|
Drvvt confirm - quest
|
$118.58 |
$118.58 |
$118.58 |
$109.20
|
|
Dry needling (97799)
|
$0.23 |
$0.23 |
$0.23 |
$114.27
|
|
Dstrj extensive retinopathy
|
$161.23 |
$161.23 |
$161.23 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$5,713.40 |
$5,713.40 |
$5,713.40 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$130.41 |
$130.41 |
$130.41 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$109.94 |
$109.94 |
$109.94 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$128.57 |
$128.57 |
$128.57 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$175.49 |
$175.49 |
$175.49 |
$886.40
|
|
Ductogram sgl duct
|
$972.51 |
$972.51 |
$972.51 |
$484.25
|
|
Duodenal exclusion
|
$1,156.90 |
$1,156.90 |
$1,156.90 |
$3,917.10
|
|
Duodenal motility study
|
$45.77 |
$45.77 |
$45.77 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$884.73 |
$884.73 |
$884.73 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$388.85 |
$388.85 |
$388.85 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$388.85 |
$388.85 |
$388.85 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$572.11 |
$572.11 |
$572.11 |
$748.15
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$884.73 |
$884.73 |
$884.73 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$428.12 |
$428.12 |
$428.12 |
$397.65
|
|
Dx bronchoscope/brush 31623
|
$5,045.81 |
$5,045.81 |
$5,045.81 |
$2,144.41
|
|
Dx bronchoscope/lavage 31624
|
$5,045.81 |
$5,045.81 |
$5,045.81 |
$2,457.88
|
|
Dx bronchoscope/wash 31622
|
$5,045.81 |
$5,045.81 |
$5,045.81 |
$2,459.93
|
|
Dx duod intub w/asp spec 43756
|
$32.20 |
$32.20 |
$32.20 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$49.22 |
$49.22 |
$49.22 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$24.61 |
$24.61 |
$24.61 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$38.41 |
$38.41 |
$38.41 |
$299.04
|
|
Dx laryngoscopy newborn
|
$100.97 |
$100.97 |
$100.97 |
$649.74
|
|
Dx laryngoscopy w/oper scope
|
$101.43 |
$101.43 |
$101.43 |
$2,755.53
|
|
Dynamic cavernosometry
|
$74.75 |
$74.75 |
$74.75 |
$3,442.40
|
|
Dynamic fine wire emg
|
$10.81 |
$10.81 |
$10.81 |
$374.29
|
|
Dynamic surface emg
|
$13.80 |
$13.80 |
$13.80 |
$368.50
|
|
Ear and throat examination
|
$61.18 |
$61.18 |
$61.18 |
$602.63
|
|
Ear canal biopsy 69105
|
$41.63 |
$41.63 |
$41.63 |
$1,889.50
|
|
Ear cartilage graft
|
$368.46 |
$368.46 |
$368.46 |
$6,385.40
|
|
Ear irrigation 69209
|
$174.02 |
$174.02 |
$174.02 |
$154.70
|
|
Ecg/1-3 leads/interp & report only 93042
|
$4.37 |
$4.37 |
$4.37 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$174.02 |
$174.02 |
$174.02 |
$133.60
|
|
Ecg < 30 days transmission & analysis
|
$268.73 |
$268.73 |
$268.73 |
$410.43
|
|
Ecg external < 48 hours recording
|
$377.30 |
$377.30 |
$377.30 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$174.02 |
$174.02 |
$174.02 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$114.73 |
$114.73 |
$114.73 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$114.73 |
$114.73 |
$114.73 |
$173.40
|
|
Ecg/review interpret only
|
$15.41 |
$15.41 |
$15.41 |
$52.80
|
|
Echocardiogram (Heart Ultrasound)
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$707.63 |
$707.63 |
$707.63 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$1,203.51 |
$1,203.51 |
$1,203.51 |
$520.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,311.54 |
$2,311.54 |
$2,311.54 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,045.66 |
$1,045.66 |
$1,045.66 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$4.60 |
$4.60 |
$4.60 |
$372.60
|
|
Echo exam of eye
|
$14.49 |
$14.49 |
$14.49 |
$143.75
|
|
Echo exam of eye
|
$19.32 |
$19.32 |
$19.32 |
$172.00
|
|
Echo exam of eye
|
$20.01 |
$20.01 |
$20.01 |
$178.85
|
|
