|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$947.70 |
$947.70 |
$947.70 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,171.95 |
$1,171.95 |
$1,171.95 |
$852.57
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$16,549.00 |
$16,549.00 |
$16,549.00 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$9,593.23 |
$9,593.23 |
$9,593.23 |
$137.19
|
|
Dxa bone density axl vrt fx
|
$778.70 |
$778.70 |
$778.70 |
$365.14
|
|
Dx bronchoscope/brush 31623
|
$15,526.30 |
$15,526.30 |
$15,526.30 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$20,969.61 |
$20,969.61 |
$20,969.61 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$12,905.72 |
$12,905.72 |
$12,905.72 |
$2,512.54
|
|
Dx laryngoscopy w/oper scope
|
$6,955.10 |
$6,955.10 |
$6,955.10 |
$1,867.86
|
|
Ear irrigation 69209
|
$548.92 |
$548.92 |
$548.92 |
$152.50
|
|
Ecallantide injection
|
$34,332.12 |
$34,332.12 |
$34,332.12 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$264.55 |
$264.55 |
$264.55 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$167.05 |
$167.05 |
$167.05 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$551.20 |
$551.20 |
$551.20 |
$404.21
|
|
Ecg external < 48 hours recording
|
$670.80 |
$670.80 |
$670.80 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$752.05 |
$752.05 |
$752.05 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$2,581.15 |
$2,581.15 |
$2,581.15 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$452.40 |
$452.40 |
$452.40 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,125.20 |
$3,125.20 |
$3,125.20 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$920.40 |
$920.40 |
$920.40 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,564.55 |
$1,564.55 |
$1,564.55 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$449.15 |
$449.15 |
$449.15 |
$348.80
|
|
Echo exam of eye
|
$107.90 |
$107.90 |
$107.90 |
$161.46
|
|
Echo exam of eye thickness
|
$29.25 |
$29.25 |
$29.25 |
$32.37
|
|
Echo exam of fetal heart
|
$1,136.20 |
$1,136.20 |
$1,136.20 |
$855.38
|
|
Echo exam of fetal heart
|
$1,184.30 |
$1,184.30 |
$1,184.30 |
$481.55
|
|
Echo exam of fetal heart
|
$498.55 |
$498.55 |
$498.55 |
$429.87
|
|
Echo exam of fetal heart
|
$465.40 |
$465.40 |
$465.40 |
$318.34
|
|
Echograp trans r pros study
|
$910.65 |
$910.65 |
$910.65 |
$406.33
|
|
Echo guidance radiotherapy
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$655.00
|
|
Echo guide for amniocentesis
|
$481.65 |
$481.65 |
$481.65 |
$355.17
|
|
Echo guide for artery repair
|
$926.25 |
$926.25 |
$926.25 |
$687.35
|
|
Echo guide for heart biopsy
|
$762.45 |
$762.45 |
$762.45 |
$455.26
|
|
Echo stress
|
$2,400.45 |
$2,400.45 |
$2,400.45 |
$1,401.00
|
|
Echo tee guidance
|
$2,586.35 |
$2,586.35 |
$2,586.35 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,569.45 |
$2,569.45 |
$2,569.45 |
$1,946.10
|
|
Echo transesophageal
|
$2,211.95 |
$2,211.95 |
$2,211.95 |
$1,737.60
|
|
Echo transesophageal intraop
|
$2,400.45 |
$2,400.45 |
$2,400.45 |
$1,571.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$878.15 |
$878.15 |
$878.15 |
$997.40
|
|
Ecmo/ecls daily mgmt artery 33949
|
$5,229.25 |
$5,229.25 |
$5,229.25 |
$6,110.90
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$5,234.45 |
$5,234.45 |
$5,234.45 |
$6,110.90
|
|
Ecmo/ecls initiation artery 33947
|
$9,217.65 |
$9,217.65 |
$9,217.65 |
$3,151.20
|
|
Ecmo/ecls initiation venous 33946
|
$6,751.55 |
$6,751.55 |
$6,751.55 |
$4,324.50
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,523.95 |
$2,523.95 |
$2,523.95 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$2,523.95 |
$2,523.95 |
$2,523.95 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,523.95 |
$2,523.95 |
$2,523.95 |
$3,321.00
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,806.35 |
$1,806.35 |
$1,806.35 |
$1,394.09
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,806.35 |
$1,806.35 |
$1,806.35 |
$1,419.60
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,167.10 |
$2,167.10 |
$2,167.10 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$4,992.65 |
$4,992.65 |
$4,992.65 |
