|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$8,983.30 |
$8,983.30 |
$8,983.30 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$627.17 |
$627.17 |
$627.17 |
$569.75
|
|
Drug assay voriconazole
|
$209.45 |
$209.45 |
$209.45 |
$96.75
|
|
Drug of abuse screen urine
|
$106.20 |
$106.20 |
$106.20 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$438.37 |
$438.37 |
$438.37 |
$278.85
|
|
Drvvt confirm - quest
|
$40.71 |
$40.71 |
$40.71 |
$109.20
|
|
Duplex scan bilateral study 93985
|
$240.72 |
$240.72 |
$240.72 |
$690.95
|
|
Dup scan/hemodialysis access 93990
|
$446.04 |
$446.04 |
$446.04 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$932.20 |
$932.20 |
$932.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$959.93 |
$959.93 |
$959.93 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$1,879.74 |
$1,879.74 |
$1,879.74 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$248.42 |
$248.42 |
$248.42 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$425.39 |
$425.39 |
$425.39 |
$392.60
|
|
Dx bronchoscope/lavage 31624
|
$1,251.39 |
$1,251.39 |
$1,251.39 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,252.57 |
$1,252.57 |
$1,252.57 |
$2,322.60
|
|
Ear irrigation 69209
|
$67.85 |
$67.85 |
$67.85 |
$149.76
|
|
Ecg 12 lead tracing only
|
$277.89 |
$277.89 |
$277.89 |
$226.50
|
|
Ecg external < 48 hours recording
|
$482.03 |
$482.03 |
$482.03 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$482.03 |
$482.03 |
$482.03 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$675.55 |
$675.55 |
$675.55 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$675.55 |
$675.55 |
$675.55 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,722.21 |
$1,722.21 |
$1,722.21 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$435.42 |
$435.42 |
$435.42 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,229.61 |
$2,229.61 |
$2,229.61 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$854.91 |
$854.91 |
$854.91 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,487.39 |
$1,487.39 |
$1,487.39 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$270.22 |
$270.22 |
$270.22 |
$362.50
|
|
Echo exam uterus 76831-
|
$247.21 |
$247.21 |
$247.21 |
$523.71
|
|
Echo guidance radiotherapy
|
$253.11 |
$253.11 |
$253.11 |
$812.00
|
|
Echo guide for amniocentesis
|
$526.28 |
$526.28 |
$526.28 |
$456.30
|
|
Echo guide for artery repair
|
$929.84 |
$929.84 |
$929.84 |
$664.00
|
|
Echo stress
|
$1,610.11 |
$1,610.11 |
$1,610.11 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,805.40 |
$1,805.40 |
$1,805.40 |
$1,849.50
|
|
Echo transesophageal
|
$538.67 |
$538.67 |
$538.67 |
$664.39
|
|
Echo transthoracic
|
$1,469.10 |
$1,469.10 |
$1,469.10 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,957.62 |
$1,957.62 |
$1,957.62 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$871.43 |
$871.43 |
$871.43 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$871.43 |
$871.43 |
$871.43 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$1,847.29 |
$1,847.29 |
$1,847.29 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$1,847.29 |
$1,847.29 |
$1,847.29 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$4,661.59 |
$4,661.59 |
$4,661.59 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,006.10 |
$4,006.10 |
$4,006.10 |
$2,825.34
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$4,882.25 |
$4,882.25 |
$4,882.25 |
$1,240.00
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$4,882.25 |
$4,882.25 |
$4,882.25 |
$1,057.76
|
|
Eeg 41-60 minutes 95812-26
|
$1,102.71 |
$1,102.71 |
$1,102.71 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$994.15 |
$994.15 |
$994.15 |
$1,000.42
|
|
Eeg during surgery
|
$991.79 |
$991.79 |
$991.79 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$837.80 |
$837.80 |
$837.80 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,234.87 |
$1,234.87 |
$1,234.87 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$834.85 |
$834.85 |
$834.85 |
$907.80
|
|
