|
Drainage mouth roof lesion
|
$1,746.50 |
$1,746.50 |
$1,746.50 |
$390.39
|
|
Drainage of kidney lesion
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$145.00 |
$145.00 |
$145.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$3,346.00 |
$3,346.00 |
$3,346.00 |
$2,850.35
|
|
Drain finger abscess;simple 26010
|
$231.00 |
$231.00 |
$231.00 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$554.00 |
$554.00 |
$554.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$289.50 |
$289.50 |
$289.50 |
$344.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$365.00 |
$365.00 |
$365.00 |
$648.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$16.38 |
$16.38 |
$16.38 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$597.50 |
$597.50 |
$597.50 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$289.05
|
|
Drug assay rufinamide
|
$51.00 |
$51.00 |
$51.00 |
$85.80
|
|
Drug assay voriconazole
|
$195.00 |
$195.00 |
$195.00 |
$96.75
|
|
Drug test def 15-21 classes
|
$160.00 |
$160.00 |
$160.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$404.50 |
$404.50 |
$404.50 |
$250.52
|
|
Drug test def 22+ classes
|
$41.00 |
$41.00 |
$41.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$181.50 |
$181.50 |
$181.50 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$984.00 |
$984.00 |
$984.00 |
$278.85
|
|
Drvvt confirm - quest
|
$87.00 |
$87.00 |
$87.00 |
$109.20
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$184.00 |
$184.00 |
$184.00 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$410.00 |
$410.00 |
$410.00 |
$849.50
|
|
Duplex scan bilateral study 93985
|
$613.50 |
$613.50 |
$613.50 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$329.00 |
$329.00 |
$329.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$345.00 |
$345.00 |
$345.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$248.00 |
$248.00 |
$248.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$558.00 |
$558.00 |
$558.00 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$155.50 |
$155.50 |
$155.50 |
$392.60
|
|
Dx bronchoscope/wash 31622
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,322.60
|
|
Dx laryngoscopy newborn
|
$437.00 |
$437.00 |
$437.00 |
$707.25
|
|
Ear irrigation 69209
|
$169.00 |
$169.00 |
$169.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$144.00 |
$144.00 |
$144.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$156.50 |
$156.50 |
$156.50 |
$135.80
|
|
Ecg external < 48 hours recording
|
$258.50 |
$258.50 |
$258.50 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$237.50 |
$237.50 |
$237.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$142.50 |
$142.50 |
$142.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,659.50 |
$1,659.50 |
$1,659.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$4.00 |
$4.00 |
$4.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,256.50 |
$1,256.50 |
$1,256.50 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,175.50 |
$1,175.50 |
$1,175.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$580.50 |
$580.50 |
$580.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$283.50 |
$283.50 |
$283.50 |
$362.50
|
|
Echo stress
|
$1,115.00 |
$1,115.00 |
$1,115.00 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,219.50 |
$1,219.50 |
$1,219.50 |
$1,849.50
|
|
Echo transesophageal
|
$628.00 |
$628.00 |
$628.00 |
$1,559.35
|
|
Echo transthoracic
|
$617.00 |
$617.00 |
$617.00 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$274.00 |
$274.00 |
$274.00 |
$985.15
|
|
Eeg 41-60 minutes 95812-26
|
$657.00 |
$657.00 |
$657.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$597.00 |
$597.00 |
$597.00 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$657.00 |
$657.00 |
$657.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$657.00 |
$657.00 |
$657.00 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$657.00 |
$657.00 |
$657.00 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$350.50 |
$350.50 |
$350.50 |
$601.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$350.50 |
$350.50 |
$350.50 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$597.00 |
$597.00 |
$597.00 |
$1,502.40
|
|
E equine encephalitis igg
|
$67.50 |
$67.50 |
$67.50 |
$49.92
|
|
Egd control bleeding any
|
$4,187.50 |
$4,187.50 |
$4,187.50 |
$2,553.75
|
|
Egd remove foreign body
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$1,505.50
|
|
Egd remove lesion snare
|
$1,083.34 |
$1,083.34 |
$1,083.34 |
$2,597.25
|
|
Ehrlicha chaffeensis amp prb
|
$146.00 |
$146.00 |
$146.00 |
$93.00
|
|
EKG (Electrocardiogram)
|
$23.50 |
$23.50 |
$23.50 |
$89.60
|
|
Electrical stimulation/unattended 97014
|
$49.00 |
$49.00 |
$49.00 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$597.00 |
$597.00 |
$597.00 |
$1,180.80
|
|
Electrolyte panel
|
$31.50 |
$31.50 |
$31.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$983.41
|
|
Electrophysiology evaluation
|
$75,214.50 |
$75,214.50 |
$75,214.50 |
$5,854.80
|
|
Embo or occlude vascular arterial s&i
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$15,768.75
|
|
Emb without cervical dilation 58100
|
$143.00 |
$143.00 |
$143.00 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$611.00 |
$611.00 |
$611.00 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$436.00 |
$436.00 |
$436.00 |
$464.00
|
|
Emg cranial nerve bilateral
|
$350.50 |
$350.50 |
$350.50 |
$500.49
|
|
Emg needle test 1-extremity
|
$611.00 |
$611.00 |
$611.00 |
$334.34
|
|
Emg needle test 4-extremities
|
$322.50 |
$322.50 |
$322.50 |
$547.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,603.00 |
$6,603.00 |
$6,603.00 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$228.00 |
$228.00 |
$228.00 |
$694.06
|
|
Endo cath panc duct s&i
|
$182.50 |
$182.50 |
$182.50 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$181.00 |
$181.00 |
$181.00 |
$470.25
|
|
Endocervical curettage 57505
|
$129.50 |
$129.50 |
$129.50 |
$1,035.00
|
|
Endo cholangiopancreatograph
|
$7,114.50 |
$7,114.50 |
$7,114.50 |
$4,214.73
|
|
Endoluminl ivus oct c 1st
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$2,203.49
|
|
Endoscopy maxillary sinus
|
$10,769.50 |
$10,769.50 |
$10,769.50 |
$7,307.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,425.00 |
$3,425.00 |
$3,425.00 |
$2,756.52
|
|
Endo, single, pulmonary
|
$2,412.50 |
$2,412.50 |
$2,412.50 |
$1,046.66
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,105.00 |
$6,105.00 |
$6,105.00 |
$9,055.68
|
|
Endoven ther chem adhes 1st 36482
|
$6,426.00 |
$6,426.00 |
$6,426.00 |
$5,988.54
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$20.38 |
$20.38 |
$20.38 |
$109.71
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,003.50 |
$1,003.50 |
$1,003.50 |
$1,141.80
|
|
Epinephrine 1 mg/ml im kit - adult
|
$2.99 |
$2.99 |
$2.99 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$10.86 |
$10.86 |
$10.86 |
$34.13
|
|
Epoetin alfa, 100 units esrd
|
$6.00 |
$6.00 |
$6.00 |
$4.82
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$20.50 |
$20.50 |
$20.50 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$128.95 |
$128.95 |
$128.95 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$75.50 |
$75.50 |
$75.50 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$92.00 |
$92.00 |
$92.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$73.00 |
$73.00 |
$73.00 |
$91.00
|
|
Ercp biliary & pancreas
|
$182.50 |
$182.50 |
$182.50 |
$967.04
|
