|
Diagnostic laryngoscopy 31505
|
$105.05 |
$105.05 |
$105.05 |
$242.14
|
|
Diagnostic laryngoscopy 31575
|
$277.20 |
$277.20 |
$277.20 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$254.10 |
$254.10 |
$254.10 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$127.05 |
$127.05 |
$127.05 |
$301.55
|
|
Diffusing capacity
|
$157.30 |
$157.30 |
$157.30 |
$360.10
|
|
Digoxin total therapeutic drug level
|
$156.20 |
$156.20 |
$156.20 |
$102.00
|
|
Disaccharidases
|
$365.75 |
$365.75 |
$365.75 |
$223.80
|
|
Dna antibody native/double stranded
|
$250.80 |
$250.80 |
$250.80 |
$102.60
|
|
Dna gardnerella
|
$40.15 |
$40.15 |
$40.15 |
$67.68
|
|
Dna trichomonas
|
$40.15 |
$40.15 |
$40.15 |
$68.75
|
|
Doppler echo complete
|
$303.60 |
$303.60 |
$303.60 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$622.05 |
$622.05 |
$622.05 |
$696.80
|
|
Dpyd gene common variants
|
$669.35 |
$669.35 |
$669.35 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$675.95 |
$675.95 |
$675.95 |
$820.50
|
|
Drainage external ear simple 69000
|
$622.60 |
$622.60 |
$622.60 |
$809.25
|
|
Drainage of arm bursa 23931
|
$1,206.70 |
$1,206.70 |
$1,206.70 |
$2,419.30
|
|
Drainage of kidney lesion
|
$1,484.45 |
$1,484.45 |
$1,484.45 |
$1,706.65
|
|
Drainage of mouth lesion
|
$587.40 |
$587.40 |
$587.40 |
$455.56
|
|
Drain blood from under nail 11740
|
$660.00 |
$660.00 |
$660.00 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,772.10 |
$1,772.10 |
$1,772.10 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,000.90 |
$2,000.90 |
$2,000.90 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$272.80 |
$272.80 |
$272.80 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$253.55 |
$253.55 |
$253.55 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$240.90 |
$240.90 |
$240.90 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$376.20 |
$376.20 |
$376.20 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$740.30 |
$740.30 |
$740.30 |
$747.00
|
|
Drng of scrotum abscess 55100
|
$1,676.40 |
$1,676.40 |
$1,676.40 |
$2,069.60
|
|
Drug assay caffeine
|
$45.65 |
$45.65 |
$45.65 |
$81.61
|
|
Drug assay posaconazole
|
$90.75 |
$90.75 |
$90.75 |
$96.39
|
|
Drug assay rufinamide
|
$229.90 |
$229.90 |
$229.90 |
$93.60
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$164.16
|
|
Drug assay voriconazole
|
$90.75 |
$90.75 |
$90.75 |
$96.75
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test def 1-7 classes
|
$34.38 |
$34.38 |
$34.38 |
$250.52
|
|
Drug test prsmv instrmnt
|
$78.65 |
$78.65 |
$78.65 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$286.55 |
$286.55 |
$286.55 |
$278.85
|
|
Drvvt confirm - quest
|
$102.30 |
$102.30 |
$102.30 |
$101.66
|
|
Ductogram sgl duct
|
$453.75 |
$453.75 |
$453.75 |
$413.91
|
|
Dup scan/hemodialysis access 93990
|
$83.05 |
$83.05 |
$83.05 |
$499.38
|
|
Ear irrigation 69209
|
$173.80 |
$173.80 |
$173.80 |
$165.42
|
|
Ecg 12 lead tracing only
|
$188.10 |
$188.10 |
$188.10 |
$245.00
|
|
Ecg < 30 days transmission & analysis
|
$574.75 |
$574.75 |
$574.75 |
$429.00
|
|
Ecg external < 48 hours recording
|
$391.60 |
$391.60 |
$391.60 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$532.40 |
$532.40 |
$532.40 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,404.15 |
$1,404.15 |
$1,404.15 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$290.95 |
$290.95 |
$290.95 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,628.55 |
$1,628.55 |
$1,628.55 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$773.30 |
$773.30 |
$773.30 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$470.80 |
$470.80 |
$470.80 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$174.35 |
$174.35 |
$174.35 |
$353.46
|
|
Echo exam uterus 76831-
|
$449.35 |
$449.35 |
