275.28 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$2,939.95 |
$2,939.95 |
$2,939.95 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$3,181.06 |
$3,181.06 |
$3,181.06 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,849.38 |
$2,849.38 |
$2,849.38 |
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$4,789.87 |
$4,789.87 |
$4,789.87 |
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$4,561.97 |
$4,561.97 |
$4,561.97 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$2,581.06 |
$2,581.06 |
$2,581.06 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$2,258.74 |
$2,258.74 |
$2,258.74 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$2,520.72 |
$2,520.72 |
$2,520.72 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,497.63 |
$2,497.63 |
$2,497.63 |
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$4,281.65 |
$4,281.65 |
$4,281.65 |
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$4,223.86 |
$4,223.86 |
$4,223.86 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$2,583.70 |
$2,583.70 |
$2,583.70 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$2,235.17 |
$2,235.17 |
$2,235.17 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$2,461.10 |
$2,461.10 |
$2,461.10 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$2,188.75 |
$2,188.75 |
$2,188.75 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$36,404.01 |
$36,404.01 |
$36,404.01 |
|
|
Edetate calcium disodium inj
|
$159.02 |
$159.02 |
$159.02 |
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$77.60 |
$81.60 |
$127.20 |
|
|
Eeg 41-60 minutes 95812-26
|
$361.34 |
$443.74 |
$1,295.20 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$291.46 |
$528.36 |
$1,183.20 |
|
|
Eeg during surgery
|
$324.91 |
$399.06 |
$399.06 |
|
|
Eeg monitoring/function test
|
$625.10 |
$766.86 |
$766.86 |
|
|
Eeg monitoring/giving drugs
|
$291.46 |
$357.56 |
$357.56 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$291.46 |
$528.19 |
$1,184.80 |
|
|
Eeg over 1 hour 95813 - 26
|
$506.45 |
$620.98 |
$1,527.20 |
|
|
Eeg/record in coma or sleep only 95822
|
$290.93 |
$528.64 |
$528.64 |
|
|
Eeg recording awake and asleep
|
$290.93 |
$528.42 |
$1,259.20 |
|
|
Eeg without vid 2-12hr cont mntr
|
$876.80 |
$876.80 |
$876.80 |
|
|
Eeg without vid ea 12-26hr intmt
|
$1,124.54 |
$1,124.54 |
$1,124.54 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$658.56 |
$658.56 |
$658.56 |
|
|
E equine encephalitis igg
|
$54.14 |
$66.30 |
$68.21 |
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$10,151.18 |
$10,151.18 |
$10,151.18 |
|
|
Egd balloon dil esoph30 mm/>
|
$640.80 |
$640.80 |
$640.80 |
|
|
Egd dilate stricture
|
$2,236.00 |
$2,236.00 |
$2,896.80 |
|
|
Egd remove foreign body
|
$2,920.00 |
$2,920.00 |
$3,000.80 |
|
|
Egfr gene com variants
|
$553.34 |
$640.22 |
$1,008.00 |
|
|
Ehrlicha chaffeensis amp prb
|
$126.11 |
$126.11 |
$192.70 |
|
|
EKG (Electrocardiogram)
|
$128.80 |
$128.80 |
$128.80 |
|
|
EKG tracing for initial prev
|
$65.60 |
$136.00 |
$203.20 |
|
|
EKG (Tracing Only)
|
$123.20 |
$172.31 |
$278.40 |
|
|
Elb disart prosth tiss shap
|
$5,450.70 |
$7,061.94 |
$7,061.94 |
|
|
Elb mold sock flex hinge pad
|
$3,988.32 |
$4,995.03 |
$4,995.03 |
|
|
Elbow inter loc elbow forarm
|
$4,932.31 |
$6,390.38 |
$6,390.38 |
|
|
Elbow mold doub splt soc ste
|
$4,613.11 |
$5,976.71 |
$5,976.71 |
|
|
Elbow mold outsid lock hinge
|
$5,013.46 |
$6,495.44 |
$6,495.44 |
|