|
Drug assay vedolizumab
|
$365.25 |
$365.25 |
$365.25 |
$154.00
|
|
Drug assay voriconazole
|
$96.75 |
$130.20 |
$130.20 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$71.83 |
$71.83 |
$106.41 |
$67.89
|
|
Drug screening tapentadol
|
$183.77 |
$183.77 |
$183.77 |
$47.03
|
|
Drug/substance nos 4-6
|
$642.15 |
$642.15 |
$642.15 |
$72.14
|
|
Drug test def 15-21 classes
|
$203.97 |
$442.80 |
$442.80 |
$322.50
|
|
Drug test def 1-7 classes
|
$346.50 |
$396.00 |
$563.40 |
$263.25
|
|
Drug test def 22+ classes
|
$479.60 |
$479.60 |
$479.60 |
$426.24
|
|
Drug test def 8-14 classes
|
$405.90 |
$405.90 |
$405.90 |
$289.80
|
|
Drug test prsmv instrmnt
|
$182.16 |
$182.16 |
$182.16 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$71.83 |
$405.90 |
$1,041.00 |
$278.85
|
|
Drvvt confirm - quest
|
$98.85 |
$98.85 |
$131.79 |
$109.20
|
|
Dry needling (97799)
|
$132.19 |
$132.19 |
$132.19 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$2,600.42 |
$2,600.42 |
$2,600.42 |
$2,980.00
|
|
Ductogram sgl duct
|
$295.75 |
$646.65 |
$646.65 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$403.69 |
$512.10 |
$512.10 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$181.18 |
$256.35 |
$256.35 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$499.72 |
$652.20 |
$652.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$865.58 |
$1,063.20 |
$1,063.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$985.20 |
$1,005.61 |
$1,121.25 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$95.40 |
$95.40 |
$95.40 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,767.23 |
$23,767.23 |
$23,767.23 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,973.90 |
$7,973.90 |
$7,973.90 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$200.85 |
$200.85 |
$365.14 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,137.05 |
$2,137.05 |
$2,137.05 |
$2,410.50
|
|
Dx gastr intub w/asp spec
|
$310.25 |
$310.25 |
$310.25 |
$441.60
|
|
Dx intraop epcar Ultrasound chd i&r
|
$558.11 |
$558.11 |
$558.11 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dx laryngoscopy w/oper scope
|
$1,867.86 |
$1,867.86 |
$1,867.86 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dynamic fine wire emg
|
$374.29 |
$374.29 |
$374.29 |
$374.29
|
|
Dynamic surface emg
|
$711.79 |
$711.79 |
$711.79 |
$368.50
|
|
Ear irrigation 69209
|
$111.30 |
$111.30 |
$215.33 |
$154.70
|
|
Ecallantide injection
|
$29,917.98 |
$32,909.78 |
$32,909.78 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$145.26 |
$145.26 |
$158.10 |
$132.08
|
|
Ecg external < 48 hours recording
|
$598.24 |
$832.50 |
$832.50 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$529.20 |
$529.20 |
$763.92 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$520.72 |
$520.72 |
$520.72 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$520.72 |
$520.72 |
$520.72 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,859.40 |
$1,859.40 |
$4,795.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$379.20 |
$379.20 |
$838.44 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$702.59 |
$756.00 |
$786.24 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,375.05 |
$1,375.05 |
$1,375.05 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$466.80 |
$466.80 |
$572.29 |
$371.25
|
|
Echo exam of eye
|
$460.50 |
$460.50 |
$460.50 |
$169.62
|
|
Echo exam of fetal heart
|
$855.38 |
$855.38 |
$888.15 |
$904.80
|
|
Echo exam of fetal heart
|
$378.00 |
$378.00 |
$429.45 |
$538.27
|
|
Echo exam of fetal heart
|
$431.41 |
$431.41 |
$446.70 |
$431.41
|
|
Echo exam of fetal heart
|
$214.35 |
$214.35 |
$318.34 |
$318.34
|
|
Echo exam uterus 76831-
|
$409.50 |
$409.50 |
$993.45 |
$561.00
|
|
Echograp trans r pros study
|
$459.40 |
$459.40 |
$459.40 |
$468.00
|
|
Echo guidance radiotherapy
|
$627.20 |
$627.20 |
$627.20 |
$812.00
|
|
Echo guide cardiocentesis
|
$364.99 |
$364.99 |
$364.99 |
$269.33
|
|
Echo guide for amniocentesis
|
$304.49 |
$568.35 |
$568.35 |
$455.57
|
|
Echo guide for artery repair
|
$610.80 |
$610.80 |
$687.35 |
$696.30
|
|
Echo guide for heart biopsy
|
$455.26 |
$455.26 |
$455.26 |
$666.40
|
|
Echo guide for transfusion
|
$256.36 |
$256.36 |
$706.20 |
$332.39
|
|
Echo guide villus sampling
|
$706.20 |
$706.20 |
$706.20 |
$362.88
|
|
Echo stress
|
$2,122.65 |
$2,122.65 |
$2,627.64 |
$1,609.44
|
|
Echo tee guidance
|
$3,210.68 |
$3,210.68 |
$4,876.35 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,998.60 |
$1,998.60 |
$2,798.47 |
$1,913.60
|
|
Echo transesophageal
|
$593.07 |
$593.07 |
$2,127.45 |
$1,075.20
|
|
Echo transesophageal
|
$1,998.60 |
$1,998.60 |
$2,281.68 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,332.15 |
$1,332.15 |
$2,734.24 |
$1,578.00
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$2,646.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$1,413.63 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$379.20 |
$926.25 |
$2,397.60 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,560.70 |
$3,560.70 |
$10,882.70 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,560.70 |
$3,560.70 |
$10,882.70 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$4,320.83 |
$4,320.83 |
$7,121.40 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,536.87 |
$4,536.87 |
$7,121.40 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,301.39 |
$1,301.39 |
$24,967.50 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,313.68 |
$1,313.68 |
$12,988.65 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$9,536.97 |
$9,536.97 |
$12,620.85 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,394.09 |
$1,394.09 |
$14,183.25 |
$1,282.40
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,880.46 |
$1,880.46 |
$9,455.55 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,898.66 |
$1,898.66 |
$4,727.85 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,048.74 |
$1,048.74 |
$4,555.65 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$953.40 |
$953.40 |
$3,037.05 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,518.60 |
$1,518.60 |
$10,841.05 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$225.28 |
$225.28 |
$225.28 |
$148.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$11,741.38 |
$11,741.38 |
$11,741.38 |
$19,540.29
|
|
Eculizumab injection
|
$12,915.54 |
$12,915.54 |
$12,915.54 |
$16,330.48
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$95.40 |
$95.40 |
$95.40 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,195.08 |
$1,195.08 |
$2,239.80 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$970.07 |
$1,216.80 |
$1,216.80 |
$994.15
|
|
Eeg during surgery
|
$467.85 |
$467.85 |
$893.90 |
$775.45
|
|
Eeg monitoring/function test
|
$1,771.73 |
$1,771.73 |
$1,771.73 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$809.86 |
$809.86 |
$809.86 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$914.10 |
$914.10 |
$1,027.88 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,463.28 |
$1,463.28 |
$2,239.80 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,219.41 |
$1,219.41 |
$1,317.15 |
$871.00
|
|
Eeg recording awake and asleep
|
$914.10 |
$914.10 |
$1,030.27 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$462.30 |
$462.30 |
$2,266.72 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$554.70 |
$554.70 |
$1,391.57 |
$721.76
|
