|
Drng of scrotum abscess 55100
|
$2,069.60 |
$2,069.60 |
$2,069.60 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$316.15 |
$316.15 |
$316.15 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$4,511.20 |
$4,511.20 |
$4,511.20 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$108.80 |
$108.80 |
$108.80 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$416.80 |
$416.80 |
$416.80 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$242.40 |
$242.40 |
$242.40 |
$193.15
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$68.00 |
$68.00 |
$68.00 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$414.40 |
$414.40 |
$414.40 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$1,431.20 |
$1,431.20 |
$1,431.20 |
$569.75
|
|
Dstrj nulyt agt gnclr nrv
|
$3,841.60 |
$3,841.60 |
$3,841.60 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$860.00 |
$860.00 |
$860.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$556.80 |
$556.80 |
$556.80 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$705.60 |
$705.60 |
$705.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$976.00 |
$976.00 |
$976.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$100.80 |
$100.80 |
$100.80 |
$10,564.87
|
|
Dx bronchoscope/wash 31622
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
$2,410.50
|
|
Ear irrigation 69209
|
$197.60 |
$197.60 |
$197.60 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$147.20 |
$147.20 |
$147.20 |
$132.08
|
|
Ecg external < 48 hours recording
|
$612.00 |
$612.00 |
$612.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$187.20 |
$187.20 |
$187.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$233.60 |
$233.60 |
$233.60 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,845.60 |
$2,845.60 |
$2,845.60 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$828.80 |
$828.80 |
$828.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$521.60 |
$521.60 |
$521.60 |
$371.25
|
|
Echo exam of fetal heart
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$904.80
|
|
Echo exam of fetal heart
|
$1,388.80 |
$1,388.80 |
$1,388.80 |
$538.27
|
|
Echo exam of fetal heart
|
$745.60 |
$745.60 |
$745.60 |
$431.41
|
|
Echo exam of fetal heart
|
$444.00 |
$444.00 |
$444.00 |
$318.34
|
|
Echograp trans r pros study
|
$1,686.40 |
$1,686.40 |
$1,686.40 |
$468.00
|
|
Echo guide for amniocentesis
|
$879.20 |
$879.20 |
$879.20 |
$455.57
|
|
Echo guide for artery repair
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$696.30
|
|
Echo guide for transfusion
|
$540.80 |
$540.80 |
$540.80 |
$332.39
|
|
Echo guide villus sampling
|
$511.20 |
$511.20 |
$511.20 |
$362.88
|
|
Echo stress
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$3,330.40 |
$3,330.40 |
$3,330.40 |
$751.34
|
|
Echo tee guidance
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,366.40 |
$3,366.40 |
$3,366.40 |
$1,913.60
|
|
Echo transesophageal
|
$1,963.20 |
$1,963.20 |
$1,963.20 |
$1,075.20
|
|
Echo transesophageal
|
$3,330.40 |
$3,330.40 |
$3,330.40 |
$1,650.00
|
|
Echo transesophageal intraop
|
$2,710.40 |
$2,710.40 |
$2,710.40 |
$1,578.00
|
|
Echo transthoracic
|
$2,374.40 |
$2,374.40 |
$2,374.40 |
$1,361.75
|
|
Echo transthoracic
|
$1,621.60 |
$1,621.60 |
$1,621.60 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,631.20 |
$1,631.20 |
$1,631.20 |
$1,033.00
|
|
Ecmo/ecls initiation artery 33947
|
$4,242.40 |
$4,242.40 |
$4,242.40 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,419.20 |
$4,419.20 |
$4,419.20 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,966.40 |
$3,966.40 |
$3,966.40 |
$2,660.16
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,384.12 |
$18,384.12 |
$18,384.12 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$463.20 |
$463.20 |
$463.20 |
$8,739.98
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$105.60 |
$105.60 |
$105.60 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$934.05
|
|
Eeg during surgery
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,800.80 |
$1,800.80 |
$1,800.80 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$1,632.95
|
|
Egd remove foreign body
|
$2,831.20 |
$2,831.20 |
$2,831.20 |
$1,571.40
|
|
EKG (Tracing Only)
|
$401.60 |
$401.60 |
$401.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$347.20 |
$347.20 |
$347.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$456.00 |
$456.00 |
$456.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$695.20 |
$695.20 |
$695.20 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$543.20 |
$543.20 |
$543.20 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$910.40 |
$910.40 |
$910.40 |
$618.80
|
|
Electrd sq emblem s-icd
|
$12,960.00 |
$12,960.00 |
$12,960.00 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$121.60 |
$121.60 |
$121.60 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$104.80 |
$104.80 |
$104.80 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$1,535.20 |
$1,535.20 |
$1,535.20 |
$1,235.00
|
|
Electron microscopy diagnostic
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$1,011.98
|
|
Electrophysiologic study
|
$9,225.60 |
$9,225.60 |
$9,225.60 |
$7,493.20
|
|
Electrophysiology evaluation
|
$12,380.00 |
$12,380.00 |
$12,380.00 |
$8,975.40
|
|
Electrophysiology evaluation
|
$16,280.00 |
$16,280.00 |
$16,280.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$6,338.40 |
$6,338.40 |
$6,338.40 |
$6,760.00
|
|
Electrophysiology evaluation
|
$6,338.40 |
$6,338.40 |
$6,338.40 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$10,975.20 |
$10,975.20 |
$10,975.20 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$5,172.80 |
$5,172.80 |
$5,172.80 |
$5,761.81
|
|
Embolization s&i
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$17,756.00 |
$17,756.00 |
$17,756.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$19,079.20 |
$19,079.20 |
$19,079.20 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,452.80 |
$18,452.80 |
$18,452.80 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$18,272.80 |
$18,272.80 |
$18,272.80 |
$14,741.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$7,031.20 |
$7,031.20 |
$7,031.20 |
$7,310.39
|
|
Emb without cervical dilation 58100
|
$392.00 |
$392.00 |
$392.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$362.40 |
$362.40 |
$362.40 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$340.80 |
$340.80 |
$340.80 |
$502.80
|
|
Emg cranial nerve bilateral
|
$1,508.80 |
$1,508.80 |
$1,508.80 |
$529.10
|
|
Emg needle test 1-extremity
|
$331.20 |
$331.20 |
$331.20 |
$351.50
|
|
Emg needle test 4-extremities
|
$340.80 |
$340.80 |
$340.80 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$308.80 |
$308.80 |
$308.80 |
$309.83
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$7,269.60 |
$7,269.60 |
$7,269.60 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,345.60 |
$1,345.60 |
$1,345.60 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$672.43
|
|
Endoluminal bx biliary tree
|
$5,072.00 |
$5,072.00 |
$5,072.00 |
$2,379.30
|