|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$223.35 |
$223.35 |
$223.35 |
$171.12
|
|
Drug admin & hemodynmic meas
|
$124.79 |
$124.79 |
$124.79 |
$528.50
|
|
Drug assay posaconazole
|
$46.53 |
$46.53 |
$46.53 |
$96.39
|
|
Drug assay vedolizumab
|
$71.07 |
$71.07 |
$71.07 |
$164.16
|
|
Drug assay voriconazole
|
$50.34 |
$50.34 |
$50.34 |
$96.75
|
|
Drug of abuse screen urine
|
$30.46 |
$30.46 |
$30.46 |
$63.75
|
|
Drug test def 1-7 classes
|
$227.58 |
$227.58 |
$227.58 |
$268.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$148.05 |
$148.05 |
$148.05 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$407.78 |
$407.78 |
$407.78 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$196.28 |
$196.28 |
$196.28 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$315.99 |
$315.99 |
$315.99 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$387.47 |
$387.47 |
$387.47 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$597.28 |
$597.28 |
$597.28 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$12,976.97 |
$12,976.97 |
$12,976.97 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$218.27 |
$218.27 |
$218.27 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$2,766.85 |
$2,766.85 |
$2,766.85 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,400.95 |
$2,400.95 |
$2,400.95 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,609.10 |
$1,609.10 |
$1,609.10 |
$2,587.60
|
|
Ecg 12 lead tracing only
|
$348.13 |
$348.13 |
$348.13 |
$245.00
|
|
Ecg external < 48 hours recording
|
$332.48 |
$332.48 |
$332.48 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$851.93 |
$851.93 |
$851.93 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$81.22 |
$81.22 |
$81.22 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$135.36 |
$135.36 |
$135.36 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,215.28 |
$1,215.28 |
$1,215.28 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$446.69 |
$446.69 |
$446.69 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,701.31 |
$1,701.31 |
$1,701.31 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$822.32 |
$822.32 |
$822.32 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,159.45 |
$1,159.45 |
$1,159.45 |
$812.35
|
|
Echocardiograpy doppler follow up/limited study
|
$330.37 |
$330.37 |
$330.37 |
$353.46
|
|
Echograp trans r pros study
|
$194.58 |
$194.58 |
$194.58 |
$459.40
|
|
Echo guidance radiotherapy
|
$437.81 |
$437.81 |
$437.81 |
$774.80
|
|
Echo guide for artery repair
|
$574.44 |
$574.44 |
$574.44 |
$680.28
|
|
Echo stress
|
$1,432.28 |
$1,432.28 |
$1,432.28 |
$1,582.75
|
|
Echo tee guidance
|
$395.51 |
$395.51 |
$395.51 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,854.44 |
$1,854.44 |
$1,854.44 |
$1,871.10
|
|
Echo transesophageal
|
$1,446.24 |
$1,446.24 |
$1,446.24 |
$913.33
|
|
Echo transesophageal
|
$1,047.78 |
$1,047.78 |
$1,047.78 |
$1,734.10
|
|
Echo transthoracic
|
$1,331.19 |
$1,331.19 |
$1,331.19 |
$1,492.50
|
|
Echo transthoracic
|
$944.14 |
$944.14 |
$944.14 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,003.36 |
$1,003.36 |
$1,003.36 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$771.56 |
$771.56 |
$771.56 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$771.56 |
$771.56 |
$771.56 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$1,212.32 |
$1,212.32 |
$1,212.32 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$557.10 |
$557.10 |
$557.10 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$2,017.71 |
$2,017.71 |
$2,017.71 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,118.81 |
$2,118.81 |
$2,118.81 |
$4,331.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$416.66 |
$416.66 |
$416.66 |
$1,898.66
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,059.62 |
$1,059.62 |
$1,059.62 |
$1,802.40
|
|
Eeg 41-60 minutes 95812-26
|
$829.93 |
$829.93 |
$829.93 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$662.42 |
$662.42 |
$662.42 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$829.93 |
$829.93 |
