|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,197.70 |
$4,197.70 |
$4,197.70 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$4,782.70 |
$4,782.70 |
$4,782.70 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$2,314.65 |
$2,314.65 |
$2,314.65 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$1,047.15 |
$1,047.15 |
$1,047.15 |
$492.81
|
|
Drain lower leg lesion 27603
|
$6,104.80 |
$6,104.80 |
$6,104.80 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$679.25 |
$679.25 |
$679.25 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$274.30 |
$274.30 |
$274.30 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$731.25 |
$731.25 |
$731.25 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$942.50 |
$942.50 |
$942.50 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,943.50 |
$1,943.50 |
$1,943.50 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,687.40 |
$1,687.40 |
$1,687.40 |
$832.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.57 |
$24.57 |
$24.57 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$637.58 |
$637.58 |
$637.58 |
$1,778.40
|
|
Drug admin & hemodynmic meas
|
$740.35 |
$740.35 |
$740.35 |
$528.50
|
|
Drug assay caffeine
|
$91.65 |
$91.65 |
$91.65 |
$81.61
|
|
Drug assay posaconazole
|
$130.00 |
$130.00 |
$130.00 |
$96.39
|
|
Drug assay rufinamide
|
$87.75 |
$87.75 |
$87.75 |
$93.60
|
|
Drug assay vedolizumab
|
$727.35 |
$727.35 |
$727.35 |
$164.16
|
|
Drug assay voriconazole
|
$161.20 |
$161.20 |
$161.20 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$519.35 |
$519.35 |
$519.35 |
$83.85
|
|
Drug of abuse screen urine
|
$74.10 |
$74.10 |
$74.10 |
$63.75
|
|
Drug screen quant tiagabine
|
$91.65 |
$91.65 |
$91.65 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$97.50 |
$97.50 |
$97.50 |
$278.85
|
|
Drvvt confirm - quest
|
$219.05 |
$219.05 |
$219.05 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$6,298.50 |
$6,298.50 |
$6,298.50 |
$3,390.00
|
|
Ductogram sgl duct
|
$663.00 |
$663.00 |
$663.00 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$575.90 |
$575.90 |
$575.90 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$575.90 |
$575.90 |
$575.90 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$714.35 |
$714.35 |
$714.35 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$912.60 |
$912.60 |
$912.60 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$838.50 |
$838.50 |
$838.50 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$11,632.92 |
$11,632.92 |
$11,632.92 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$967.20 |
$967.20 |
$967.20 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$2,899.00 |
$2,899.00 |
$2,899.00 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,245.75 |
$2,245.75 |
$2,245.75 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,031.90 |
$2,031.90 |
$2,031.90 |
$2,587.60
|
|
Ear irrigation 69209
|
$824.20 |
$824.20 |
$824.20 |
$165.42
|
|
Ecg 12 lead tracing only
|
$124.80 |
$124.80 |
$124.80 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$302.25 |
$302.25 |
$302.25 |
$129.83
|
|
Ecg external < 48 hours recording
|
$482.30 |
$482.30 |
$482.30 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$409.50 |
$409.50 |
$409.50 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$482.30 |
$482.30 |
$482.30 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$482.30 |
$482.30 |
$482.30 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,818.05 |
$1,818.05 |
$1,818.05 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$182.65 |
$182.65 |
$182.65 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,818.05 |
$1,818.05 |
$1,818.05 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,168.05 |
$1,168.05 |
$1,168.05 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,168.05 |
$1,168.05 |
$1,168.05 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$245.05 |
$245.05 |
$245.05 |
$353.46
|
|
Echo exam of fetal heart
|
$1,131.65 |
$1,131.65 |
$1,131.65 |
$855.38
|
|
Echo exam of fetal heart
|
$744.90 |
$744.90 |
$744.90 |
$503.80
|
|
Echo exam of fetal heart
|
$844.35 |
$844.35 |
$844.35 |
$431.41
|
|
Echo exam of fetal heart
|
$646.75 |
$646.75 |
$646.75 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,261.65 |
$1,261.65 |
$1,261.65 |
$547.20
|
|
Echograp trans r pros study
|
$224.25 |
$224.25 |
$224.25 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,327.30 |
$1,327.30 |
$1,327.30 |
$774.80
|
|
Echo guide for amniocentesis
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$384.65
|
|
Echo guide for artery repair
|
$3,511.30 |
$3,511.30 |
$3,511.30 |
$680.28
|
|
Echo guide for transfusion
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$324.60
|
|
Echo guide villus sampling
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$355.80
|
|
Echo stress
|
$1,894.10 |
$1,894.10 |
$1,894.10 |
$1,582.75
|
|
Echo tee guidance
|
$2,200.25 |
$2,200.25 |
$2,200.25 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,087.80 |
$2,087.80 |
$2,087.80 |
$1,871.10
|
|
Echo transesophageal
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$913.33
|
|
Echo transesophageal
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$1,734.10
|
|
Echo transthoracic
|
$2,371.85 |
$2,371.85 |
$2,371.85 |
$1,492.50
|
|
Echo transthoracic
|
$1,751.75 |
$1,751.75 |
$1,751.75 |
$953.10
|
|
Ecmo/ecls daily mgmt artery 33949
|
$25,317.50 |
$25,317.50 |
$25,317.50 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$25,317.50 |
$25,317.50 |
$25,317.50 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$25,317.50 |
$25,317.50 |
$25,317.50 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$25,317.50 |
$25,317.50 |
$25,317.50 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$32,050.20 |
$32,050.20 |
$32,050.20 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$1,049.59
|
|
Eeg monitoring/function test
|
$919.10 |
$919.10 |
$919.10 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$1,030.27
|
|
E equine encephalitis igg
|
$117.65 |
$117.65 |
$117.65 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$20,499.86 |
$20,499.86 |
$20,499.86 |
$13,756.97
|
|
Egd balloon dil esoph30 mm/>
|
$1,773.85 |
$1,773.85 |
$1,773.85 |
$2,244.82
|
|
Egd control bleeding any
|
$2,003.30 |
$2,003.30 |
$2,003.30 |
$2,553.75
|
|
Egd dilate stricture
|
$2,026.05 |
$2,026.05 |
$2,026.05 |
$2,638.57
|
|
Egd endo mucosal resection
|
$1,986.40 |
$1,986.40 |
$1,986.40 |
$2,433.60
|
|
Egd endoscopic stent place
|
$1,970.15 |
$1,970.15 |
$1,970.15 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$6,448.00 |
$6,448.00 |
$6,448.00 |
$9,562.50
|
|
Egd guide wire insertion
|
$2,096.25 |
$2,096.25 |
$2,096.25 |
$2,250.00
|
|
Egd injection varices
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$2,244.82
|
|
Egd lesion ablation
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$2,805.40
|
|
Egd remove foreign body
|
$2,406.95 |
$2,406.95 |
$2,406.95 |
$1,588.55
|
|
Egd remove lesion snare
|
$1,964.30 |
$1,964.30 |
$1,964.30 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,753.70 |
$1,753.70 |
$1,753.70 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,848.30 |
$2,848.30 |
$2,848.30 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,291.25 |
$2,291.25 |
$2,291.25 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$1,952.60 |
$1,952.60 |
$1,952.60 |
$2,638.57
|
|
Egd varices ligation
|
$2,202.85 |
$2,202.85 |
$2,202.85 |
$2,576.75
|