|
Drvvt confirm - quest
|
$120.00 |
$120.00 |
$120.00 |
$102.30
|
|
Dry needling (97799)
|
$171.60 |
$171.60 |
$171.60 |
$114.27
|
|
Duplex scan bilateral study 93985
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$652.20 |
$652.20 |
$652.20 |
$360.00
|
|
Dup scan/hemodialysis access 93990
|
$463.80 |
$463.80 |
$463.80 |
$498.00
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$999.00 |
$999.00 |
$999.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$684.60 |
$684.60 |
$684.60 |
$861.30
|
|
Duragen 1x1 5ea/bx
|
$17,796.20 |
$17,796.20 |
$17,796.20 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$15,976.14 |
$15,976.14 |
$15,976.14 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$931.20 |
$931.20 |
$931.20 |
$388.36
|
|
Ear irrigation 69209
|
$300.00 |
$300.00 |
$300.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$272.40 |
$272.40 |
$272.40 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$123.60 |
$123.60 |
$123.60 |
$133.82
|
|
Ecg external < 48 hours recording
|
$676.80 |
$676.80 |
$676.80 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$961.20 |
$961.20 |
$961.20 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$473.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,944.80
|
|
Echocardiograpy doppler follow up/limited study
|
$610.20 |
$610.20 |
$610.20 |
$356.40
|
|
Echograp trans r pros study
|
$670.80 |
$670.80 |
$670.80 |
$459.40
|
|
Echo guide for artery repair
|
$320.40 |
$320.40 |
$320.40 |
$660.00
|
|
Echo transesophageal intraop
|
$1,758.60 |
$1,758.60 |
$1,758.60 |
$1,571.70
|
|
Echo transthoracic
|
$1,844.40 |
$1,844.40 |
$1,844.40 |
$950.00
|
|
E equine encephalitis igg
|
$66.00 |
$66.00 |
$66.00 |
$49.40
|
|
Egfr gene com variants
|
$536.40 |
$536.40 |
$536.40 |
$639.00
|
|
Electrd sq emblem s-icd
|
$14,144.54 |
$14,144.54 |
$14,144.54 |
$10,185.98
|
|
Electrical stimulation/unattended 97014
|
$180.60 |
$180.60 |
$180.60 |
$80.85
|
|
Electrolyte panel
|
$146.40 |
$146.40 |
$146.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,575.60 |
$1,575.60 |
$1,575.60 |
$966.69
|
|
Encephalitis, california igg/igm
|
$66.00 |
$66.00 |
$66.00 |
$51.84
|
|
Encephalitis, st louis igg/igm
|
$66.00 |
$66.00 |
$66.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$66.00 |
$66.00 |
$66.00 |
$53.10
|
|
Endo ak/hip alignable system
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$1,165.55
|
|
Endo below knee alignable sy
|
$801.25 |
$801.25 |
$801.25 |
$647.11
|
|
Endo bk ultra-light material
|
$1,101.88 |
$1,101.88 |
$1,101.88 |
$1,101.88
|
|
Endo cath bile duct s&i
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$663.62
|
|
Endo cath panc duct s&i
|
$455.40 |
$455.40 |
$455.40 |
$645.00
|
|
Endo knee-shin frct swg & st
|
$1,241.78 |
$1,241.78 |
$1,241.78 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoscopy swallow (fees) vid
|
$625.80 |
$625.80 |
$625.80 |
$402.35
|
|
Endo, single, pulmonary
|
$8,135.08 |
$8,135.08 |
$8,135.08 |
$1,052.57
|
|
Endoskel knee-shin mnl lock
|
$1,097.21 |
$1,097.21 |
$1,097.21 |
$1,097.21
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$15,674.22 |
$15,674.22 |
$15,674.22 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$60.78 |
$60.78 |
$60.78 |
$107.18
|
|
Entamoeba histolytica ag eia - sendout
|
$38.40 |
$38.40 |
$38.40 |
$57.51
|
|
Entamoeb hist dispr ag ia
|
$65.40 |
$65.40 |
$65.40 |
$35.20
|
|
Enzyme cell activity ra
|
$616.20 |
$616.20 |
$616.20 |
$197.60
|
|
Enzyme histochemistry
|
$202.20 |
$202.20 |
$202.20 |
$456.30
|
|
Eo, adj lock joint prefab ot
|
$1,076.93 |
$1,076.93 |
$1,076.93 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$307.48 |
$307.48 |
$307.48 |
$163.80
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,460.20 |
$3,460.20 |
