|
Drug of abuse screen urine
|
$22.86 |
$22.86 |
$44.45 |
$63.75
|
|
Drug screen quant tiagabine
|
$91.80 |
$101.97 |
$178.50 |
$91.80
|
|
Drug test def 1-7 classes
|
$455.94 |
$506.52 |
$886.55 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$501.84 |
$501.84 |
$878.15 |
$278.85
|
|
Drvvt confirm - quest
|
$112.59 |
$112.59 |
$218.93 |
$101.66
|
|
Ductogram sgl duct
|
$600.12 |
$600.12 |
$600.12 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$357.03 |
$390.96 |
$694.23 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$169.02 |
$185.13 |
$328.65 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$525.88 |
$658.26 |
$658.26 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$643.77 |
$643.77 |
$1,138.03 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$890.55 |
$890.55 |
$1,731.63 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$6,529.68 |
$6,529.68 |
$12,696.60 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$210.42 |
$210.42 |
$409.15 |
$374.00
|
|
Dx bronchoscope/wash 31622
|
$2,816.28 |
$2,816.28 |
$2,816.28 |
$2,587.60
|
|
Ear and throat examination
|
$1,167.95 |
$1,167.95 |
$1,167.95 |
$579.00
|
|
Ear irrigation 69209
|
$98.19 |
$98.19 |
$98.19 |
$165.42
|
|
Ecallantide injection
|
$6,132.60 |
$6,132.60 |
$11,924.50 |
$6,132.60
|
|
Ecg 12 lead tracing only
|
$154.35 |
$154.35 |
$300.13 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$397.25 |
$397.25 |
$397.25 |
$129.83
|
|
Ecg external < 48 hours recording
|
$380.43 |
$380.43 |
$747.95 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$458.01 |
$458.01 |
$890.58 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$49.50 |
$49.50 |
$49.50 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$49.50 |
$49.50 |
$49.50 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,389.50 |
$2,389.50 |
$4,646.25 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$573.57 |
$573.57 |
$1,115.28 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,498.21 |
$3,498.21 |
$4,646.25 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$970.20 |
$970.20 |
$1,886.50 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,118.43 |
$1,357.02 |
$1,357.02 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$310.98 |
$471.06 |
$471.06 |
$353.46
|
|
Echo exam of eye
|
$225.09 |
$225.09 |
$225.09 |
$161.46
|
|
Echo exam of eye
|
$116.46 |
$116.46 |
$178.85 |
$116.46
|
|
Echo exam of fetal heart
|
$756.27 |
$756.27 |
$1,344.88 |
$855.38
|
|
Echo exam of fetal heart
|
$1,038.06 |
$1,038.06 |
$1,846.08 |
$503.80
|
|
Echo exam of fetal heart
|
$225.09 |
$225.09 |
$400.23 |
$431.41
|
|
Echo exam of fetal heart
|
$225.09 |
$225.09 |
$400.23 |
$323.40
|
|
Echo exam uterus 76831-
|
$465.48 |
$465.48 |
$465.48 |
$547.20
|
|
Echograp trans r pros study
|
$251.30 |
$465.48 |
$465.48 |
$459.40
|
|
Echo guidance radiotherapy
|
$204.93 |
$303.75 |
$303.75 |
$774.80
|
|
Echo guide for amniocentesis
|
$96.75 |
$421.83 |
$954.28 |
$384.65
|
|
Echo guide for artery repair
|
$878.22 |
$878.22 |
$1,707.65 |
$680.28
|
|
Echo guide for transfusion
|
$290.16 |
$290.16 |
$929.78 |
$324.60
|
|
Echo guide villus sampling
|
$457.92 |
$457.92 |
$814.45 |
$355.80
|
|
Echo stress
|
$2,484.09 |
$2,484.09 |
$4,830.18 |
$1,582.75
|
|
Echo tee guidance
|
$1,713.87 |
$1,713.87 |
$1,713.87 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,223.43 |
$2,740.59 |
$2,740.59 |
$1,871.10
|
|
Echo transesophageal
|
$1,223.43 |
$2,208.78 |
$2,208.78 |
$1,734.10
|
|
Echo transesophageal intraop
|
$1,356.78 |
$2,952.27 |
$2,952.27 |
$1,571.70
|
|
Echo transthoracic
|
$2,199.69 |
$2,199.69 |
$4,277.18 |
$1,492.50
|
|
Echo transthoracic
|
$1,715.04 |
$1,715.04 |
$3,334.80 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,708.02 |
$1,708.02 |
$3,321.15 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$535.68 |
$1,187.55 |
$1,187.55 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$555.21 |
