|
Drainage ext aud canal abscess 69020
|
$173.20 |
$173.20 |
$173.20 |
$914.34
|
|
Drainage external ear simple 69000
|
$173.20 |
$173.20 |
$173.20 |
$789.60
|
|
Drainage mouth roof lesion
|
$102.60 |
$102.60 |
$102.60 |
$390.39
|
|
Drainage of arm bursa 23931
|
$729.20 |
$729.20 |
$729.20 |
$2,197.48
|
|
Drainage of eye
|
$1,401.20 |
$1,401.20 |
$1,401.20 |
$2,360.00
|
|
Drainage of kidney lesion
|
$509.60 |
$509.60 |
$509.60 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,645.20 |
$1,645.20 |
$1,645.20 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$84.40 |
$84.40 |
$84.40 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$102.60 |
$102.60 |
$102.60 |
$781.44
|
|
Drain blood from under nail 11740
|
$32.40 |
$32.40 |
$32.40 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$253.00 |
$253.00 |
$253.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$75.20 |
$75.20 |
$75.20 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$566.00 |
$566.00 |
$566.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$74.40 |
$74.40 |
$74.40 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$151.00 |
$151.00 |
$151.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$79.80 |
$79.80 |
$79.80 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$84.00 |
$84.00 |
$84.00 |
$648.00
|
|
Drng of hydrocele 55000
|
$131.80 |
$131.80 |
$131.80 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$397.60 |
$397.60 |
$397.60 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$22.70 |
$22.70 |
$22.70 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$13.03 |
$13.03 |
$13.03 |
$31.07
|
|
Drug admin & hemodynmic meas
|
$104.20 |
$104.20 |
$104.20 |
$569.75
|
|
Drug assay posaconazole
|
$11.20 |
$11.20 |
$11.20 |
$96.75
|
|
Drug assay rufinamide
|
$14.80 |
$14.80 |
$14.80 |
$85.80
|
|
Drug assay vedolizumab
|
$28.20 |
$28.20 |
$28.20 |
$152.79
|
|
Drug assay voriconazole
|
$123.60 |
$123.60 |
$123.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$12.00 |
$12.00 |
$12.00 |
$66.43
|
|
Drug of abuse screen urine
|
$10.80 |
$10.80 |
$10.80 |
$63.75
|
|
Drug screen quant tiagabine
|
$38.60 |
$38.60 |
$38.60 |
$114.62
|
|
Drug test def 1-7 classes
|
$61.80 |
$61.80 |
$61.80 |
$250.52
|
|
Drug test prsmv instrmnt
|
$14.00 |
$14.00 |
$14.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$57.00 |
$57.00 |
$57.00 |
$278.85
|
|
Ductogram sgl duct
|
$113.20 |
$113.20 |
$113.20 |
$463.10
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$383.00 |
$383.00 |
$383.00 |
$887.25
|
|
Ear irrigation 69209
|
$18.60 |
$18.60 |
$18.60 |
$149.76
|
|
Ecg 12 lead tracing only
|
$66.80 |
$66.80 |
$66.80 |
$226.50
|
|
Ecg external < 48 hours recording
|
$168.60 |
$168.60 |
$168.60 |
$462.00
|
|
Echocardiogram (Heart Ultrasound)
|
$612.00 |
$612.00 |
$612.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$414.80 |
$414.80 |
$414.80 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$690.20 |
$690.20 |
$690.20 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$220.80 |
$220.80 |
$220.80 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$441.20 |
$441.20 |
$441.20 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$109.40 |
$109.40 |
$109.40 |
$362.50
|
|
Echograp trans r pros study
|
$210.80 |
$210.80 |
$210.80 |
$459.40
|
|
Echo guidance radiotherapy
|
$204.00 |
$204.00 |
$204.00 |
$812.00
|
|
Echo stress
|
$429.60 |
$429.60 |
$429.60 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$546.00 |
$546.00 |
$546.00 |
$1,849.50
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$347.80 |
$347.80 |
$347.80 |
$985.15
|
|
Edetate calcium disodium inj
|
$8,672.81 |
$8,672.81 |
$8,672.81 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$287.00 |
$287.00 |
$287.00 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$214.60 |
