|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$55.30 |
$55.30 |
$55.30 |
$284.40
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$64.26 |
$64.26 |
$64.26 |
$318.13
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$24,696.00 |
$24,696.00 |
$24,696.00 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$351.75 |
$351.75 |
$351.75 |
$1,764.89
|
|
Drug admin & hemodynmic meas
|
$528.50 |
$528.50 |
$1,072.71 |
$528.50
|
|
Drug of abuse screen urine
|
$157.85 |
$157.85 |
$157.85 |
$63.75
|
|
Drug test def 1-7 classes
|
$239.75 |
$239.75 |
$2,439.00 |
$263.86
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$206.15 |
$206.15 |
$206.15 |
$278.85
|
|
Ductogram sgl duct
|
$318.15 |
$318.15 |
$318.15 |
$382.80
|
|
Duplex scan bilateral study 93985
|
$421.40 |
$421.40 |
$421.40 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$246.75 |
$246.75 |
$246.75 |
$383.40
|
|
Dup scan/hemodialysis access 93990
|
$249.20 |
$249.20 |
$249.20 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,293.25 |
$1,293.25 |
$1,293.25 |
$759.85
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,082.20 |
$1,082.20 |
$1,082.20 |
$890.55
|
|
Dxa bone density axl vrt fx
|
$191.45 |
$191.45 |
$191.45 |
$377.65
|
|
Dx bronchoscope/lavage 31624
|
$2,562.70 |
$2,562.70 |
$2,562.70 |
$2,671.50
|
|
Dx bronchoscope/wash 31622
|
$3,105.90 |
$3,105.90 |
$3,105.90 |
$2,466.80
|
|
Ear irrigation 69209
|
$101.50 |
$101.50 |
$101.50 |
$161.40
|
|
Ecg 12 lead tracing only
|
$295.40 |
$295.40 |
$295.40 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$72.80 |
$72.80 |
$72.80 |
$129.83
|
|
Ecg external < 48 hours recording
|
$286.30 |
$286.30 |
$286.30 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$908.95 |
$908.95 |
$6,043.78 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$68.25 |
$68.25 |
$68.25 |
$154.30
|
|
Ecg external >7 days up to 15 days recording
|
$112.35 |
$112.35 |
$112.35 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$2,651.25 |
$2,651.25 |
$9,173.10 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$316.05 |
$316.05 |
$1,557.43 |
$462.80
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,150.00 |
$3,150.00 |
$3,150.00 |
$2,013.55
|
|
Echocardiography transthoracic 2d followup/limited
|
$462.00 |
$462.00 |
$4,108.95 |
$736.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$462.00 |
$462.00 |
$462.00 |
$715.26
|
|
Echocardiograpy doppler follow up/limited study
|
$336.70 |
$336.70 |
$4,087.58 |
$354.90
|
|
Echo exam uterus 76831-
|
$450.45 |
$450.45 |
$4,873.34 |
$513.00
|
|
Echo guide for amniocentesis
|
$272.30 |
$272.30 |
$272.30 |
$377.11
|
|
Echo guide for artery repair
|
$215.60 |
$215.60 |
$215.60 |
$680.28
|
|
Echo tee guidance
|
$3,253.25 |
$3,253.25 |
$9,538.32 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,565.20 |
$1,565.20 |
$9,538.27 |
$1,875.00
|
|
Echo transesophageal
|
$1,471.40 |
$1,471.40 |
$1,471.40 |
$572.25
|
|
Echo transesophageal intraop
|
$8,791.33 |
$8,791.33 |
$8,791.33 |
$1,571.70
|
|
Echo transthoracic
|
$3,051.16 |
$3,051.16 |
$3,051.16 |
$1,475.25
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$526.75 |
$526.75 |
$526.75 |
$1,014.01
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$6,123.25 |
$6,123.25 |
$6,123.25 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$7,594.30 |
$7,594.30 |
$7,594.30 |
$4,331.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,624.70 |
$1,624.70 |
$1,624.70 |
$1,624.70
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,958.25 |
$1,958.25 |
$1,958.25 |
$1,898.66
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,768.55 |
$1,768.55 |
$1,768.55 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,965.25 |
$1,965.25 |
$1,965.25 |
$1,780.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$44.10 |
$44.10 |
$44.10 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$693.70 |
$693.70 |
$693.70 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$768.25 |
$768.25 |
$768.25 |
$1,025.45
|
|
Eeg during surgery
|
$574.35 |
$574.35 |
$574.35 |
$775.45
|
|
Eeg monitoring/function test
|
$786.10 |
