|
Disability dlco
|
$782.40 |
$782.40 |
$782.40 |
$292.03
|
|
Disaccharidases
|
$92.00 |
$92.00 |
$92.00 |
$224.31
|
|
Dna antibody native/double stranded
|
$57.60 |
$57.60 |
$57.60 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$115.20 |
$115.20 |
$115.20 |
$98.29
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$32.00 |
$32.00 |
$32.00 |
$67.28
|
|
Doppler echo complete
|
$622.40 |
$622.40 |
$622.40 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$464.80 |
$464.80 |
$464.80 |
$473.76
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$40.00 |
$40.00 |
$40.00 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$496.80 |
$496.80 |
$496.80 |
$794.82
|
|
Drainage external ear simple 69000
|
$829.60 |
$829.60 |
$829.60 |
$779.45
|
|
Drainage of kidney lesion
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$813.60 |
$813.60 |
$813.60 |
$905.30
|
|
Drain blood from under nail 11740
|
$284.00 |
$284.00 |
$284.00 |
$177.04
|
|
Drain cath image guided visceral pq
|
$3,033.60 |
$3,033.60 |
$3,033.60 |
$2,885.30
|
|
Drain finger abscess;simple 26010
|
$525.60 |
$525.60 |
$525.60 |
$428.40
|
|
Drain lower leg lesion 27603
|
$3,980.80 |
$3,980.80 |
$3,980.80 |
$3,858.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$695.20 |
$695.20 |
$695.20 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$456.80 |
$456.80 |
$456.80 |
$352.00
|
|
Drng of finger abscess comp 26011
|
$2,483.20 |
$2,483.20 |
$2,483.20 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$14.80 |
$14.80 |
$14.80 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$507.10 |
$507.10 |
$507.10 |
$1,818.32
|
|
Drug admin & hemodynmic meas
|
$1,671.20 |
$1,671.20 |
$1,671.20 |
$578.59
|
|
Drug assay posaconazole
|
$95.20 |
$95.20 |
$95.20 |
$96.75
|
|
Drug assay vedolizumab
|
$144.80 |
$144.80 |
$144.80 |
$157.00
|
|
Drug assay voriconazole
|
$95.20 |
$95.20 |
$95.20 |
$96.75
|
|
Drug test def 1-7 classes
|
$332.80 |
$332.80 |
$332.80 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$258.40 |
$258.40 |
$258.40 |
$280.95
|
|
Drvvt confirm - quest
|
$122.40 |
$122.40 |
$122.40 |
$109.20
|
|
Duplex scan bilateral study 93985
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$692.40
|
|
Dup scan/hemodialysis access 93990
|
$505.60 |
$505.60 |
$505.60 |
$486.02
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$932.80 |
$932.80 |
$932.80 |
$903.50
|
|
Dxa bone density axl vrt fx
|
$501.60 |
$501.60 |
$501.60 |
$410.25
|
|
Dx bronchoscope/wash 31622
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
$2,322.60
|
|
Ear irrigation 69209
|
$225.60 |
$225.60 |
$225.60 |
$150.00
|
|
Ecg 12 lead tracing only
|
$326.40 |
$326.40 |
$326.40 |
$226.50
|
|
Ecg external < 48 hours recording
|
$753.60 |
$753.60 |
$753.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$3,146.40 |
$3,146.40 |
$3,146.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$499.20 |
$499.20 |
$499.20 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$568.00 |
$568.00 |
$568.00 |
$371.25
|
|
Echo stress
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$4,019.20 |
$4,019.20 |
$4,019.20 |
$1,889.20
|
|
Echo transthoracic
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$1,361.75
|
|
Echo transthoracic
|
$2,016.00 |
$2,016.00 |
$2,016.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$826.40 |
$826.40 |
$826.40 |
$923.88
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,325.60 |
$1,325.60 |
$1,325.60 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$826.40 |
$826.40 |
$826.40 |
$865.00
|
|
Eeg recording awake and asleep
