|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$914.40 |
$914.40 |
$914.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$975.00 |
$975.00 |
$975.00 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$425.40 |
$425.40 |
$425.40 |
$10,564.87
|
|
Dxa bone density axl vrt fx
|
$672.60 |
$672.60 |
$672.60 |
$401.20
|
|
Dx bronchoscope/wash 31622
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$2,410.50
|
|
Ear irrigation 69209
|
$117.00 |
$117.00 |
$117.00 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$259.20 |
$259.20 |
$259.20 |
$412.88
|
|
Ecg external < 48 hours recording
|
$551.40 |
$551.40 |
$551.40 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$671.40 |
$671.40 |
$671.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$74.40 |
$74.40 |
$74.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$75.00 |
$75.00 |
$75.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$399.60 |
$399.60 |
$399.60 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$480.00 |
$480.00 |
$480.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$364.20 |
$364.20 |
$364.20 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$763.20 |
$763.20 |
$763.20 |
$371.25
|
|
Echo exam uterus 76831-
|
$695.40 |
$695.40 |
$695.40 |
$561.00
|
|
Echograp trans r pros study
|
$392.40 |
$392.40 |
$392.40 |
$468.00
|
|
Echo guidance radiotherapy
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$499.20 |
$499.20 |
$499.20 |
$455.57
|
|
Echo guide for artery repair
|
$1,009.20 |
$1,009.20 |
$1,009.20 |
$696.30
|
|
Echo stress
|
$873.00 |
$873.00 |
$873.00 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$860.40 |
$860.40 |
$860.40 |
$1,913.60
|
|
Echo transesophageal
|
$391.20 |
$391.20 |
$391.20 |
$602.00
|
|
Echo transesophageal intraop
|
$2,142.60 |
$2,142.60 |
$2,142.60 |
$1,578.00
|
|
Echo transthoracic
|
$904.80 |
$904.80 |
$904.80 |
$1,361.75
|
|
Echo transthoracic
|
$534.60 |
$534.60 |
$534.60 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$848.40 |
$848.40 |
$848.40 |
$1,033.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$19,540.29
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$835.00
|
|
Eeg recording awake and asleep
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$931.20
|
|
E equine encephalitis igg
|
$91.80 |
$91.80 |
$91.80 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$79.20 |
$79.20 |
$79.20 |
$13,130.61
|
|
Egd control bleeding any
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,553.75
|
|
Egd guide wire insertion
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,664.00
|
|
Egd remove foreign body
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,571.40
|
|
Egd remove lesion snare
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,597.25
|
|
Egd varices ligation
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Egfr gene com variants
|
$793.80 |
$793.80 |
$793.80 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$290.40 |
$290.40 |
$290.40 |
$93.00
|
|
EKG (Tracing Only)
|
$271.80 |
$271.80 |
$271.80 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$544.80 |
$544.80 |
$544.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$373.80 |
$373.80 |
$373.80 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$103.20 |
$103.20 |
$103.20 |
$87.49
|
|
Electrolyte panel
|
$130.80 |
$130.80 |
$130.80 |
$79.30
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$462.60 |
$462.60 |
$462.60 |
$394.80
|
|
Emg cranial nerve bilateral
|
$444.00 |
$444.00 |
$444.00 |
$529.10
|
|
Encephalitis, california igg/igm
|
$91.80 |
$91.80 |
$91.80 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$91.80 |
$91.80 |
$91.80 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$91.80 |
$91.80 |
$91.80 |
$54.99
|
|
Endo cath bile duct s&i
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$162.00 |
$162.00 |
$162.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$2,787.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$69.60 |
$69.60 |
$69.60 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$151.20 |
$151.20 |
$151.20 |
$56.89
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$441.60 |
$441.60 |
$441.60 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$6.60 |
$6.60 |
$6.60 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$213.00 |
$213.00 |
$213.00 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$229.80 |
$229.80 |
$229.80 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,764.60 |
$4,764.60 |
$4,764.60 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$224.40 |
$224.40 |
$224.40 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$292.20 |
$292.20 |
$292.20 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$292.20 |
$292.20 |
$292.20 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$46.40 |
$46.40 |
$46.40 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$595.80 |
$595.80 |
$595.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
ER Visit (level 2)
|
$406.80 |
$406.80 |
$406.80 |
$463.00
|
|
ER Visit (level 3)
|
$744.00 |
$744.00 |
$744.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,243.80 |
$1,243.80 |
$1,243.80 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$460.00 |
$460.00 |
$460.00 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.80 |
$11.80 |
$11.80 |
$516.71
|
|
Esophageal dilat s&i
|
$556.20 |
$556.20 |
$556.20 |
$551.20
|
|
Esophagoscopy flex dx brush
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,879.00
|
|
Esoph egd dilation <30 mm
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$115.20 |
$115.20 |
$115.20 |
$122.20
|
|
Estradiol total
|
$373.20 |
$373.20 |
$373.20 |
$152.10
|
|
Estrogens total-sendout
|
$310.20 |
$310.20 |
$310.20 |
$97.50
|
|
Ethanolamine oleate 100 mg
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$824.88
|
|
Ethylene glycol -sendout
|
$202.80 |
$202.80 |
$202.80 |
$86.04
|
|
Etonogestrel implant system
|
$5,044.00 |
$5,044.00 |
$5,044.00 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$235.20
|
|
Etoposide 50 mg cap
|
$285.60 |
$285.60 |
$285.60 |
$135.02
|
|
Euflexxa inj per dose
|
$752.40 |
$752.40 |
$752.40 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$310.20 |
$310.20 |
$310.20 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$518.40 |
$518.40 |
$518.40 |
$213.15
|
|
Event monitor
|
$462.00 |
$462.00 |
$462.00 |
$231.00
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$832.60
|
|
Exchange drainage catheter
|
$971.40 |
$971.40 |
$971.40 |
$2,220.54
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$490.80 |
$490.80 |
$490.80 |
$1,072.24
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$2,175.36
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,967.60 |
$2,967.60 |
$2,967.60 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$1,788.80
|
