|
Drop lock knee
|
$235.84 |
$235.84 |
$235.84 |
$204.95
|
|
Drop lock retainer each
|
$80.69 |
$80.69 |
$80.69 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$7,851.32 |
$7,851.32 |
$7,851.32 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$5,205.28 |
$5,205.28 |
$5,205.28 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$21,062.69 |
$21,062.69 |
$21,062.69 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,922.39 |
$4,922.39 |
$4,922.39 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$29,445.49 |
$29,445.49 |
$29,445.49 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$64,556.00 |
$64,556.00 |
$64,556.00 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$29,563.25 |
$29,563.25 |
$29,563.25 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$269.40 |
$269.40 |
$269.40 |
$569.75
|
|
Drug assay caffeine
|
$162.00 |
$162.00 |
$162.00 |
$83.40
|
|
Drug assay posaconazole
|
$71.40 |
$71.40 |
$71.40 |
$96.75
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$152.79
|
|
Drug assay voriconazole
|
$67.80 |
$67.80 |
$67.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$270.00 |
$270.00 |
$270.00 |
$66.43
|
|
Drug of abuse screen urine
|
$54.00 |
$54.00 |
$54.00 |
$63.75
|
|
Drug screen quant tiagabine
|
$133.80 |
$133.80 |
$133.80 |
$114.62
|
|
Drug test def 1-7 classes
|
$262.20 |
$262.20 |
$262.20 |
$250.52
|
|
Drug test def 22+ classes
|
$817.20 |
$817.20 |
$817.20 |
$423.00
|
|
Drug test def 8-14 classes
|
$259.20 |
$259.20 |
$259.20 |
$282.00
|
|
Drug test prsmv instrmnt
|
$206.40 |
$206.40 |
$206.40 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$289.20 |
$289.20 |
$289.20 |
$278.85
|
|
Drvvt confirm - quest
|
$220.80 |
$220.80 |
$220.80 |
$109.20
|
|
Ductogram sgl duct
|
$1,258.20 |
$1,258.20 |
$1,258.20 |
$463.10
|
|
Duragen 1x1 5ea/bx
|
$20,478.43 |
$20,478.43 |
$20,478.43 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$36,590.52 |
$36,590.52 |
$36,590.52 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$678.60 |
$678.60 |
$678.60 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$35,696.45 |
$35,696.45 |
$35,696.45 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$34,063.70 |
$34,063.70 |
$34,063.70 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$21,497.75 |
$21,497.75 |
$21,497.75 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$13,650.36 |
$13,650.36 |
$13,650.36 |
$2,607.00
|
|
Ear irrigation 69209
|
$372.60 |
$372.60 |
$372.60 |
$149.76
|
|
Echo exam of fetal heart
|
$795.00 |
$795.00 |
$795.00 |
$939.00
|
|
Echo exam of fetal heart
|
$581.40 |
$581.40 |
$581.40 |
$524.55
|
|
Echo exam of fetal heart
|
$214.20 |
$214.20 |
$214.20 |
$431.41
|
|
Echo exam of fetal heart
|
$70.20 |
$70.20 |
$70.20 |
$323.40
|
|
Echo exam uterus 76831-
|
$159.60 |
$159.60 |
$159.60 |
$523.71
|
|
Echograp trans r pros study
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,524.60 |
$1,524.60 |
$1,524.60 |
$812.00
|
|
Echo guide for amniocentesis
|
$929.40 |
$929.40 |
$929.40 |
$456.30
|
|
Echo guide for artery repair
|
$841.20 |
$841.20 |
$841.20 |
$664.00
|
|
Echo guide for transfusion
|
$100.80 |
$100.80 |
$100.80 |
$324.60
|
|
Echo guide villus sampling
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$362.88
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,357.80 |
$4,357.80 |
$4,357.80 |
$1,849.50
|
|
Ecmo/ecls initiation artery 33947
|
$25,856.40 |
$25,856.40 |
$25,856.40 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$25,327.20 |
$25,327.20 |
$25,327.20 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$30,630.60 |
$30,630.60 |
$30,630.60 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$1,282.40
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$1,240.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$2,358.60 |
$2,358.60 |
$2,358.60 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$2,358.60 |
