|
Drug test def 8-14 classes
|
$207.60 |
$207.60 |
$207.60 |
$282.00
|
|
Drug test prsmv instrmnt
|
$243.60 |
$243.60 |
$243.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$186.00 |
$186.00 |
$186.00 |
$278.85
|
|
Drvvt confirm - quest
|
$70.80 |
$70.80 |
$70.80 |
$109.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$501.60 |
$501.60 |
$501.60 |
$724.37
|
|
Ductogram sgl duct
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$463.10
|
|
Duodenal motility study
|
$5,024.40 |
$5,024.40 |
$5,024.40 |
$1,144.00
|
|
Duragen 1x1 5ea/bx
|
$19,461.20 |
$19,461.20 |
$19,461.20 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$12,806.70 |
$12,806.70 |
$12,806.70 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$533.40 |
$533.40 |
$533.40 |
$392.60
|
|
Ear irrigation 69209
|
$82.80 |
$82.80 |
$82.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$79.80 |
$79.80 |
$79.80 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$139.80 |
$139.80 |
$139.80 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$397.20 |
$397.20 |
$397.20 |
$487.60
|
|
Ecg external < 48 hours recording
|
$110.40 |
$110.40 |
$110.40 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$397.20 |
$397.20 |
$397.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$58.80 |
$58.80 |
$58.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$224.40 |
$224.40 |
$224.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,407.60 |
$1,407.60 |
$1,407.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$84.60 |
$84.60 |
$84.60 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$235.20 |
$235.20 |
$235.20 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$870.00 |
$870.00 |
$870.00 |
$362.50
|
|
Echo exam of eye
|
$113.40 |
$113.40 |
$113.40 |
$172.00
|
|
Echo exam uterus 76831-
|
$937.80 |
$937.80 |
$937.80 |
$523.71
|
|
Echograp trans r pros study
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$459.40
|
|
Echo guide for amniocentesis
|
$817.80 |
$817.80 |
$817.80 |
$456.30
|
|
Echo guide for artery repair
|
$479.40 |
$479.40 |
$479.40 |
$664.00
|
|
Echo stress
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,849.50
|
|
Echo transesophageal
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,559.35
|
|
Echo transthoracic
|
$484.20 |
$484.20 |
$484.20 |
$1,361.75
|
|
Echo transthoracic
|
$870.00 |
$870.00 |
$870.00 |
$953.10
|
|
Eeg 41-60 minutes 95812-26
|
$895.20 |
$895.20 |
$895.20 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$253.80 |
$253.80 |
$253.80 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$330.00 |
$330.00 |
$330.00 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$895.20 |
$895.20 |
$895.20 |
$907.80
|
|
Eeg recording awake and asleep
|
$543.60 |
$543.60 |
$543.60 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$895.20 |
$895.20 |
$895.20 |
$783.60
|
|
Eeg wo vid 2-12hr intmt mntr
|
$895.20 |
$895.20 |
$895.20 |
$671.00
|
|
E equine encephalitis igg
|
$124.80 |
$124.80 |
$124.80 |
$49.92
|
|
Egd dilate stricture
|
$6,200.57 |
$6,200.57 |
$6,200.57 |
$2,244.82
|
|
Egd remove foreign body
|
$8,172.84 |
$8,172.84 |
$8,172.84 |
$1,505.50
|
|
Egd remove lesion snare
|
$9,151.68 |
$9,151.68 |
$9,151.68 |
$2,597.25
|
|
Egfr gene com variants
|
$911.40 |
$911.40 |
$911.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$92.40 |
$92.40 |
$92.40 |
$93.00
|
|
Electrd sq emblem s-icd
|
$15,467.90 |
$15,467.90 |
$15,467.90 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$36.00 |
$36.00 |
$36.00 |
$79.20
|
|
Electrolyte panel
|
$49.20 |
$49.20 |
$49.20 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$983.41
|
|
Elotuzumab 300 mg intravenous solution
|
$9,228.90 |
$9,228.90 |
$9,228.90 |
$5,523.02
|
|
Embolization s&i
|
$5,590.20 |
$5,590.20 |
$5,590.20 |
$3,199.00
|
|
Emb without cervical dilation 58100
|
$279.00 |
$279.00 |
$279.00 |
$370.50
|
|
Encephalitis, california igg/igm
|
$124.80 |
$124.80 |
$124.80 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$645.00 |
$645.00 |
$645.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$124.80 |
$124.80 |
$124.80 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$15,159.86 |
$15,159.86 |
$15,159.86 |
$5,372.80
|
|
Endo ak/hip alignable system
|
$1,274.60 |
$1,274.60 |
$1,274.60 |
$1,165.55
|
|
Endo below knee alignable sy
|
$876.22 |
$876.22 |
$876.22 |
$611.88
|
|
Endo bk ultra-light material
|
$1,204.97 |
$1,204.97 |
$1,204.97 |
$1,012.80
|
|
Endocervical curettage 57505
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,035.00
|
|
Endo knee-shin frct swg & st
|
$1,357.96 |
$1,357.96 |
$1,357.96 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,751.98 |
$1,751.98 |
$1,751.98 |
$1,602.08
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$2,756.52
|
|
Endo, single, pulmonary
|
$8,896.19 |
$8,896.19 |
$8,896.19 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,199.87 |
$1,199.87 |
$1,199.87 |
$1,097.21
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$12,564.66 |
$12,564.66 |
$12,564.66 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$147.60 |
$147.60 |
$147.60 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$108.60 |
$108.60 |
$108.60 |
$56.89
|
|
Enzyme cell activity ra
|
$327.00 |
$327.00 |
$327.00 |
$197.60
|
|
Enzyme histochemistry
|
$540.60 |
$540.60 |
$540.60 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$1,177.69 |
$1,177.69 |
$1,177.69 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$336.25 |
$336.25 |
$336.25 |
$145.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$4,922.58 |
$4,922.58 |
$4,922.58 |
$1,141.80
|
|
Epilepsy gen seq alys panel
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$54.42 |
$54.42 |
$54.42 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$525.48 |
$525.48 |
$525.48 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$171.00 |
$171.00 |
$171.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$67.80 |
$67.80 |
$67.80 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$67.80 |
$67.80 |
$67.80 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$539.04 |
$539.04 |
$539.04 |
$393.98
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$56.16 |
$56.16 |
$56.16 |
$222.98
|
|
ER Visit (level 1, minor)
|
$368.40 |
$368.40 |
$368.40 |
$246.24
|
|
ER Visit (level 2)
|
$699.60 |
$699.60 |
$699.60 |
$452.20
|
|
ER Visit (level 3)
|
$775.80 |
$775.80 |
$775.80 |
$770.04
|
|
ER Visit (level 4)
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,456.20 |
$1,456.20 |
$1,456.20 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$434.58 |
$434.58 |
$434.58 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$512.82 |
$512.82 |
$512.82 |
$553.88
|
|
Esophageal dilat s&i
|
$650.40 |
$650.40 |
$650.40 |
$581.10
|
|
Esophagoscopy flex biopsy
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$2,395.20 |
$2,395.20 |
$2,395.20 |
$2,099.70
|
|
Esophagus motility study
|
$5,024.40 |
$5,024.40 |
$5,024.40 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$6,972.47 |
$6,972.47 |
$6,972.47 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$175.20 |
$175.20 |
$175.20 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$170.40 |
$170.40 |
$170.40 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$175.20 |
$175.20 |
$175.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$121.20 |
$121.20 |
$121.20 |
$231.75
|