$786.10 |
$786.10 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,041.25 |
$1,041.25 |
$1,041.25 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$720.65 |
$720.65 |
$2,534.17 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$515.90 |
$515.90 |
$6,362.57 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,218.35 |
$1,218.35 |
$1,218.35 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$311.85 |
$311.85 |
$311.85 |
$700.18
|
|
Eeg without vid 2-12 hr unmntr
|
$315.35 |
$315.35 |
$3,926.18 |
$568.32
|
|
Eeg without vid ea 12-26hr cont
|
$531.30 |
$531.30 |
$531.30 |
$1,343.48
|
|
Eeg without vid ea 12-26hr intmt
|
$531.30 |
$531.30 |
$531.30 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$311.85 |
$311.85 |
$311.85 |
$615.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$531.30 |
$531.30 |
$6,176.73 |
$1,194.00
|
|
E equine encephalitis igg
|
$438.81 |
$438.81 |
$438.81 |
$48.73
|
|
Egfr gene com variants
|
$337.40 |
$337.40 |
$726.52 |
$615.57
|
|
Electrd sq emblem s-icd
|
$19,808.25 |
$19,808.25 |
$19,808.25 |
$8,818.74
|
|
Electrocorticography durng sx
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$1,660.52
|
|
Electrode stimulation brain
|
$819.00 |
$819.00 |
$819.00 |
$1,180.80
|
|
Electrolyte panel
|
$271.95 |
$271.95 |
$1,518.41 |
$86.58
|
|
Electron microscopy diagnostic
|
$1,464.40 |
$1,464.40 |
$7,083.48 |
$983.41
|
|
Electrophysiologic study
|
$7,977.99 |
$7,977.99 |
$7,977.99 |
$6,758.40
|
|
Electrophysiology evaluation
|
$5,632.55 |
$5,632.55 |
$12,615.09 |
$8,979.45
|
|
Electrophysiology evaluation
|
$8,800.40 |
$8,800.40 |
$39,348.22 |
$11,175.42
|
|
Electrophysiology evaluation
|
$1,584.10 |
$1,584.10 |
$37,424.26 |
$7,964.80
|
|
Electrophysiology evaluation
|
$2,376.15 |
$2,376.15 |
$4,948.60 |
$6,516.00
|
|
Electrophysiology evaluation
|
$3,215.80 |
$3,215.80 |
$17,575.12 |
$2,845.10
|
|
Electrophysiology evaluation
|
$4,373.60 |
$4,373.60 |
$15,427.84 |
$2,630.40
|
|
Electrophysiology evaluation
|
$1,798.65 |
$1,798.65 |
$1,798.65 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$5,059.25 |
$5,059.25 |
$12,603.02 |
$6,418.44
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$5,520.60 |
$5,520.60 |
$5,520.60 |
$178.85
|
|
Embolization s&i
|
$970.20 |
$970.20 |
$23,396.40 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$7,107.10 |
$7,107.10 |
$59,574.84 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$6,474.30 |
$6,474.30 |
$59,574.84 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$10,567.55 |
$10,567.55 |
$59,574.84 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$4,555.95 |
$4,555.95 |
$48,799.20 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$3,906.70 |
$3,906.70 |
$8,811.23 |
$6,839.00
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$3,159.45 |
$3,159.45 |
$3,159.45 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$164.15 |
$164.15 |
$164.15 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$289.45 |
$289.45 |
$289.45 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$376.60 |
$376.60 |
$376.60 |
$497.35
|
|
Emg cranial nerve bilateral
|
$711.20 |
$711.20 |
$711.20 |
$518.00
|
|
Emg needle test 1-extremity
|
$205.80 |
$205.80 |
$205.80 |
$341.60
|
|
Emg needle test 4-extremities
|
$420.00 |
$420.00 |
$420.00 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$258.65 |
$258.65 |
$258.65 |
$309.83
|
|
Encephalitis, california igg/igm
|
$438.81 |
$438.81 |
$438.81 |
$46.50
|
|
Encephalitis, st louis igg/igm
|
$24.15 |
$24.15 |
$438.81 |
$47.40
|
|
Encephalitis, western equine igg/igm
|
$438.81 |
$438.81 |
$438.81 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,314.85 |
$3,314.85 |
$3,314.85 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,310.30 |
$3,310.30 |
$9,287.89 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$232.75 |
$232.75 |
$232.75 |
$578.01
|
|
Endo cath panc duct s&i
|
$616.35 |
$616.35 |
$616.35 |
$645.00
|
|
Endocerv curettage w/scope 57456
|
$224.35 |
$224.35 |
$224.35 |
$515.50
|
|
Endocervical curettage 57505
|
$528.50 |
$528.50 |
$528.50 |
$1,030.40
|
