|
Drvvt confirm - quest
|
$321.10 |
$321.10 |
$321.10 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$8,230.30 |
$8,230.30 |
$8,230.30 |
$3,268.20
|
|
Ductogram sgl duct
|
$336.05 |
$336.05 |
$336.05 |
$412.44
|
|
Duplex scan bilateral study 93985
|
$690.95 |
$690.95 |
$690.95 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$690.95 |
$690.95 |
$690.95 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$857.35 |
$857.35 |
$857.35 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$798.20 |
$798.20 |
$798.20 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$988.00 |
$988.00 |
$988.00 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,832.47 |
$2,832.47 |
$11,632.92 |
$9,177.15
|
|
Dxa bone density axl vrt fx
|
$452.40 |
$452.40 |
$452.40 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$3,910.40 |
$3,910.40 |
$3,910.40 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$3,030.95 |
$3,030.95 |
$3,030.95 |
$2,755.53
|
|
Dx bronchoscope/wash 31622
|
$2,743.00 |
$2,743.00 |
$2,743.00 |
$2,520.60
|
|
Ear irrigation 69209
|
$1,168.70 |
$1,168.70 |
$1,168.70 |
$165.42
|
|
Ecg 12 lead tracing only
|
$99.45 |
$99.45 |
$99.45 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$220.35 |
$220.35 |
$220.35 |
$129.83
|
|
Ecg external < 48 hours recording
|
$375.05 |
$375.05 |
$375.05 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$375.05 |
$375.05 |
$375.05 |
$161.00
|
|
Ecg external >7 days up to 15 days recording
|
$375.05 |
$375.05 |
$375.05 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$144.30 |
$144.30 |
$144.30 |
$463.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$2,013.55
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,121.25 |
$1,121.25 |
$1,121.25 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,121.25 |
$1,121.25 |
$1,121.25 |
$757.45
|
|
Echocardiograpy doppler follow up/limited study
|
$194.35 |
$194.35 |
$194.35 |
$353.46
|
|
Echo exam of fetal heart
|
$623.35 |
$623.35 |
$623.35 |
$855.38
|
|
Echo exam of fetal heart
|
$224.25 |
$224.25 |
$224.25 |
$503.80
|
|
Echo exam of fetal heart
|
$390.00 |
$390.00 |
$390.00 |
$431.41
|
|
Echo exam of fetal heart
|
$127.40 |
$127.40 |
$127.40 |
$323.40
|
|
Echo exam uterus 76831-
|
$405.60 |
$405.60 |
$405.60 |
$536.40
|
|
Echograp trans r pros study
|
$445.25 |
$445.25 |
$445.25 |
$459.40
|
|
Echo guidance radiotherapy
|
$427.70 |
$427.70 |
$427.70 |
$774.80
|
|
Echo guide for amniocentesis
|
$174.85 |
$174.85 |
$174.85 |
$378.24
|
|
Echo guide for artery repair
|
$337.35 |
$337.35 |
$337.35 |
$680.28
|
|
Echo guide for transfusion
|
$259.35 |
$259.35 |
$259.35 |
$324.60
|
|
Echo guide villus sampling
|
$99.45 |
$99.45 |
$99.45 |
$355.80
|
|
Echo stress
|
$1,607.45 |
$1,607.45 |
$1,607.45 |
$1,582.75
|
|
Echo tee guidance
|
$2,343.90 |
$2,343.90 |
$2,343.90 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,771.25 |
$1,771.25 |
$1,771.25 |
$1,854.44
|
|
Echo transesophageal
|
$1,270.75 |
$1,270.75 |
$1,270.75 |
$913.33
|
|
Echo transesophageal
|
$1,559.35 |
$1,559.35 |
$1,559.35 |
$1,729.00
|
|
Echo transthoracic
|
$1,945.45 |
$1,945.45 |
$1,945.45 |
$1,475.25
|
|
Echo transthoracic
|
$1,365.65 |
$1,365.65 |
$1,365.65 |
$945.32
|
|
Ecmo/ecls daily mgmt artery 33949
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$17,641.10
|
|
Eeg 41-60 minutes 95812-26
|
$1,062.10 |
$1,062.10 |
$1,062.10 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,048.30
|
|
Eeg monitoring/function test
|
$644.15 |
$644.15 |
$644.15 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,062.10 |
$1,062.10 |
$1,062.10 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,062.10 |
$1,062.10 |
$1,062.10 |
