|
Drug admin & hemodynmic meas
|
$1,443.33 |
$1,443.33 |
$1,443.33 |
$569.75
|
|
Drug assay caffeine
|
$88.83 |
$88.83 |
$88.83 |
$80.00
|
|
Drug assay posaconazole
|
$243.73 |
$243.73 |
$243.73 |
$96.75
|
|
Drug assay rufinamide
|
$168.45 |
$168.45 |
$168.45 |
$87.10
|
|
Drug assay vedolizumab
|
$104.95 |
$104.95 |
$104.95 |
$154.00
|
|
Drug assay voriconazole
|
$243.73 |
$243.73 |
$243.73 |
$96.75
|
|
Drug of abuse screen urine
|
$96.53 |
$96.53 |
$96.53 |
$67.89
|
|
Drug screening tapentadol
|
$25.38 |
$25.38 |
$25.38 |
$47.03
|
|
Drug/substance nos 4-6
|
$66.00 |
$66.00 |
$66.00 |
$72.14
|
|
Drug test def 15-21 classes
|
$423.00 |
$423.00 |
$423.00 |
$322.50
|
|
Drug test def 1-7 classes
|
$141.03 |
$141.03 |
$141.03 |
$263.25
|
|
Drug test def 22+ classes
|
$563.95 |
$563.95 |
$563.95 |
$426.24
|
|
Drug test def 8-14 classes
|
$282.00 |
$282.00 |
$282.00 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$330.53 |
$330.53 |
$330.53 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,059.10 |
$2,059.10 |
$2,059.10 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$1,050.83 |
$1,050.83 |
$1,050.83 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$525.43 |
$525.43 |
$525.43 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$325.60 |
$325.60 |
$325.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$936.03 |
$936.03 |
$936.03 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$505.58 |
$505.58 |
$505.58 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$8,445.90 |
$8,445.90 |
$8,445.90 |
$8,445.90
|
|
Dx bronchoscope/lavage 31624
|
$2,209.48 |
$2,209.48 |
$2,209.48 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$1,851.00 |
$1,851.00 |
$1,851.00 |
$2,410.50
|
|
Dx intraop thoracic aorta Ultrasound
|
$1,780.05 |
$1,780.05 |
$1,780.05 |
$558.11
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$1,780.05 |
$1,780.05 |
$1,780.05 |
$558.11
|
|
Ear irrigation 69209
|
$171.43 |
$171.43 |
$171.43 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$129.83 |
$129.83 |
$129.83 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$742.10 |
$742.10 |
$742.10 |
$412.88
|
|
Ecg external < 48 hours recording
|
$781.90 |
$781.90 |
$781.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$688.95 |
$688.95 |
$688.95 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$71.83 |
$71.83 |
$71.83 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$118.13 |
$118.13 |
$118.13 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,780.05 |
$1,780.05 |
$1,780.05 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$609.43 |
$609.43 |
$609.43 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$432.25 |
$432.25 |
$432.25 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,780.05 |
$1,780.05 |
$1,780.05 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$609.43 |
$609.43 |
$609.43 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$236.13 |
$236.13 |
$236.13 |
$371.25
|
|
Echo exam of fetal heart
|
$765.73 |
$765.73 |
$765.73 |
$904.80
|
|
Echo exam of fetal heart
|
$481.55 |
$481.55 |
$481.55 |
$538.27
|
|
Echo exam of fetal heart
|
$342.58 |
$342.58 |
$342.58 |
$431.41
|
|
Echo exam of fetal heart
|
$279.13 |
$279.13 |
$279.13 |
$318.34
|
|
Echo exam uterus 76831-
|
$497.93 |
$497.93 |
$497.93 |
$561.00
|
|
Echograp trans r pros study
|
$406.33 |
$406.33 |
$406.33 |
$468.00
|
|
Echo guidance radiotherapy
|
$410.13 |
$410.13 |
$410.13 |
$812.00
|
|
Echo guide for amniocentesis
|
$316.58 |
$316.58 |
$316.58 |
$455.57
|
|
Echo guide for artery repair
|
$401.68 |
$401.68 |
$401.68 |
$696.30
|
|
Echo guide villus sampling
|
$362.88 |
$362.88 |
$362.88 |
$362.88
|
|
Echo stress
|
$1,031.28 |
$1,031.28 |
$1,031.28 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$688.43 |
$688.43 |
$688.43 |
$751.34
|
|
Echo tee guidance
|
$2,939.05 |
$2,939.05 |
$2,939.05 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,591.63 |
