|
Dpyd gene common variants
|
$800.00 |
$800.00 |
$800.00 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$144.00 |
$144.00 |
$144.00 |
$914.34
|
|
Drainage external ear simple 69000
|
$129.00 |
$129.00 |
$129.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$337.50 |
$337.50 |
$337.50 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$2,197.48
|
|
Drainage of eye
|
$81.00 |
$81.00 |
$81.00 |
$2,360.00
|
|
Drainage of eye
|
$448.50 |
$448.50 |
$448.50 |
$3,222.78
|
|
Drainage of rectal abscess
|
$194.00 |
$194.00 |
$194.00 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$184.00 |
$184.00 |
$184.00 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$102.00 |
$102.00 |
$102.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$323.00 |
$323.00 |
$323.00 |
$419.00
|
|
Drain ovary abscess open
|
$342.50 |
$342.50 |
$342.50 |
$3,762.53
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$115.50 |
$115.50 |
$115.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$342.00 |
$342.00 |
$342.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$141.50 |
$141.50 |
$141.50 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$45.50 |
$45.50 |
$45.50 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$916.50 |
$916.50 |
$916.50 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$111.50 |
$111.50 |
$111.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$201.50 |
$201.50 |
$201.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$87.50 |
$87.50 |
$87.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$208.50 |
$208.50 |
$208.50 |
$1,262.76
|
|
Drng of scrotum abscess 55100
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$1,917.33
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$699.00 |
$699.00 |
$699.00 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$289.05
|
|
Drug assay posaconazole
|
$150.00 |
$150.00 |
$150.00 |
$96.75
|
|
Drug assay rufinamide
|
$51.00 |
$51.00 |
$51.00 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$152.79
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$96.75
|
|
Drug of abuse screen urine
|
$95.00 |
$95.00 |
$95.00 |
$63.75
|
|
Drug test def 15-21 classes
|
$160.00 |
$160.00 |
$160.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$182.50 |
$182.50 |
$182.50 |
$250.52
|
|
Drug test def 22+ classes
|
$41.00 |
$41.00 |
$41.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$181.00 |
$181.00 |
$181.00 |
$282.00
|
|
Drug test prsmv instrmnt
|
$35.50 |
$35.50 |
$35.50 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$232.50 |
$232.50 |
$232.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,870.50 |
$1,870.50 |
$1,870.50 |
$3,020.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$42.50 |
$42.50 |
$42.50 |
$887.25
|
|
Dx gastr intub w/asp spec
|
$52.00 |
$52.00 |
$52.00 |
$441.60
|
|
Dx laryngoscopy newborn
|
$374.50 |
$374.50 |
$374.50 |
$707.25
|
|
Ear irrigation 69209
|
$108.50 |
$108.50 |
$108.50 |
$149.76
|
|
Ecg 12 lead tracing only
|
$117.00 |
$117.00 |
$117.00 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$8.00 |
$8.00 |
$8.00 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$58.50 |
$58.50 |
$58.50 |
$135.80
|
|
Ecg external > 48 hours up to 7 days recording
|
$48.50 |
$48.50 |
$48.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$79.00 |
$79.00 |
$79.00 |
$161.85
|
|
Ecg/review interpret only
|
$26.50 |
$26.50 |
$26.50 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$342.50 |
$342.50 |
$342.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$339.50 |
$339.50 |
$339.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$342.50 |
$342.50 |
$342.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$412.00 |
$412.00 |
$412.00 |
$362.50
|
|
Echo exam of eye
|
$33.00 |
$33.00 |
$33.00 |
$172.00
|
|
Echo exam of eye
|
$87.50 |
$87.50 |
$87.50 |
$168.00
|
|
Echo exam of eye thickness
|
$8.50 |
$8.50 |
$8.50 |
$50.91
|
|
Echo exam uterus 76831-
|
$39.00 |
$39.00 |
$39.00 |
$523.71
|
|
Echo stress
|
$75.50 |
$75.50 |
$75.50 |
$1,592.05
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$48.00 |
$48.00 |
$48.00 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$71.00 |
$71.00 |
$71.00 |
$87.84
|
|
Eeg monitor/record/awake/drowsy 95816
|
$62.50 |
$62.50 |
$62.50 |
$835.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$196.00 |
$196.00 |
$196.00 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$127.50 |
$127.50 |
$127.50 |
$586.80
|
|
Eeg/record in coma or sleep only 95822
|
$63.00 |
$63.00 |
$63.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$63.00 |
$63.00 |
$63.00 |
$931.20
|
|
Egd control bleeding any
|
$202.00 |
$202.00 |
$202.00 |
$2,553.75
|
|
Ehrlicha chaffeensis amp prb
|
$146.00 |
$146.00 |
$146.00 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$38.00 |
$38.00 |
$38.00 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$522.50 |
$522.50 |
$522.50 |
$1,180.80
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$983.41
|
|
Emb w/colposcopy 58110
|
$95.50 |
$95.50 |
$95.50 |
$290.55
|
|
Emb without cervical dilation 58100
|
$194.00 |
$194.00 |
$194.00 |
$370.50
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$295.00 |
$295.00 |
$295.00 |
$5,119.50
|
|
Endocerv curettage w/scope 57456
|
$292.00 |
$292.00 |
$292.00 |
$470.25
|
|
Endocervical curettage 57505
|
$109.50 |
$109.50 |
$109.50 |
$1,035.00
|
|
Endo, single, pulmonary
|
$2,412.50 |
$2,412.50 |
$2,412.50 |
$1,046.66
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1.50 |
$1.50 |
$1.50 |
$109.71
|
|
Enzyme histochemistry
|
$28.00 |
$28.00 |
$28.00 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$417.50 |
$417.50 |
$417.50 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$243.50 |
$243.50 |
$243.50 |
$2,202.48
|
|
Epoetin alfa, 100 units esrd
|
$4.00 |
$4.00 |
$4.00 |
$4.82
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$13.50 |
$13.50 |
$13.50 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$29.00 |
$29.00 |
$29.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$40.00 |
$40.00 |
$40.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$40.00 |
$40.00 |
$40.00 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$15.00 |
$15.00 |
$15.00 |
$222.98
|
|
ER Visit (level 1, minor)
|
$139.00 |
$139.00 |
$139.00 |
$246.24
|
|
ER Visit (level 2)
|
$199.50 |
$199.50 |
$199.50 |
$452.20
|
|
ER Visit (level 3)
|
$269.50 |
$269.50 |
$269.50 |
$770.04
|
|
ER Visit (level 4)
|
$446.00 |
$446.00 |
$446.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$679.00 |
$679.00 |
$679.00 |
$1,820.02
|
|
Esophageal dilat s&i
|
$32.50 |
$32.50 |
$32.50 |
$581.10
|
|
Esophagoscopy/flex/diagnostic 43200
|
$90.50 |
$90.50 |
$90.50 |
$1,296.00
|
|
Established Patient Office Visit (level 1)
|
$92.50 |
$92.50 |
$92.50 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$92.50 |
$92.50 |
$92.50 |
$132.72
|