|
Drng of eyelid abscess 67700
|
$201.94 |
$201.94 |
$201.94 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$696.44 |
$696.44 |
$696.44 |
$1,917.33
|
|
Drng of hydrocele 55000
|
$283.13 |
$283.13 |
$283.13 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$349.60 |
$349.60 |
$349.60 |
$1,956.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.29 |
$32.29 |
$32.29 |
$30.75
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.60 |
$4.60 |
$4.60 |
$134.00
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$333.55 |
$333.55 |
$333.55 |
$7,465.97
|
|
Drug assay posaconazole
|
$20.93 |
$20.93 |
$20.93 |
$96.39
|
|
Drug assay rufinamide
|
$34.04 |
$34.04 |
$34.04 |
$81.60
|
|
Drug assay vedolizumab
|
$32.66 |
$32.66 |
$32.66 |
$141.75
|
|
Drug assay voriconazole
|
$34.04 |
$34.04 |
$34.04 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.49 |
$14.49 |
$14.49 |
$66.43
|
|
Drug screening tapentadol
|
$14.49 |
$14.49 |
$14.49 |
$36.00
|
|
Drug test def 15-21 classes
|
$208.84 |
$208.84 |
$208.84 |
$263.25
|
|
Drug test def 1-7 classes
|
$100.74 |
$100.74 |
$100.74 |
$263.25
|
|
Drug test def 22+ classes
|
$270.94 |
$270.94 |
$270.94 |
$325.95
|
|
Drug test def 8-14 classes
|
$155.02 |
$155.02 |
$155.02 |
$282.00
|
|
Drug test prsmv instrmnt
|
$25.07 |
$25.07 |
$25.07 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$100.51 |
$100.51 |
$100.51 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$816.04 |
$816.04 |
$816.04 |
$3,042.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$337.87 |
$337.87 |
$337.87 |
$879.45
|
|
Dx bronchoscope/brush 31623
|
$696.90 |
$696.90 |
$696.90 |
$2,040.67
|
|
Ear irrigation 69209
|
$47.38 |
$47.38 |
$47.38 |
$149.76
|
|
Ecg 12 lead tracing only
|
$69.69 |
$69.69 |
$69.69 |
$226.20
|
|
Ecg external < 48 hours recording
|
$242.65 |
$242.65 |
$242.65 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$242.65 |
$242.65 |
$242.65 |
$535.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$158.93 |
$158.93 |
$158.93 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$158.93 |
$158.93 |
$158.93 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$439.99 |
$439.99 |
$439.99 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$110.17 |
$110.17 |
$110.17 |
$485.25
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$465.06 |
$465.06 |
$465.06 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$172.04 |
$172.04 |
$172.04 |
$694.43
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$284.05 |
$284.05 |
$284.05 |
$851.28
|
|
Echocardiograpy doppler follow up/limited study
|
$101.43 |
$101.43 |
$101.43 |
$360.00
|
|
Echo tee guidance
|
$318.78 |
$318.78 |
$318.78 |
$1,837.95
|
|
Echo transesophageal
|
$287.73 |
$287.73 |
$287.73 |
$1,530.42
|
|
Echo transthoracic
|
$439.99 |
$439.99 |
$439.99 |
$1,361.75
|
|
Echo transthoracic
|
$205.85 |
$205.85 |
$205.85 |
$950.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$405.72 |
$405.72 |
$405.72 |
$3,099.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$405.72 |
$405.72 |
$405.72 |
$3,099.00
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$454.48 |
$454.48 |
$454.48 |
$1,107.50
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$454.48 |
$454.48 |
$454.48 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$454.48 |
$454.48 |
$454.48 |
$925.55
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$454.48 |
$454.48 |
$454.48 |
$925.55
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$454.48 |
$454.48 |
$454.48 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$454.48 |
$454.48 |
$454.48 |
$3,321.00
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$290.72 |
$290.72 |
$290.72 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$290.72 |
$290.72 |
$290.72 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$290.72 |
$290.72 |
$290.72 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$290.72 |
$290.72 |
