|
Drug admin & hemodynmic meas
|
$315.50 |
$315.50 |
$315.50 |
$528.50
|
|
Drug assay caffeine
|
$16.81 |
$16.81 |
$16.81 |
$81.61
|
|
Drug assay posaconazole
|
$17.22 |
$17.22 |
$17.22 |
$96.39
|
|
Drug assay voriconazole
|
$17.22 |
$17.22 |
$17.22 |
$96.75
|
|
Drug test def 15-21 classes
|
$96.35 |
$96.35 |
$96.35 |
$218.61
|
|
Drug test def 1-7 classes
|
$559.65 |
$559.65 |
$559.65 |
$268.00
|
|
Drug test def 22+ classes
|
$151.91 |
$151.91 |
$151.91 |
$340.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$126.08 |
$126.08 |
$126.08 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$116.24 |
$116.24 |
$116.24 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$56.17 |
$56.17 |
$56.17 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$187.37 |
$187.37 |
$187.37 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$746.82 |
$746.82 |
$746.82 |
$903.00
|
|
Dx gastr intub w/asp spec
|
$236.57 |
$236.57 |
$236.57 |
$368.50
|
|
Ecg 12 lead tracing only
|
$313.04 |
$313.04 |
$313.04 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$63.76 |
$63.76 |
$63.76 |
$129.83
|
|
Ecg external < 48 hours recording
|
$161.95 |
$161.95 |
$161.95 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,941.15 |
$1,941.15 |
$1,941.15 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$221.81 |
$221.81 |
$221.81 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$595.94 |
$595.94 |
$595.94 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$230.83 |
$230.83 |
$230.83 |
$353.46
|
|
Echo exam of fetal heart
|
$369.41 |
$369.41 |
$369.41 |
$855.38
|
|
Echo exam of fetal heart
|
$218.74 |
$218.74 |
$218.74 |
$503.80
|
|
Echo exam of fetal heart
|
$56.58 |
$56.58 |
$56.58 |
$431.41
|
|
Echo exam of fetal heart
|
$53.51 |
$53.51 |
$53.51 |
$323.40
|
|
Echo guide for artery repair
|
$228.17 |
$228.17 |
$228.17 |
$680.28
|
|
Echo stress
|
$276.34 |
$276.34 |
$276.34 |
$1,582.75
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$353.83 |
$353.83 |
$353.83 |
$648.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,722.41 |
$1,722.41 |
$1,722.41 |
$1,871.10
|
|
Echo transesophageal
|
$223.86 |
$223.86 |
$223.86 |
$913.33
|
|
Echo transesophageal
|
$1,619.09 |
$1,619.09 |
$1,619.09 |
$572.25
|
|
Echo transesophageal
|
$353.83 |
$353.83 |
$353.83 |
$1,734.10
|
|
Echo transesophageal intraop
|
$353.83 |
$353.83 |
$353.83 |
$1,571.70
|
|
Echo transthoracic
|
$496.92 |
$496.92 |
$496.92 |
$1,492.50
|
|
Echo transthoracic
|
$297.66 |
$297.66 |
$297.66 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$679.37 |
$679.37 |
$679.37 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$991.18 |
$991.18 |
$991.18 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$991.18 |
$991.18 |
$991.18 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$2,169.72 |
$2,169.72 |
$2,169.72 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,169.72 |
$2,169.72 |
$2,169.72 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$147.40 |
$147.40 |
$147.40 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$147.40 |
$147.40 |
$147.40 |
$4,331.00
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$161.95 |
$161.95 |
$161.95 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$161.95 |
$161.95 |
$161.95 |
$1,394.09
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$174.46 |
$174.46 |
$174.46 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$186.76 |
$186.76 |
$186.76 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$147.40 |
$147.40 |
$147.40 |
$1,128.60
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$147.40 |
$147.40 |
$147.40 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$147.40 |
$147.40 |
$147.40 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$147.40 |
$147.40 |
$147.40 |
$1,802.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$2,407.11 |
$2,407.11 |
$2,407.11 |
$17,051.72
|
|
Eeg 41-60 minutes 95812-26
|
$258.71 |
$258.71 |
