|
Doppler upper/lower extremity arteries limited bilateral
|
$396.04 |
$396.04 |
$396.04 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$145,637.66 |
$145,637.66 |
$145,637.66 |
$34,278.00
|
|
Dpyd gene common variants
|
$386.92 |
$386.92 |
$386.92 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$139.55 |
$139.55 |
$139.55 |
$800.00
|
|
Drainage external ear complex 69005
|
$220.58 |
$220.58 |
$220.58 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$204.17 |
$204.17 |
$204.17 |
$790.40
|
|
Drainage mouth roof lesion
|
$117.29 |
$117.29 |
$117.29 |
$405.60
|
|
Drainage of arm bursa 23931
|
$262.81 |
$262.81 |
$262.81 |
$2,271.01
|
|
Drainage of nose lesion int 30000
|
$110.29 |
$110.29 |
$110.29 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$111.19 |
$111.19 |
$111.19 |
$781.44
|
|
Drain blood from under nail 11740
|
$35.30 |
$35.30 |
$35.30 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$155.84 |
$155.84 |
$155.84 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$124.89 |
$124.89 |
$124.89 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$61.36 |
$61.36 |
$61.36 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$150.95 |
$150.95 |
$150.95 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$193.31 |
$193.31 |
$193.31 |
$655.72
|
|
Drng of scrotum abscess 55100
|
$188.42 |
$188.42 |
$188.42 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,161.23 |
$6,161.23 |
$6,161.23 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$280.63 |
$280.63 |
$280.63 |
$7,465.97
|
|
Drug assay caffeine
|
$71.11 |
$71.11 |
$71.11 |
$80.00
|
|
Drug assay posaconazole
|
$72.33 |
$72.33 |
$72.33 |
$96.75
|
|
Drug assay vedolizumab
|
$194.32 |
$194.32 |
$194.32 |
$154.00
|
|
Drug assay voriconazole
|
$77.85 |
$77.85 |
$77.85 |
$96.75
|
|
Drug of abuse screen urine
|
$23.29 |
$23.29 |
$23.29 |
$67.89
|
|
Drug screening tapentadol
|
$34.33 |
$34.33 |
$34.33 |
$47.03
|
|
Drug test prsmv instrmnt
|
$31.88 |
$31.88 |
$31.88 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$275.24 |
$275.24 |
$275.24 |
$278.85
|
|
Dstr mal les s/n/h/f/g >4.0
|
$191.20 |
$191.20 |
$191.20 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$162.27 |
$162.27 |
$162.27 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$189.39 |
$189.39 |
$189.39 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$256.74 |
$256.74 |
$256.74 |
$886.40
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$502.52 |
$502.52 |
$502.52 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$751.72 |
$751.72 |
$751.72 |
$904.78
|
|
Ear canal biopsy 69105
|
$87.24 |
$87.24 |
$87.24 |
$1,889.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$108.40 |
$108.40 |
$108.40 |
$132.08
|
|
Ecg external < 48 hours recording
|
$278.88 |
$278.88 |
$278.88 |
$467.40
|
|
Ecg external > 48 hours up to 7 days recording
|
$359.89 |
$359.89 |
$359.89 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$270.91 |
$270.91 |
$270.91 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,989.12 |
$1,989.12 |
$1,989.12 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$449.57 |
$449.57 |
$449.57 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$360.19 |
$360.19 |
$360.19 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$562.46 |
$562.46 |
$562.46 |
$866.87
|
|
Echo exam of fetal heart
|
$914.76 |
$914.76 |
$914.76 |
$904.80
|
|
Echo exam of fetal heart
|
$420.96 |
$420.96 |
$420.96 |
$538.27
|
|
Echo exam of fetal heart
|
$431.97 |
$431.97 |
$431.97 |
$431.41
|
|
Echo guide for amniocentesis
|
$426.04 |
$426.04 |
$426.04 |
$455.57
|
|
Echo stress
|
$866.21 |
$866.21 |
$866.21 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,303.01 |
$1,303.01 |
$1,303.01 |
$1,913.60
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$633.02 |
$633.02 |
$633.02 |
