|
Drug assay voriconazole
|
$74.89 |
$74.89 |
$74.89 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$45.55 |
$45.55 |
$45.55 |
$66.43
|
|
Drug of abuse screen urine
|
$62.56 |
$62.56 |
$62.56 |
$67.89
|
|
Drug screening tapentadol
|
$102.83 |
$102.83 |
$102.83 |
$47.03
|
|
Drug/substance nos 4-6
|
$714.10 |
$714.10 |
$714.10 |
$72.14
|
|
Drug test def 15-21 classes
|
$604.39 |
$604.39 |
$604.39 |
$322.50
|
|
Drug test def 1-7 classes
|
$69.32 |
$69.32 |
$69.32 |
$263.25
|
|
Drug test def 8-14 classes
|
$392.36 |
$392.36 |
$392.36 |
$289.80
|
|
Drug test prsmv instrmnt
|
$52.09 |
$52.09 |
$52.09 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$135.20 |
$135.20 |
$135.20 |
$278.85
|
|
Drvvt confirm - quest
|
$103.81 |
$103.81 |
$103.81 |
$109.20
|
|
Dstr mal les s/n/h/f/g >4.0
|
$583.73 |
$583.73 |
$583.73 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$537.04 |
$537.04 |
$537.04 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$733.31 |
$733.31 |
$733.31 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,293.53 |
$1,293.53 |
$1,293.53 |
$886.40
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$908.46 |
$908.46 |
$908.46 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$130.88 |
$130.88 |
$130.88 |
$8,445.90
|
|
Dx aly aud oi snd prcsr 1st
|
$340.44 |
$340.44 |
$340.44 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$170.22 |
$170.22 |
$170.22 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$3,612.65 |
$3,612.65 |
$3,612.65 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$3,612.65 |
$3,612.65 |
$3,612.65 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,612.65 |
$3,612.65 |
$3,612.65 |
$2,410.50
|
|
Ear irrigation 69209
|
$143.81 |
$143.81 |
$143.81 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$138.48 |
$138.48 |
$138.48 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$255.55 |
$255.55 |
$255.55 |
$412.88
|
|
Ecg external < 48 hours recording
|
$211.52 |
$211.52 |
$211.52 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$211.52 |
$211.52 |
$211.52 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$138.48 |
$138.48 |
$138.48 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$260.58 |
$260.58 |
$260.58 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,346.81 |
$1,346.81 |
$1,346.81 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,353.33 |
$1,353.33 |
$1,353.33 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$332.24 |
$332.24 |
$332.24 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,727.24 |
$1,727.24 |
$1,727.24 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,622.14 |
$1,622.14 |
$1,622.14 |
$866.87
|
|
Echo exam of eye thickness
|
$36.50 |
$36.50 |
$36.50 |
$40.30
|
|
Echo exam uterus 76831-
|
$630.62 |
$630.62 |
$630.62 |
$561.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,940.52 |
$1,940.52 |
$1,940.52 |
$1,913.60
|
|
Echo transesophageal
|
$1,940.52 |
$1,940.52 |
$1,940.52 |
$1,650.00
|
|
Echo transthoracic
|
$1,224.85 |
$1,224.85 |
$1,224.85 |
$1,361.75
|
|
Echo transthoracic
|
$1,212.59 |
$1,212.59 |
$1,212.59 |
$1,052.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$367.46 |
$367.46 |
$367.46 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$108.58 |
$108.58 |
$108.58 |
$94.32
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$595.00 |
$595.00 |
$595.00 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$757.87 |
$757.87 |
$757.87 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,085.77 |
$1,085.77 |
$1,085.77 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$665.37 |
$665.37 |
$665.37 |
$931.20
|
|
E equine encephalitis igg
|
$31.78 |
$31.78 |
$31.78 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$34.68 |
$34.68 |
$34.68 |
$13,130.61
|
|
Egd guide wire insertion
|
$1,172.63 |
$1,172.63 |
$1,172.63 |
$1,664.00
|
|
Ehrlicha chaffeensis amp prb
