|
Drug test def 15-21 classes
|
$142.17 |
$142.17 |
$142.17 |
$198.74
|
|
Drug test def 1-7 classes
|
$157.16 |
$157.16 |
$157.16 |
$316.80
|
|
Drug test def 22+ classes
|
$426.24 |
$426.24 |
$426.24 |
$291.76
|
|
Drug test def 8-14 classes
|
$161.88 |
$161.88 |
$161.88 |
$249.10
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$268.90 |
$268.90 |
$268.90 |
$278.85
|
|
Drvvt confirm - quest
|
$85.47 |
$85.47 |
$85.47 |
$108.55
|
|
Dstr mal les s/n/h/f/g >4.0
|
$213.86 |
$213.86 |
$213.86 |
$604.09
|
|
Ductogram sgl duct
|
$171.22 |
$171.22 |
$171.22 |
$346.42
|
|
Dup scan/hemodialysis access 93990
|
$256.04 |
$256.04 |
$256.04 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$278.24 |
$278.24 |
$278.24 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$358.35 |
$358.35 |
$358.35 |
$852.57
|
|
Dx bronchoscope/brush 31623
|
$1,898.47 |
$1,898.47 |
$1,898.47 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$1,161.06 |
$1,161.06 |
$1,161.06 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$2,211.40 |
$2,211.40 |
$2,211.40 |
$2,512.54
|
|
Ear irrigation 69209
|
$99.16 |
$99.16 |
$99.16 |
$152.50
|
|
Ecg 12 lead tracing only
|
$68.82 |
$68.82 |
$68.82 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$29.14 |
$29.14 |
$29.14 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$176.86 |
$176.86 |
$176.86 |
$404.21
|
|
Ecg external < 48 hours recording
|
$121.18 |
$121.18 |
$121.18 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$196.10 |
$196.10 |
$196.10 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$856.37 |
$856.37 |
$856.37 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$250.21 |
$250.21 |
$250.21 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,110.09 |
$1,110.09 |
$1,110.09 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$375.46 |
$375.46 |
$375.46 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$355.57 |
$355.57 |
$355.57 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$87.04 |
$87.04 |
$87.04 |
$348.80
|
|
Echo exam uterus 76831-
|
$242.07 |
$242.07 |
$242.07 |
$497.93
|
|
Echograp trans r pros study
|
$193.14 |
$193.14 |
$193.14 |
$406.33
|
|
Echo guide for amniocentesis
|
$264.92 |
$264.92 |
$264.92 |
$355.17
|
|
Echo guide for artery repair
|
$699.76 |
$699.76 |
$699.76 |
$687.35
|
|
Echo stress
|
$640.10 |
$640.10 |
$640.10 |
$1,401.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$847.95 |
$847.95 |
$847.95 |
$1,946.10
|
|
Echo transesophageal
|
$855.35 |
$855.35 |
$855.35 |
$1,737.60
|
|
Echo transthoracic
|
$890.41 |
$890.41 |
$890.41 |
$1,361.75
|
|
Echo transthoracic
|
$314.69 |
$314.69 |
$314.69 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$535.39 |
$535.39 |
$535.39 |
$997.40
|
|
Edetate calcium disodium inj
|
$141.69 |
$141.69 |
$141.69 |
$20,833.61
|
|
Eeg 41-60 minutes 95812-26
|
$461.85 |
$461.85 |
$461.85 |
$934.05
|
|
Eeg during surgery
|
$744.81 |
$744.81 |
$744.81 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$245.31 |
$245.31 |
$245.31 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$660.27 |
$660.27 |
$660.27 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$245.31 |
$245.31 |
$245.31 |
$892.52
|
|
Eeg recording awake and asleep
|
$245.31 |
$245.31 |
$245.31 |
$937.95
|
|
E equine encephalitis igg
|
$48.38 |
$48.38 |
$48.38 |
$49.92
|
|
Egd remove foreign body
|
$871.07 |
$871.07 |
$871.07 |
$1,588.55
|
|
Egfr gene com variants
|
$144.71 |
$144.71 |
$144.71 |
$619.04
|
|
Electrical stimulation/unattended 97014
|
$33.58 |
$33.58 |
$33.58 |
$79.20
|
|
Electrode stimulation brain
|
$398.77 |
$398.77 |
$398.77 |
$1,127.09
|
|
Electrolyte panel
|
$27.75 |
$27.75 |
$27.75 |
$68.56
|
|
Electron microscopy diagnostic
|
$578.13 |
$578.13 |
$578.13 |
$1,107.84
|
|
Electrophysiology evaluation
|
$6,938.89 |
$6,938.89 |
$6,938.89 |
$8,636.37
|
|
Electrophysiology evaluation
|
$2,677.04 |
$2,677.04 |
$2,677.04 |
$11,266.40
|
|