$1,033.00
|
|
E equine encephalitis igg
|
$49.92 |
$49.92 |
$49.92 |
$51.84
|
|
Egfr gene com variants
|
$717.84 |
$717.84 |
$717.84 |
$672.88
|
|
EKG (Tracing Only)
|
$205.59 |
$205.59 |
$205.59 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$280.02 |
$280.02 |
$280.02 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$345.36 |
$345.36 |
$345.36 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$289.94 |
$289.94 |
$289.94 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$240.46 |
$240.46 |
$240.46 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$269.19 |
$269.19 |
$269.19 |
$618.80
|
|
Electrd sq emblem s-icd
|
$7,700.70 |
$7,700.70 |
$7,700.70 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$87.00 |
$87.00 |
$87.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$69.85 |
$69.85 |
$69.85 |
$81.75
|
|
Electrolyte panel
|
$47.81 |
$47.81 |
$47.81 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,011.98 |
$1,011.98 |
$1,011.98 |
$1,011.98
|
|
Electrophysiologic study
|
$3,580.06 |
$3,580.06 |
$3,580.06 |
$7,493.20
|
|
Electrophysiology evaluation
|
$3,059.46 |
$3,059.46 |
$3,059.46 |
$2,914.40
|
|
Emb without cervical dilation 58100
|
$161.20 |
$161.20 |
$161.20 |
$373.60
|
|
Encephalitis, california igg/igm
|
$49.92 |
$49.92 |
$49.92 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$49.92 |
$49.92 |
$49.92 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$49.92 |
$49.92 |
$49.92 |
$54.99
|
|
Ep induct arrhy by elect pacing
|
$1,002.59 |
$1,002.59 |
$1,002.59 |
$2,702.70
|
|
Epoetin alfa, 100 units esrd
|
$18.54 |
$18.54 |
$18.54 |
$6.00
|
|
Epstein barr early antigen antibody
|
$42.24 |
$42.24 |
$42.24 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$41.47 |
$41.47 |
$41.47 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$47.62 |
$47.62 |
$47.62 |
$85.50
|
|
ER Visit (level 1, minor)
|
$293.00 |
$293.00 |
$293.00 |
$252.60
|
|
ER Visit (level 2)
|
$373.72 |
$373.72 |
$373.72 |
$463.00
|
|
ER Visit (level 3)
|
$894.62 |
$894.62 |
$894.62 |
$812.18
|
|
ER Visit (level 4)
|
$2,004.83 |
$2,004.83 |
$2,004.83 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$3,172.59 |
$3,172.59 |
$3,172.59 |
$1,871.60
|
|
Esophageal motility
|
$630.98 |
$630.98 |
$630.98 |
$655.45
|
|
Established Patient Office Visit (level 1)
|
$73.95 |
$73.95 |
$73.95 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$160.46 |
$160.46 |
$160.46 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$314.70 |
$314.70 |
$314.70 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$483.64 |
$483.64 |
$483.64 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$682.52 |
$682.52 |
$682.52 |
$290.68
|
|
Estradiol total
|
$51.49 |
$51.49 |
$51.49 |
$152.10
|
|
Estrogens total-sendout
|
$40.46 |
$40.46 |
$40.46 |
$97.50
|
|
Ethylene glycol -sendout
|
$49.65 |
$49.65 |
$49.65 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$222.30 |
$222.30 |
$222.30 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$180.84 |
$180.84 |
$180.84 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$284.42 |
$284.42 |
$284.42 |
$302.50
|
|
Event monitor
|
$272.24 |
$272.24 |
$272.24 |
$231.00
|
|
Evoked oa emissions ltd
|
$167.95 |
$167.95 |
$167.95 |
$244.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$211.99 |
$211.99 |
$211.99 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$302.39 |
$302.39 |
$302.39 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$166.79 |
$166.79 |
$166.79 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$91.77 |
$91.77 |
$91.77 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$96.28 |
$96.28 |
$96.28 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$135.15 |
$135.15 |
$135.15 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$165.88 |
$165.88 |
$165.88 |
$2,069.20
|