|
Drainage ext aud canal abscess 69020
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$964.00
|
|
Drainage external ear complex 69005
|
$4,498.20 |
$4,498.20 |
$4,498.20 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$924.60 |
$924.60 |
$924.60 |
$790.40
|
|
Drainage mouth roof lesion
|
$837.00 |
$837.00 |
$837.00 |
$405.60
|
|
Drainage of arm bursa 23931
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$649.80 |
$649.80 |
$649.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,624.20 |
$1,624.20 |
$1,624.20 |
$781.44
|
|
Drainage of rectal abscess
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,135.10
|
|
Drainage of urethra abscess 53060
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$370.80 |
$370.80 |
$370.80 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,637.20 |
$3,637.20 |
$3,637.20 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,951.80 |
$1,951.80 |
$1,951.80 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$265.20 |
$265.20 |
$265.20 |
$428.40
|
|
Drain lower leg lesion 27603
|
$5,229.00 |
$5,229.00 |
$5,229.00 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$5,874.00 |
$5,874.00 |
$5,874.00 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$7,173.60 |
$7,173.60 |
$7,173.60 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$528.60 |
$528.60 |
$528.60 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$408.60 |
$408.60 |
$408.60 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$541.00
|
|
Drill hole implt ventricular cath/device 61107
|
$1,723.80 |
$1,723.80 |
$1,723.80 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$770.40 |
$770.40 |
$770.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$3,678.60 |
$3,678.60 |
$3,678.60 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.40 |
$2.40 |
$2.40 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$640.80 |
$640.80 |
$640.80 |
$1,818.32
|
|
Drug admin & hemodynmic meas
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$569.75
|
|
Drug assay caffeine
|
$99.00 |
$99.00 |
$99.00 |
$80.00
|
|
Drug assay posaconazole
|
$57.00 |
$57.00 |
$57.00 |
$96.75
|
|
Drug assay vedolizumab
|
$83.40 |
$83.40 |
$83.40 |
$154.00
|
|
Drug assay voriconazole
|
$190.80 |
$190.80 |
$190.80 |
$96.75
|
|
Drug of abuse screen urine
|
$32.40 |
$32.40 |
$32.40 |
$67.89
|
|
Drug test def 15-21 classes
|
$436.80 |
$436.80 |
$436.80 |
$322.50
|
|
Drug test def 1-7 classes
|
$294.00 |
$294.00 |
$294.00 |
$263.25
|
|
Drug test def 22+ classes
|
$634.20 |
$634.20 |
$634.20 |
$426.24
|
|
Drug test def 8-14 classes
|
$345.00 |
$345.00 |
$345.00 |
$289.80
|
|
Drug test prsmv instrmnt
|
$44.40 |
$44.40 |
$44.40 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$159.60 |
$159.60 |
$159.60 |
$278.85
|
|
Drvvt confirm - quest
|
$91.80 |
$91.80 |
$91.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$5,661.00 |
$5,661.00 |
$5,661.00 |
$2,980.00
|
|
Ductogram sgl duct
|
$547.80 |
$547.80 |
$547.80 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$692.40 |
$692.40 |
$692.40 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$375.60 |
$375.60 |
$375.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$375.60 |
$375.60 |
$375.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$797.40 |
$797.40 |
$797.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$819.60 |
$819.60 |
$819.60 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$241.20 |
$241.20 |
$241.20 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$239.40 |
$239.40 |
$239.40 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$2,410.50
|
|
Dx gastr intub w/asp spec
|
$861.60 |
$861.60 |
$861.60 |
$441.60
|
|
Ear irrigation 69209
|
$214.80 |
$214.80 |
$214.80 |
$154.70
|
|
Ecg external < 48 hours recording
|
$752.40 |
$752.40 |
$752.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$259.20 |
$259.20 |
$259.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$72.00 |
$72.00 |
$72.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$72.00 |
$72.00 |
$72.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$841.20 |
$841.20 |
$841.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$418.20 |
$418.20 |
$418.20 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,378.20 |
$1,378.20 |
$1,378.20 |
$866.87
|
|
Echo exam of eye
|
$197.40 |
$197.40 |
$197.40 |
$169.62
|
|
Echo exam of fetal heart
|
$1,823.40 |
$1,823.40 |
$1,823.40 |
$904.80
|
|
Echo exam of fetal heart
|
$875.40 |
$875.40 |
$875.40 |
$538.27
|
|
Echo exam of fetal heart
|
$424.80 |
$424.80 |
$424.80 |
$431.41
|
|
Echo exam of fetal heart
|
$424.80 |
$424.80 |
$424.80 |
$318.34
|
|
Echo exam uterus 76831-
|
$819.60 |
$819.60 |
$819.60 |
$561.00
|
|
Echo guide for amniocentesis
|
$295.80 |
$295.80 |
$295.80 |
$455.57
|
|
Echo guide for artery repair
|
$539.40 |
$539.40 |
$539.40 |
$696.30
|
|
Echo guide for transfusion
|
$434.40 |
$434.40 |
$434.40 |
$332.39
|
|
Echo guide villus sampling
|
$355.80 |
$355.80 |
$355.80 |
$362.88
|
|
Echo stress
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,913.60
|
|
Echo transesophageal
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,578.00
|
|
Echo transthoracic
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,361.75
|
|
Echo transthoracic
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$841.20 |
$841.20 |
$841.20 |
$1,033.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$130.20 |
$130.20 |
$130.20 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$790.80 |
$790.80 |
$790.80 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
$994.15
|
|
Eeg during surgery
|
$363.60 |
$363.60 |
$363.60 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$615.00 |
$615.00 |
$615.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$907.80 |
$907.80 |
$907.80 |
$1,119.54
|
|
Eeg phys/qhp 2-12 hr without vid
|
$345.00 |
$345.00 |
$345.00 |
$499.00
|
|
Eeg/record in coma or sleep only 95822
|
$548.40 |
$548.40 |
$548.40 |
$871.00
|
|
Eeg recording awake and asleep
|
$951.60 |
$951.60 |
$951.60 |
$931.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,773.60 |
$1,773.60 |
$1,773.60 |
$1,632.95
|
|
E equine encephalitis igg
|
$73.80 |
$73.80 |
$73.80 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$185.40 |
$185.40 |
$185.40 |
$13,130.61
|
|
Egd esophagogastrc fndoplsty
|
$12,753.60 |
$12,753.60 |
$12,753.60 |
$7,229.60
|
|
Egd remove foreign body
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$1,571.40
|
|
Egfr gene com variants
|
$1,875.60 |
$1,875.60 |
$1,875.60 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$70.80 |
$70.80 |
$70.80 |
$93.00
|
|
EKG (Tracing Only)
|
$247.80 |
$247.80 |
$247.80 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$188.40 |
$188.40 |
$188.40 |
$291.94
|
