|
Drvvt confirm - quest
|
$104.50 |
$104.50 |
$104.50 |
$109.20
|
|
Ductogram sgl duct
|
$248.00 |
$248.00 |
$248.00 |
$469.44
|
|
Duodenal motility study
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$1,143.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$452.00 |
$452.00 |
$452.00 |
$903.50
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$2,004.50 |
$2,004.50 |
$2,004.50 |
$23,482.80
|
|
Dx bronchoscope/wash 31622
|
$2,050.50 |
$2,050.50 |
$2,050.50 |
$2,322.60
|
|
Ear irrigation 69209
|
$189.00 |
$189.00 |
$189.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$550.00 |
$550.00 |
$550.00 |
$226.50
|
|
Ecg external < 48 hours recording
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$158.50 |
$158.50 |
$158.50 |
$541.20
|
|
Ecg external >7 days up to 15 days recording
|
$71.50 |
$71.50 |
$71.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$3,278.00 |
$3,278.00 |
$3,278.00 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$330.50 |
$330.50 |
$330.50 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$525.50 |
$525.50 |
$525.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$774.50 |
$774.50 |
$774.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$525.50 |
$525.50 |
$525.50 |
$371.25
|
|
Echo guide for amniocentesis
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$446.60
|
|
Echo guide for artery repair
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$687.35
|
|
Echo stress
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$1,889.20
|
|
Echo transesophageal intraop
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$1,578.00
|
|
Echo transthoracic
|
$903.00 |
$903.00 |
$903.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,222.50 |
$1,222.50 |
$1,222.50 |
$1,022.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,151.50 |
$2,151.50 |
$2,151.50 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$245.50 |
$245.50 |
$245.50 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$245.50 |
$245.50 |
$245.50 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$471.50 |
$471.50 |
$471.50 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$471.50 |
$471.50 |
$471.50 |
$1,402.50
|
|
Eeg wo vid 2-12hr intmt mntr
|
$245.50 |
$245.50 |
$245.50 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$471.50 |
$471.50 |
$471.50 |
$1,591.10
|
|
E equine encephalitis igg
|
$33.00 |
$33.00 |
$33.00 |
$50.88
|
|
Egd remove foreign body
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$1,548.00
|
|
Egfr gene com variants
|
$306.50 |
$306.50 |
$306.50 |
$657.00
|
|
Elec stim unattend for press
|
$121.00 |
$121.00 |
$121.00 |
$89.10
|
|
Electrd sq emblem s-icd
|
$9,611.00 |
$9,611.00 |
$9,611.00 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$231.50 |
$231.50 |
$231.50 |
$81.00
|
|
Electrogastrography
|
$779.00 |
$779.00 |
$779.00 |
$768.00
|
|
Electrolyte panel
|
$328.50 |
$328.50 |
$328.50 |
$78.65
|
|
Electron microscopy diagnostic
|
$630.00 |
$630.00 |
$630.00 |
$1,006.20
|
|
Electrophysiology evaluation
|
$4,917.50 |
$4,917.50 |
$4,917.50 |
$2,504.00
|
|
Electrophys map 3d add-on
|
$3,782.00 |
$3,782.00 |
$3,782.00 |
$5,881.00
|
|
Embo or occlude vascular arterial s&i
|
$16,510.00 |
$16,510.00 |
$16,510.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$14,741.00 |
$14,741.00 |
$14,741.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$14,741.00 |
$14,741.00 |
$14,741.00 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$14,741.00 |
$14,741.00 |
$14,741.00 |
$14,743.50
|
|
Encephalitis, california igg/igm
|
$33.00 |
$33.00 |
$33.00 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$33.00 |
$33.00 |
$33.00 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$33.00 |
$33.00 |
$33.00 |
$53.90
