|
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
|
$212.40 |
$212.40 |
$212.40 |
$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
|
|
Ecg/review interpret only
|
$52.80 |
$52.80 |
$52.80 |
$57.60
|
|
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
|
|
Echocardiograpy doppler follow up/limited study
|
$303.60 |
$303.60 |
$303.60 |
$371.25
|
|
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 cardiocentesis
|
$448.80 |
$448.80 |
$448.80 |
$269.33
|
|
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
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$1,913.60
|
|
Echo transesophageal
|
$58.80 |
$58.80 |
$58.80 |
$1,075.20
|
|
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
|
|
Egd Ultrasound fine needle bx/aspir
|
$694.80 |
$694.80 |
$694.80 |
$2,912.00
|
|
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 (Electrocardiogram)
|
$247.80 |
$247.80 |
$247.80 |
$89.60
|
|
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
|
|
Elbow X-ray (3 or more views, both sides)
|
$188.40 |
$188.40 |
$188.40 |
$364.20
|
|
Electroconvulsive therapy 90870
|
$736.20 |
$736.20 |
$736.20 |
$1,235.00
|
|
Electrocorticography durng sx
|
$881.40 |
$881.40 |
$881.40 |
$1,642.53
|
|
Electrode stimulation brain
|
$2,346.60 |
$2,346.60 |
$2,346.60 |
$1,203.94
|
|
Electrolyte panel
|
$45.60 |
$45.60 |
$45.60 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$1,011.98
|
|
Electrophysiology evaluation
|
$6,361.20 |
$6,361.20 |
$6,361.20 |
$10,724.84
|
|
Electrophysiology evaluation
|
$7,534.80 |
$7,534.80 |
$7,534.80 |
$6,760.00
|
|
Electrophysiology evaluation
|
$378.60 |
$378.60 |
$378.60 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,223.80 |
$3,223.80 |
$3,223.80 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,064.20 |
$3,064.20 |
$3,064.20 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$5,761.81
|
|
Embedded ip cath exit-site 49436
|
$432.00 |
$432.00 |
$432.00 |
$3,226.64
|
|
Embolization s&i
|
$5,940.60 |
$5,940.60 |
$5,940.60 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$25,921.80 |
$25,921.80 |
$25,921.80 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$22,274.40 |
$22,274.40 |
$22,274.40 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$22,274.40 |
$22,274.40 |
$22,274.40 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$22,274.40 |
$22,274.40 |
$22,274.40 |
$14,741.00
|
|
Emb without cervical dilation 58100
|
$378.00 |
$378.00 |
$378.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$247.80 |
$247.80 |
$247.80 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$270.60 |
$270.60 |
$270.60 |
$502.80
|
|
Emg cranial nerve bilateral
|
$612.60 |
$612.60 |
$612.60 |
$529.10
|