|
$84.54 |
$84.54 |
$84.54 |
$93.00
|
|
EKG (Electrocardiogram)
|
$62.43 |
$62.43 |
$62.43 |
$89.60
|
|
EKG (Tracing Only)
|
$238.45 |
$238.45 |
$238.45 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$354.84 |
$354.84 |
$354.84 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$509.02 |
$509.02 |
$509.02 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$72.96 |
$72.96 |
$72.96 |
$87.49
|
|
Electrolyte panel
|
$104.69 |
$104.69 |
$104.69 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$134.02 |
$134.02 |
$134.02 |
$156.00
|
|
Emb without cervical dilation 58100
|
$121.94 |
$121.94 |
$121.94 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$336.17 |
$336.17 |
$336.17 |
$394.80
|
|
Emg needle test 1-extremity
|
$339.05 |
$339.05 |
$339.05 |
$351.50
|
|
Emg thor paraspinal without t1/t2
|
$352.85 |
$352.85 |
$352.85 |
$309.83
|
|
Encephalitis, california igg/igm
|
$31.78 |
$31.78 |
$31.78 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$31.78 |
$31.78 |
$31.78 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$31.78 |
$31.78 |
$31.78 |
$54.99
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,998.46 |
$4,998.46 |
$4,998.46 |
$5,515.40
|
|
Endocerv curettage w/scope 57456
|
$551.24 |
$551.24 |
$551.24 |
$515.50
|
|
Endocervical curettage 57505
|
$1,587.76 |
$1,587.76 |
$1,587.76 |
$1,060.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,787.71 |
$3,787.71 |
$3,787.71 |
$2,787.20
|
|
Endovenous rf abl vein addl
|
$1,603.06 |
$1,603.06 |
$1,603.06 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$7,328.11 |
$7,328.11 |
$7,328.11 |
$6,366.08
|
|
Envrn ivntj med mgmt psyc pt
|
$99.62 |
$99.62 |
$99.62 |
$74.10
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,000.48 |
$1,000.48 |
$1,000.48 |
$1,182.00
|
|
Epilepsy gen seq alys panel
|
$5,725.99 |
$5,725.99 |
$5,725.99 |
$3,142.35
|
|
Epstein barr early antigen antibody
|
$69.08 |
$69.08 |
$69.08 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$69.08 |
$69.08 |
$69.08 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$69.08 |
$69.08 |
$69.08 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$26.82 |
$26.82 |
$26.82 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$301.44 |
$301.44 |
$301.44 |
$232.12
|
|
ER Visit (level 1, minor)
|
$216.31 |
$216.31 |
$216.31 |
$252.60
|
|
ER Visit (level 2)
|
$337.43 |
$337.43 |
$337.43 |
$463.00
|
|
ER Visit (level 3)
|
$425.95 |
$425.95 |
$425.95 |
$812.18
|
|
ER Visit (level 4)
|
$786.76 |
$786.76 |
$786.76 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,099.97 |
$1,099.97 |
$1,099.97 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$239.21 |
$239.21 |
$239.21 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$259.62 |
$259.62 |
$259.62 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$294.07 |
$294.07 |
$294.07 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$365.48 |
$365.48 |
$365.48 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$482.21 |
$482.21 |
$482.21 |
$290.68
|
|
Estradiol total
|
$352.66 |
$352.66 |
$352.66 |
$152.10
|
|
Estrogens total-sendout
|
$208.05 |
$208.05 |
$208.05 |
$97.50
|
|
Ethylene glycol -sendout
|
$37.34 |
$37.34 |
$37.34 |
$86.04
|
|
Etonogestrel implant system
|
$1,432.95 |
$1,432.95 |
$1,432.95 |
$2,081.30
|
|
Euflexxa inj per dose
|
$507.49 |
$507.49 |
$507.49 |
$510.68
|
|
Euglobulin lysis
|
$19.34 |
$19.34 |
$19.34 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$375.38 |
$375.38 |
$375.38 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$208.32 |
$208.32 |
$208.32 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$179.64 |
$179.64 |
$179.64 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$356.86 |
$356.86 |
$356.86 |
$318.24
|
|
Event monitor
|
$229.76 |
$229.76 |
$229.76 |
$231.00
|
|
Evoked oa emissions ltd
|
$111.22 |
$111.22 |
$111.22 |
$244.00
|
