|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$172.90
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$95.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$285.97
|
|
Drvvt confirm - quest
|
$147.95 |
$147.95 |
$147.95 |
$108.00
|
|
Duplex scan bilateral study 93985
|
$695.17 |
$695.17 |
$695.17 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$382.88 |
$382.88 |
$382.88 |
$397.15
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,141.11 |
$1,141.11 |
$1,141.11 |
$887.25
|
|
Dx bronchoscope/brush 31623
|
$1,741.90 |
$1,741.90 |
$1,741.90 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,741.90 |
$1,741.90 |
$1,741.90 |
$2,671.50
|
|
Dx bronchoscope/wash 31622
|
$1,741.90 |
$1,741.90 |
$1,741.90 |
$2,512.54
|
|
Ear irrigation 69209
|
$279.10 |
$279.10 |
$279.10 |
$155.20
|
|
Ecg 12 lead tracing only
|
$422.70 |
$422.70 |
$422.70 |
$245.30
|
|
Ecg external < 48 hours recording
|
$796.62 |
$796.62 |
$796.62 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$796.62 |
$796.62 |
$796.62 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$46.28 |
$46.28 |
$46.28 |
$154.30
|
|
Ecg external >7 days up to 15 days recording
|
$72.46 |
$72.46 |
$72.46 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,974.25 |
$1,974.25 |
$1,974.25 |
$2,083.84
|
|
Echocardiography doppler color flow mapping
|
$684.89 |
$684.89 |
$684.89 |
$461.61
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,418.84 |
$2,418.84 |
$2,418.84 |
$2,006.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$583.44 |
$583.44 |
$583.44 |
$786.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$812.52 |
$812.52 |
$812.52 |
$781.12
|
|
Echocardiograpy doppler follow up/limited study
|
$728.36 |
$728.36 |
$728.36 |
$354.90
|
|
Echo exam of fetal heart
|
$554.40 |
$554.40 |
$554.40 |
$431.41
|
|
Echo stress
|
$1,367.44 |
$1,367.44 |
$1,367.44 |
$1,643.00
|
|
Echo tee guidance
|
$625.90 |
$625.90 |
$625.90 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,961.63 |
$1,961.63 |
$1,961.63 |
$1,959.70
|
|
Echo transesophageal
|
$655.44 |
$655.44 |
$655.44 |
$1,737.60
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,704.97 |
$1,704.97 |
$1,704.97 |
$1,031.85
|
|
Ecmo/ecls initiation venous 33946
|
$2,576.86 |
$2,576.86 |
$2,576.86 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$9,422.93 |
$9,422.93 |
$9,422.93 |
$3,852.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,070.81 |
$1,070.81 |
$1,070.81 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,296.38 |
$1,296.38 |
$1,296.38 |
$1,060.00
|
|
Eeg during surgery
|
$1,867.08 |
$1,867.08 |
$1,867.08 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$725.91 |
$725.91 |
$725.91 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$805.04 |
$805.04 |
$805.04 |
$1,117.21
|
|
Eeg/record in coma or sleep only 95822
|
$725.91 |
$725.91 |
$725.91 |
$994.00
|
|
Eeg recording awake and asleep
|
$725.91 |
$725.91 |
$725.91 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$342.21 |
$342.21 |
$342.21 |
$759.21
|
|
Eeg without vid 2-12 hr unmntr
|
$787.15 |
$787.15 |
$787.15 |
$567.45
|
|
Eeg without vid ea 12-26hr cont
|
$631.12 |
$631.12 |
$631.12 |
$1,289.00
|
|
Eeg without vid ea 12-26hr intmt
|
$631.12 |
$631.12 |
$631.12 |
$1,139.40
|
|
Eeg wo vid 2-12hr intmt mntr
|
$342.21 |
$342.21 |
$342.21 |
$615.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$631.12 |
$631.12 |
$631.12 |
$1,191.00
|
|
E equine encephalitis igg
|
$33.55 |
$33.55 |
$33.55 |
$49.40
|
|
Egd remove foreign body
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,868.75
|
|
Egfr gene com variants
|
$2,228.05 |
$2,228.05 |
$2,228.05 |
$657.00
|
|
Electroconvulsive therapy 90870
|
$1,512.50 |
$1,512.50 |
$1,512.50 |
$1,130.00
|
|
Electrolyte panel
|
$118.94 |
$118.94 |
$118.94 |
$92.30
|
|
Electrophysiologic study
|
$11,613.64 |
$11,613.64 |
$11,613.64 |
$6,626.23
|
|
Electrophysiology evaluation
|
$12,401.96 |
$12,401.96 |
$12,401.96 |
