|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$24.60 |
$24.60 |
$284.40 |
$53.60
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$33.00 |
$42.00 |
$306.60 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$11,362.20 |
$11,362.20 |
$25,533.00 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,688.20 |
$34,796.40 |
$49,180.20 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$422.40 |
$422.40 |
$687.00 |
$569.75
|
|
Drug assay caffeine
|
$83.40 |
$209.40 |
$298.80 |
$80.00
|
|
Drug assay rufinamide
|
$88.20 |
$404.40 |
$765.00 |
$87.10
|
|
Drug assay vedolizumab
|
$85.20 |
$129.60 |
$298.80 |
$154.00
|
|
Drug of abuse screen urine
|
$441.60 |
$441.60 |
$1,074.00 |
$67.89
|
|
Drug test def 1-7 classes
|
$242.40 |
$441.60 |
$610.80 |
$263.25
|
|
Drug test def 8-14 classes
|
$437.40 |
$441.60 |
$610.80 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$437.40 |
$453.00 |
$610.80 |
$278.85
|
|
Drvvt confirm - quest
|
$163.80 |
$240.00 |
$3,389.40 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,245.00 |
$1,253.40 |
$5,280.00 |
$2,980.00
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$603.20
|
|
Ductogram sgl duct
|
$607.20 |
$607.20 |
$607.20 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$1,144.80 |
$1,144.80 |
$1,762.20 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$571.80 |
$880.80 |
$1,207.20 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$336.60 |
$544.20 |
$841.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$681.00 |
$1,284.60 |
$1,367.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$459.60 |
$1,347.00 |
$1,938.00 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$200.40 |
$213.60 |
$213.60 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$201.00 |
$201.00 |
$675.00 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$1,967.40 |
$2,040.00 |
$6,982.20 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$1,967.40 |
$4,055.40 |
$6,400.80 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$1,896.60 |
$3,193.20 |
$4,749.00 |
$2,410.50
|
|
Ear canal biopsy 69105
|
$1,056.60 |
$1,211.40 |
$1,795.20 |
$1,889.50
|
|
Ear cartilage graft
|
$9,009.00 |
$9,009.00 |
$9,009.00 |
$6,385.40
|
|
Ear irrigation 69209
|
$137.40 |
$166.20 |
$169.20 |
$154.70
|
|
Ecallantide injection
|
$14,223.60 |
$14,223.60 |
$14,223.60 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$38.40 |
$62.40 |
$243.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$1,472.40 |
$1,502.40 |
$2,946.00 |
$412.88
|
|
Ecg external < 48 hours recording
|
$186.60 |
$628.80 |
$829.20 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$456.60 |
$838.80 |
$966.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$60.60 |
$72.00 |
$97.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$60.00 |
$108.60 |
$161.40 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,866.00 |
$2,111.40 |
$2,599.80 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$602.40 |
$1,223.40 |
$2,907.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$251.40 |
$598.20 |
$1,435.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,935.00 |
$2,508.00 |
$3,415.80 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$602.40 |
$1,223.40 |
$3,569.40 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$156.60 |
$333.00 |
$590.40 |
$371.25
|
|
Echo exam of eye
|
$430.20 |
$486.60 |
$722.40 |
$169.62
|
|
Echo exam of fetal heart
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$904.80
|
|
Echo exam of fetal heart
|
$812.40 |
$812.40 |
$812.40 |
$538.27
|
|
Echo exam of fetal heart
|
$427.20 |
$427.20 |
$427.20 |
$431.41
|
|
Echo exam uterus 76831-
|
$647.40 |
$647.40 |
$647.40 |
$561.00
|
|
Echograp trans r pros study
|
$251.40 |
$832.80 |
$1,909.20 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,704.00 |
$2,755.80 |
$3,427.80 |
$812.00
|
|
