|
Drug test prsmv instrmnt
|
$206.65 |
$206.65 |
$206.65 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$345.50 |
$345.50 |
$345.50 |
$278.85
|
|
Dry needling (97799)
|
$235.15 |
$235.15 |
$235.15 |
$114.27
|
|
Ductogram sgl duct
|
$905.40 |
$905.40 |
$905.40 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$477.20 |
$477.20 |
$477.20 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$224.00 |
$224.00 |
$224.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$1,357.55 |
$1,357.55 |
$1,357.55 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,240.30 |
$2,240.30 |
$2,240.30 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,691.30 |
$2,691.30 |
$2,691.30 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$15,109.20 |
$15,109.20 |
$15,109.20 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$529.90 |
$529.90 |
$529.90 |
$401.20
|
|
Dx bronchoscope/wash 31622
|
$3,029.55 |
$3,029.55 |
$3,029.55 |
$2,410.50
|
|
Dx intraop thoracic aorta Ultrasound
|
$1,506.65 |
$1,506.65 |
$1,506.65 |
$558.11
|
|
Dx laryngoscopy newborn
|
$718.10 |
$718.10 |
$718.10 |
$658.00
|
|
Ear irrigation 69209
|
$143.25 |
$143.25 |
$143.25 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$860.45 |
$860.45 |
$860.45 |
$412.88
|
|
Ecg external < 48 hours recording
|
$553.45 |
$553.45 |
$553.45 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$603.85 |
$603.85 |
$603.85 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$603.85 |
$603.85 |
$603.85 |
$173.40
|
|
Ecg/review interpret only
|
$103.20 |
$103.20 |
$103.20 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,910.55 |
$2,910.55 |
$2,910.55 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$795.50 |
$795.50 |
$795.50 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$445.90 |
$445.90 |
$445.90 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,913.15 |
$2,913.15 |
$2,913.15 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$2,028.05 |
$2,028.05 |
$2,028.05 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$667.25 |
$667.25 |
$667.25 |
$371.25
|
|
Echo exam of fetal heart
|
$1,358.25 |
$1,358.25 |
$1,358.25 |
$904.80
|
|
Echo exam of fetal heart
|
$987.35 |
$987.35 |
$987.35 |
$538.27
|
|
Echo exam of fetal heart
|
$822.60 |
$822.60 |
$822.60 |
$431.41
|
|
Echo exam of fetal heart
|
$660.25 |
$660.25 |
$660.25 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,012.70 |
$1,012.70 |
$1,012.70 |
$561.00
|
|
Echograp trans r pros study
|
$2,127.45 |
$2,127.45 |
$2,127.45 |
$468.00
|
|
Echo guidance radiotherapy
|
$3,606.65 |
$3,606.65 |
$3,606.65 |
$812.00
|
|
Echo guide for artery repair
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$696.30
|
|
Echo guide for transfusion
|
$682.45 |
$682.45 |
$682.45 |
$332.39
|
|
Echo guide villus sampling
|
$289.30 |
$289.30 |
$289.30 |
$362.88
|
|
Echo stress
|
$1,593.60 |
$1,593.60 |
$1,593.60 |
$1,609.44
|
|
Echo tee guidance
|
$3,425.70 |
$3,425.70 |
$3,425.70 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,103.05 |
$2,103.05 |
$2,103.05 |
$1,913.60
|
|
Echo transesophageal
|
$1,894.60 |
$1,894.60 |
$1,894.60 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,538.45 |
$1,538.45 |
$1,538.45 |
$1,578.00
|
|
Echo transthoracic
|
$1,077.05 |
$1,077.05 |
$1,077.05 |
$1,361.75
|
|
Echo transthoracic
|
$460.70 |
$460.70 |
$460.70 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,593.70 |
$1,593.70 |
$1,593.70 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$18,123.75 |
$18,123.75 |
$18,123.75 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$18,123.75 |
$18,123.75 |
$18,123.75 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$18,123.75 |
$18,123.75 |
$18,123.75 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$18,123.75 |
$18,123.75 |
$18,123.75 |
$4,084.29
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$23,407.75 |
$23,407.75 |
$23,407.75 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$116.95 |
$116.95 |
