|
Drain cerebro spinal fluid 62272
|
$3,913.20 |
$3,913.20 |
$3,913.20 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$459.60 |
$459.60 |
$459.60 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$210.00 |
$210.00 |
$210.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$218.40 |
$218.40 |
$218.40 |
$349.50
|
|
Drng of eyelid abscess 67700
|
$7,035.00 |
$7,035.00 |
$7,035.00 |
$655.72
|
|
Drng of scrotum abscess 55100
|
$3,772.80 |
$3,772.80 |
$3,772.80 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,818.32
|
|
Drug assay vedolizumab
|
$135.60 |
$135.60 |
$135.60 |
$154.00
|
|
Drug test def 1-7 classes
|
$440.40 |
$440.40 |
$440.40 |
$263.25
|
|
Drug test def 8-14 classes
|
$440.40 |
$440.40 |
$440.40 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$327.00 |
$327.00 |
$327.00 |
$278.85
|
|
Drvvt confirm - quest
|
$108.00 |
$108.00 |
$108.00 |
$109.20
|
|
Duplex scan bilateral study 93985
|
$814.20 |
$814.20 |
$814.20 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$406.20 |
$406.20 |
$406.20 |
$369.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$904.78
|
|
Dx bronchoscope/lavage 31624
|
$4,629.60 |
$4,629.60 |
$4,629.60 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,576.60 |
$3,576.60 |
$3,576.60 |
$2,410.50
|
|
Ear irrigation 69209
|
$75.60 |
$75.60 |
$75.60 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$412.88
|
|
Ecg external < 48 hours recording
|
$425.40 |
$425.40 |
$425.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$966.00 |
$966.00 |
$966.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$67.20 |
$67.20 |
$67.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$67.20 |
$67.20 |
$67.20 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,876.20 |
$1,876.20 |
$1,876.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$556.80 |
$556.80 |
$556.80 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$383.40 |
$383.40 |
$383.40 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,876.20 |
$1,876.20 |
$1,876.20 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$556.80 |
$556.80 |
$556.80 |
$866.87
|
|
Echograp trans r pros study
|
$547.20 |
$547.20 |
$547.20 |
$468.00
|
|
Echo stress
|
$966.00 |
$966.00 |
$966.00 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$852.60 |
$852.60 |
$852.60 |
$1,913.60
|
|
Ecmo/ecls initiation artery 33947
|
$1,627.80 |
$1,627.80 |
$1,627.80 |
$3,950.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,144.40 |
$2,144.40 |
$2,144.40 |
$2,660.16
|
|
Eeg during surgery
|
$826.80 |
$826.80 |
$826.80 |
$775.45
|
|
Eeg recording awake and asleep
|
$306.60 |
$306.60 |
$306.60 |
$931.20
|
|
E equine encephalitis igg
|
$224.40 |
$224.40 |
$224.40 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$1,163.40 |
$1,163.40 |
$1,163.40 |
$2,244.82
|
|
Egd control bleeding any
|
$4,534.80 |
$4,534.80 |
$4,534.80 |
$2,553.75
|
|
Egd dilate stricture
|
$4,893.00 |
$4,893.00 |
$4,893.00 |
$2,394.60
|
|
Egd guide wire insertion
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$1,664.00
|
|
Egd injection varices
|
$4,534.80 |
$4,534.80 |
$4,534.80 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$5,154.60 |
$5,154.60 |
$5,154.60 |
$2,244.82
|
|
Egd lesion ablation
|
$5,790.00 |
$5,790.00 |
$5,790.00 |
$2,354.48
|
|
Egd remove foreign body
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
$1,571.40
|
|
Egd remove lesion snare
|
$4,521.60 |
$4,521.60 |
$4,521.60 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$4,410.60 |
$4,410.60 |
$4,410.60 |
$2,244.82
|
|
Egd varices ligation
|
$4,300.80 |
$4,300.80 |
$4,300.80 |
$2,244.82
|
|
Ehrlicha chaffeensis amp prb
|
$201.00 |
$201.00 |
$201.00 |
$93.00
|
|
EKG (Tracing Only)
|
$100.20 |