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,866.50 |
$4,866.50 |
$4,866.50 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$3,490.50 |
$3,490.50 |
$3,490.50 |
$694.06
|
|
Endo cath panc duct s&i
|
$3,372.50 |
$3,372.50 |
$3,372.50 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$548.00 |
$548.00 |
$548.00 |
$402.35
|
|
Endo, single, pulmonary
|
$721.50 |
$721.50 |
$721.50 |
$993.30
|
|
Endoven ther chem adhes 1st 36482
|
$5,861.50 |
$5,861.50 |
$5,861.50 |
$6,259.55
|
|
Enzyme histochemistry
|
$234.00 |
$234.00 |
$234.00 |
$455.91
|
|
Eo, adj lock joint prefab ot
|
$217.00 |
$217.00 |
$217.00 |
$456.96
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,200.50 |
$2,200.50 |
$2,200.50 |
$1,170.60
|
|
Epstein barr early antigen antibody
|
$596.00 |
$596.00 |
$596.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$291.50 |
$291.50 |
$291.50 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$284.00 |
$284.00 |
$284.00 |
$85.15
|
|
Ercp biliary & pancreas
|
$3,490.50 |
$3,490.50 |
$3,490.50 |
$951.20
|
|
ER Visit (level 1, minor)
|
$284.00 |
$284.00 |
$284.00 |
$252.35
|
|
ER Visit (level 2)
|
$566.50 |
$566.50 |
$566.50 |
$463.00
|
|
ER Visit (level 3)
|
$755.50 |
$755.50 |
$755.50 |
$793.20
|
|
ER Visit (level 4)
|
$1,385.50 |
$1,385.50 |
$1,385.50 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
$1,844.80
|
|
Esophagus motility study
|
$661.50 |
$661.50 |
$661.50 |
$1,257.17
|
|
Esoph imped function test
|
$426.00 |
$426.00 |
$426.00 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$833.00 |
$833.00 |
$833.00 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$134.00 |
$134.00 |
$134.00 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$174.50 |
$174.50 |
$174.50 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$202.00 |
$202.00 |
$202.00 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$229.50 |
$229.50 |
$229.50 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$304.00 |
$304.00 |
$304.00 |
$287.10
|
|
Estradiol total
|
$716.50 |
$716.50 |
$716.50 |
$149.43
|
|
Estrogens total-sendout
|
$39.50 |
$39.50 |
$39.50 |
$96.63
|
|
Ethylene glycol -sendout
|
$486.50 |
$486.50 |
$486.50 |
$85.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$517.00 |
$517.00 |
$517.00 |
$211.12
|
|
Evaluation heart device
|
$4,476.00 |
$4,476.00 |
$4,476.00 |
$2,221.96
|
|
Evaluation psychiatric diagnostic
|
$139.00 |
$139.00 |
$139.00 |
$315.00
|
|
Event monitor
|
$230.00 |
$230.00 |
$230.00 |
$237.60
|
|
Evoked oa emissions ltd
|
$71.00 |
$71.00 |
$71.00 |
$244.00
|
|
Evoked potential visual not glaucoma
|
$346.50 |
$346.50 |
$346.50 |
$812.40
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,738.50 |
$1,738.50 |
$1,738.50 |
$1,244.03
|
|
Exchange biliary drg cath
|
$3,224.50 |
$3,224.50 |
$3,224.50 |
$3,797.76
|
|
Exchange drainage catheter
|
$1,970.00 |
$1,970.00 |
$1,970.00 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$2,958.80
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,307.00 |
$2,307.00 |
$2,307.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,234.00 |
$4,234.00 |
$4,234.00 |
$4,136.83
|
|
External chromosome analysis 20-25 cells
|
$1,061.50 |
$1,061.50 |
$1,061.50 |
$403.00
|
|
External recharg sys intern
|
$5,817.00 |
$5,817.00 |
$5,817.00 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,487.00 |
$1,487.00 |
$1,487.00 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$703.00 |
$703.00 |
$703.00 |
$109.00
|
|
Eye implant band 40
|
$5,479.50 |
$5,479.50 |
$5,479.50 |
$6,152.93
|
|
Ezh2 gene full gene sequence
|
$306.50 |
$306.50 |
$306.50 |
$333.20
|
|
Facial bones <3
|
$275.50 |
$275.50 |
$275.50 |
$252.60
|
|
Factor ix
|
$868.00 |
$868.00 |
$868.00 |
$154.50
|
|
Factor viii
|
$710.00 |
$710.00 |
$710.00 |
$144.82
|
