|
Drug assay rufinamide
|
$18.48 |
$18.48 |
$18.48 |
$85.80
|
|
Drug assay vedolizumab
|
$33.84 |
$33.84 |
$33.84 |
$152.79
|
|
Drug assay voriconazole
|
$12.48 |
$12.48 |
$12.48 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.88 |
$14.88 |
$14.88 |
$66.43
|
|
Drug of abuse screen urine
|
$13.44 |
$13.44 |
$13.44 |
$63.75
|
|
Drug screen quant tiagabine
|
$108.48 |
$108.48 |
$108.48 |
$114.62
|
|
Drug test def 1-7 classes
|
$77.04 |
$77.04 |
$77.04 |
$246.00
|
|
Drug test def 8-14 classes
|
$85.92 |
$85.92 |
$85.92 |
$282.00
|
|
Drug test prsmv instrmnt
|
$17.52 |
$17.52 |
$17.52 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$71.04 |
$71.04 |
$71.04 |
$278.85
|
|
Ductogram sgl duct
|
$155.28 |
$155.28 |
$155.28 |
$463.10
|
|
Duplex scan unilateral study 93986
|
$90.00 |
$90.00 |
$90.00 |
$362.70
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$293.04 |
$293.04 |
$293.04 |
$887.25
|
|
Dx bronchoscope/lavage 31624
|
$613.92 |
$613.92 |
$613.92 |
$2,369.64
|
|
Dx bronchoscope/wash 31622
|
$1,067.76 |
$1,067.76 |
$1,067.76 |
$2,322.60
|
|
Ear irrigation 69209
|
$22.56 |
$22.56 |
$22.56 |
$150.00
|
|
Ecg 12 lead tracing only
|
$63.60 |
$63.60 |
$63.60 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$56.16 |
$56.16 |
$56.16 |
$135.80
|
|
Ecg external < 48 hours recording
|
$210.48 |
$210.48 |
$210.48 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$210.48 |
$210.48 |
$210.48 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$947.28 |
$947.28 |
$947.28 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$255.12 |
$255.12 |
$255.12 |
$467.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$947.28 |
$947.28 |
$947.28 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$259.44 |
$259.44 |
$259.44 |
$705.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$233.76 |
$233.76 |
$233.76 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$136.56 |
$136.56 |
$136.56 |
$362.50
|
|
Echo tee probe placement image acquisition interpretation & report
|
$570.00 |
$570.00 |
$570.00 |
$1,849.50
|
|
Echo transthoracic
|
$482.16 |
$482.16 |
$482.16 |
$1,361.75
|
|
Echo transthoracic
|
$428.88 |
$428.88 |
$428.88 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$462.96 |
$462.96 |
$462.96 |
$985.15
|
|
E coli 0157 ag ia
|
$11.04 |
$11.04 |
$11.04 |
$72.15
|
|
Edetate calcium disodium inj
|
$10,407.38 |
$10,407.38 |
$10,407.38 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$126.24 |
$126.24 |
$126.24 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$291.12 |
$291.12 |
$291.12 |
$834.60
|
|
Eeg over 1 hour 95813 - 26
|
$358.08 |
$358.08 |
$358.08 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$291.12 |
$291.12 |
$291.12 |
$907.80
|
|
Eeg recording awake and asleep
|
$356.88 |
$356.88 |
$356.88 |
$931.20
|
|
E equine encephalitis igg
|
$24.00 |
$24.00 |
$24.00 |
$49.92
|
|
Ehrlicha chaffeensis amp prb
|
$27.12 |
$27.12 |
$27.12 |
$93.00
|
|
Electrolyte panel
|
$111.60 |
$111.60 |
$111.60 |
$84.24
|
|
Electron microscopy diagnostic
|
$276.72 |
$276.72 |
$276.72 |
$983.41
|
|
Emb without cervical dilation 58100
|
$79.44 |
$79.44 |
$79.44 |
$370.50
|
|
Encephalitis, california igg/igm
|
$8.16 |
$8.16 |
$8.16 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$58.32 |
$58.32 |
$58.32 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$8.16 |
$8.16 |
$8.16 |
$53.10
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$520.08 |
$520.08 |
$520.08 |
$2,756.52
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$106.83 |
$106.83 |
$106.83 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$86.40 |
$86.40 |
$86.40 |
$56.89
|
|
Enzyme histochemistry
|
$252.48 |
$252.48 |
$252.48 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$506.16 |
$506.16 |
$506.16 |
$1,141.80
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$267.41 |