$2,358.60 |
$2,358.60 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$2,358.60 |
$2,358.60 |
$2,358.60 |
$1,057.76
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$104,498.34 |
$104,498.34 |
$104,498.34 |
$18,199.20
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$107.40 |
$107.40 |
$107.40 |
$87.84
|
|
E equine encephalitis igg
|
$122.40 |
$122.40 |
$122.40 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$54,599.16 |
$54,599.16 |
$54,599.16 |
$12,999.80
|
|
Egd control bleeding any
|
$15,992.15 |
$15,992.15 |
$15,992.15 |
$2,553.75
|
|
Egd dilate stricture
|
$13,941.21 |
$13,941.21 |
$13,941.21 |
$2,244.82
|
|
Egd endo mucosal resection
|
$22,813.42 |
$22,813.42 |
$22,813.42 |
$2,430.40
|
|
Egd endoscopic stent place
|
$33,036.17 |
$33,036.17 |
$33,036.17 |
$3,774.00
|
|
Egd guide wire insertion
|
$17,316.27 |
$17,316.27 |
$17,316.27 |
$1,664.00
|
|
Egd lesion ablation
|
$15,226.34 |
$15,226.34 |
$15,226.34 |
$2,244.82
|
|
Egd remove foreign body
|
$12,393.96 |
$12,393.96 |
$12,393.96 |
$1,505.50
|
|
Egd remove lesion snare
|
$27,897.00 |
$27,897.00 |
$27,897.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$18,926.95 |
$18,926.95 |
$18,926.95 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$18,563.58 |
$18,563.58 |
$18,563.58 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$17,057.86 |
$17,057.86 |
$17,057.86 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$17,382.39 |
$17,382.39 |
$17,382.39 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$16,806.90 |
$16,806.90 |
$16,806.90 |
$3,218.80
|
|
Egd varices ligation
|
$11,937.88 |
$11,937.88 |
$11,937.88 |
$2,244.82
|
|
Egfr gene com variants
|
$908.40 |
$908.40 |
$908.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$92.40 |
$92.40 |
$92.40 |
$93.00
|
|
Electrd sq emblem s-icd
|
$16,276.40 |
$16,276.40 |
$16,276.40 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$202.20 |
$202.20 |
$202.20 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$14,460.18 |
$14,460.18 |
$14,460.18 |
$1,180.80
|
|
Electrolyte panel
|
$206.40 |
$206.40 |
$206.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$983.41
|
|
Electrophysiology evaluation
|
$14,313.60 |
$14,313.60 |
$14,313.60 |
$8,979.45
|
|
Electrophysiology evaluation
|
$14,313.60 |
$14,313.60 |
$14,313.60 |
$10,233.60
|
|
Electrophysiology evaluation
|
$14,313.60 |
$14,313.60 |
$14,313.60 |
$6,760.00
|
|
Electrophysiology evaluation
|
$5,583.60 |
$5,583.60 |
$5,583.60 |
$5,854.80
|
|
Electrophysiology evaluation
|
$745.80 |
$745.80 |
$745.80 |
$2,451.90
|
|
Electrophysiology evaluation
|
$4,672.20 |
$4,672.20 |
$4,672.20 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$13,528.20 |
$13,528.20 |
$13,528.20 |
$5,881.00
|
|
Elotuzumab 300 mg intravenous solution
|
$26,368.26 |
$26,368.26 |
$26,368.26 |
$5,523.02
|
|
Embolization s&i
|
$3,619.80 |
$3,619.80 |
$3,619.80 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$15,624.60 |
$15,624.60 |
$15,624.60 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$15,624.60 |
$15,624.60 |
$15,624.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$13,479.00 |
$13,479.00 |
$13,479.00 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$15,624.60 |
$15,624.60 |
$15,624.60 |
$14,586.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$9,132.60 |
$9,132.60 |
$9,132.60 |
$7,651.38
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$9,238.80 |
$9,238.80 |
$9,238.80 |
$6,708.28
|
|
Encephalitis, california igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$122.40 |
$122.40 |
$122.40 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$30,944.06 |
$30,944.06 |
$30,944.06 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$34,996.94 |
$34,996.94 |
$34,996.94 |
$5,372.80
|
|
Endo ak/hip alignable system
|
$1,341.22 |
$1,341.22 |
$1,341.22 |
$1,165.55
|
