|
Dress/debride pt-thick burn/<5% bs 16020
|
$78.54 |
$78.54 |
$142.80 |
$344.00
|
|
Drng of scrotum abscess 55100
|
$457.38 |
$457.38 |
$831.60 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$49.94 |
$49.94 |
$90.80 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$28.66 |
$28.66 |
$52.12 |
$31.07
|
|
Drug assay posaconazole
|
$19.80 |
$19.80 |
$36.00 |
$96.75
|
|
Drug assay vedolizumab
|
$58.30 |
$58.30 |
$106.00 |
$152.79
|
|
Drug of abuse screen urine
|
$57.20 |
$57.20 |
$104.00 |
$63.75
|
|
Drug test def 1-7 classes
|
$29.70 |
$29.70 |
$54.00 |
$250.52
|
|
Drug test def 8-14 classes
|
$52.80 |
$52.80 |
$96.00 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$39.38 |
$39.38 |
$71.60 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$147.62 |
$147.62 |
$268.40 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$100.98 |
$100.98 |
$183.60 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$113.30 |
$113.30 |
$206.00 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$154.00 |
$154.00 |
$280.00 |
$887.25
|
|
Ear irrigation 69209
|
$20.46 |
$20.46 |
$37.20 |
$149.76
|
|
Ecg 12 lead tracing only
|
$58.74 |
$58.74 |
$106.80 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$58.74 |
$58.74 |
$106.80 |
$135.80
|
|
Ecg external < 48 hours recording
|
$117.70 |
$117.70 |
$214.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$139.92 |
$139.92 |
$254.40 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$417.56 |
$417.56 |
$759.20 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$156.86 |
$156.86 |
$285.20 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$143.88 |
$143.88 |
$261.60 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$111.32 |
$111.32 |
$202.40 |
$362.50
|
|
Echo guide for artery repair
|
$88.22 |
$88.22 |
$160.40 |
$664.00
|
|
Echo stress
|
$309.10 |
$309.10 |
$562.00 |
$1,592.05
|
|
Echo tee guidance
|
$115.72 |
$115.72 |
$210.40 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$383.24 |
$383.24 |
$696.80 |
$1,849.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$293.48 |
$293.48 |
$533.60 |
$985.15
|
|
E coli 0157 ag ia
|
$11.44 |
$11.44 |
$20.80 |
$72.15
|
|
Edetate calcium disodium inj
|
$19,080.19 |
$19,080.19 |
$34,691.25 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$119.02 |
$119.02 |
$216.40 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$127.38 |
$127.38 |
$231.60 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$101.20 |
$101.20 |
$184.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$200.20 |
$200.20 |
$364.00 |
$931.20
|
|
E equine encephalitis igg
|
$14.08 |
$14.08 |
$25.60 |
$49.92
|
|
Egfr gene com variants
|
$293.48 |
$293.48 |
$533.60 |
$657.00
|
|
Elec analys infus pump w/reprog 62368
|
$125.18 |
$125.18 |
$227.60 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$125.18 |
$125.18 |
$227.60 |
$563.20
|
|
Electrical stimulation/unattended 97014
|
$27.94 |
$27.94 |
$50.80 |
$79.20
|
|
Electrolyte panel
|
$8.36 |
$8.36 |
$15.20 |
$84.24
|
|
Electron microscopy diagnostic
|
$338.80 |
$338.80 |
$616.00 |
$983.41
|
|
Electrophysiology evaluation
|
$394.24 |
$394.24 |
$716.80 |
$2,451.90
|
|
Embo or occlude vascular arterial s&i
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$5,034.48 |
$5,034.48 |
$9,153.60 |
$14,586.00
|
|
Emg needle test 4-extremities
|
$59.40 |
$59.40 |
$108.00 |
$547.00
|
|
Encephalitis, california igg/igm
|
$14.08 |
$14.08 |
$25.60 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$14.08 |
$14.08 |
$25.60 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$14.08 |
$14.08 |
$25.60 |
$53.10
|
|
Endo cath bile duct s&i
|
$173.14 |
$173.14 |
$314.80 |
$694.06
|
|
Endoluminl ivus oct c 1st
|
$515.68 |
$515.68 |
