|
Dup scan/hemodialysis access 93990
|
$610.00 |
$610.00 |
$610.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$710.50 |
$710.50 |
$710.50 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$610.00 |
$610.00 |
$610.00 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$24,767.40 |
$24,767.40 |
$24,767.40 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$809.00 |
$809.00 |
$809.00 |
$410.25
|
|
Dx aly aud oi snd prcsr 1st
|
$209.00 |
$209.00 |
$209.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$48.50 |
$48.50 |
$48.50 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$2,776.92 |
$2,776.92 |
$2,776.92 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$4,174.00 |
$4,174.00 |
$4,174.00 |
$2,329.60
|
|
Dx bronchoscope/wash 31622
|
$2,238.00 |
$2,238.00 |
$2,238.00 |
$2,238.00
|
|
Dx laryngoscopy newborn
|
$474.50 |
$474.50 |
$474.50 |
$707.25
|
|
Ear and throat examination
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$602.63
|
|
Ear canal biopsy 69105
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,889.50
|
|
Ear irrigation 69209
|
$223.00 |
$223.00 |
$223.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$765.00 |
$765.00 |
$765.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$166.50 |
$166.50 |
$166.50 |
$136.53
|
|
Ecg external > 48 hours up to 7 days recording
|
$69.00 |
$69.00 |
$69.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$112.50 |
$112.50 |
$112.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$2,030.14
|
|
Echocardiography doppler color flow mapping
|
$341.00 |
$341.00 |
$341.00 |
$490.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$341.00 |
$341.00 |
$341.00 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$341.00 |
$341.00 |
$341.00 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$409.50 |
$409.50 |
$409.50 |
$371.25
|
|
Echo exam of eye
|
$118.00 |
$118.00 |
$118.00 |
$143.75
|
|
Echograp trans r pros study
|
$131.00 |
$131.00 |
$131.00 |
$459.40
|
|
Echo tee probe placement image acquisition interpretation & report
|
$866.00 |
$866.00 |
$866.00 |
$1,885.56
|
|
Echo transthoracic
|
$629.50 |
$629.50 |
$629.50 |
$1,361.75
|
|
Echo transthoracic
|
$546.00 |
$546.00 |
$546.00 |
$1,017.54
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$45,660.93 |
$45,660.93 |
$45,660.93 |
$18,199.20
|
|
Eeg 41-60 minutes 95812-26
|
$556.50 |
$556.50 |
$556.50 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$334.00 |
$334.00 |
$334.00 |
$1,025.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$562.50 |
$562.50 |
$562.50 |
$837.80
|
|
Eeg over 1 hour 95813 - 26
|
$653.00 |
$653.00 |
$653.00 |
$1,125.32
|
|
Eeg/record in coma or sleep only 95822
|
$560.00 |
$560.00 |
$560.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$518.00 |
$518.00 |
$518.00 |
$937.95
|
|
Eeg without vid 2-12hr cont mntr
|
$516.00 |
$516.00 |
$516.00 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$560.00 |
$560.00 |
$560.00 |
$621.00
|
|
Eeg without vid ea 12-26hr cont
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$989.00 |
$989.00 |
$989.00 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$516.00 |
$516.00 |
$516.00 |
$700.18
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$1,584.70
|
|
E equine encephalitis igg
|
$122.50 |
$122.50 |
$122.50 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$37,142.28 |
$37,142.28 |
$37,142.28 |
$12,999.80
|
|
Egd balloon dil esoph30 mm/>
|
$282.50 |
$282.50 |
$282.50 |
$2,101.52
|
|
Egd control bleeding any
|
$410.00 |
$410.00 |
$410.00 |
$2,501.40
|
|
Egd dilate stricture
|
$2,315.50 |
$2,315.50 |
$2,315.50 |
$2,244.82
|
|
Egd endo mucosal resection
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$2,430.40
|
|
Egd endoscopic stent place
|
$1,569.50 |
$1,569.50 |
$1,569.50 |
$3,705.00
|
|
Egd guide wire insertion
|
$615.00 |
$615.00 |
$615.00 |
$1,664.00
|
|
Egd injection varices
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,206.00 |