$12,401.96
|
|
Electrophysiology evaluation
|
$6,049.92 |
$6,049.92 |
$6,049.92 |
$8,393.40
|
|
Electrophysiology evaluation
|
$2,474.94 |
$2,474.94 |
$2,474.94 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,877.71 |
$1,877.71 |
$1,877.71 |
$2,845.10
|
|
Electrophysiology evaluation
|
$2,121.98 |
$2,121.98 |
$2,121.98 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$5,764.28 |
$5,764.28 |
$5,764.28 |
$6,534.00
|
|
Embolization s&i
|
$3,200.50 |
$3,200.50 |
$3,200.50 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$7,752.25 |
$7,752.25 |
$7,752.25 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,752.25 |
$7,752.25 |
$7,752.25 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$7,752.25 |
$7,752.25 |
$7,752.25 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$7,148.35 |
$7,148.35 |
$7,148.35 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,052.81 |
$1,052.81 |
$1,052.81 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$976.14 |
$976.14 |
$976.14 |
$515.00
|
|
Emg needle test 1-extremity
|
$232.82 |
$232.82 |
$232.82 |
$364.82
|
|
Encephalitis, california igg/igm
|
$33.55 |
$33.55 |
$33.55 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$33.55 |
$33.55 |
$33.55 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$33.55 |
$33.55 |
$33.55 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,354.35 |
$4,354.35 |
$4,354.35 |
$5,522.00
|
|
Endo cath bile duct s&i
|
$1,922.59 |
$1,922.59 |
$1,922.59 |
$545.37
|
|
Endoluminl ivus oct c 1st
|
$5,922.76 |
$5,922.76 |
$5,922.76 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$3,011.17 |
$3,011.17 |
$3,011.17 |
$2,294.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,425.84 |
$3,425.84 |
$3,425.84 |
$2,872.59
|
|
Endovasc rpr a-biiliac endogft 34705
|
$8,174.24 |
$8,174.24 |
$8,174.24 |
$10,604.25
|
|
Endovenous laser vein addon 36479
|
$3,304.95 |
$3,304.95 |
$3,304.95 |
$2,511.80
|
|
Endovenous rf abl vein addl
|
$3,850.00 |
$3,850.00 |
$3,850.00 |
$3,156.02
|
|
Ep & ablate supravent arrhyt
|
$25,508.67 |
$25,508.67 |
$25,508.67 |
$30,975.00
|
|
Ep & ablate ventric tachy
|
$17,877.67 |
$17,877.67 |
$17,877.67 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$1,909.74 |
$1,909.74 |
$1,909.74 |
$2,753.40
|
|
Epstein barr early antigen antibody
|
$55.55 |
$55.55 |
$55.55 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$259.19 |
$259.19 |
$259.19 |
$85.00
|
|
Epstein barr viral capsid antigen antibody igm
|
$307.59 |
$307.59 |
$307.59 |
$96.80
|
|
Ercp biliary & pancreas
|
$1,217.95 |
$1,217.95 |
$1,217.95 |
$922.35
|
|
ER Visit (level 1, minor)
|
$686.40 |
$686.40 |
$686.40 |
$276.25
|
|
ER Visit (level 2)
|
$892.38 |
$892.38 |
$892.38 |
$483.20
|
|
ER Visit (level 3)
|
$1,304.19 |
$1,304.19 |
$1,304.19 |
$850.50
|
|
ER Visit (level 4)
|
$2,173.19 |
$2,173.19 |
$2,173.19 |
$1,347.19
|
|
ER Visit (level 5, high severity)
|
$2,402.54 |
$2,402.54 |
$2,402.54 |
$1,973.60
|
|
Established Patient Office Visit (level 1)
|
$331.69 |
$331.69 |
$331.69 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$379.26 |
$379.26 |
$379.26 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$437.58 |
$437.58 |
$437.58 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$525.12 |
$525.12 |
$525.12 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$700.20 |
$700.20 |
$700.20 |
$280.50
|
|
Estradiol total
|
$473.41 |
$473.41 |
$473.41 |
$151.80
|
|
Ethylene glycol -sendout
|
$126.36 |
$126.36 |
$126.36 |
$79.50
|
|
Eval aud rehab status/first hr 92626
|
$329.59 |
$329.59 |
$329.59 |
$266.00
|
|
Eval/fit voice prosthesis iii, st
|
$477.32 |
$477.32 |
$477.32 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$673.48 |
$673.48 |
$673.48 |
$222.75
|
|
Evaluation heart device
|
$4,287.36 |
$4,287.36 |
$4,287.36 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$283.30 |
$283.30 |
$283.30 |
$350.00
|
|
Evasc rpr a-ao ndgft 34701
|
$2,886.34 |
$2,886.34 |
$2,886.34 |
$5,578.73
|
