|
Dress/debrid prtl-thick burn l 16030
|
$825.60 |
$825.60 |
$825.60 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,892.60 |
$2,892.60 |
$2,892.60 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$39.60 |
$39.60 |
$39.60 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,818.32
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$696.00 |
$696.00 |
$696.00 |
$193.15
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$10,017.00 |
$10,017.00 |
$10,017.00 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$28,128.00 |
$28,128.00 |
$28,128.00 |
$7,465.97
|
|
Drug assay rufinamide
|
$205.80 |
$205.80 |
$205.80 |
$87.10
|
|
Drug assay vedolizumab
|
$431.40 |
$431.40 |
$431.40 |
$154.00
|
|
Drug screen quant tiagabine
|
$188.40 |
$188.40 |
$188.40 |
$107.59
|
|
Drug test def 1-7 classes
|
$437.40 |
$437.40 |
$437.40 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$316.80 |
$316.80 |
$316.80 |
$278.85
|
|
Drvvt confirm - quest
|
$169.20 |
$169.20 |
$169.20 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,429.20 |
$1,429.20 |
$1,429.20 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$1,429.20 |
$1,429.20 |
$1,429.20 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$714.60 |
$714.60 |
$714.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$878.40 |
$878.40 |
$878.40 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$914.40 |
$914.40 |
$914.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$974.40 |
$974.40 |
$974.40 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$324.60 |
$324.60 |
$324.60 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$672.60 |
$672.60 |
$672.60 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$5,050.20 |
$5,050.20 |
$5,050.20 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$2,410.50
|
|
Ear canal biopsy 69105
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,889.50
|
|
Ear irrigation 69209
|
$117.00 |
$117.00 |
$117.00 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$128.40 |
$128.40 |
$128.40 |
$132.08
|
|
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
|
$75.00 |
$75.00 |
$75.00 |
$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 guide for artery repair
|
$1,009.20 |
$1,009.20 |
$1,009.20 |
$696.30
|
|
Echo stress
|
$816.00 |
$816.00 |
$816.00 |
$1,609.44
|
|
Echo tee guidance
|
$1,054.80 |
$1,054.80 |
$1,054.80 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$860.40 |
$860.40 |
$860.40 |
$1,913.60
|
|
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
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$670.20 |
$670.20 |
$670.20 |
$94.32
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$994.15
|
|
Eeg during surgery
|
$546.60 |
$546.60 |
$546.60 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$470.40 |
$470.40 |
$470.40 |
$1,119.54
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$2,219.40 |
$2,219.40 |
$2,219.40 |
$1,932.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,189.80 |
$1,189.80 |
$1,189.80 |
$931.20
|
|
Eeg without vid ea 12-26hr intmt
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$1,632.95
|
|
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 balloon dil esoph30 mm/>
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Egd control bleeding any
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,553.75
|
|
Egd dilate stricture
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,394.60
|
|
Egd endo mucosal resection
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,430.40
|
|
Egd endoscopic stent place
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$3,986.00
|
|
Egd guide wire insertion
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Egd lesion ablation
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,354.48
|
|
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/remov tum/polyp/hot bx forcep 43250
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,912.00
|
|
Egd varices ligation
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$6,103.80 |
$6,103.80 |
$6,103.80 |
$4,379.25
|
|
Egfr gene com variants
|
$134.40 |
$134.40 |
$134.40 |
$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
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$618.80
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$103.20 |
$103.20 |
$103.20 |
$87.49
|
|
Electroconvulsive therapy 90870
|
$2,124.00 |
$2,124.00 |
$2,124.00 |
$1,235.00
|
|
Electrocorticography durng sx
|
$955.80 |
$955.80 |
$955.80 |
$1,642.53
|
|
Electrolyte panel
|
$130.80 |
$130.80 |
$130.80 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,011.98
|
|
Electrophysiologic study
|
$4,569.60 |
$4,569.60 |
$4,569.60 |
$7,493.20
|
|
Electrophysiology evaluation
|
$4,569.60 |
$4,569.60 |
$4,569.60 |
$8,975.40
|
|
Electrophysiology evaluation
|
$4,555.20 |
$4,555.20 |
$4,555.20 |
$10,724.84
|
|
Electrophysiology evaluation
|
$4,123.20 |
$4,123.20 |
$4,123.20 |
$6,760.00
|
|
Electrophys map 3d add-on
|
$4,986.00 |
$4,986.00 |
$4,986.00 |
$5,762.40
|
|
Embolization s&i
|
$3,495.60 |
$3,495.60 |
$3,495.60 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$6,596.40 |
$6,596.40 |
$6,596.40 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$6,596.40 |
$6,596.40 |
$6,596.40 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,596.40 |
$6,596.40 |
$6,596.40 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$6,596.40 |
$6,596.40 |
$6,596.40 |
$14,741.00
|
|
Emb w/colposcopy 58110
|
$189.60 |
$189.60 |
$189.60 |
$290.55
|
|
Emb without cervical dilation 58100
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$373.60
|
|
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
|