$2,206.00 |
$2,206.00 |
$2,107.20
|
|
Egd remove foreign body
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$1,473.45
|
|
Egd remove lesion snare
|
$663.33 |
$663.33 |
$663.33 |
$2,506.40
|
|
Egd Ultrasound exam duodenum/jejunum
|
$745.67 |
$745.67 |
$745.67 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,569.50 |
$1,569.50 |
$1,569.50 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,326.67 |
$1,326.67 |
$1,326.67 |
$2,912.00
|
|
Egd varices ligation
|
$386.67 |
$386.67 |
$386.67 |
$2,202.85
|
|
Egd w/transmural drain cyst
|
$1,520.34 |
$1,520.34 |
$1,520.34 |
$4,379.25
|
|
Egfr gene com variants
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$672.10
|
|
Ehrlicha chaffeensis amp prb
|
$146.00 |
$146.00 |
$146.00 |
$93.00
|
|
Elbow arthroscopy/surgery
|
$2,530.67 |
$2,530.67 |
$2,530.67 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,061.34 |
$5,061.34 |
$5,061.34 |
$2,916.80
|
|
Electrical stimulation/unattended 97014
|
$52.00 |
$52.00 |
$52.00 |
$79.20
|
|
Electric stim/w chemodenervation 95873
|
$80.00 |
$80.00 |
$80.00 |
$166.40
|
|
Electroconvulsive therapy 90870
|
$648.00 |
$648.00 |
$648.00 |
$1,300.80
|
|
Electrodes, pair
|
$426.39 |
$426.39 |
$426.39 |
$15.12
|
|
Electrode stimulation brain
|
$908.50 |
$908.50 |
$908.50 |
$1,180.80
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$84.24
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$324.00 |
$324.00 |
$324.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$332.00 |
$332.00 |
$332.00 |
$160.00
|
|
Electron microscopy diagnostic
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$981.50
|
|
Elotuzumab 300 mg intravenous solution
|
$12,379.44 |
$12,379.44 |
$12,379.44 |
$5,523.02
|
|
Embolization s&i
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$10,685.50 |
$10,685.50 |
$10,685.50 |
$15,839.57
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,143.50 |
$11,143.50 |
$11,143.50 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$11,143.50 |
$11,143.50 |
$11,143.50 |
$14,586.00
|
|
Emb w/colposcopy 58110
|
$120.50 |
$120.50 |
$120.50 |
$290.55
|
|
Emb without cervical dilation 58100
|
$245.50 |
$245.50 |
$245.50 |
$378.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$611.00 |
$611.00 |
$611.00 |
$390.10
|
|
Emg needle test 4-extremities
|
$182.00 |
$182.00 |
$182.00 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$336.50 |
$336.50 |
$336.50 |
$300.60
|
|
Encephalitis, california igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$58.00
|
|
Encephalitis, st louis igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$50.00
|
|
Encephalitis, western equine igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$55.20
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,188.00 |
$5,188.00 |
$5,188.00 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,709.00 |
$4,709.00 |
$4,709.00 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$478.00 |
$478.00 |
$478.00 |
$714.50
|
|
Endocerv curettage w/scope 57456
|
$350.50 |
$350.50 |
$350.50 |
$470.25
|
|
Endocervical curettage 57505
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,035.00
|
|
Endo cholangiopancreatograph
|
$2,372.50 |
$2,372.50 |
$2,372.50 |
$4,211.08
|
|
Endo cholangiopancreatograph
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$4,157.89
|
|
Endoluminl ivus oct c 1st
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$946.50 |
$946.50 |
$946.50 |
$2,224.00
|
|
Endo outlet restrict w/tube
|
$10,522.00 |
$10,522.00 |
$10,522.00 |
$12,260.88
|
|
Endoscopic injection/implant
|
$615.00 |
$615.00 |
$615.00 |
$4,846.99
|
|
Endoscopic pancreatoscopy
|
$584.00 |
$584.00 |
$584.00 |
$2,325.00
|
|
Endoscopic Ultrasound exam esoph
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$2,485.50
|
|
Endoscopy maxillary sinus
|
$3,321.50 |
$3,321.50 |
$3,321.50 |
$7,307.50
|
|
Endoscopy swallow (fees) vid
|
$291.50 |
$291.50 |
$291.50 |
$402.35
|