$100.20 |
$100.20 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$100.20 |
$100.20 |
$100.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$108.00 |
$108.00 |
$108.00 |
$364.20
|
|
Electrolyte panel
|
$49.80 |
$49.80 |
$49.80 |
$79.30
|
|
Emg cranial nerve bilateral
|
$681.60 |
$681.60 |
$681.60 |
$529.10
|
|
Encephalitis, california igg/igm
|
$224.40 |
$224.40 |
$224.40 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$224.40 |
$224.40 |
$224.40 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$224.40 |
$224.40 |
$224.40 |
$54.99
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$42.20 |
$42.20 |
$42.20 |
$112.79
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$2.40 |
$2.40 |
$2.40 |
$33.60
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$243.00 |
$243.00 |
$243.00 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$80.80 |
$80.80 |
$80.80 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$75.00 |
$75.00 |
$75.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$83.40 |
$83.40 |
$83.40 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$100.20 |
$100.20 |
$100.20 |
$85.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$347.20 |
$347.20 |
$347.20 |
$232.12
|
|
ER Visit (level 1, minor)
|
$215.40 |
$215.40 |
$215.40 |
$252.60
|
|
ER Visit (level 2)
|
$325.20 |
$325.20 |
$325.20 |
$463.00
|
|
ER Visit (level 3)
|
$429.60 |
$429.60 |
$429.60 |
$812.18
|
|
ER Visit (level 4)
|
$645.60 |
$645.60 |
$645.60 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$903.60 |
$903.60 |
$903.60 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$9.60 |
$9.60 |
$9.60 |
$516.71
|
|
Esophagosc flex trnsn biopsy
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$1,768.00
|
|
Esophagoscopy flex dx brush
|
$2,428.80 |
$2,428.80 |
$2,428.80 |
$1,879.00
|
|
Esoph egd dilation <30 mm
|
$4,419.60 |
$4,419.60 |
$4,419.60 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$83.40 |
$83.40 |
$83.40 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$104.40 |
$104.40 |
$104.40 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$121.20 |
$121.20 |
$121.20 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$142.20 |
$142.20 |
$142.20 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$176.40 |
$176.40 |
$176.40 |
$290.68
|
|
Estradiol total
|
$125.40 |
$125.40 |
$125.40 |
$152.10
|
|
Estrogens total-sendout
|
$392.40 |
$392.40 |
$392.40 |
$97.50
|
|
Ethylene glycol -sendout
|
$218.40 |
$218.40 |
$218.40 |
$86.04
|
|
Euflexxa inj per dose
|
$1,592.40 |
$1,592.40 |
$1,592.40 |
$510.68
|
|
Event monitor
|
$597.60 |
$597.60 |
$597.60 |
$231.00
|
|
Exchange nephrostomy cath
|
$4,513.20 |
$4,513.20 |
$4,513.20 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$3,417.00 |
$3,417.00 |
$3,417.00 |
$1,072.24
|
|
Exc thrombosed hemorrhoid 46320
|
$3,584.40 |
$3,584.40 |
$3,584.40 |
$2,175.36
|
|
Explore penetrating wnd/extremity 20103
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,788.80
|
|
Explore/treat wrist joint
|
$5,600.40 |
$5,600.40 |
$5,600.40 |
$4,499.12
|
|
External chromosome analysis 20-25 cells
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,074.80 |
$2,074.80 |
$2,074.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$91.20 |
$91.20 |
$91.20 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$141.00 |
$141.00 |
$141.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$957.60 |
$957.60 |
$957.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$847.80 |
$847.80 |
$847.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$741.00 |
$741.00 |
$741.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$1,883.25
|
|
Facial Bones X-ray (complete)
|
$133.20 |
$133.20 |
$133.20 |
$381.75
|