$829.93 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$788.90 |
$788.90 |
$788.90 |
$936.00
|
|
Eeg recording awake and asleep
|
$788.48 |
$788.48 |
$788.48 |
$1,030.27
|
|
Eeg wo vid ea 12-26hr unmntr
|
$851.93 |
$851.93 |
$851.93 |
$1,251.52
|
|
E equine encephalitis igg
|
$66.84 |
$66.84 |
$66.84 |
$48.73
|
|
Egfr gene com variants
|
$222.08 |
$222.08 |
$222.08 |
$619.04
|
|
Electrolyte panel
|
$229.27 |
$229.27 |
$229.27 |
$86.33
|
|
Electron microscopy diagnostic
|
$357.44 |
$357.44 |
$357.44 |
$966.69
|
|
Electrophysiology evaluation
|
$4,131.02 |
$4,131.02 |
$4,131.02 |
$11,175.42
|
|
Electrophysiology evaluation
|
$4,131.02 |
$4,131.02 |
$4,131.02 |
$7,769.30
|
|
Electrophysiology evaluation
|
$4,131.02 |
$4,131.02 |
$4,131.02 |
$6,516.00
|
|
Electrophysiology evaluation
|
$4,995.21 |
$4,995.21 |
$4,995.21 |
$2,845.10
|
|
Electrophysiology evaluation
|
$3,446.61 |
$3,446.61 |
$3,446.61 |
$2,803.20
|
|
Electrophysiology evaluation
|
$543.56 |
$543.56 |
$543.56 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$5,798.49 |
$5,798.49 |
$5,798.49 |
$6,534.00
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$41,461.12 |
$41,461.12 |
$41,461.12 |
$24,397.67
|
|
Embolization s&i
|
$3,013.88 |
$3,013.88 |
$3,013.88 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$5,913.97 |
$5,913.97 |
$5,913.97 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$16,104.88 |
$16,104.88 |
$16,104.88 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,091.20 |
$6,091.20 |
$6,091.20 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$15,798.21 |
$15,798.21 |
$15,798.21 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$3,845.92 |
$3,845.92 |
$3,845.92 |
$6,962.27
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$2,616.68 |
$2,616.68 |
$2,616.68 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$330.79 |
$330.79 |
$330.79 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,391.67 |
$1,391.67 |
$1,391.67 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$1,748.26 |
$1,748.26 |
$1,748.26 |
$487.20
|
|
Emg needle test 1-extremity
|
$656.50 |
$656.50 |
$656.50 |
$342.24
|
|
Emg needle test 4-extremities
|
$2,773.62 |
$2,773.62 |
$2,773.62 |
$570.50
|
|
Encephalitis, california igg/igm
|
$66.84 |
$66.84 |
$66.84 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$66.84 |
$66.84 |
$66.84 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$66.84 |
$66.84 |
$66.84 |
$50.70
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,025.64 |
$6,025.64 |
$6,025.64 |
$5,515.40
|
|
Endoluminal bx biliary tree
|
$264.80 |
$264.80 |
$264.80 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$3,590.01 |
$3,590.01 |
$3,590.01 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$3,471.14 |
$3,471.14 |
$3,471.14 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,846.37 |
$2,846.37 |
$2,846.37 |
$2,367.97
|
|
Endoscopic injection/implant
|
$3,315.48 |
$3,315.48 |
$3,315.48 |
$4,081.37
|
|
Endovasc prosth delayed 33886
|
$3,150.93 |
$3,150.93 |
$3,150.93 |
$2,191.65
|
|
Endovasc rpr a-biiliac endogft 34705
|
$2,993.15 |
$2,993.15 |
$2,993.15 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$15,798.21 |
$15,798.21 |
$15,798.21 |
$11,261.25
|
|
Endovasc visc aorta 1 graft
|
$2,638.68 |
$2,638.68 |
$2,638.68 |
$10,241.99
|
|
Endovasc visc aorta 2 graft
|
$2,638.68 |
$2,638.68 |
$2,638.68 |
$13,279.50
|
|
Endovasc visc aorta 3 graft
|
$3,139.93 |
$3,139.93 |
$3,139.93 |
$13,966.36
|
|
Endovasc visc aorta 4 graft
|
$3,298.56 |
$3,298.56 |
$3,298.56 |
$16,294.08
|
|
Endovas iliac a device addon
|
$4,827.28 |
$4,827.28 |
$4,827.28 |
$1,764.36
|
|
Endovenous rf abl vein addl
|
$2,215.26 |
$2,215.26 |
$2,215.26 |
$3,156.02
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$72.55 |
$72.55 |
$72.55 |
$109.71
|
|
Enterectomy small intestine addl 44121
|
$836.70 |
$836.70 |
$836.70 |
$593.60
|
|
Enterectomy small intestine single 44120
|
$5,004.09 |
$5,004.09 |
$5,004.09 |
$3,002.40
|
|
Enzyme histochemistry
|
$122.67 |
$122.67 |
$122.67 |
$460.32
|