$290.72 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$290.72 |
$290.72 |
$290.72 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$290.72 |
$290.72 |
$290.72 |
$1,240.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$363.63 |
$363.63 |
$363.63 |
$1,128.60
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$363.63 |
$363.63 |
$363.63 |
$925.55
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$363.63 |
$363.63 |
$363.63 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$363.63 |
$363.63 |
$363.63 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$363.63 |
$363.63 |
$363.63 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$363.63 |
$363.63 |
$363.63 |
$1,057.76
|
|
E equine encephalitis igg
|
$12.19 |
$12.19 |
$12.19 |
$49.50
|
|
Egd remove foreign body
|
$377.43 |
$377.43 |
$377.43 |
$1,505.50
|
|
Ehrlicha chaffeensis amp prb
|
$60.49 |
$60.49 |
$60.49 |
$93.00
|
|
Elec stim unattend for press
|
$23.46 |
$23.46 |
$23.46 |
$83.20
|
|
Electrical stimulation/unattended 97014
|
$15.41 |
$15.41 |
$15.41 |
$77.33
|
|
Electrolyte panel
|
$11.50 |
$11.50 |
$11.50 |
$80.88
|
|
Encephalitis, california igg/igm
|
$12.19 |
$12.19 |
$12.19 |
$50.88
|
|
Encephalitis, st louis igg/igm
|
$12.19 |
$12.19 |
$12.19 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$23.00 |
$23.00 |
$23.00 |
$53.10
|
|
Endoluminal bx biliary tree
|
$825.47 |
$825.47 |
$825.47 |
$2,476.50
|
|
Endoscopy swallow (fees) vid
|
$80.73 |
$80.73 |
$80.73 |
$405.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$744.51 |
$744.51 |
$744.51 |
$2,756.52
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$279.06 |
$279.06 |
$279.06 |
$107.18
|
|
Enterectomy small intestine single 44120
|
$586.96 |
$586.96 |
$586.96 |
$2,192.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$694.83 |
$694.83 |
$694.83 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$178.71 |
$178.71 |
$178.71 |
$650.00
|
|
Epidrm agrft t/a/l 1st 100
|
$694.83 |
$694.83 |
$694.83 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$178.71 |
$178.71 |
$178.71 |
$1,113.83
|
|
Epilepsy gen seq alys panel
|
$3,083.61 |
$3,083.61 |
$3,083.61 |
$3,083.61
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$65.62 |
$65.62 |
$65.62 |
$111.29
|
|
Epstein barr early antigen antibody
|
$22.54 |
$22.54 |
$22.54 |
$59.15
|
|
Epstein barr nuclear antigen antibody
|
$13.80 |
$13.80 |
$13.80 |
$79.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$29.90 |
$29.90 |
$29.90 |
$93.60
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$562.45 |
$562.45 |
$562.45 |
$417.48
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$318.70 |
$318.70 |
$318.70 |
$200.18
|
|
ER Visit (level 1, minor)
|
$66.93 |
$66.93 |
$66.93 |
$252.60
|
|
ER Visit (level 2)
|
$92.46 |
$92.46 |
$92.46 |
$467.27
|
|
ER Visit (level 3)
|
$201.02 |
$201.02 |
$201.02 |
$790.02
|
|
ER Visit (level 4)
|
$294.63 |
$294.63 |
$294.63 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$447.58 |
$447.58 |
$447.58 |
$1,828.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$224.92 |
$224.92 |
$224.92 |
$223.99
|
|
Established Patient Office Visit (level 1)
|
$18.63 |
$18.63 |
$18.63 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$21.85 |
$21.85 |
$21.85 |
$133.25
|
|
Established Patient Office Visit (level 3)
|
$35.42 |
$35.42 |
$35.42 |
$179.40
|
|
Established Patient Office Visit (level 4)
|
$40.71 |
$40.71 |
$40.71 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$45.31 |
$45.31 |
$45.31 |
$271.20
|
|
Estradiol total
|
$47.84 |
$47.84 |
$47.84 |
$142.20
|
|
Estrogens total-sendout
|
$37.26 |
$37.26 |
$37.26 |
$83.71
|
|
Ethylene glycol -sendout
|
$24.61 |
$24.61 |
$24.61 |
$79.50
|
|
Euglobulin lysis
|
$14.49 |
$14.49 |
$14.49 |
$47.96
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$110.63 |
$110.63 |
$110.63 |
$212.46
|
|
Event monitor
|
$242.65 |
$242.65 |
$242.65 |
$242.12
|