|
Dress/debride pt-thick burn/<5% bs 16020
|
$215.80 |
$215.80 |
$215.80 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$258.70 |
$258.70 |
$258.70 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$712.40 |
$712.40 |
$712.40 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,503.45 |
$1,503.45 |
$1,503.45 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,277.90 |
$1,277.90 |
$1,277.90 |
$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
|
$947.05 |
$947.05 |
$947.05 |
$528.50
|
|
Drug assay caffeine
|
$78.00 |
$78.00 |
$78.00 |
$81.61
|
|
Drug assay posaconazole
|
$127.40 |
$127.40 |
$127.40 |
$96.39
|
|
Drug assay rufinamide
|
$85.80 |
$85.80 |
$85.80 |
$93.60
|
|
Drug assay vedolizumab
|
$610.35 |
$610.35 |
$610.35 |
$164.16
|
|
Drug assay voriconazole
|
$249.60 |
$249.60 |
$249.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$436.15 |
$436.15 |
$436.15 |
$83.85
|
|
Drug of abuse screen urine
|
$61.10 |
$61.10 |
$61.10 |
$63.75
|
|
Drug screen quant tiagabine
|
$78.00 |
$78.00 |
$78.00 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$109.20 |
$109.20 |
$109.20 |
$278.85
|
|
Drvvt confirm - quest
|
$88.40 |
$88.40 |
$88.40 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$5,541.90 |
$5,541.90 |
$5,541.90 |
$3,390.00
|
|
Ductogram sgl duct
|
$527.15 |
$527.15 |
$527.15 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$825.50 |
$825.50 |
$825.50 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$594.10 |
$594.10 |
$594.10 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$430.30 |
$430.30 |
$430.30 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$523.25 |
$523.25 |
$523.25 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$975.00 |
$975.00 |
$975.00 |
$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
|
$530.40 |
$530.40 |
$530.40 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,877.55 |
$2,877.55 |
$2,877.55 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,604.55 |
$2,604.55 |
$2,604.55 |
$2,587.60
|
|
Ear irrigation 69209
|
$722.80 |
$722.80 |
$722.80 |
$165.42
|
|
Ecg 12 lead tracing only
|
$124.15 |
$124.15 |
$124.15 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$159.25 |
$159.25 |
$159.25 |
$129.83
|
|
Ecg external < 48 hours recording
|
$510.90 |
$510.90 |
$510.90 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$510.90 |
$510.90 |
$510.90 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$510.90 |
$510.90 |
$510.90 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$277.55 |
$277.55 |
$277.55 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$804.05 |
$804.05 |
$804.05 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$804.05 |
$804.05 |
$804.05 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$354.90 |
$354.90 |
$354.90 |
$353.46
|
|
Echo guidance radiotherapy
|
$1,084.85 |
$1,084.85 |
$1,084.85 |
$774.80
|
|
Echo guide for artery repair
|
$1,056.90 |
$1,056.90 |
$1,056.90 |
$680.28
|
|
Echo stress
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,366.30 |
$1,366.30 |
$1,366.30 |
$1,871.10
|
|
Echo transesophageal
|
$1,134.25 |
$1,134.25 |
$1,134.25 |
$913.33
|
|
Echo transesophageal
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$1,734.10
|
|
Echo transthoracic
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$1,492.50
|
|
Echo transthoracic
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$953.10
|
|
Eeg recording awake and asleep
|
$494.00 |
$494.00 |
$494.00 |
$1,030.27
|
|
E equine encephalitis igg
|
$94.90 |
$94.90 |
$94.90 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$2,179.45 |
$2,179.45 |
$2,179.45 |
$2,244.82
|
|
Egd control bleeding any
|
$2,109.90 |
$2,109.90 |
$2,109.90 |
$2,553.75
|
|
Egd dilate stricture
|
$2,164.50 |
$2,164.50 |
$2,164.50 |
$2,638.57
|
|
Egd endo mucosal resection
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$2,433.60
|
|
Egd endoscopic stent place
|
$2,410.85 |
$2,410.85 |
$2,410.85 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$8,076.25 |
$8,076.25 |
$8,076.25 |
$9,562.50
|
|
Egd guide wire insertion
|
$2,564.90 |
$2,564.90 |
$2,564.90 |
$2,250.00
|
|
Egd injection varices
|
$2,313.35 |
$2,313.35 |
$2,313.35 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$2,244.82
|
|
Egd lesion ablation
|
$2,805.40 |
$2,805.40 |
$2,805.40 |
$2,805.40
|
|
Egd remove foreign body
|
$2,243.80 |
$2,243.80 |
$2,243.80 |
$1,588.55
|
|
Egd remove lesion snare
|
$2,146.30 |
$2,146.30 |
$2,146.30 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,146.30 |
$2,146.30 |
$2,146.30 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,856.10 |
$2,856.10 |
$2,856.10 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,612.35 |
$2,612.35 |
$2,612.35 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,148.90 |
$2,148.90 |
$2,148.90 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$2,391.35 |
$2,391.35 |
$2,391.35 |
$2,638.57
|
|
Egd varices ligation
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$2,576.75
|
|
Egd w/transmural drain cyst
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$4,379.25
|
|
Egfr gene com variants
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$33.15 |
$33.15 |
$33.15 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$430.30 |
$430.30 |
$430.30 |
$619.45
|
|
Elec stim unattend for press
|
$42.90 |
$42.90 |
$42.90 |
$45.63
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$618.80 |
$618.80 |
$618.80 |
$576.81
|
|
Electrolyte panel
|
$48.10 |
$48.10 |
$48.10 |
$86.33
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$58.50 |
$58.50 |
$58.50 |
$121.23
|
|
Electronic analysis with brain program first 15 min 95983
|
$87.75 |
$87.75 |
$87.75 |
$144.70
|
|
Electron microscopy diagnostic
|
$821.60 |
$821.60 |
$821.60 |
$966.69
|
|
Embolization s&i
|
$2,163.20 |
$2,163.20 |
$2,163.20 |
$3,060.05
|
|
Emb without cervical dilation 58100
|
$384.15 |
$384.15 |
$384.15 |
$397.66
|
|
Emg cranial nerve bilateral
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$518.00
|
|
Encephalitis, california igg/igm
|
$33.80 |
$33.80 |
$33.80 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$33.80 |
$33.80 |
$33.80 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$110.50 |
$110.50 |
$110.50 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$10,388.30 |
$10,388.30 |
$10,388.30 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,544.50 |
$5,544.50 |
$5,544.50 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$170.95 |
$170.95 |
$170.95 |
$612.37
|
|
Endo cath panc duct s&i
|
$194.35 |
$194.35 |
$194.35 |
$645.00
|
|
Endo cholangiopancreatograph
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$2,436.85 |
$2,436.85 |
$2,436.85 |
$4,450.00
|
|
Endoluminal bx biliary tree
|
$6,979.70 |
$6,979.70 |
$6,979.70 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$2,172.53
|
|
Endoscopic pancreatoscopy
|
$1,693.90 |
$1,693.90 |
$1,693.90 |
$2,363.00
|
|
Endoscopic Ultrasound exam esoph
|
$2,179.45 |
$2,179.45 |
$2,179.45 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$2,188.55 |
$2,188.55 |
$2,188.55 |
$1,896.00
|
|
Endoscopy of bowel pouch 44385
|
$2,142.40 |
$2,142.40 |
$2,142.40 |
$1,606.85
|
|
Endoscopy swallow (fees) vid
|
$345.80 |
$345.80 |
$345.80 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,872.59
|
