|
Drug test def 15-21 classes
|
$449.50 |
$449.50 |
$449.50 |
$316.00
|
|
Drug test def 1-7 classes
|
$201.00 |
$201.00 |
$201.00 |
$263.25
|
|
Drug test def 22+ classes
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$90.00 |
$90.00 |
$90.00 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$304.50 |
$304.50 |
$304.50 |
$280.11
|
|
Drvvt confirm - quest
|
$52.50 |
$52.50 |
$52.50 |
$108.55
|
|
Dstrj nulyt agt gnclr nrv
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$2,967.48
|
|
Ductogram sgl duct
|
$547.50 |
$547.50 |
$547.50 |
$469.30
|
|
Duplex scan bilateral study 93985
|
$456.50 |
$456.50 |
$456.50 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$215.50 |
$215.50 |
$215.50 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$209.00 |
$209.00 |
$209.00 |
$482.30
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$338.00 |
$338.00 |
$338.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$506.50 |
$506.50 |
$506.50 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$25,767.96 |
$25,767.96 |
$25,767.96 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$585.50 |
$585.50 |
$585.50 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$851.75 |
$851.75 |
$851.75 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$851.75 |
$851.75 |
$851.75 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$2,322.60
|
|
Dx laryngoscopy newborn
|
$437.00 |
$437.00 |
$437.00 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$2,755.53
|
|
Ear and throat examination
|
$107.00 |
$107.00 |
$107.00 |
$602.63
|
|
Ear canal biopsy 69105
|
$818.50 |
$818.50 |
$818.50 |
$1,889.50
|
|
Ear cartilage graft
|
$5,724.92 |
$5,724.92 |
$5,724.92 |
$6,311.00
|
|
Ear irrigation 69209
|
$202.00 |
$202.00 |
$202.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$396.00 |
$396.00 |
$396.00 |
$226.20
|
|
Ecg < 30 days transmission & analysis
|
$239.00 |
$239.00 |
$239.00 |
$466.20
|
|
Ecg external < 48 hours recording
|
$122.00 |
$122.00 |
$122.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$216.00 |
$216.00 |
$216.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$80.50 |
$80.50 |
$80.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$131.00 |
$131.00 |
$131.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,455.50 |
$1,455.50 |
$1,455.50 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$234.50 |
$234.50 |
$234.50 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,511.50 |
$1,511.50 |
$1,511.50 |
$1,931.25
|
|
Echocardiography transthoracic 2d followup/limited
|
$619.50 |
$619.50 |
$619.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$90.50 |
$90.50 |
$90.50 |
$370.50
|
|
Echograp trans r pros study
|
$279.50 |
$279.50 |
$279.50 |
$466.20
|
|
Echo guide for amniocentesis
|
$274.50 |
$274.50 |
$274.50 |
$446.60
|
|
Echo guide for artery repair
|
$378.50 |
$378.50 |
$378.50 |
$687.35
|
|
Echo guide for heart biopsy
|
$381.00 |
$381.00 |
$381.00 |
$666.40
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,295.50 |
$1,295.50 |
$1,295.50 |
$1,885.56
|
|
Ecp ciliary body destruction
|
$2,652.50 |
$2,652.50 |
$2,652.50 |
$2,698.92
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$71.00 |
$71.00 |
$71.00 |
$90.26
|
|
Eeg 41-60 minutes 95812-26
|
$367.50 |
$367.50 |
$367.50 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,057.00 |
$1,057.00 |
$1,057.00 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$651.00 |
$651.00 |
$651.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$662.00 |
$662.00 |
$662.00 |
$1,092.60
|
|
Eeg phys/qhp 2-12 hr without vid
|
$379.50 |
$379.50 |
$379.50 |
$553.80
|
|
Eeg phys/qhp ea incr without vid
|
$700.00 |
$700.00 |
$700.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$591.00 |
$591.00 |
$591.00 |
$865.00
|
|
Eeg recording awake and asleep
|
$662.00 |
$662.00 |