$214.60 |
$214.60 |
$835.00
|
|
Eeg recording awake and asleep
|
$236.80 |
$236.80 |
$236.80 |
$931.20
|
|
E equine encephalitis igg
|
$25.20 |
$25.20 |
$25.20 |
$49.92
|
|
Egfr gene com variants
|
$191.00 |
$191.00 |
$191.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$22.60 |
$22.60 |
$22.60 |
$93.00
|
|
Electrolyte panel
|
$87.40 |
$87.40 |
$87.40 |
$84.24
|
|
Electrophysiology evaluation
|
$768.80 |
$768.80 |
$768.80 |
$2,451.90
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,599.20 |
$4,599.20 |
$4,599.20 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$63.60 |
$63.60 |
$63.60 |
$370.50
|
|
Encephalitis, california igg/igm
|
$12.60 |
$12.60 |
$12.60 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$25.20 |
$25.20 |
$25.20 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$25.20 |
$25.20 |
$25.20 |
$53.10
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$416.80 |
$416.80 |
$416.80 |
$2,756.52
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$89.02 |
$89.02 |
$89.02 |
$109.71
|
|
Enzyme histochemistry
|
$208.00 |
$208.00 |
$208.00 |
$471.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$222.84 |
$222.84 |
$222.84 |
$248.81
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$48.48 |
$48.48 |
$48.48 |
$129.30
|
|
Epstein barr early antigen antibody
|
$27.80 |
$27.80 |
$27.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$17.40 |
$17.40 |
$17.40 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$46.80 |
$46.80 |
$46.80 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$138.78 |
$138.78 |
$138.78 |
$393.98
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$705.64 |
$705.64 |
$705.64 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$113.90 |
$113.90 |
$113.90 |
$222.98
|
|
ER Visit (level 1, minor)
|
$97.40 |
$97.40 |
$97.40 |
$246.24
|
|
ER Visit (level 2)
|
$126.00 |
$126.00 |
$126.00 |
$452.20
|
|
ER Visit (level 3)
|
$207.00 |
$207.00 |
$207.00 |
$770.04
|
|
ER Visit (level 4)
|
$577.80 |
$577.80 |
$577.80 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$904.40 |
$904.40 |
$904.40 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$111.70 |
$111.70 |
$111.70 |
$223.99
|
|
Escharotomy ea addl incision
|
$100.80 |
$100.80 |
$100.80 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$141.60 |
$141.60 |
$141.60 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$229.65 |
$229.65 |
$229.65 |
$553.88
|
|
Established Patient Office Visit (level 1)
|
$150.40 |
$150.40 |
$150.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$178.20 |
$178.20 |
$178.20 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$178.20 |
$178.20 |
$178.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$247.20 |
$247.20 |
$247.20 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$309.80 |
$309.80 |
$309.80 |
$280.33
|
|
Estradiol total
|
$81.40 |
$81.40 |
$81.40 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$221.53 |
$221.53 |
$221.53 |
$57.35
|
|
Estrogens total-sendout
|
$13.40 |
$13.40 |
$13.40 |
$96.20
|
|
Eth estr and eton monthly
|
$32.50 |
$32.50 |
$32.50 |
$266.45
|
|
Ethylene glycol -sendout
|
$33.00 |
$33.00 |
$33.00 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$74.64 |
$74.64 |
$74.64 |
$235.20
|
|
Etoposide 50 mg cap
|
$17.42 |
$17.42 |
$17.42 |
$135.02
|
|
Euflexxa inj per dose
|
$500.42 |
$500.42 |
$500.42 |
$587.51
|
|
Euglobulin lysis
|
$74.20 |
$74.20 |
$74.20 |
$56.70
|
|
Eval/fit voice prosthesis iii, st
|
$129.20 |
$129.20 |
$129.20 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$49.60 |
$49.60 |
$49.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$68.60 |
$68.60 |
$68.60 |
$311.50
|
|
Evoked potentials auditory screening automated analysis
|
$57.00 |
$57.00 |
$57.00 |
$249.71
|