Echo exam of eye thickness
|
$5.06 |
$5.06 |
$5.06 |
$39.77
|
|
Echo exam of fetal heart
|
$50.37 |
$50.37 |
$50.37 |
$904.80
|
|
Echo exam of fetal heart
|
$25.07 |
$25.07 |
$25.07 |
$539.56
|
|
Echo exam of fetal heart
|
$17.71 |
$17.71 |
$17.71 |
$431.41
|
|
Echo exam of fetal heart
|
$16.79 |
$16.79 |
$16.79 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,325.94 |
$1,325.94 |
$1,325.94 |
$562.85
|
|
Echograp trans r pros study
|
$48.99 |
$48.99 |
$48.99 |
$468.00
|
|
Echo guidance radiotherapy
|
$2,060.52 |
$2,060.52 |
$2,060.52 |
$812.00
|
|
Echo guidance radiotherapy
|
$20.47 |
$20.47 |
$20.47 |
$322.40
|
|
Echo guide for amniocentesis
|
$725.34 |
$725.34 |
$725.34 |
$456.30
|
|
Echo guide for artery repair
|
$1,708.63 |
$1,708.63 |
$1,708.63 |
$699.76
|
|
Echo guide for heart biopsy
|
$22.54 |
$22.54 |
$22.54 |
$666.40
|
|
Echo guide for transfusion
|
$40.94 |
$40.94 |
$40.94 |
$332.39
|
|
Echo guide ova aspiration
|
$21.39 |
$21.39 |
$21.39 |
$174.20
|
|
Echo guide villus sampling
|
$20.47 |
$20.47 |
$20.47 |
$362.88
|
|
Echo stress
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$16.33 |
$16.33 |
$16.33 |
$751.34
|
|
Echo tee guidance
|
$142.83 |
$142.83 |
$142.83 |
$1,854.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,913.60
|
|
Echo transesophageal
|
$7.13 |
$7.13 |
$7.13 |
$1,067.95
|
|
Echo transesophageal
|
$56.81 |
$56.81 |
$56.81 |
$588.00
|
|
Echo transesophageal
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,650.00
|
|
Echo transesophageal
|
$56.12 |
$56.12 |
$56.12 |
$603.20
|
|
Echo transesophageal intraop
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,578.00
|
|
Echo transthoracic
|
$1,603.91 |
$1,603.91 |
$1,603.91 |
$1,361.75
|
|
Echo transthoracic
|
$22.54 |
$22.54 |
$22.54 |
$1,045.16
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$27.83 |
$27.83 |
$27.83 |
$1,026.40
|
|
Ecmo/ecls daily mgmt artery 33949
|
$148.35 |
$148.35 |
$148.35 |
$3,099.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$152.03 |
$152.03 |
$152.03 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$217.81 |
$217.81 |
$217.81 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$196.42 |
$196.42 |
$196.42 |
$4,293.60
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$521.18 |
$521.18 |
$521.18 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$527.62 |
$527.62 |
$527.62 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$298.31 |
$298.31 |
$298.31 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$267.26 |
$267.26 |
$267.26 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$301.53 |
$301.53 |
$301.53 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$269.79 |
$269.79 |
$269.79 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$323.15 |
$323.15 |
$323.15 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$332.35 |
$332.35 |
$332.35 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$171.35 |
$171.35 |
$171.35 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$116.38 |
$116.38 |
$116.38 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$179.63 |
$179.63 |
$179.63 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$149.96 |
$149.96 |
$149.96 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$310.27 |
$310.27 |
$310.27 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$294.40 |
$294.40 |
$294.40 |
$1,045.20
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$147.66 |
$147.66 |
$147.66 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$116.38 |
$116.38 |
$116.38 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$147.66 |
$147.66 |
$147.66 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$116.38 |
$116.38 |
$116.38 |
$1,206.15
|
|
Ecog impltd brn npgt <30 d
|
$67.85 |
$67.85 |
$67.85 |
$146.00
|