Echo guide for amniocentesis
|
$388.20 |
$388.20 |
$388.20 |
$455.57
|
|
Echo guide for artery repair
|
$1,288.80 |
$1,288.80 |
$1,748.40 |
$696.30
|
|
Echo guide for transfusion
|
$790.20 |
$790.20 |
$790.20 |
$332.39
|
|
Echo guide villus sampling
|
$469.80 |
$469.80 |
$469.80 |
$362.88
|
|
Echo stress
|
$1,044.60 |
$2,689.20 |
$5,167.80 |
$1,609.44
|
|
Echo tee guidance
|
$559.80 |
$925.80 |
$4,141.20 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$847.20 |
$2,589.00 |
$4,258.80 |
$1,913.60
|
|
Echo transesophageal
|
$1,018.80 |
$1,018.80 |
$1,018.80 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,978.20 |
$2,355.60 |
$2,497.80 |
$1,578.00
|
|
Echo transthoracic
|
$987.00 |
$987.00 |
$2,946.00 |
$1,361.75
|
|
Echo transthoracic
|
$505.80 |
$505.80 |
$533.40 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$562.20 |
$2,004.60 |
$3,546.60 |
$1,033.00
|
|
Ecmo/ecls initiation artery 33947
|
$985.20 |
$1,218.60 |
$1,809.00 |
$3,950.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,245.00 |
$1,515.00 |
$2,248.80 |
$2,660.16
|
|
Ecog impltd brn npgt <30 d
|
$403.20 |
$403.20 |
$403.20 |
$148.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$414.00 |
$414.00 |
$657.60 |
$19,540.29
|
|
Eculizumab injection
|
$507.60 |
$38,703.60 |
$62,017.80 |
$16,330.48
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$508.20 |
$610.20 |
$764.40 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$476.40 |
$615.60 |
$2,166.60 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$936.00 |
$1,053.60 |
$2,775.60 |
$994.15
|
|
Eeg during surgery
|
$643.80 |
$1,561.20 |
$1,827.60 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$348.60 |
$992.40 |
$1,373.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$552.00 |
$936.00 |
$2,782.80 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$1,662.60 |
$1,662.60 |
$1,761.60 |
$1,456.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,662.60 |
$1,662.60 |
$1,761.60 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$2,850.60 |
$2,850.60 |
$3,021.60 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$2,850.60 |
$3,021.60 |
$3,915.00 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$553.80 |
$553.80 |
$602.40 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$553.80 |
$602.40 |
$783.60 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$1,108.80 |
$1,108.80 |
$1,566.60 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$455.40 |
$936.00 |
$1,273.20 |
$871.00
|
|
Eeg recording awake and asleep
|
$538.20 |
$1,116.00 |
$2,146.80 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$553.80 |
$586.80 |
$783.60 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$553.80 |
$586.80 |
$783.60 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,062.60 |
$1,126.20 |
$1,502.40 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,062.60 |
$1,126.20 |
$1,502.40 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$553.80 |
$586.80 |
$783.60 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,062.60 |
$1,126.20 |
$1,502.40 |
$1,632.95
|
|
E equine encephalitis igg
|
$117.00 |
$139.20 |
$335.40 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$85.60 |
$85.80 |
$85.80 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$201.60 |
$1,213.20 |
$3,442.20 |
$2,244.82
|
|
Egd control bleeding any
|
$841.80 |
$2,501.40 |
$4,330.80 |
$2,553.75
|
|
Egd dilate stricture
|
$841.80 |
$2,394.60 |
$5,507.40 |
$2,394.60
|
|
Egd endo mucosal resection
|
$866.40 |
$866.40 |
$5,542.20 |
$2,430.40
|
|
Egd endoscopic stent place
|
$2,593.20 |
$3,774.00 |
$5,542.20 |
$3,986.00
|
|
Egd guide wire insertion
|
$2,370.60 |
$2,978.40 |
$4,681.20 |
$1,664.00
|
|
Egd injection varices
|
$3,241.20 |
$4,330.80 |
$4,768.80 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,107.20 |
$2,501.40 |
$4,330.80 |
$2,244.82
|
