|
Drainage ext aud canal abscess 69020
|
$729.60 |
$729.60 |
$729.60 |
$964.00
|
|
Drainage external ear simple 69000
|
$809.60 |
$809.60 |
$809.60 |
$790.40
|
|
Drain blood from under nail 11740
|
$171.20 |
$171.20 |
$171.20 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$410.40 |
$410.40 |
$410.40 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$380.00 |
$380.00 |
$380.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$327.20 |
$327.20 |
$327.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$526.40 |
$526.40 |
$526.40 |
$541.00
|
|
Drug of abuse screen urine
|
$71.20 |
$71.20 |
$71.20 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$230.40 |
$230.40 |
$230.40 |
$278.85
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$904.78
|
|
Ecg external < 48 hours recording
|
$472.00 |
$472.00 |
$472.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$472.00 |
$472.00 |
$472.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$181.60 |
$181.60 |
$181.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$233.60 |
$233.60 |
$233.60 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,103.20 |
$2,103.20 |
$2,103.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$926.40 |
$926.40 |
$926.40 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$635.20 |
$635.20 |
$635.20 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,157.60 |
$2,157.60 |
$2,157.60 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,191.20 |
$1,191.20 |
$1,191.20 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$380.00 |
$380.00 |
$380.00 |
$371.25
|
|
Echo stress
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$1,609.44
|
|
Echo transthoracic
|
$1,911.20 |
$1,911.20 |
$1,911.20 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,612.80 |
$1,612.80 |
$1,612.80 |
$1,033.00
|
|
Eeg recording awake and asleep
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$931.20
|
|
EKG tracing for initial prev
|
$113.60 |
$113.60 |
$113.60 |
$81.76
|
|
EKG (Tracing Only)
|
$253.60 |
$253.60 |
$253.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$308.80 |
$308.80 |
$308.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$407.20 |
$407.20 |
$407.20 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$116.80 |
$116.80 |
$116.80 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$104.80 |
$104.80 |
$104.80 |
$81.75
|
|
Electrolyte panel
|
$81.60 |
$81.60 |
$81.60 |
$79.30
|
|
Endoscopy swallow (fees) vid
|
$357.60 |
$357.60 |
$357.60 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$75.29 |
$75.29 |
$75.29 |
$112.79
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$67.05 |
$67.05 |
$67.05 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$69.36 |
$69.36 |
$69.36 |
$31.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$66.56 |
$66.56 |
$66.56 |
$33.60
|
|
Epstein barr nuclear antigen antibody
|
$86.40 |
$86.40 |
$86.40 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$143.20 |
$143.20 |
$143.20 |
$85.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$97.99 |
$97.99 |
$97.99 |
$232.12
|
|
ER Visit (level 1, minor)
|
$300.00 |
$300.00 |
$300.00 |
$252.60
|
|
ER Visit (level 2)
|
$488.80 |
$488.80 |
$488.80 |
$463.00
|
|
ER Visit (level 3)
|
$716.80 |
$716.80 |
$716.80 |
$812.18
|
|
ER Visit (level 4)
|
$1,078.40 |
$1,078.40 |
$1,078.40 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,441.60 |
$1,441.60 |
$1,441.60 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$456.84 |
$456.84 |
$456.84 |
$516.71
|
|
Esophageal motility
|
$1,246.40 |
$1,246.40 |
$1,246.40 |
$655.45
|
|
Established Patient Office Visit (level 1)
|
$159.20 |
$159.20 |
$159.20 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$124.80 |
$124.80 |
$124.80 |
$139.20
|
|
Estradiol total
|
$258.40 |
$258.40 |
$258.40 |
$152.10
|
|
Estrogens total-sendout
|
$269.60 |
$269.60 |
$269.60 |
$97.50
|
|
Eval/fit voice prosthesis iii, st
|
$508.80 |
$508.80 |
$508.80 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$391.20 |
$391.20 |
$391.20 |
$302.50
|
|
Exercise tst brncspsm w/ecg
|
$226.40 |
$226.40 |
$226.40 |
$335.52
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$56.80 |
$56.80 |
$56.80 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$500.80 |
$500.80 |
$500.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,924.80 |
$2,924.80 |
$2,924.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,625.60 |
$2,625.60 |
$2,625.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,168.00 |
$2,168.00 |
$2,168.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,530.40 |
$4,530.40 |
$4,530.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,065.60 |
$3,065.60 |
$3,065.60 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$391.20 |
$391.20 |
$391.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$514.40 |
$514.40 |
$514.40 |
$381.75
|
|
Factor ix
|
$234.40 |
$234.40 |
$234.40 |
$162.50
|
|
Factor viii
|
$234.40 |
$234.40 |
$234.40 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$60.52 |
$60.52 |
$60.52 |
$22.20
|
|
#fecal-sodium
|
$44.80 |
$44.80 |
$44.80 |
$37.53
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$66.30 |
$66.30 |
$66.30 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,219.42 |
$1,219.42 |
$1,219.42 |
$2,590.25
|
|
Ferritin
|
$107.20 |
$107.20 |
$107.20 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$608.36 |
$608.36 |
$608.36 |
$1,636.50
|
|
Fetal hemoglobin rosette
|
$154.40 |
$154.40 |
$154.40 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$123.20 |
$123.20 |
$123.20 |
$120.64
|
|
Fibrin degrade semiquant
|
$150.40 |
$150.40 |
$150.40 |
$84.50
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Finger X-ray (both hands)
|
$211.20 |
$211.20 |
$211.20 |
$241.50
|
|
Flow cytometry marker each additional
|
$111.20 |
$111.20 |
$111.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$180.80 |
$180.80 |
$180.80 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$98.96 |
$98.96 |
$98.96 |
$64.22
|
|
Fluidotherapy charges pt
|
$131.20 |
$131.20 |
$131.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$148.00 |
$148.00 |
$148.00 |
$123.65
|
|
Folic acid
|
$104.80 |
$104.80 |
$104.80 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$60.13 |
$60.13 |
$60.13 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,526.40 |
$1,526.40 |
$1,526.40 |
$2,511.73
|
|
Foot arch support remov prem
|
$178.40 |
$178.40 |
$178.40 |
$141.41
|
|
Foot X-ray
|
$362.40 |
$362.40 |
$362.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$308.80 |
$308.80 |
$308.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$308.80 |
$308.80 |
$308.80 |
$324.00
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
$183.74
|
|
Ftl cgen abnor four anal
|
$371.20 |
$371.20 |
$371.20 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$60.90 |
$60.90 |
$60.90 |
$19.53
|
|
Galac-1-phosphate uridyltran - sendout
|
$71.20 |
$71.20 |
$71.20 |
$100.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,981.60 |
$1,981.60 |
$1,981.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,279.20 |
$2,279.20 |
$2,279.20 |
$1,615.00
|
|
Gammaglobulin iga
|
$60.00 |
$60.00 |
$60.00 |
$69.60
|
|
Gammaglobulin ige
|
$106.40 |
$106.40 |
$106.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$72.00 |
$72.00 |
$72.00 |
$57.54
|
|
Gastroesophageal reflux study
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,031.60
|
|
Gated heart multiple
|
$2,263.20 |
$2,263.20 |
$2,263.20 |
$1,405.04
|
|
General health panel
|
$277.60 |
$277.60 |
$277.60 |
$262.44
|
