|
Duodenal motility study
|
$587.30 |
$587.30 |
$587.30 |
$619.82
|
|
Duplex scan bilateral study 93985
|
$267.55 |
$267.55 |
$267.55 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$117.70 |
$117.70 |
$117.70 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$117.70 |
$117.70 |
$117.70 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$173.18 |
$173.18 |
$173.18 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$267.55 |
$267.55 |
$267.55 |
$852.57
|
|
Durvalumab 50 mg/ml intravenous solution
|
$85.25 |
$85.25 |
$85.25 |
$137.19
|
|
Dxa bone density axl vrt fx
|
$117.70 |
$117.70 |
$117.70 |
$365.14
|
|
Dx aly aud oi snd prcsr 1st
|
$173.18 |
$173.18 |
$173.18 |
$184.26
|
|
Dx bronchoscope/brush 31623
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$2,512.54
|
|
Dx dark adaptation exam i&r
|
$441.68 |
$441.68 |
$441.68 |
$442.06
|
|
Dx duod intub w/asp spec 43756
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$608.80
|
|
Dx duod intub w/asp specs
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$837.60
|
|
Dx gastr intub w/asp spec
|
$344.68 |
$344.68 |
$344.68 |
$340.32
|
|
Dx gastr intub w/asp specs
|
$173.18 |
$173.18 |
$173.18 |
$176.93
|
|
Dx laryngoscopy newborn
|
$429.80 |
$429.80 |
$429.80 |
$472.20
|
|
Dx laryngoscopy w/oper scope
|
$1,908.75 |
$1,908.75 |
$1,908.75 |
$1,867.86
|
|
Dynamic cavernosometry
|
$269.20 |
$269.20 |
$269.20 |
$354.40
|
|
Dynamic surface emg
|
$344.68 |
$344.68 |
$344.68 |
$296.91
|
|
Ear and throat examination
|
$563.67 |
$563.67 |
$563.67 |
$564.16
|
|
Ear canal biopsy 69105
|
$1,639.57 |
$1,639.57 |
$1,639.57 |
$1,640.99
|
|
Ear cartilage graft
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,385.40
|
|
Ear irrigation 69209
|
$65.75 |
$65.75 |
$65.75 |
$152.50
|
|
Ear protector evaluation
|
$43.44 |
$43.44 |
$43.44 |
$65.00
|
|
Ecallantide injection
|
$579.99 |
$579.99 |
$579.99 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$65.75 |
$65.75 |
$65.75 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$65.75 |
$65.75 |
$65.75 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$101.60 |
$101.60 |
$101.60 |
$404.21
|
|
Ecg external < 48 hours recording
|
$142.67 |
$142.67 |
$142.67 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$65.75 |
$65.75 |
$65.75 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$43.44 |
$43.44 |
$43.44 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$43.44 |
$43.44 |
$43.44 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$606.89 |
$606.89 |
$606.89 |
$2,021.12
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$874.49 |
$874.49 |
$874.49 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$267.55 |
$267.55 |
$267.55 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$395.29 |
$395.29 |
$395.29 |
$840.00
|
|
Echo exam of eye
|
$117.70 |
$117.70 |
$117.70 |
$140.80
|
|
Echo exam of eye
|
$117.70 |
$117.70 |
$117.70 |
$161.46
|
|
Echo exam of eye
|
$97.46 |
$97.46 |
$97.46 |
$119.66
|
|
Echo exam of eye thickness
|
$27.11 |
$27.11 |
$27.11 |
$32.37
|
|
Echo exam of fetal heart
|
$606.89 |
$606.89 |
$606.89 |
$855.38
|
|
Echo exam of fetal heart
|
$267.55 |
$267.55 |
$267.55 |
$481.55
|
|
Echo exam of fetal heart
|
$117.70 |
$117.70 |
$117.70 |
$429.87
|
|
Echo exam of fetal heart
|
$117.70 |
$117.70 |
$117.70 |
$318.34
|
|
Echo exam uterus 76831-
|
$267.55 |
$267.55 |
$267.55 |
$497.93
|
|
Echograp trans r pros study
|
$117.70 |
$117.70 |
$117.70 |
$406.33
|
|
Echo guide for artery repair
|
$344.68 |
$344.68 |
$344.68 |
$687.35
|
|
Echo stress
|
$606.89 |
$606.89 |
$606.89 |
$1,401.00
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$606.89 |