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$681.02
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,904.00 |
$2,904.00 |
$2,904.00 |
$1,591.10
|
|
Ehrlicha chaffeensis amp prb
|
$162.40 |
$162.40 |
$162.40 |
$93.00
|
|
Electrd sq emblem s-icd
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$142.40 |
$142.40 |
$142.40 |
$81.00
|
|
Electroconvulsive therapy 90870
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$1,296.90
|
|
Electrolyte panel
|
$36.80 |
$36.80 |
$36.80 |
$78.65
|
|
Electron microscopy diagnostic
|
$1,398.40 |
$1,398.40 |
$1,398.40 |
$1,006.20
|
|
Electrophysiology evaluation
|
$15,524.80 |
$15,524.80 |
$15,524.80 |
$8,979.45
|
|
Electrophysiology evaluation
|
$15,416.80 |
$15,416.80 |
$15,416.80 |
$10,593.00
|
|
Electrophysiology evaluation
|
$10,619.20 |
$10,619.20 |
$10,619.20 |
$6,760.00
|
|
Electrophysiology evaluation
|
$8,600.00 |
$8,600.00 |
$8,600.00 |
$5,854.80
|
|
Electrophysiology evaluation
|
$671.20 |
$671.20 |
$671.20 |
$2,504.00
|
|
Electrophysiology evaluation
|
$2,694.40 |
$2,694.40 |
$2,694.40 |
$2,902.81
|
|
Electrophysiology evaluation
|
$204.00 |
$204.00 |
$204.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$9,664.00 |
$9,664.00 |
$9,664.00 |
$5,881.00
|
|
Embo or occlude vascular arterial s&i
|
$29,632.80 |
$29,632.80 |
$29,632.80 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,410.40 |
$12,410.40 |
$12,410.40 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,191.20 |
$6,191.20 |
$6,191.20 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$20,976.00 |
$20,976.00 |
$20,976.00 |
$14,743.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$11,799.20 |
$11,799.20 |
$11,799.20 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$610.40 |
$610.40 |
$610.40 |
$694.06
|
|
Endoluminl ivus oct c 1st
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$3,290.30
|
|
Endoluminl ivus oct c ea
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$2,096.38
|
|
Endo, single, pulmonary
|
$789.36 |
$789.36 |
$789.36 |
$993.30
|
|
Endovenous rf abl vein addl
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$3,061.07
|
|
Endoven ther chem adhes 1st 36482
|
$18,984.80 |
$18,984.80 |
$18,984.80 |
$6,259.55
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$318.20 |
$318.20 |
$318.20 |
$116.08
|
|
Enzyme histochemistry
|
$707.20 |
$707.20 |
$707.20 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$52,523.20 |
$52,523.20 |
$52,523.20 |
$26,232.69
|
|
Ep induct arrhy by elect pacing
|
$6,519.20 |
$6,519.20 |
$6,519.20 |
$2,702.70
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$34.80 |
$34.80 |
$34.80 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$35.20 |
$35.20 |
$35.20 |
$25.61
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,018.40 |
$1,018.40 |
$1,018.40 |
$856.06
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$65.60 |
$65.60 |
$65.60 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$63.20 |
$63.20 |
$63.20 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$85.15
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$267.60 |
$267.60 |
$267.60 |
$425.12
|
|
Ercp biliary & pancreas
|
$832.00 |
$832.00 |
$832.00 |
$951.20
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$77.00 |
$77.00 |
$77.00 |
$227.20
|
|
ER Visit (level 1, minor)
|
$511.20 |
$511.20 |
$511.20 |
$252.35
|
|
ER Visit (level 2)
|
$584.00 |
$584.00 |
$584.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$793.20
|
|
ER Visit (level 4)
|
$1,796.80 |
$1,796.80 |
$1,796.80 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,844.80
|
