|
Disaccharidases
|
$499.50 |
$499.50 |
$499.50 |
$224.31
|
|
Discography cerv/thor spine
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$2,481.50
|
|
Dmpk gene detc abnor allele
|
$292.50 |
$292.50 |
$292.50 |
$313.60
|
|
Dna antibody native/double stranded
|
$63.50 |
$63.50 |
$63.50 |
$100.00
|
|
Dna gardnerella
|
$16.00 |
$16.00 |
$16.00 |
$61.80
|
|
Dna trichomonas
|
$16.00 |
$16.00 |
$16.00 |
$63.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$654.00 |
$654.00 |
$654.00 |
$473.76
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$1,718.24
|
|
Dpyd gene common variants
|
$232.50 |
$232.50 |
$232.50 |
$423.60
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$11.75 |
$11.75 |
$11.75 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$22.37 |
$22.37 |
$22.37 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11.75 |
$11.75 |
$11.75 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$122.50 |
$122.50 |
$122.50 |
$122.50
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$174.00 |
$174.00 |
$174.00 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$122.25 |
$122.25 |
$122.25 |
$400.98
|
|
Drug assay caffeine
|
$21.50 |
$21.50 |
$21.50 |
$81.61
|
|
Drug assay posaconazole
|
$48.00 |
$48.00 |
$48.00 |
$96.75
|
|
Drug assay rufinamide
|
$118.00 |
$118.00 |
$118.00 |
$85.80
|
|
Drug assay voriconazole
|
$48.50 |
$48.50 |
$48.50 |
$96.75
|
|
Drug of abuse screen urine
|
$64.50 |
$64.50 |
$64.50 |
$64.50
|
|
Drug screen quant tiagabine
|
$65.50 |
$65.50 |
$65.50 |
$107.59
|
|
Drug test prsmv instrmnt
|
$28.50 |
$28.50 |
$28.50 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$722.00 |
$722.00 |
$722.00 |
$280.95
|
|
Drvvt confirm - quest
|
$105.50 |
$105.50 |
$105.50 |
$109.20
|
|
Ductogram sgl duct
|
$534.00 |
$534.00 |
$534.00 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$1,635.50 |
$1,635.50 |
$1,635.50 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$1,307.50 |
$1,307.50 |
$1,307.50 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$925.00 |
$925.00 |
$925.00 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$307.00 |
$307.00 |
$307.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,587.50 |
$1,587.50 |
$1,587.50 |
$903.50
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$35.71 |
$35.71 |
$35.71 |
$23,482.80
|
|
Ecg 12 lead tracing only
|
$315.50 |
$315.50 |
$315.50 |
$226.50
|
|
Ecg external < 48 hours recording
|
$131.00 |
$131.00 |
$131.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$64.50 |
$64.50 |
$64.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$64.50 |
$64.50 |
$64.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,977.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$711.00
|
|
Echo exam uterus 76831-
|
$705.50 |
$705.50 |
$705.50 |
$552.50
|
|
Echo guide for artery repair
|
$825.00 |
$825.00 |
$825.00 |
$687.35
|
|
Echo stress
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$1,606.44
|
|
Echo tee guidance
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,889.20
|
|
Echo transesophageal
|
$490.50 |
$490.50 |
$490.50 |
$1,075.20
|
|
Echo transesophageal intraop
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,578.00
|
|
Echo transthoracic
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$994.50 |
$994.50 |
$994.50 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$660.00 |
$660.00 |
$660.00 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$660.00 |
$660.00 |
$660.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$660.00 |
$660.00 |
$660.00 |
$865.00
|
|
Eeg recording awake and asleep
|
$660.00 |
$660.00 |
$660.00 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$335.00 |
$335.00 |
$335.00 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$643.00 |
$643.00 |
$643.00 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$643.00 |
$643.00 |
$643.00 |
$1,591.10
|
|
E equine encephalitis igg
|
$34.00 |
$34.00 |
$34.00 |
$50.88
|
|
Egfr gene com variants
|
$345.00 |
$345.00 |
$345.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$33.50 |
$33.50 |
$33.50 |
$93.00
|
|
EKG (Electrocardiogram)
|
$334.50 |
$334.50 |
$334.50 |
$89.60
|
|
Electroconvulsive therapy 90870
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$1,296.90
|
|
Electrode stimulation brain
|
$751.50 |
$751.50 |
$751.50 |
$1,180.80
|
|
Electrolyte panel
|
$247.00 |
$247.00 |
$247.00 |
$78.65
|
|
Electron microscopy diagnostic
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,006.20
|
|
Electrophysiology evaluation
|
$4,419.00 |
$4,419.00 |
$4,419.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$6,805.50 |
$6,805.50 |
$6,805.50 |
$10,593.00
|
|
Electrophysiology evaluation
|
$4,065.50 |
$4,065.50 |
$4,065.50 |
$2,902.81
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$258.50 |
$258.50 |
$258.50 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$308.50 |
$308.50 |
$308.50 |
$487.20
|
|
Emg cranial nerve bilateral
|
$258.50 |
$258.50 |
$258.50 |
$518.00
|
|
Emg needle test 1-extremity
|
$236.00 |
$236.00 |
$236.00 |
$342.24
|
|
Emg needle test 4-extremities
|
$458.00 |
$458.00 |
$458.00 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$239.00 |
$239.00 |
$239.00 |
$308.80
|
|
Encephalitis, california igg/igm
|
$33.50 |
$33.50 |
$33.50 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$75.00 |
$75.00 |
$75.00 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$34.00 |
$34.00 |
$34.00 |
$53.90
|
|
Endoscopy swallow (fees) vid
|
$433.00 |
$433.00 |
$433.00 |
$402.35
|
|
Entamoeba histolytica ag eia - sendout
|
$14.50 |
$14.50 |
$14.50 |
$56.89
|
|
Enzyme cell activity ra
|
$112.50 |
$112.50 |
$112.50 |
$197.60
|
|
Enzyme histochemistry
|
$379.50 |
$379.50 |
$379.50 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$20,958.50 |
$20,958.50 |
$20,958.50 |
$26,232.69
|
|
Ep & ablate ventric tachy
|
$26,706.50 |
$26,706.50 |
$26,706.50 |
$27,778.40
|
|
Ep induct arrhy by elect pacing
|
$4,034.00 |
$4,034.00 |
$4,034.00 |
$2,702.70
|
|
Epstein barr early antigen antibody
|
$9.00 |
$9.00 |
$9.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$10.50 |
$10.50 |
$10.50 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$77.00 |
$77.00 |
$77.00 |
$85.15
|
|
ER Visit (level 1, minor)
|
$262.00 |
$262.00 |
$262.00 |
$252.35
|
|
ER Visit (level 2)
|
$463.00 |
$463.00 |
$463.00 |
$463.00
|
|
ER Visit (level 3)
|
$978.00 |
$978.00 |
$978.00 |
$793.20
|
|
ER Visit (level 4)
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$1,844.80
|
|
Esophagus motility study
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$1,257.17
|
|
Esoph balloon distension tst
|
$773.50 |
$773.50 |
$773.50 |
$1,040.00
|
|
Esoph imped funct test > 1hr
|
$674.00 |
$674.00 |
$674.00 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$184.50 |
$184.50 |
$184.50 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$195.00 |
$195.00 |
$195.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$211.00 |
$211.00 |
$211.00 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$321.00 |
$321.00 |
$321.00 |
$235.00
|