$116.95 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$2,094.90 |
$2,094.90 |
$2,094.90 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$583.10 |
$583.10 |
$583.10 |
$994.15
|
|
Eeg during surgery
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$775.45
|
|
Eeg monitoring/function test
|
$842.65 |
$842.65 |
$842.65 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,873.25 |
$1,873.25 |
$1,873.25 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$842.65 |
$842.65 |
$842.65 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,393.45 |
$1,393.45 |
$1,393.45 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,583.70 |
$1,583.70 |
$1,583.70 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$503.65 |
$503.65 |
$503.65 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,451.50 |
$1,451.50 |
$1,451.50 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$967.10 |
$967.10 |
$967.10 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$967.10 |
$967.10 |
$967.10 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$503.65 |
$503.65 |
$503.65 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,902.80 |
$2,902.80 |
$2,902.80 |
$1,632.95
|
|
E equine encephalitis igg
|
$46.50 |
$46.50 |
$46.50 |
$51.84
|
|
Egd control bleeding any
|
$2,755.05 |
$2,755.05 |
$2,755.05 |
$2,553.75
|
|
Egd remove foreign body
|
$1,915.35 |
$1,915.35 |
$1,915.35 |
$1,571.40
|
|
Ehrlicha chaffeensis amp prb
|
$328.40 |
$328.40 |
$328.40 |
$93.00
|
|
EKG (Tracing Only)
|
$332.30 |
$332.30 |
$332.30 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$393.95 |
$393.95 |
$393.95 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$393.95 |
$393.95 |
$393.95 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$729.20 |
$729.20 |
$729.20 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$729.20 |
$729.20 |
$729.20 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$541.05 |
$541.05 |
$541.05 |
$618.80
|
|
Electrd sq emblem s-icd
|
$6,602.01 |
$6,602.01 |
$6,602.01 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$165.85 |
$165.85 |
$165.85 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$74.75 |
$74.75 |
$74.75 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$2,468.05 |
$2,468.05 |
$2,468.05 |
$1,235.00
|
|
Electrocorticography durng sx
|
$583.10 |
$583.10 |
$583.10 |
$1,642.53
|
|
Electrode stimulation brain
|
$754.45 |
$754.45 |
$754.45 |
$1,203.94
|
|
Electrolyte panel
|
$180.75 |
$180.75 |
$180.75 |
$79.30
|
|
Electrophysiology evaluation
|
$7,202.40 |
$7,202.40 |
$7,202.40 |
$8,975.40
|
|
Electrophysiology evaluation
|
$21,607.25 |
$21,607.25 |
$21,607.25 |
$10,724.84
|
|
Electrophysiology evaluation
|
$5,540.95 |
$5,540.95 |
$5,540.95 |
$6,760.00
|
|
Electrophysiology evaluation
|
$5,012.40 |
$5,012.40 |
$5,012.40 |
$5,883.66
|
|
Electrophysiology evaluation
|
$4,549.25 |
$4,549.25 |
$4,549.25 |
$2,559.70
|
|
Electrophysiology evaluation
|
$1,298.95 |
$1,298.95 |
$1,298.95 |
$2,914.40
|
|
Electrophysiology evaluation
|
$3,364.95 |
$3,364.95 |
$3,364.95 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$11,248.60 |
$11,248.60 |
$11,248.60 |
$5,762.40
|
|
Elosulfase alfa, injection
|
$5,199.10 |
$5,199.10 |
$5,199.10 |
$2,635.83
|
|
Embolization s&i
|
$7,604.65 |
$7,604.65 |
$7,604.65 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$47,767.05 |
$47,767.05 |
$47,767.05 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$47,767.05 |
$47,767.05 |
$47,767.05 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$47,767.05 |
$47,767.05 |
$47,767.05 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$47,767.05 |
$47,767.05 |
$47,767.05 |
$14,741.00
|
|
Emb w/colposcopy 58110
|
$121.60 |
$121.60 |
$121.60 |
$290.55
|
|
Emb without cervical dilation 58100
|
$333.10 |
$333.10 |
$333.10 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$282.00 |
$282.00 |
$282.00 |
$394.80
|
|
Emg cranial nerve bilateral
|
$289.30 |
$289.30 |
$289.30 |
$529.10
|