$937.60 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$518.98 |
$518.98 |
$943.60 |
$2,203.49
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,129.64 |
$6,129.64 |
$11,144.80 |
$9,055.68
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$195.85 |
$195.85 |
$356.09 |
$109.71
|
|
Enzyme histochemistry
|
$94.60 |
$94.60 |
$172.00 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$153.34 |
$153.34 |
$278.80 |
$1,141.80
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$490.25 |
$490.25 |
$891.36 |
$248.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$106.66 |
$106.66 |
$193.92 |
$129.30
|
|
Epstein barr early antigen antibody
|
$20.24 |
$20.24 |
$36.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$16.28 |
$16.28 |
$29.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$16.72 |
$16.72 |
$30.40 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$305.32 |
$305.32 |
$555.12 |
$393.98
|
|
Ercp biliary & pancreas
|
$249.48 |
$249.48 |
$453.60 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,552.41 |
$1,552.41 |
$2,822.57 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$250.58 |
$250.58 |
$455.59 |
$222.98
|
|
ER Visit (level 1, minor)
|
$92.40 |
$92.40 |
$168.00 |
$246.24
|
|
ER Visit (level 2)
|
$146.08 |
$146.08 |
$265.60 |
$452.20
|
|
ER Visit (level 3)
|
$247.94 |
$247.94 |
$450.80 |
$770.04
|
|
ER Visit (level 4)
|
$549.12 |
$549.12 |
$998.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$707.30 |
$707.30 |
$1,286.00 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$245.75 |
$245.75 |
$446.82 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$311.52 |
$311.52 |
$566.40 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$505.23 |
$505.23 |
$918.60 |
$553.88
|
|
Esophagus motility study
|
$387.64 |
$387.64 |
$704.80 |
$1,289.20
|
|
Esoph imped function test
|
$187.66 |
$187.66 |
$341.20 |
$597.03
|
|
Established Patient Office Visit (level 1)
|
$28.60 |
$28.60 |
$52.00 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$62.92 |
$62.92 |
$114.40 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$97.24 |
$97.24 |
$176.80 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$131.56 |
$131.56 |
$239.20 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$165.88 |
$165.88 |
$301.60 |
$280.33
|
|
Estradiol total
|
$45.98 |
$45.98 |
$83.60 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$487.38 |
$487.38 |
$886.14 |
$57.35
|
|
Estrogens total-sendout
|
$64.90 |
$64.90 |
$118.00 |
$96.20
|
|
Eth estr and eton monthly
|
$85.80 |
$85.80 |
$155.99 |
$266.45
|
|
Ethylene glycol -sendout
|
$16.94 |
$16.94 |
$30.80 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$164.21 |
$164.21 |
$298.56 |
$235.20
|
|
Etoposide 50 mg cap
|
$45.99 |
$45.99 |
$83.62 |
$135.02
|
|
Euflexxa inj per dose
|
$1,100.93 |
$1,100.93 |
$2,001.70 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$70.62 |
$70.62 |
$128.40 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$65.56 |
$65.56 |
$119.20 |
$311.50
|
|
Evasc rpr a-ao ndgft 34701
|
$3,688.08 |
$3,688.08 |
$6,705.60 |
$5,230.40
|
|
Evasc rpr a-unilac ndgft 34703
|
$6,129.64 |
$6,129.64 |
$11,144.80 |
$5,578.73
|
|
Evasc rpr ilio-iliac ndgft
|
$4,414.08 |
$4,414.08 |
$8,025.60 |
$6,931.00
|
|
Evoked potentials auditory screening automated analysis
|
$67.32 |
$67.32 |
$122.40 |
$249.71
|
|
Evok oa screening qual
|
$31.02 |
$31.02 |
$56.40 |
$109.13
|
|
Exc benign tal 0.5 < cm 11400
|
$406.34 |
$406.34 |
$738.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$358.82 |
$358.82 |
$652.40 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$309.32 |
$309.32 |
$562.40 |
$1,135.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$280.72 |
$280.72 |
$510.40 |
$765.50
|