$1,117.38
|
|
Eeg/record in coma or sleep only 95822
|
$1,062.10 |
$1,062.10 |
$1,062.10 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,062.10 |
$1,062.10 |
$1,062.10 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$584.25
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,909.45 |
$4,909.45 |
$4,909.45 |
$1,206.60
|
|
E equine encephalitis igg
|
$94.90 |
$94.90 |
$94.90 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$20,499.86 |
$20,499.86 |
$20,499.86 |
$79.20
|
|
Egd balloon dil esoph30 mm/>
|
$2,827.50 |
$2,827.50 |
$2,827.50 |
$2,244.82
|
|
Egd control bleeding any
|
$3,177.85 |
$3,177.85 |
$3,177.85 |
$2,553.75
|
|
Egd dilate stricture
|
$3,216.20 |
$3,216.20 |
$3,216.20 |
$2,638.57
|
|
Egd endo mucosal resection
|
$3,157.05 |
$3,157.05 |
$3,157.05 |
$2,433.60
|
|
Egd endoscopic stent place
|
$3,705.00 |
$3,705.00 |
$3,705.00 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$8,490.95 |
$8,490.95 |
$8,490.95 |
$9,562.50
|
|
Egd guide wire insertion
|
$3,325.40 |
$3,325.40 |
$3,325.40 |
$2,250.00
|
|
Egd injection varices
|
$3,002.35 |
$3,002.35 |
$3,002.35 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$2,244.82
|
|
Egd lesion ablation
|
$2,992.60 |
$2,992.60 |
$2,992.60 |
$2,805.40
|
|
Egd remove foreign body
|
$3,822.65 |
$3,822.65 |
$3,822.65 |
$1,569.73
|
|
Egd remove lesion snare
|
$3,121.30 |
$3,121.30 |
$3,121.30 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,785.25 |
$2,785.25 |
$2,785.25 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,705.65 |
$3,705.65 |
$3,705.65 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,454.10 |
$3,454.10 |
$3,454.10 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,636.10 |
$3,636.10 |
$3,636.10 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$3,103.10 |
$3,103.10 |
$3,103.10 |
$2,638.57
|
|
Egd varices ligation
|
$3,497.00 |
$3,497.00 |
$3,497.00 |
$2,576.75
|
|
Egd w/transmural drain cyst
|
$4,568.20 |
$4,568.20 |
$4,568.20 |
$4,379.25
|
|
Egfr gene com variants
|
$1,228.50 |
$1,228.50 |
$1,228.50 |
$615.57
|
|
Ehrlicha chaffeensis amp prb
|
$33.15 |
$33.15 |
$33.15 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$616.00
|
|
Elec stim unattend for press
|
$128.05 |
$128.05 |
$128.05 |
$43.59
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,617.85 |
$1,617.85 |
$1,617.85 |
$576.81
|
|
Electrd sq emblem s-icd
|
$9,175.83 |
$9,175.83 |
$9,175.83 |
$9,175.83
|
|
Electroconvulsive therapy 90870
|
$3,064.10 |
$3,064.10 |
$3,064.10 |
$1,180.80
|
|
Electrocorticography durng sx
|
$7,346.95 |
$7,346.95 |
$7,346.95 |
$1,660.52
|
|
Electrode stimulation brain
|
$4,395.30 |
$4,395.30 |
$4,395.30 |
$1,180.80
|
|
Electrolyte panel
|
$29.90 |
$29.90 |
$29.90 |
$86.33
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$61.10 |
$61.10 |
$61.10 |
$122.50
|
|
Electronic analysis with brain program first 15 min 95983
|
$91.00 |
$91.00 |
$91.00 |
$154.00
|
|
Electron microscopy diagnostic
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$966.69
|
|
Electrophysiologic study
|
$12,804.35 |
$12,804.35 |
$12,804.35 |
$6,758.40
|
|
Electrophysiology evaluation
|
$10,442.90 |
$10,442.90 |
$10,442.90 |
$8,979.45
|
|
Electrophysiology evaluation
|
$20,671.30 |
$20,671.30 |
$20,671.30 |
$11,155.51
|
|
Electrophysiology evaluation
|
$8,763.30 |
$8,763.30 |
$8,763.30 |
$7,769.30
|
|
Electrophysiology evaluation
|
$8,824.40 |
$8,824.40 |
$8,824.40 |
$6,516.00
|
|
Electrophysiology evaluation
|
$2,817.10 |
$2,817.10 |
$2,817.10 |
$2,845.10
|
|
Electrophysiology evaluation
|
$7,577.05 |
$7,577.05 |
$7,577.05 |
$2,783.20
|
|
Electrophysiology evaluation
|
$143.00 |
$143.00 |
$143.00 |
$1,869.13
|