$555.21 |
$808.68 |
$1,049.59
|
|
Eeg monitoring/function test
|
$442.08 |
$442.08 |
$875.35 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$515.90 |
$998.91 |
$998.91 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$735.88 |
$822.87 |
$822.87 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$535.68 |
$1,069.92 |
$1,069.92 |
$936.00
|
|
Eeg recording awake and asleep
|
$568.58 |
$1,143.90 |
$1,143.90 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$593.91 |
$593.91 |
$700.18 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$593.91 |
$593.91 |
$700.18 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,139.40 |
$1,139.40 |
$1,343.48 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$1,139.40 |
$1,139.40 |
$1,343.48 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$593.91 |
$593.91 |
$700.18 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,139.40 |
$1,139.40 |
$1,343.48 |
$1,251.52
|
|
E equine encephalitis igg
|
$49.50 |
$54.99 |
$96.25 |
$48.73
|
|
Egfr gene com variants
|
$574.38 |
$574.38 |
$854.00 |
$619.04
|
|
Elec stim unattend for press
|
$38.61 |
$38.61 |
$88.73 |
$45.63
|
|
Elect analysis of infusion pump 62367
|
$789.60 |
$789.60 |
$789.60 |
$535.43
|
|
Electroconvulsive therapy 90870
|
$473.67 |
$473.67 |
$473.67 |
$1,180.80
|
|
Electrocorticography durng sx
|
$1,002.96 |
$1,002.96 |
$1,002.96 |
$1,660.52
|
|
Electrode stimulation brain
|
$660.28 |
$1,297.71 |
$1,297.71 |
$1,180.80
|
|
Electrolyte panel
|
$159.57 |
$159.57 |
$310.28 |
$86.33
|
|
Electron microscopy diagnostic
|
$567.36 |
$567.36 |
$1,103.20 |
$966.69
|
|
Electrophysiologic study
|
$10,511.10 |
$10,511.10 |
$10,975.13 |
$6,758.40
|
|
Electrophysiology evaluation
|
$10,511.10 |
$10,511.10 |
$10,975.13 |
$8,979.45
|
|
Electrophysiology evaluation
|
$12,584.16 |
$12,584.16 |
$12,584.16 |
$11,175.42
|
|
Electrophysiology evaluation
|
$9,260.37 |
$9,260.37 |
$27,223.35 |
$7,769.30
|
|
Electrophysiology evaluation
|
$5,883.66 |
$5,883.66 |
$22,284.33 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,936.55 |
$13,520.70 |
$13,520.70 |
$2,845.10
|
|
Electrophysiology evaluation
|
$2,067.45 |
$2,902.68 |
$2,902.68 |
$2,803.20
|
|
Electrophysiology evaluation
|
$1,961.40 |
$2,453.85 |
$2,453.85 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$4,152.05 |
$10,291.95 |
$10,291.95 |
$6,534.00
|
|
Elosulfase alfa, injection
|
$2,274.48 |
$2,274.48 |
$4,422.60 |
$306.80
|
|
Elotuzumab 300 mg intravenous solution
|
$4,699.17 |
$4,699.17 |
$9,137.28 |
$8,397.94
|
|
Embolization s&i
|
$2,050.11 |
$2,050.11 |
$2,713.38 |
$3,060.05
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$196.56 |
$196.56 |
$446.78 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$261.09 |
$261.09 |
$446.78 |
$487.20
|
|
Emg cranial nerve bilateral
|
$310.86 |
$310.86 |
$446.78 |
$518.00
|
|
Emg needle test 1-extremity
|
$135.27 |
$135.27 |
$266.35 |
$342.24
|
|
Emg needle test 4-extremities
|
$308.79 |
$308.79 |
$446.78 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$186.21 |
$186.21 |
$266.35 |
$309.83
|
|
Encephalitis, california igg/igm
|
$53.55 |
$54.99 |
$104.13 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$49.50 |
$54.99 |
$96.25 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$53.55 |
$54.99 |
$104.13 |
$50.70
|
|
Endo cath panc duct s&i
|
$599.49 |
$599.49 |
$907.90 |
$645.00
|
|
Endoluminl ivus oct c 1st
|
$4,086.45 |
$4,086.45 |
$6,382.60 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$3,145.77 |
$3,145.77 |
$4,912.95 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$50.76 |
$50.76 |
$106.58 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$354.42 |
$354.42 |
$354.42 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$16,448.04 |
$18,915.12 |
$18,915.12 |
$11,261.25
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$911.52 |
$911.52 |
$1,772.40 |
$10,962.88
|
