|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$355.32 |
$355.32 |
$355.32 |
$278.85
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$147.00 |
$147.00 |
$147.00 |
$603.20
|
|
Dup scan/hemodialysis access 93990
|
$142.38 |
$142.38 |
$142.38 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$392.28 |
$392.28 |
$392.28 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$932.40 |
$932.40 |
$932.40 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$14,438.37 |
$14,438.37 |
$14,438.37 |
$14,438.37
|
|
Dxa bone density axl vrt fx
|
$255.36 |
$255.36 |
$255.36 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$2,725.38 |
$2,725.38 |
$2,725.38 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,853.46 |
$1,853.46 |
$1,853.46 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$760.62 |
$760.62 |
$760.62 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$194.04 |
$194.04 |
$194.04 |
$204.96
|
|
Dx laryngoscopy newborn
|
$437.22 |
$437.22 |
$437.22 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,853.46 |
$1,853.46 |
$1,853.46 |
$2,040.67
|
|
Ear irrigation 69209
|
$201.18 |
$201.18 |
$201.18 |
$165.42
|
|
Ecg 12 lead tracing only
|
$165.90 |
$165.90 |
$165.90 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$146.58 |
$146.58 |
$146.58 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$146.58 |
$146.58 |
$146.58 |
$429.00
|
|
Ecg external < 48 hours recording
|
$60.90 |
$60.90 |
$60.90 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$2,049.45
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,002.96 |
$1,002.96 |
$1,002.96 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$450.66 |
$450.66 |
$450.66 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$601.44 |
$601.44 |
$601.44 |
$762.00
|
|
Echo exam of eye thickness
|
$10.50 |
$10.50 |
$10.50 |
$32.37
|
|
Echograp trans r pros study
|
$441.42 |
$441.42 |
$441.42 |
$459.40
|
|
Echo guide for artery repair
|
$620.34 |
$620.34 |
$620.34 |
$680.28
|
|
Echo stress
|
$945.84 |
$945.84 |
$945.84 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$945.84 |
$945.84 |
$945.84 |
$1,871.10
|
|
Echo transthoracic
|
$945.84 |
$945.84 |
$945.84 |
$1,492.50
|
|
Echo transthoracic
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$953.10
|
|
Eeg monitor/record/awake/drowsy 95816
|
$438.48 |
$438.48 |
$438.48 |
$861.12
|
|
Egd remove foreign body
|
$957.18 |
$957.18 |
$957.18 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,018.94 |
$2,018.94 |
$2,018.94 |
$2,664.75
|
|
EKG (Electrocardiogram)
|
$26.46 |
$26.46 |
$26.46 |
$102.44
|
|
EKG interpret & report preve g0405
|
$23.10 |
$23.10 |
$23.10 |
$12.00
|
|
EKG tracing for initial prev
|
$23.10 |
$23.10 |
$23.10 |
$56.65
|
|
Elec analys infus pump w/reprog 62368
|
$369.18 |
$369.18 |
$369.18 |
$619.45
|
|
Electrd sq emblem s-icd
|
$10,183.02 |
$10,183.02 |
$10,183.02 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$74.76 |
$74.76 |
$74.76 |
$81.75
|
|
Electrolyte panel
|
$88.62 |
$88.62 |
$88.62 |
$86.33
|
|
Emb without cervical dilation 58100
|
$237.72 |
$237.72 |
$237.72 |
$397.66
|
|
Endocerv curettage w/scope 57456
|
$111.30 |
$111.30 |
$111.30 |
$515.50
|
|
Endocervical curettage 57505
|
$273.00 |
$273.00 |
$273.00 |
$1,030.40
|
|
Endoluminl ivus oct c 1st
|
$3,039.54 |
$3,039.54 |
$3,039.54 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,209.62 |
$2,209.62 |
$2,209.62 |
$2,367.97
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,853.46 |
$1,853.46 |
$1,853.46 |
$2,872.59
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$97.90 |
$97.90 |
$97.90 |
$121.63
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$56.70 |
$56.70 |
$56.70 |
$450.94