Electrophysiology evaluation
|
$1,793.39 |
$1,793.39 |
$1,793.39 |
$8,605.71
|
|
Electrophysiology evaluation
|
$1,793.39 |
$1,793.39 |
$1,793.39 |
$6,516.00
|
|
Electrophysiology evaluation
|
$553.06 |
$553.06 |
$553.06 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,251.43 |
$1,251.43 |
$1,251.43 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$1,917.53 |
$1,917.53 |
$1,917.53 |
$6,534.00
|
|
Embolization s&i
|
$1,331.26 |
$1,331.26 |
$1,331.26 |
$2,869.75
|
|
Embo or occlude vascular arterial s&i
|
$14,463.39 |
$14,463.39 |
$14,463.39 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$15,186.56 |
$15,186.56 |
$15,186.56 |
$15,266.94
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$13,085.98 |
$13,085.98 |
$13,085.98 |
$16,381.78
|
|
Embo or occlude vascular venous s&i
|
$15,186.56 |
$15,186.56 |
$15,186.56 |
$15,873.70
|
|
Emb without cervical dilation 58100
|
$459.54 |
$459.54 |
$459.54 |
$426.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$280.92 |
$280.92 |
$280.92 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$157.25 |
$157.25 |
$157.25 |
$482.30
|
|
Emg cranial nerve bilateral
|
$164.74 |
$164.74 |
$164.74 |
$494.13
|
|
Emg needle test 1-extremity
|
$148.65 |
$148.65 |
$148.65 |
$362.25
|
|
Emg needle test 4-extremities
|
$310.52 |
$310.52 |
$310.52 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$93.61 |
$93.61 |
$93.61 |
$309.83
|
|
Encephalitis, california igg/igm
|
$41.44 |
$41.44 |
$41.44 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$45.23 |
$45.23 |
$45.23 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$53.10 |
$53.10 |
$53.10 |
$55.25
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$1,557.98 |
$1,557.98 |
$1,557.98 |
$5,206.19
|
|
Endo cath bile duct s&i
|
$421.80 |
$421.80 |
$421.80 |
$525.00
|
|
Endo cath panc duct s&i
|
$394.14 |
$394.14 |
$394.14 |
$634.40
|
|
Endoluminal bx biliary tree
|
$2,666.04 |
$2,666.04 |
$2,666.04 |
$2,354.40
|
|
Endoluminal bx urtr rnl plvs
|
$2,666.04 |
$2,666.04 |
$2,666.04 |
$2,020.20
|
|
Endoluminl ivus oct c 1st
|
$1,531.52 |
$1,531.52 |
$1,531.52 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$891.70 |
$891.70 |
$891.70 |
$2,466.77
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,516.93 |
$2,516.93 |
$2,516.93 |
$2,872.59
|
|
Endovasc tempory vessel occl
|
$3,781.96 |
$3,781.96 |
$3,781.96 |
$11,634.84
|
|
Endovas iliac a device addon
|
$14,463.39 |
$14,463.39 |
$14,463.39 |
$1,940.87
|
|
Endovenous laser vein addon 36479
|
$1,393.79 |
$1,393.79 |
$1,393.79 |
$2,424.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$21.88 |
$21.88 |
$21.88 |
$43.20
|
|
Enzyme histochemistry
|
$145.60 |
$145.60 |
$145.60 |
$506.35
|
|
Ep & ablate supravent arrhyt
|
$17,899.12 |
$17,899.12 |
$17,899.12 |
$30,975.00
|
|
Ep & ablate ventric tachy
|
$17,004.28 |
$17,004.28 |
$17,004.28 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,386.96 |
$2,386.96 |
$2,386.96 |
$2,154.21
|
|
Epidrm a-grft f/n/hf/g addl
|
$548.34 |
$548.34 |
$548.34 |
$614.72
|
|
Epidrm agrft t/a/l 1st 100
|
$1,641.97 |
$1,641.97 |
$1,641.97 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$857.75 |
$857.75 |
$857.75 |
$1,113.83
|
|
Epilepsy gen seq alys panel
|
$1,163.17 |
$1,163.17 |
$1,163.17 |
$2,448.56
|
|
Ep induct arrhy by elect pacing
|
$1,382.88 |
$1,382.88 |
$1,382.88 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$656.07 |
$656.07 |
$656.07 |
$161.59
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,428.39 |
$1,428.39 |
$1,428.39 |
$3,522.35
|
|
Epoetin alfa, 100 units esrd
|
$34.97 |
$34.97 |
$34.97 |
$8.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$536.54 |
$536.54 |
$536.54 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$417.79 |
$417.79 |
$417.79 |
$379.58
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$27.27 |
$27.27 |
$27.27 |
$178.29
|
|
Epstein barr early antigen antibody
|
$46.44 |
$46.44 |
$46.44 |
$85.20
|