$606.89 |
$606.89 |
$688.43
|
|
Echo tee probe placement image acquisition interpretation & report
|
$606.89 |
$606.89 |
$606.89 |
$1,946.10
|
|
Echo transesophageal
|
$606.89 |
$606.89 |
$606.89 |
$637.97
|
|
Echo transesophageal
|
$606.89 |
$606.89 |
$606.89 |
$1,737.60
|
|
Echo transesophageal intraop
|
$606.89 |
$606.89 |
$606.89 |
$1,571.70
|
|
Echo transthoracic
|
$606.89 |
$606.89 |
$606.89 |
$1,361.75
|
|
Echo transthoracic
|
$606.89 |
$606.89 |
$606.89 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$267.55 |
$267.55 |
$267.55 |
$997.40
|
|
Ecog impltd brn npgt <30 d
|
$41.27 |
$41.27 |
$41.27 |
$225.28
|
|
E coli 0157 ag ia
|
$12.66 |
$12.66 |
$12.66 |
$32.00
|
|
Ecp ciliary body destruction
|
$2,524.45 |
$2,524.45 |
$2,524.45 |
$2,486.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$44.77 |
$44.77 |
$44.77 |
$17,051.72
|
|
Edetate calcium disodium inj
|
$6,454.57 |
$6,454.57 |
$6,454.57 |
$20,833.61
|
|
Eeg 41-60 minutes 95812-26
|
$344.68 |
$344.68 |
$344.68 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$587.30 |
$587.30 |
$587.30 |
$970.07
|
|
Eeg monitoring/function test
|
$1,126.11 |
$1,126.11 |
$1,126.11 |
$1,383.98
|
|
Eeg monitoring/giving drugs
|
$587.30 |
$587.30 |
$587.30 |
$797.51
|
|
Eeg monitor/record/awake/drowsy 95816
|
$344.68 |
$344.68 |
$344.68 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$344.68 |
$344.68 |
$344.68 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$344.68 |
$344.68 |
$344.68 |
$892.52
|
|
Eeg recording awake and asleep
|
$344.68 |
$344.68 |
$344.68 |
$937.95
|
|
Eeg without vid 2-12hr cont mntr
|
$344.68 |
$344.68 |
$344.68 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$344.68 |
$344.68 |
$344.68 |
$602.40
|
|
Eeg without vid ea 12-26hr cont
|
$587.30 |
$587.30 |
$587.30 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$587.30 |
$587.30 |
$587.30 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$344.68 |
$344.68 |
$344.68 |
$826.15
|
|
Eeg wo vid ea 12-26hr unmntr
|
$587.30 |
$587.30 |
$587.30 |
$1,502.40
|
|
E equine encephalitis igg
|
$13.19 |
$13.19 |
$13.19 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$49.52
|
|
Egd balloon dil esoph30 mm/>
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,099.70
|
|
Egd control bleeding any
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,476.20
|
|
Egd dilate stricture
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,394.60
|
|
Egd endo mucosal resection
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,234.01
|
|
Egd endoscopic stent place
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$11,523.76 |
$11,523.76 |
$11,523.76 |
$11,783.24
|
|
Egd flx trnsorl dplmnt balo
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Egd flx trnsorl rmvl balo
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,048.28
|
|
Egd guide wire insertion
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,247.13
|
|
Egd injection varices
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,105.22
|
|
Egd lesion ablation
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,608.80
|
|
Egd optical endomicroscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$846.30
|
|
Egd remove foreign body
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,588.55
|
|
Egd remove lesion snare
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,234.01
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,234.01
|
|
Egd Ultrasound transmural injxn/mark
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Egd varices ligation
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,234.01
|