|
Duplex scan bilateral study 93985
|
$407.50 |
$407.50 |
$407.50 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$196.00 |
$196.00 |
$196.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$298.00 |
$298.00 |
$298.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$642.00 |
$642.00 |
$642.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$672.00 |
$672.00 |
$672.00 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$118.38 |
$118.38 |
$118.38 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$374.00 |
$374.00 |
$374.00 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$256.50 |
$256.50 |
$256.50 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$128.00 |
$128.00 |
$128.00 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,410.50
|
|
Dx laryngoscopy newborn
|
$874.00 |
$874.00 |
$874.00 |
$658.00
|
|
Dynamic cavernosometry
|
$4,094.00 |
$4,094.00 |
$4,094.00 |
$3,442.40
|
|
Ear irrigation 69209
|
$211.00 |
$211.00 |
$211.00 |
$154.70
|
|
Ear protector evaluation
|
$65.00 |
$65.00 |
$65.00 |
$112.56
|
|
Ecg/1-3 leads/tracing only 93041
|
$209.00 |
$209.00 |
$209.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$552.00 |
$552.00 |
$552.00 |
$412.88
|
|
Ecg external < 48 hours recording
|
$286.00 |
$286.00 |
$286.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$263.00 |
$263.00 |
$263.00 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,229.50 |
$2,229.50 |
$2,229.50 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$711.00 |
$711.00 |
$711.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$592.50 |
$592.50 |
$592.50 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,082.00 |
$3,082.00 |
$3,082.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$593.00 |
$593.00 |
$593.00 |
$371.25
|
|
Echo exam of fetal heart
|
$594.00 |
$594.00 |
$594.00 |
$904.80
|
|
Echo exam of fetal heart
|
$559.50 |
$559.50 |
$559.50 |
$538.27
|
|
Echo exam of fetal heart
|
$559.50 |
$559.50 |
$559.50 |
$431.41
|
|
Echo exam of fetal heart
|
$545.00 |
$545.00 |
$545.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$669.00 |
$669.00 |
$669.00 |
$561.00
|
|
Echograp trans r pros study
|
$346.00 |
$346.00 |
$346.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$610.50 |
$610.50 |
$610.50 |
$812.00
|
|
Echo guide for amniocentesis
|
$550.00 |
$550.00 |
$550.00 |
$455.57
|
|
Echo guide for artery repair
|
$1,077.50 |
$1,077.50 |
$1,077.50 |
$696.30
|
|
Echo guide for heart biopsy
|
$576.50 |
$576.50 |
$576.50 |
$666.40
|
|
Echo guide for transfusion
|
$234.50 |
$234.50 |
$234.50 |
$332.39
|
|
Echo guide villus sampling
|
$316.00 |
$316.00 |
$316.00 |
$362.88
|
|
Echo stress
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$751.34
|
|
Echo tee guidance
|
$791.00 |
$791.00 |
$791.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,464.50 |
$2,464.50 |
$2,464.50 |
$1,913.60
|
|
Echo transesophageal
|
$1,880.50 |
$1,880.50 |
$1,880.50 |
$1,075.20
|
|
Echo transesophageal
|
$2,182.50 |
$2,182.50 |
$2,182.50 |
$1,650.00
|
|
Echo transesophageal intraop
|
$3,273.00 |
$3,273.00 |
$3,273.00 |
$1,578.00
|
|
Echo transthoracic
|
$2,127.50 |
$2,127.50 |
$2,127.50 |
$1,361.75
|
|
Echo transthoracic
|
$925.50 |
$925.50 |
$925.50 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$11,262.00 |
$11,262.00 |
$11,262.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$11,262.00 |
$11,262.00 |
$11,262.00 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$64,767.00 |
$64,767.00 |
$64,767.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$64,781.00 |
$64,781.00 |
$64,781.00 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$2,442.50 |
$2,442.50 |
$2,442.50 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,442.50 |
$2,442.50 |
$2,442.50 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$3,737.00 |
$3,737.00 |
$3,737.00 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$3,821.00 |
$3,821.00 |
$3,821.00 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$3,737.00 |
$3,737.00 |
$3,737.00 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,331.00 |
$4,331.00 |
$4,331.00 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$1,420.50 |
$1,420.50 |
$1,420.50 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,420.50 |
$1,420.50 |
$1,420.50 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,420.50 |
$1,420.50 |
$1,420.50 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,420.50 |
$1,420.50 |
$1,420.50 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$1,857.50 |
$1,857.50 |
$1,857.50 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$1,857.50 |
$1,857.50 |
$1,857.50 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$60.50 |
$60.50 |
$60.50 |
$148.40
|
|
E coli 0157 ag ia
|
$177.50 |
$177.50 |
$177.50 |
$71.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$66.80 |
$66.80 |
$66.80 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$150.50 |
$150.50 |
$150.50 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$486.50 |
$486.50 |
$486.50 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$814.00 |
$814.00 |
$814.00 |
$994.15
|
|
Eeg during surgery
|
$581.00 |
$581.00 |
$581.00 |
$775.45
|
|
Eeg monitoring/function test
|
$564.00 |
$564.00 |
$564.00 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$564.50 |
$564.50 |
$564.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$506.00 |
$506.00 |
$506.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$430.50 |
$430.50 |
$430.50 |
$871.00
|
|
Eeg recording awake and asleep
|
$427.00 |
$427.00 |
$427.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$477.00 |
$477.00 |
$477.00 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$477.00 |
$477.00 |
$477.00 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$916.00 |
$916.00 |
$916.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$916.00 |
$916.00 |
$916.00 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$477.00 |
$477.00 |
$477.00 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$916.00 |
$916.00 |
$916.00 |
$1,632.95
|
|
E equine encephalitis igg
|
$102.00 |
$102.00 |
$102.00 |
$51.84
|
|
Egfr gene com variants
|
$857.50 |
$857.50 |
$857.50 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$255.00 |
$255.00 |
$255.00 |
$93.00
|
|
EKG (Tracing Only)
|
$209.00 |
$209.00 |
$209.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$309.50 |
$309.50 |
$309.50 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$323.00 |
$323.00 |
$323.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$557.00 |
$557.00 |
$557.00 |
$616.00
|
|
Elec stim unattend for press
|
$190.00 |
$190.00 |
$190.00 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$522.50 |
$522.50 |
$522.50 |
$563.20
|
|
Electrd sq emblem s-icd
|
$12,397.00 |
$12,397.00 |
$12,397.00 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$96.50 |
$96.50 |
$96.50 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$43.00 |
$43.00 |
$43.00 |
$81.75
|
