|
Digoxin total therapeutic drug level
|
$128.00 |
$128.00 |
$128.00 |
$102.07
|
|
Dilation of anal sphincter
|
$3,755.00 |
$3,755.00 |
$3,755.00 |
$1,995.20
|
|
Dilation/urethral strict/male/ini 53620
|
$3,111.50 |
$3,111.50 |
$3,111.50 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$221.00 |
$221.00 |
$221.00 |
$402.10
|
|
Disaccharidases
|
$247.50 |
$247.50 |
$247.50 |
$224.31
|
|
Dna antibody native/double stranded
|
$139.00 |
$139.00 |
$139.00 |
$100.00
|
|
Doppler echo complete
|
$414.50 |
$414.50 |
$414.50 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$796.00 |
$796.00 |
$796.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$576.00 |
$576.00 |
$576.00 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$35,670.50 |
$35,670.50 |
$35,670.50 |
$34,278.00
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$327.00 |
$327.00 |
$327.00 |
$794.82
|
|
Drainage external ear simple 69000
|
$325.00 |
$325.00 |
$325.00 |
$779.45
|
|
Drainage mouth roof lesion
|
$536.50 |
$536.50 |
$536.50 |
$405.60
|
|
Drainage of kidney lesion
|
$1,626.50 |
$1,626.50 |
$1,626.50 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$110.00 |
$110.00 |
$110.00 |
$177.04
|
|
Drain cath image guided visceral pq
|
$2,484.50 |
$2,484.50 |
$2,484.50 |
$2,885.30
|
|
Drain chst dry seal exp thorastat
|
$69.50 |
$69.50 |
$69.50 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$293.00 |
$293.00 |
$293.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$3,858.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$313.50 |
$313.50 |
$313.50 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$313.50 |
$313.50 |
$313.50 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$259.50 |
$259.50 |
$259.50 |
$540.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$5,529.50 |
$5,529.50 |
$5,529.50 |
$5,857.52
|
|
Drng of eyelid abscess 67700
|
$523.50 |
$523.50 |
$523.50 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,165.50 |
$2,165.50 |
$2,165.50 |
$2,029.60
|
|
Drng of scrotum abscess 55100
|
$2,114.50 |
$2,114.50 |
$2,114.50 |
$1,997.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$429.00 |
$429.00 |
$429.00 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$76.00 |
$76.00 |
$76.00 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$26.00 |
$26.00 |
$26.00 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$237.50 |
$237.50 |
$237.50 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$2.00 |
$2.00 |
$2.00 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$405.50 |
$405.50 |
$405.50 |
$400.98
|
|
Drug assay caffeine
|
$123.00 |
$123.00 |
$123.00 |
$81.61
|
|
Drug assay posaconazole
|
$90.00 |
$90.00 |
$90.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$179.50 |
$179.50 |
$179.50 |
$66.43
|
|
Drug screen quant tiagabine
|
$163.00 |
$163.00 |
$163.00 |
$107.59
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$373.00 |
$373.00 |
$373.00 |
$280.95
|
|
Drvvt confirm - quest
|
$137.00 |
$137.00 |
$137.00 |
$109.20
|
|
Ductogram sgl duct
|
$248.00 |
$248.00 |
$248.00 |
$469.44
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,037.50 |
$1,037.50 |
$1,037.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$680.00 |
$680.00 |
$680.00 |
$903.50
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$23,482.80
|
|
Dxa bone density axl vrt fx
|
$402.00 |
$402.00 |
$402.00 |
$410.25
|
|
Dx bronchoscope/wash 31622
|
$1,736.00 |
$1,736.00 |
$1,736.00 |
$2,322.60
|
|
Ear irrigation 69209
|
$165.50 |
$165.50 |
$165.50 |
$150.00
|
|
Ecg 12 lead tracing only
|
$267.00 |
$267.00 |
$267.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$121.50 |
$121.50 |
$121.50 |
$132.08
|
|
Ecg external < 48 hours recording
|
$531.50 |
$531.50 |
$531.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$620.00 |
$620.00 |