$1,128.60
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$4,992.65 |
$4,992.65 |
$4,992.65 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$4,992.65 |
$4,992.65 |
$4,992.65 |
$1,780.00
|
|
E coli 0157 ag ia
|
$78.65 |
$78.65 |
$78.65 |
$32.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$14,211.61 |
$14,211.61 |
$14,211.61 |
$17,051.72
|
|
Edetate calcium disodium inj
|
$19,712.14 |
$19,712.14 |
$19,712.14 |
$20,833.61
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$36.40 |
$36.40 |
$36.40 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$705.25 |
$705.25 |
$705.25 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,919.45 |
$1,919.45 |
$1,919.45 |
$970.07
|
|
Eeg during surgery
|
$1,675.05 |
$1,675.05 |
$1,675.05 |
$775.45
|
|
Eeg monitoring/function test
|
$1,021.15 |
$1,021.15 |
$1,021.15 |
$1,383.98
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,049.75 |
$1,049.75 |
$1,049.75 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$943.15 |
$943.15 |
$943.15 |
$1,072.93
|
|
Eeg recording awake and asleep
|
$1,173.90 |
$1,173.90 |
$1,173.90 |
$937.95
|
|
Eeg without vid 2-12 hr unmntr
|
$506.35 |
$506.35 |
$506.35 |
$602.40
|
|
Eeg without vid ea 12-26hr intmt
|
$2,570.10 |
$2,570.10 |
$2,570.10 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$953.55 |
$953.55 |
$953.55 |
$826.15
|
|
Eeg wo vid ea 12-26hr unmntr
|
$749.45 |
$749.45 |
$749.45 |
$1,502.40
|
|
E equine encephalitis igg
|
$29.90 |
$29.90 |
$29.90 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$13,756.97 |
$13,756.97 |
$13,756.97 |
$49.52
|
|
Egd control bleeding any
|
$3,414.12 |
$3,414.12 |
$3,414.12 |
$2,476.20
|
|
Egd dilate stricture
|
$6,540.26 |
$6,540.26 |
$6,540.26 |
$2,394.60
|
|
Egd endo mucosal resection
|
$5,906.67 |
$5,906.67 |
$5,906.67 |
$2,234.01
|
|
Egd endoscopic stent place
|
$13,104.07 |
$13,104.07 |
$13,104.07 |
$4,379.25
|
|
Egd guide wire insertion
|
$3,089.17 |
$3,089.17 |
$3,089.17 |
$1,247.13
|
|
Egd lesion ablation
|
$5,776.47 |
$5,776.47 |
$5,776.47 |
$2,608.80
|
|
Egd remove foreign body
|
$4,132.67 |
$4,132.67 |
$4,132.67 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,453.99 |
$4,453.99 |
$4,453.99 |
$2,200.46
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,527.97 |
$2,527.97 |
$2,527.97 |
$2,101.52
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,263.40 |
$5,263.40 |
$5,263.40 |
$2,200.46
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,724.70 |
$5,724.70 |
$5,724.70 |
$2,234.01
|
|
Egd Ultrasound transmural injxn/mark
|
$4,305.31 |
$4,305.31 |
$4,305.31 |
$2,200.46
|
|
Egd varices ligation
|
$3,104.91 |
$3,104.91 |
$3,104.91 |
$2,234.01
|
|
Egfr gene com variants
|
$492.05 |
$492.05 |
$492.05 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$222.30 |
$222.30 |
$222.30 |
$112.50
|
|
EKG interpret & report preve g0405
|
$8.45 |
$8.45 |
$8.45 |
$8.45
|
|
EKG tracing for initial prev
|
$115.70 |
$115.70 |
$115.70 |
$115.70
|
|
Elbow arthroscopy/surgery
|
$15,481.17 |
$15,481.17 |
$15,481.17 |
$3,594.44
|
|
Elbow arthroscopy/surgery
|
$20,499.47 |
$20,499.47 |
$20,499.47 |
$3,594.44
|
|
Elbow arthroscopy/surgery
|
$15,481.17 |
$15,481.17 |
$15,481.17 |
$5,953.01
|
|
Elbow arthroscopy/surgery
|
$13,207.64 |
$13,207.64 |
$13,207.64 |
$3,594.44
|
|
Elec analys infus pump w/reprog 62368
|
$2,224.71 |
$2,224.71 |
$2,224.71 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$1,132.71 |
$1,132.71 |
$1,132.71 |
$522.50
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$8,880.95 |
$8,880.95 |
$8,880.95 |
$576.81
|
|
Electrical stimulation/unattended 97014
|
$87.10 |
$87.10 |
$87.10 |
$79.20
|
|
Electric stim/w chemodenervation 95873
|
$204.75 |
$204.75 |
$204.75 |
$128.40
|
|
Electrocochleography
|
$586.30 |
$586.30 |
$586.30 |
$286.00
|
|
Electroconvulsive therapy 90870
|
$1,366.95 |
$1,366.95 |
$1,366.95 |
$1,052.70
|
|
Electrocorticography durng sx
|
$2,757.30 |
$2,757.30 |
$2,757.30 |
$1,660.52
|
|
Electrode stimulation brain
|
$1,764.10 |
$1,764.10 |
$1,764.10 |
$1,127.09
|
|
Electrolyte panel
|
$89.70 |
$89.70 |
$89.70 |
$68.56
|