|
Drain chst dry seal exp thorastat
|
$160.00 |
$160.00 |
$160.00 |
$119.43
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$207.50 |
$207.50 |
$207.50 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$157.50 |
$157.50 |
$157.50 |
$359.20
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$60.00 |
$60.00 |
$60.00 |
$5,857.52
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$440.98 |
$440.98 |
$440.98 |
$1,998.60
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.00 |
$15.00 |
$15.00 |
$112.48
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.50 |
$27.50 |
$27.50 |
$189.68
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$57.50 |
$57.50 |
$57.50 |
$7,465.97
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$81.61
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$91.00
|
|
Drug assay rufinamide
|
$135.00 |
$135.00 |
$135.00 |
$88.20
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$272.50 |
$136.08
|
|
Drug assay voriconazole
|
$137.50 |
$137.50 |
$137.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug screen quant tiagabine
|
$115.00 |
$115.00 |
$115.00 |
$107.80
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$274.26
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$290.64
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$352.50 |
$352.50 |
$352.50 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$3,091.94
|
|
Ductogram sgl duct
|
$302.50 |
$302.50 |
$302.50 |
$452.50
|
|
Duplex scan bilateral study 93985
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$600.00 |
$600.00 |
$600.00 |
$499.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$745.00 |
$745.00 |
$745.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$710.00 |
$710.00 |
$710.00 |
$903.00
|
|
Dxa bone density axl vrt fx
|
$457.50 |
$457.50 |
$457.50 |
$401.20
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$157.50 |
$157.50 |
$157.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$155.00 |
$155.00 |
$155.00 |
$135.20
|
|
Ecg < 30 days transmission & analysis
|
$395.00 |
$395.00 |
$395.00 |
$429.00
|
|
Ecg external < 48 hours recording
|
$440.00 |
$440.00 |
$440.00 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$535.00 |
$535.00 |
$535.00 |
$535.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,630.00 |
$2,630.00 |
$2,630.00 |
$2,039.00
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$504.60
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$302.50 |
$302.50 |
$302.50 |
$356.40
|
|
Echograp trans r pros study
|
$670.00 |
$670.00 |
$670.00 |
$462.80
|
|
Echo guide for amniocentesis
|
$375.00 |
$375.00 |
$375.00 |
$413.33
|
|
Echo guide for transfusion
|
$292.50 |
$292.50 |
$292.50 |
$324.60
|
|
Echo tee guidance
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$1,837.95
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,875.00
|
|
Echo transthoracic
|
$875.00 |
$875.00 |
$875.00 |
$950.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$985.15
|
|
Eeg 41-60 minutes 95812-26
|
$920.00 |
$920.00 |
$920.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$865.00 |
$865.00 |
$865.00 |
$1,025.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$680.00 |
$680.00 |
$680.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,168.86
|
|
Eeg/record in coma or sleep only 95822
|
$865.00 |
$865.00 |
$865.00 |
$930.80
|
|
Eeg recording awake and asleep
|
$740.00 |
$740.00 |
$740.00 |
$937.95
|
|
Egfr gene com variants
|
$427.50 |
$427.50 |
$427.50 |
$599.95
|
|
Ehrlicha chaffeensis amp prb
|
$47.50 |
$47.50 |
$47.50 |
$92.40
|
|
Electrical stimulation/unattended 97014
|
$55.00 |
$55.00 |
$55.00 |
$79.20
|
|
Electrolyte panel
|
$57.50 |
$57.50 |
$57.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$960.00 |
$960.00 |
$960.00 |
$960.00
|
|
Emboli detcj wo IV mbubb njx
|
$630.00 |
$630.00 |
$630.00 |
$484.25
|
|
Embolization s&i
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$3,160.96
|
|
Embo or occlude vascular arterial s&i
|
$17,225.00 |
$17,225.00 |
$17,225.00 |
$15,839.57
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,225.00 |
$17,225.00 |
$17,225.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$17,225.00 |
$17,225.00 |
$17,225.00 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$17,225.00 |
$17,225.00 |
$17,225.00 |
$14,586.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$372.50 |
$372.50 |
$372.50 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$422.50 |
$422.50 |
$422.50 |
$464.00
|
|
Emg needle test 1-extremity
|
$240.00 |
$240.00 |
$240.00 |
$314.29
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$8,520.00 |
$8,520.00 |
$8,520.00 |
$5,160.00
|
|
Endo cath bile duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$694.06
|
|
Endo cath panc duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$667.60
|
|
Endoluminal bx biliary tree
|
$4,105.00 |
$4,105.00 |
$4,105.00 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$2,290.60
|
|
Endovasc rpr a-biiliac endogft 34705
|
$18,785.00 |
$18,785.00 |
$18,785.00 |
$9,316.45
|
|
Endovasc visc aorta 1 graft
|
$19,750.00 |
$19,750.00 |
$19,750.00 |
$9,122.40
|
|
Endovas iliac a device addon
|
$880.00 |
$880.00 |
$880.00 |
$880.00
|
|
Endovenous laser vein addon 36479
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$2,535.97
|
|
Endoven ther chem adhes 1st 36482
|
$4,670.00 |
$4,670.00 |
$4,670.00 |
$6,311.00
|
|
Endoven ther chem adhes sbsq 36483
|
$2,335.00 |
$2,335.00 |
$2,335.00 |
$3,130.60
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$13.00 |
$13.00 |
$13.00 |
$109.06
|
|
Entamoeba histolytica ag eia - sendout
|
$35.00 |
$35.00 |
$35.00 |
$56.89
|
|
Enzyme histochemistry
|
$265.00 |
$265.00 |
$265.00 |
$456.30
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$33.11 |
$33.11 |
$33.11 |
$873.58
|
|
Epstein barr early antigen antibody
|
$37.50 |
$37.50 |
$37.50 |
$59.15
|
|
Epstein barr nuclear antigen antibody
|
$47.50 |
$47.50 |
$47.50 |
$79.50
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$94.50
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$60.71 |
$60.71 |
$60.71 |
$4,086.74
|
|
Ercp biliary & pancreas
|
$610.00 |
$610.00 |
$610.00 |
$951.20
|
|
ER Visit (level 1, minor)
|
$235.00 |
$235.00 |
$235.00 |
$259.74
|
|
ER Visit (level 2)
|
$470.00 |
$470.00 |
$470.00 |
$469.39
|
|
ER Visit (level 3)
|
$940.00 |
$940.00 |
$940.00 |
$821.52
|
|
ER Visit (level 4)
|
$595.00 |
$595.00 |
$595.00 |
$1,310.03
|
|
ER Visit (level 5, high severity)
|
$920.00 |
$920.00 |
$920.00 |
$1,837.55
|
|
Esophagus motility study
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$1,274.00
|
|
Esoph balloon distension tst
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$1,040.00
|
|
Establish access to aorta
|
$695.00 |
$695.00 |
$695.00 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$90.00 |
$90.00 |
$90.00 |
$118.95
|
|
Established Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$120.00 |
$133.38
|
|
Established Patient Office Visit (level 3)
|
$140.00 |
$140.00 |
$140.00 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$170.00 |
$170.00 |
$170.00 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$195.00 |
$195.00 |
$195.00 |
$280.50
|
|
Estradiol total
|
$122.50 |
$122.50 |
$122.50 |
$142.20
|
|
Ethylene glycol -sendout
|
$112.50 |
$112.50 |
$112.50 |
$81.25
|
|
Eval/fit voice prosthesis iii, st
|
$350.00 |
$350.00 |
$350.00 |
$361.02
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$392.50 |
$392.50 |
$392.50 |
$219.60
|