Eeg recording awake and asleep
|
$900.34 |
$900.34 |
$900.34 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$932.79 |
$932.79 |
$932.79 |
$601.30
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,025.47 |
$2,025.47 |
$2,025.47 |
$1,502.40
|
|
E equine encephalitis igg
|
$37.76 |
$37.76 |
$37.76 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$182.62 |
$182.62 |
$182.62 |
$12,999.80
|
|
Egd remove foreign body
|
$1,601.85 |
$1,601.85 |
$1,601.85 |
$1,505.50
|
|
Elec analys infus pump w/reprog 62368
|
$791.78 |
$791.78 |
$791.78 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$376.42 |
$376.42 |
$376.42 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$837.80 |
$837.80 |
$837.80 |
$616.11
|
|
Electrd sq emblem s-icd
|
$14,971.25 |
$14,971.25 |
$14,971.25 |
$10,243.24
|
|
Electroconvulsive therapy 90870
|
$1,040.76 |
$1,040.76 |
$1,040.76 |
$1,180.80
|
|
Electrolyte panel
|
$59.00 |
$59.00 |
$59.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$657.26 |
$657.26 |
$657.26 |
$983.41
|
|
Electrophysiology evaluation
|
$2,442.01 |
$2,442.01 |
$2,442.01 |
$2,451.90
|
|
Elotuzumab 300 mg intravenous solution
|
$1,720.66 |
$1,720.66 |
$1,720.66 |
$5,523.02
|
|
Embolization s&i
|
$2,523.43 |
$2,523.43 |
$2,523.43 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$11,992.34 |
$11,992.34 |
$11,992.34 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,539.76 |
$10,539.76 |
$10,539.76 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$8,982.16 |
$8,982.16 |
$8,982.16 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$7,535.48 |
$7,535.48 |
$7,535.48 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$219.48 |
$219.48 |
$219.48 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,013.03 |
$1,013.03 |
$1,013.03 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$1,164.07 |
$1,164.07 |
$1,164.07 |
$464.00
|
|
Emg needle test 1-extremity
|
$629.53 |
$629.53 |
$629.53 |
$334.34
|
|
Emg needle test 4-extremities
|
$733.96 |
$733.96 |
$733.96 |
$547.00
|
|
Endo cath bile duct s&i
|
$420.08 |
$420.08 |
$420.08 |
$694.06
|
|
Endoluminal bx biliary tree
|
$197.06 |
$197.06 |
$197.06 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$4,021.44 |
$4,021.44 |
$4,021.44 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,045.48 |
$1,045.48 |
$1,045.48 |
$2,203.49
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,948.23 |
$2,948.23 |
$2,948.23 |
$2,756.52
|
|
Endo, single, pulmonary
|
$883.23 |
$883.23 |
$883.23 |
$1,046.66
|
|
Endovasc rpr a-biiliac endogft 34705
|
$10,290.19 |
$10,290.19 |
$10,290.19 |
$9,055.68
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$2,437.29 |
$2,437.29 |
$2,437.29 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$20.11 |
$20.11 |
$20.11 |
$109.71
|
|
Epidural/lumbar/sacral/ea add level64484
|
$752.84 |
$752.84 |
$752.84 |
$1,141.80
|
|
Epidurography
|
$410.64 |
$410.64 |
$410.64 |
$589.04
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$0.67 |
$0.67 |
$0.67 |
$248.81
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$328.67 |
$328.67 |
$328.67 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$34.55 |
$34.55 |
$34.55 |
$129.30
|
|
Epstein barr early antigen antibody
|
$30.68 |
$30.68 |
$30.68 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$46.61 |
$46.61 |
$46.61 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$50.74 |
$50.74 |
$50.74 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$1,078.42 |
$1,078.42 |
$1,078.42 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$1,124.54 |
$1,124.54 |
$1,124.54 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$368.16 |
$368.16 |
$368.16 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$74.90 |
$74.90 |
$74.90 |
$222.98
|
|
ER Visit (level 1, minor)
|
$204.14 |
$204.14 |
$204.14 |
$246.24
|
|
ER Visit (level 2)
|
$320.96 |
$320.96 |
$320.96 |
$452.20
|
|
ER Visit (level 3)
|
$568.76 |
$568.76 |
$568.76 |
$770.04
|
|
ER Visit (level 4)
|
$990.61 |
$990.61 |
$990.61 |
$1,273.68
|