$3,460.20 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$1,836.60 |
$1,836.60 |
$1,836.60 |
$838.23
|
|
Epidrm agrft t/a/l 1st 100
|
$3,460.20 |
$3,460.20 |
$3,460.20 |
$2,703.50
|
|
Epidrm autogrft t/a/l add-on
|
$1,836.60 |
$1,836.60 |
$1,836.60 |
$1,113.83
|
|
Epinephrine 1 mg/ml im kit - adult
|
$2,647.50 |
$2,647.50 |
$2,647.50 |
$32.00
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$7.50 |
$7.50 |
$7.50 |
$34.13
|
|
Epoetin alfa, 100 units esrd
|
$623.76 |
$623.76 |
$623.76 |
$5.85
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
$793.87
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,021.62 |
$4,021.62 |
$4,021.62 |
$1,202.24
|
|
Epstein barr early antigen antibody
|
$147.60 |
$147.60 |
$147.60 |
$59.15
|
|
Epstein barr nuclear antigen antibody
|
$136.80 |
$136.80 |
$136.80 |
$78.00
|
|
Epstein barr viral capsid antigen antibody igm
|
$147.60 |
$147.60 |
$147.60 |
$90.40
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$7,298.58 |
$7,298.58 |
$7,298.58 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$944.50
|
|
ER Visit (level 1, minor)
|
$292.80 |
$292.80 |
$292.80 |
$248.40
|
|
ER Visit (level 2)
|
$945.00 |
$945.00 |
$945.00 |
$453.75
|
|
ER Visit (level 3)
|
$1,259.40 |
$1,259.40 |
$1,259.40 |
$770.04
|
|
ER Visit (level 4)
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$477.42 |
$477.42 |
$477.42 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$563.34 |
$563.34 |
$563.34 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$127.80 |
$127.80 |
$127.80 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$148.20 |
$148.20 |
$148.20 |
$133.20
|
|
Established Patient Office Visit (level 3)
|
$162.00 |
$162.00 |
$162.00 |
$179.40
|
|
Established Patient Office Visit (level 4)
|
$178.80 |
$178.80 |
$178.80 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$196.20 |
$196.20 |
$196.20 |
$275.50
|
|
Estradiol total
|
$123.60 |
$123.60 |
$123.60 |
$142.20
|
|
Estrogens total-sendout
|
$57.60 |
$57.60 |
$57.60 |
$91.20
|
|
Ethanolamine oleate 100 mg
|
$1,451.28 |
$1,451.28 |
$1,451.28 |
$786.05
|
|
Ethylene glycol -sendout
|
$87.00 |
$87.00 |
$87.00 |
$85.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$75.00 |
$75.00 |
$75.00 |
$234.83
|
|
Euglobulin lysis
|
$141.60 |
$141.60 |
$141.60 |
$47.96
|
|
Eval/fit voice prosthesis iii, st
|
$357.00 |
$357.00 |
$357.00 |
$350.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$120.60 |
$120.60 |
$120.60 |
$212.46
|
|
Evaluation of speech fluency 92521
|
$414.00 |
$414.00 |
$414.00 |
$310.20
|
|
Evaluation psychiatric diagnostic
|
$342.00 |
$342.00 |
$342.00 |
$312.00
|
|
Ewhfo w/joint(s) cf
|
$2,923.88 |
$2,923.88 |
$2,923.88 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,686.43 |
$1,686.43 |
$1,686.43 |
$830.31
|
|
Exc hand les sc < 1.5 cm
|
$6,525.66 |
$6,525.66 |
$6,525.66 |
$1,897.50
|
|
Excision olecranon bursa
|
$12,340.62 |
$12,340.62 |
$12,340.62 |
$2,868.65
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$4,321.80 |
$4,321.80 |
$4,321.80 |
$3,386.84
|
|
Exc tendon sheath or cap lesion 26160
|
$10,438.98 |
$10,438.98 |
$10,438.98 |
$2,650.53
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
$3,910.20
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,574.80 |
$6,574.80 |
$6,574.80 |
$1,944.80
|
|
Explore penetrating wnd/extremity 20103
|
$2,479.80 |
$2,479.80 |
$2,479.80 |
$1,788.80
|
|
Extended steel shank
|
$122.00 |
$122.00 |
$122.00 |
$122.00
|
|
Extension per extension per
|
$134.44 |
$134.44 |
$134.44 |
$149.99
|
|
External chromosome analysis 20-25 cells
|
$315.60 |
$315.60 |
$315.60 |
$377.52
|
|
External recharg sys intern
|
$2,361.80 |
$2,361.80 |
$2,361.80 |
$2,475.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$478.80 |
$478.80 |
$478.80 |
$445.60
|