$449.35 |
$547.20
|
|
Echo guide for amniocentesis
|
$820.60 |
$820.60 |
$820.60 |
$384.65
|
|
Echo stress
|
$821.15 |
$821.15 |
$821.15 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,078.55 |
$1,078.55 |
$1,078.55 |
$1,871.10
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$60.50 |
$60.50 |
$60.50 |
$81.90
|
|
Eeg monitor/record/awake/drowsy 95816
|
$471.90 |
$471.90 |
$471.90 |
$861.12
|
|
Eeg recording awake and asleep
|
$485.65 |
$485.65 |
$485.65 |
$1,030.27
|
|
E equine encephalitis igg
|
$61.05 |
$61.05 |
$61.05 |
$48.73
|
|
Egfr gene com variants
|
$966.90 |
$966.90 |
$966.90 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$107.25 |
$107.25 |
$107.25 |
$105.00
|
|
Electroacous eval hear aid/biaural 92595
|
$13.75 |
$13.75 |
$13.75 |
$97.50
|
|
Electrolyte panel
|
$102.85 |
$102.85 |
$102.85 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,509.10 |
$2,509.10 |
$2,509.10 |
$966.69
|
|
Encephalitis, california igg/igm
|
$61.05 |
$61.05 |
$61.05 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$61.05 |
$61.05 |
$61.05 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$61.05 |
$61.05 |
$61.05 |
$50.70
|
|
Entamoeba histolytica ag eia - sendout
|
$39.05 |
$39.05 |
$39.05 |
$66.47
|
|
Enzyme histochemistry
|
$1,327.15 |
$1,327.15 |
$1,327.15 |
$460.32
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,145.55 |
$2,145.55 |
$2,145.55 |
$1,182.00
|
|
Epstein barr early antigen antibody
|
$18.70 |
$18.70 |
$18.70 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$18.70 |
$18.70 |
$18.70 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$18.70 |
$18.70 |
$18.70 |
$95.04
|
|
ER Visit (level 1, minor)
|
$217.80 |
$217.80 |
$217.80 |
$276.70
|
|
ER Visit (level 2)
|
$276.10 |
$276.10 |
$276.10 |
$487.50
|
|
ER Visit (level 3)
|
$498.85 |
$498.85 |
$498.85 |
$850.50
|
|
ER Visit (level 4)
|
$1,046.10 |
$1,046.10 |
$1,046.10 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,650.55 |
$1,650.55 |
$1,650.55 |
$2,007.00
|
|
Established Patient Office Visit (level 1)
|
$204.05 |
$204.05 |
$204.05 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$79.20 |
$79.20 |
$79.20 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$105.05 |
$105.05 |
$105.05 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$157.30 |
$157.30 |
$157.30 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$207.90 |
$207.90 |
$207.90 |
$287.10
|
|
Estradiol total
|
$284.90 |
$284.90 |
$284.90 |
$153.00
|
|
Estrogens total-sendout
|
$45.10 |
$45.10 |
$45.10 |
$89.25
|
|
Ethylene glycol -sendout
|
$47.85 |
$47.85 |
$47.85 |
$75.00
|
|
Eval aud rehab status/first hr 92626
|
$189.20 |
$189.20 |
$189.20 |
$253.00
|
|
Eval/fit voice prosthesis iii, st
|
$322.30 |
$322.30 |
$322.30 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$100.10 |
$100.10 |
$100.10 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$365.75 |
$365.75 |
$365.75 |
$347.75
|
|
Event monitor
|
$287.10 |
$287.10 |
$287.10 |
$242.12
|
|
Evoked auditory tst complete
|
$51.70 |
$51.70 |
$51.70 |
$368.50
|
|
Evoked oa emissions ltd
|
$39.60 |
$39.60 |
$39.60 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$259.60 |
$259.60 |
$259.60 |
$283.62
|
|
Evok oa screening qual
|
$28.60 |
$28.60 |
$28.60 |
$120.90
|
|
Exchange nephrostomy cath
|
$2,316.05 |
$2,316.05 |
$2,316.05 |
$3,097.16
|
|
Exercise tst brncspsm w/ecg
|
$112.75 |
$112.75 |
$112.75 |
$337.50
|
|
Explore penetrating wnd/extremity 20103
|
$3,743.30 |
$3,743.30 |
$3,743.30 |
$1,917.33
|
|
External chromosome analysis 20-25 cells
|
$584.10 |
$584.10 |
$584.10 |
$389.35
|
|
External newborn metabolic screening panel
|
$321.20 |
$321.20 |
$321.20 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$21.45 |
$21.45 |
$21.45 |
$61.32
|