$662.00 |
$918.40
|
|
Eeg without vid 2-12 hr unmntr
|
$214.00 |
$214.00 |
$214.00 |
$673.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$492.50 |
$492.50 |
$492.50 |
$695.69
|
|
Eeg wo vid ea 12-26hr unmntr
|
$634.50 |
$634.50 |
$634.50 |
$1,584.70
|
|
Egd control bleeding any
|
$864.00 |
$864.00 |
$864.00 |
$2,553.75
|
|
Egd dilate stricture
|
$492.75 |
$492.75 |
$492.75 |
$2,244.82
|
|
Egd guide wire insertion
|
$720.00 |
$720.00 |
$720.00 |
$1,664.00
|
|
Egd remove foreign body
|
$1,226.50 |
$1,226.50 |
$1,226.50 |
$1,548.00
|
|
Egd remove lesion snare
|
$649.50 |
$649.50 |
$649.50 |
$2,597.25
|
|
Egd Ultrasound fine needle bx/aspir
|
$261.75 |
$261.75 |
$261.75 |
$2,392.00
|
|
Egd varices ligation
|
$502.50 |
$502.50 |
$502.50 |
$2,244.82
|
|
Egfr gene com variants
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$646.75
|
|
Ehrlicha chaffeensis amp prb
|
$146.00 |
$146.00 |
$146.00 |
$93.00
|
|
Electrical bone stim 20974
|
$54.50 |
$54.50 |
$54.50 |
$61.91
|
|
Electrical stimulation/unattended 97014
|
$48.00 |
$48.00 |
$48.00 |
$81.00
|
|
Electroconvulsive therapy 90870
|
$597.00 |
$597.00 |
$597.00 |
$1,293.50
|
|
Electrodes, pair
|
$678.47 |
$678.47 |
$678.47 |
$15.12
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$78.28
|
|
Electron microscopy diagnostic
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$1,006.20
|
|
Electrophysiology evaluation
|
$426.50 |
$426.50 |
$426.50 |
$2,504.00
|
|
Electrophysiology evaluation
|
$3,079.00 |
$3,079.00 |
$3,079.00 |
$2,902.68
|
|
Embo or occlude vascular arterial s&i
|
$9,161.00 |
$9,161.00 |
$9,161.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,683.00 |
$7,683.00 |
$7,683.00 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$7,110.50 |
$7,110.50 |
$7,110.50 |
$14,743.50
|
|
Emb w/colposcopy 58110
|
$102.00 |
$102.00 |
$102.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$252.50 |
$252.50 |
$252.50 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,199.00 |
$1,199.00 |
$1,199.00 |
$375.20
|
|
Emg cranial nerve bilateral
|
$350.50 |
$350.50 |
$350.50 |
$517.84
|
|
Emg needle test 1-extremity
|
$179.00 |
$179.00 |
$179.00 |
$341.60
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$304.50 |
$304.50 |
$304.50 |
$694.06
|
|
Endo cath panc duct s&i
|
$304.50 |
$304.50 |
$304.50 |
$670.03
|
|
Endoluminal bx urtr rnl plvs
|
$2,772.50 |
$2,772.50 |
$2,772.50 |
$2,290.60
|
|
Endoluminl ivus oct c 1st
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$3,290.30
|
|
Endoluminl ivus oct c ea
|
$811.50 |
$811.50 |
$811.50 |
$2,096.38
|
|
Endo outlet restrict w/tube
|
$10,522.00 |
$10,522.00 |
$10,522.00 |
$12,320.22
|
|
Endoscopy maxillary sinus
|
$2,626.50 |
$2,626.50 |
$2,626.50 |
$7,662.21
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$2,756.52
|
|
Endo, single, pulmonary
|
$2,412.50 |
$2,412.50 |
$2,412.50 |
$993.30
|
|
Endovenous mchnchem 1st vein
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$4,904.40
|
|
Endovenous rf abl vein addl
|
$196.00 |
$196.00 |
$196.00 |
$3,061.07
|
|
Endoven ther chem adhes 1st 36482
|
$4,687.50 |
$4,687.50 |
$4,687.50 |
$6,259.55
|
|
Endoven ther chem adhes sbsq 36483
|
$263.00 |
$263.00 |
$263.00 |
$2,832.32
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$25,281.00 |
$25,281.00 |
$25,281.00 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$45.67 |
$45.67 |
$45.67 |
$116.08
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,049.50 |
$2,049.50 |
$2,049.50 |
$2,536.00
|
|
Epidrm agrft t/a/l 1st 100
|
$2,049.50 |
$2,049.50 |
$2,049.50 |
$2,703.50
|
|
Epidural/lumbar/sacral/ea add level64484
|
$583.00 |
$583.00 |
$583.00 |
$1,170.60
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$53.33 |
$53.33 |
$53.33 |
$34.80
|
|
Epinephrine 1 mg/ml im kit - adult
|
$76.57 |
$76.57 |
$76.57 |
$25.61
|