$258.71 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$334.97 |
$334.97 |
$334.97 |
$1,049.59
|
|
Eeg over 1 hour 95813 - 26
|
$310.58 |
$310.58 |
$310.58 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$181.02 |
$181.02 |
$181.02 |
$936.00
|
|
Eeg recording awake and asleep
|
$710.94 |
$710.94 |
$710.94 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$159.49 |
$159.49 |
$159.49 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$163.39 |
$163.39 |
$163.39 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$306.68 |
$306.68 |
$306.68 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$306.68 |
$306.68 |
$306.68 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$159.49 |
$159.49 |
$159.49 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$306.68 |
$306.68 |
$306.68 |
$1,251.52
|
|
E equine encephalitis igg
|
$46.13 |
$46.13 |
$46.13 |
$48.73
|
|
Ehrlicha chaffeensis amp prb
|
$23.78 |
$23.78 |
$23.78 |
$105.00
|
|
Electrd sq emblem s-icd
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$9,864.20
|
|
Electrical stimulation/unattended 97014
|
$92.87 |
$92.87 |
$92.87 |
$81.75
|
|
Electrode stimulation brain
|
$216.69 |
$216.69 |
$216.69 |
$1,180.80
|
|
Electrolyte panel
|
$145.14 |
$145.14 |
$145.14 |
$86.33
|
|
Electron microscopy diagnostic
|
$305.25 |
$305.25 |
$305.25 |
$966.69
|
|
Electrophysiologic study
|
$2,308.10 |
$2,308.10 |
$2,308.10 |
$6,758.40
|
|
Electrophysiology evaluation
|
$5,157.39 |
$5,157.39 |
$5,157.39 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,920.21 |
$4,920.21 |
$4,920.21 |
$11,175.42
|
|
Electrophysiology evaluation
|
$1,454.89 |
$1,454.89 |
$1,454.89 |
$7,769.30
|
|
Electrophysiology evaluation
|
$1,454.89 |
$1,454.89 |
$1,454.89 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,112.13 |
$1,112.13 |
$1,112.13 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,512.49 |
$1,512.49 |
$1,512.49 |
$2,803.20
|
|
Electrophysiology evaluation
|
$1,014.55 |
$1,014.55 |
$1,014.55 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$4,276.92 |
$4,276.92 |
$4,276.92 |
$6,534.00
|
|
Embolization s&i
|
$601.88 |
$601.88 |
$601.88 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$6,621.91 |
$6,621.91 |
$6,621.91 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,714.36 |
$7,714.36 |
$7,714.36 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,685.05 |
$6,685.05 |
$6,685.05 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$4,887.82 |
$4,887.82 |
$4,887.82 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$61.71 |
$61.71 |
$61.71 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$61.71 |
$61.71 |
$61.71 |
$487.20
|
|
Emg needle test 1-extremity
|
$61.71 |
$61.71 |
$61.71 |
$342.24
|
|
Emg needle test 4-extremities
|
$61.71 |
$61.71 |
$61.71 |
$570.50
|
|
Encephalitis, california igg/igm
|
$14.35 |
$14.35 |
$14.35 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$14.35 |
$14.35 |
$14.35 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$22.96 |
$22.96 |
$22.96 |
$50.70
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,144.30 |
$2,144.30 |
$2,144.30 |
$5,515.40
|
|
Endoluminal bx biliary tree
|
$825.74 |
$825.74 |
$825.74 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$563.75 |
$563.75 |
$563.75 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$2,837.61 |
$2,837.61 |
$2,837.61 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,270.17 |
$2,270.17 |
$2,270.17 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$239.44 |
$239.44 |
$239.44 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$448.54 |
$448.54 |
$448.54 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$4,842.51 |
$4,842.51 |
$4,842.51 |
$11,261.25
|
|
Endovenous rf abl vein addl
|
$1,303.39 |
$1,303.39 |
$1,303.39 |
$3,156.02
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$274.09 |
$274.09 |
$274.09 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$21.53 |
$21.53 |
$21.53 |
$66.47
|