$267.41 |
$267.41 |
$248.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$58.18 |
$58.18 |
$58.18 |
$129.30
|
|
Epstein barr early antigen antibody
|
$175.92 |
$175.92 |
$175.92 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$127.44 |
$127.44 |
$127.44 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$150.00 |
$150.00 |
$150.00 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$166.54 |
$166.54 |
$166.54 |
$389.16
|
|
Ercp biliary & pancreas
|
$302.88 |
$302.88 |
$302.88 |
$966.00
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$846.77 |
$846.77 |
$846.77 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$136.68 |
$136.68 |
$136.68 |
$222.98
|
|
ER Visit (level 1, minor)
|
$68.88 |
$68.88 |
$68.88 |
$246.54
|
|
ER Visit (level 2)
|
$103.92 |
$103.92 |
$103.92 |
$452.20
|
|
ER Visit (level 3)
|
$146.88 |
$146.88 |
$146.88 |
$770.04
|
|
ER Visit (level 4)
|
$211.20 |
$211.20 |
$211.20 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$281.52 |
$281.52 |
$281.52 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$134.05 |
$134.05 |
$134.05 |
$223.99
|
|
Escharotomy ea addl incision
|
$119.04 |
$119.04 |
$119.04 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$169.92 |
$169.92 |
$169.92 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$275.58 |
$275.58 |
$275.58 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$180.48 |
$180.48 |
$180.48 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$213.84 |
$213.84 |
$213.84 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$213.84 |
$213.84 |
$213.84 |
$179.40
|
|
Established Patient Office Visit (level 4)
|
$296.64 |
$296.64 |
$296.64 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$371.76 |
$371.76 |
$371.76 |
$279.90
|
|
Estradiol total
|
$72.48 |
$72.48 |
$72.48 |
$147.00
|
|
Estradiol valerate 10 mg inj
|
$265.84 |
$265.84 |
$265.84 |
$57.35
|
|
Estrogens total-sendout
|
$81.60 |
$81.60 |
$81.60 |
$96.20
|
|
Eth estr and eton monthly
|
$39.00 |
$39.00 |
$39.00 |
$266.45
|
|
Ethylene glycol -sendout
|
$60.48 |
$60.48 |
$60.48 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$89.57 |
$89.57 |
$89.57 |
$235.20
|
|
Etoposide 50 mg cap
|
$20.91 |
$20.91 |
$20.91 |
$135.02
|
|
Euflexxa inj per dose
|
$600.51 |
$600.51 |
$600.51 |
$587.51
|
|
Euglobulin lysis
|
$70.56 |
$70.56 |
$70.56 |
$56.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$59.52 |
$59.52 |
$59.52 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$85.68 |
$85.68 |
$85.68 |
$310.20
|
|
Event monitor
|
$83.28 |
$83.28 |
$83.28 |
$242.65
|
|
Evoked potentials auditory screening automated analysis
|
$99.84 |
$99.84 |
$99.84 |
$249.71
|
|
Exc benign tal 0.5 < cm 11400
|
$265.92 |
$265.92 |
$265.92 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$440.64 |
$440.64 |
$440.64 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$467.76 |
$467.76 |
$467.76 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$440.64 |
$440.64 |
$440.64 |
$1,248.00
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,167.84 |
$1,167.84 |
$1,167.84 |
$3,230.00
|
|
Exchange nephrostomy cath
|
$790.56 |
$790.56 |
$790.56 |
$2,955.48
|
|
Excise lip or cheek fold
|
$926.16 |
$926.16 |
$926.16 |
$1,855.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$510.96 |
$510.96 |
$510.96 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$209.28 |
$209.28 |
$209.28 |
$1,019.50
|
|
Excision olecranon bursa
|
$2,019.12 |
$2,019.12 |
$2,019.12 |
$2,889.60
|
|
Exc malig feenl 1.1-2 11642
|
$528.24 |
$528.24 |
$528.24 |
$1,082.00
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$317.76 |
$317.76 |
$317.76 |
$1,131.50
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$851.28 |
$851.28 |
$851.28 |
$3,322.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$990.24 |
$990.24 |
$990.24 |
$1,917.33
|