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,721.47 |
$2,721.47 |
$2,721.47 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,070.25 |
$1,070.25 |
$1,070.25 |
$950.55
|
|
Epstein barr nuclear antigen antibody
|
$131.46 |
$131.46 |
$131.46 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$155.82 |
$155.82 |
$155.82 |
$95.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$388.09 |
$388.09 |
$388.09 |
$364.08
|
|
ER Visit (level 1, minor)
|
$158.34 |
$158.34 |
$158.34 |
$276.70
|
|
ER Visit (level 2)
|
$294.00 |
$294.00 |
$294.00 |
$487.50
|
|
ER Visit (level 3)
|
$580.44 |
$580.44 |
$580.44 |
$850.50
|
|
ER Visit (level 4)
|
$911.40 |
$911.40 |
$911.40 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,308.30 |
$1,308.30 |
$1,308.30 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$569.33 |
$569.33 |
$569.33 |
$260.24
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$810.47 |
$810.47 |
$810.47 |
$540.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$957.18 |
$957.18 |
$957.18 |
$1,109.47
|
|
Esophagoscopy flex remove fb
|
$2,018.94 |
$2,018.94 |
$2,018.94 |
$2,109.53
|
|
Esophagus motility study
|
$6,256.32 |
$6,256.32 |
$6,256.32 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$2,026.08 |
$2,026.08 |
$2,026.08 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$18.90 |
$18.90 |
$18.90 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$52.50 |
$52.50 |
$52.50 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$70.14 |
$70.14 |
$70.14 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$87.36 |
$87.36 |
$87.36 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$118.86 |
$118.86 |
$118.86 |
$287.10
|
|
Estradiol total
|
$165.06 |
$165.06 |
$165.06 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$28.35 |
$28.35 |
$28.35 |
$63.50
|
|
Etonogestrel implant system
|
$3,142.49 |
$3,142.49 |
$3,142.49 |
$3,016.77
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$305.76 |
$305.76 |
$305.76 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$293.16 |
$293.16 |
$293.16 |
$347.75
|
|
Evasc prlng admn rx agnt 1st
|
$3,425.52 |
$3,425.52 |
$3,425.52 |
$4,462.80
|
|
Event monitor
|
$43.68 |
$43.68 |
$43.68 |
$242.12
|
|
Evoked oa emissions ltd
|
$25.20 |
$25.20 |
$25.20 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$244.44 |
$244.44 |
$244.44 |
$283.62
|
|
Evok oa screening qual
|
$49.98 |
$49.98 |
$49.98 |
$120.90
|
|
Exam pelvic add-on
|
$56.70 |
$56.70 |
$56.70 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,649.80
|
|
Exc bartholins gland/cyst
|
$3,769.92 |
$3,769.92 |
$3,769.92 |
$3,744.41
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$865.20 |
$865.20 |
$865.20 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$865.20 |
$865.20 |
$865.20 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$865.20 |
$865.20 |
$865.20 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$865.20 |
$865.20 |
$865.20 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,444.42 |
$3,444.42 |
$3,444.42 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$497.70 |
$497.70 |
$497.70 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$865.20 |
$865.20 |
$865.20 |
$1,301.30
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$237.30 |
$237.30 |
$237.30 |
$1,061.40
|
|
Exchange biliary drg cath
|
$5,147.52 |
$5,147.52 |
$5,147.52 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,531.34 |
$2,531.34 |
$2,531.34 |
$2,256.80
|
|
Exc hidradenitis peri/umb int 11470
|
$121.80 |
$121.80 |
$121.80 |
$3,386.84
|
|
Excise/repair mouth lesion
|
$1,850.94 |
$1,850.94 |
$1,850.94 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$865.20 |
$865.20 |
$865.20 |
$832.60
|