$620.00 |
$541.20
|
|
Ecg external >7 days up to 15 days recording
|
$68.00 |
$68.00 |
$68.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,552.50 |
$1,552.50 |
$1,552.50 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$375.50 |
$375.50 |
$375.50 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$575.50 |
$575.50 |
$575.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$764.50 |
$764.50 |
$764.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$328.50 |
$328.50 |
$328.50 |
$371.25
|
|
Echo exam uterus 76831-
|
$377.00 |
$377.00 |
$377.00 |
$552.50
|
|
Echo guide for artery repair
|
$448.00 |
$448.00 |
$448.00 |
$687.35
|
|
Echo stress
|
$1,110.50 |
$1,110.50 |
$1,110.50 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$1,889.20
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$740.00 |
$740.00 |
$740.00 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$809.50 |
$809.50 |
$809.50 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$883.00 |
$883.00 |
$883.00 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$830.00 |
$830.00 |
$830.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$864.00 |
$864.00 |
$864.00 |
$865.00
|
|
Eeg recording awake and asleep
|
$883.00 |
$883.00 |
$883.00 |
$929.00
|
|
Eeg wo vid 2-12hr intmt mntr
|
$369.50 |
$369.50 |
$369.50 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,058.50 |
$1,058.50 |
$1,058.50 |
$1,591.10
|
|
E equine encephalitis igg
|
$72.50 |
$72.50 |
$72.50 |
$50.88
|
|
Egd remove foreign body
|
$882.50 |
$882.50 |
$882.50 |
$1,548.00
|
|
Electrd sq emblem s-icd
|
$13,403.50 |
$13,403.50 |
$13,403.50 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$73.00 |
$73.00 |
$73.00 |
$81.00
|
|
Electrolyte panel
|
$91.50 |
$91.50 |
$91.50 |
$78.65
|
|
Electrophysiology evaluation
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
$2,902.81
|
|
Electrophysiology evaluation
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$1,869.13
|
|
Embolization s&i
|
$2,293.00 |
$2,293.00 |
$2,293.00 |
$3,215.00
|
|
Encephalitis, california igg/igm
|
$73.00 |
$73.00 |
$73.00 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$73.50 |
$73.50 |
$73.50 |
$50.88
|
|
Endo cath bile duct s&i
|
$692.50 |
$692.50 |
$692.50 |
$694.06
|
|
Endo cath panc duct s&i
|
$683.50 |
$683.50 |
$683.50 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$2,345.50 |
$2,345.50 |
$2,345.50 |
$3,290.30
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,463.00 |
$3,463.00 |
$3,463.00 |
$2,756.52
|
|
Endo, single, pulmonary
|
$377.00 |
$377.00 |
$377.00 |
$993.30
|
|
Eo, adj lock joint prefab ot
|
$168.50 |
$168.50 |
$168.50 |
$456.96
|
|
Epstein barr early antigen antibody
|
$97.50 |
$97.50 |
$97.50 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$119.50 |
$119.50 |
$119.50 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$133.00 |
$133.00 |
$133.00 |
$85.15
|
|
Ercp biliary & pancreas
|
$932.00 |
$932.00 |
$932.00 |
$951.20
|
|
ER Visit (level 1, minor)
|
$252.00 |
$252.00 |
$252.00 |
$252.35
|
|
ER Visit (level 2)
|
$440.50 |
$440.50 |
$440.50 |
$463.00
|
|
ER Visit (level 3)
|
$630.00 |
$630.00 |
$630.00 |
$793.20
|
|
ER Visit (level 4)
|
$975.50 |
$975.50 |
$975.50 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$1,844.80
|
|
Establish access to artery
|
$429.50 |
$429.50 |
$429.50 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$117.00 |
$117.00 |
$117.00 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$137.00 |
$137.00 |
$137.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$165.00 |
$165.00 |
$165.00 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$195.00 |
$195.00 |
$195.00 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$214.50 |
$214.50 |
$214.50 |
$287.10
|
|
Estradiol total
|
$178.00 |
$178.00 |
$178.00 |
$149.43
|