$1,591.63 |
$1,591.63 |
$1,913.60
|
|
Echo transesophageal
|
$1,088.33 |
$1,088.33 |
$1,088.33 |
$1,075.20
|
|
Echo transesophageal
|
$2,101.65 |
$2,101.65 |
$2,101.65 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,571.70 |
$1,571.70 |
$1,571.70 |
$1,578.00
|
|
Echo transthoracic
|
$881.70 |
$881.70 |
$881.70 |
$1,361.75
|
|
Echo transthoracic
|
$418.90 |
$418.90 |
$418.90 |
$1,052.40
|
|
Ecmo/ecls daily mgmt artery 33949
|
$10,638.35 |
$10,638.35 |
$10,638.35 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$10,638.35 |
$10,638.35 |
$10,638.35 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$21,849.00 |
$21,849.00 |
$21,849.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$21,849.00 |
$21,849.00 |
$21,849.00 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$6,452.18 |
$6,452.18 |
$6,452.18 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$6,452.18 |
$6,452.18 |
$6,452.18 |
$2,660.16
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,224.45 |
$2,224.45 |
$2,224.45 |
$1,660.50
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$6,452.18 |
$6,452.18 |
$6,452.18 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$85.68 |
$85.68 |
$85.68 |
$148.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$13,071.00 |
$13,071.00 |
$13,071.00 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$458.38 |
$458.38 |
$458.38 |
$8,739.98
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$50.20 |
$50.20 |
$50.20 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$721.73 |
$721.73 |
$721.73 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,571.65 |
$1,571.65 |
$1,571.65 |
$994.15
|
|
Eeg during surgery
|
$1,309.15 |
$1,309.15 |
$1,309.15 |
$775.45
|
|
Eeg monitoring/function test
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$828.58 |
$828.58 |
$828.58 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,072.93 |
$1,072.93 |
$1,072.93 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,257.45 |
$1,257.45 |
$1,257.45 |
$871.00
|
|
Eeg recording awake and asleep
|
$888.38 |
$888.38 |
$888.38 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$3,623.15 |
$3,623.15 |
$3,623.15 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$3,623.15 |
$3,623.15 |
$3,623.15 |
$1,632.95
|
|
E equine encephalitis igg
|
$48.73 |
$48.73 |
$48.73 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$12,393.28 |
$12,393.28 |
$12,393.28 |
$13,130.61
|
|
Egfr gene com variants
|
$672.88 |
$672.88 |
$672.88 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$95.45 |
$95.45 |
$95.45 |
$93.00
|
|
EKG tracing for initial prev
|
$129.83 |
$129.83 |
$129.83 |
$81.76
|
|
EKG (Tracing Only)
|
$290.78 |
$290.78 |
$290.78 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$203.98 |
$203.98 |
$203.98 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$251.55 |
$251.55 |
$251.55 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$824.30 |
$824.30 |
$824.30 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$705.93 |
$705.93 |
$705.93 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,461.80 |
$1,461.80 |
$1,461.80 |
$618.80
|
|
Electrd sq emblem s-icd
|
$2,695.00 |
$2,695.00 |
$2,695.00 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$74.78 |
$74.78 |
$74.78 |
$87.49
|
|
Electric stim/w chemodenervation 95873
|
$112.10 |
$112.10 |
$112.10 |
$166.40
|
|
Electroconvulsive therapy 90870
|
$1,732.30 |
$1,732.30 |
$1,732.30 |
$1,235.00
|
|
Electrocorticography durng sx
|
$479.23 |
$479.23 |
$479.23 |
$1,642.53
|
|
Electrolyte panel
|
$86.33 |
$86.33 |
$86.33 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$500.33 |
$500.33 |
$500.33 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$398.50 |
$398.50 |
$398.50 |
$160.00
|
|
Electron microscopy diagnostic
|
$884.88 |
$884.88 |
$884.88 |
$1,011.98
|
|
Electrophysiologic study
|
$6,626.23 |
$6,626.23 |
$6,626.23 |
$7,493.20
|