|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$373.75
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,484.45
|
|
Drain blood from under nail 11740
|
$75.00 |
$75.00 |
$75.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$2,839.24
|
|
Drain cerebro spinal fluid 62272
|
$910.00 |
$910.00 |
$910.00 |
$1,039.72
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$207.50 |
$207.50 |
$207.50 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$157.50 |
$157.50 |
$157.50 |
$338.25
|
|
Dress/debrid prtl-thick burn l 16030
|
$252.50 |
$252.50 |
$252.50 |
$515.00
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.00 |
$15.00 |
$15.00 |
$143.50
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.50 |
$27.50 |
$27.50 |
$193.15
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$96.39
|
|
Drug assay rufinamide
|
$135.00 |
$135.00 |
$135.00 |
$81.60
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$272.50 |
$141.75
|
|
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 |
$108.48
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$263.25
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$140.00 |
$325.95
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$352.50 |
$352.50 |
$352.50 |
$278.85
|
|
Dry needling (97799)
|
$152.50 |
$152.50 |
$152.50 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,979.74
|
|
Duplex scan bilateral study 93985
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$660.32
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$600.00 |
$600.00 |
$600.00 |
$498.78
|
|
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 |
$859.00
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$167.50 |
$167.50 |
$167.50 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$155.00 |
$155.00 |
$155.00 |
$132.03
|
|
Ecg < 30 days transmission & analysis
|
$395.00 |
$395.00 |
$395.00 |
$396.50
|
|
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 |
$536.50
|
|
Echocardiogram (Heart Ultrasound)
|
$2,020.00 |
$2,020.00 |
$2,020.00 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$463.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$990.00 |
$990.00 |
$990.00 |
$702.00
|
|
Echocardiograpy doppler follow up/limited study
|
$265.00 |
$265.00 |
$265.00 |
$356.40
|
|
Echo guide for amniocentesis
|
$375.00 |
$375.00 |
$375.00 |
$419.59
|
|
Echo tee guidance
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,849.50
|
|
Echo transesophageal intraop
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,571.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$957.60
|
|
Eeg 41-60 minutes 95812-26
|
$920.00 |
$920.00 |
$920.00 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$680.00 |
$680.00 |
$680.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,086.80
|
|
Eeg recording awake and asleep
|
$740.00 |
$740.00 |
$740.00 |
$929.00
|
|
Egfr gene com variants
|
$427.50 |
$427.50 |
$427.50 |
$639.00
|
|
Ehrlicha chaffeensis amp prb
|
$47.50 |
$47.50 |
$47.50 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$555.00 |
$555.00 |
$555.00 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$492.50 |
$492.50 |
$492.50 |
$541.43
|
|
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 |
$966.69
|
|
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 |
$3,099.00
|
|
Embo or occlude vascular arterial s&i
|
$18,335.00 |
$18,335.00 |
$18,335.00 |
$15,624.60
|
|
Embo or occlude vascular hemorrhage s&i
|
$18,335.00 |
$18,335.00 |
$18,335.00 |
$14,186.92
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,335.00 |
$18,335.00 |
$18,335.00 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$18,335.00 |
$18,335.00 |
$18,335.00 |
$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 |
$462.84
|
|
Emg needle test 1-extremity
|
$240.00 |
$240.00 |
$240.00 |
$319.80
|
|
Emg needle test 4-extremities
|
$482.50 |
$482.50 |
$482.50 |
$543.20
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$8,520.00 |
$8,520.00 |
$8,520.00 |
$5,004.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,150.00 |
$5,150.00 |
$5,150.00 |
$5,236.93
|
|
Endo cath bile duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$663.62
|
|
Endo cath panc duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$645.00
|
|
Endoluminal bx biliary tree
|
$4,105.00 |
$4,105.00 |
$4,105.00 |
$2,354.40
|
|
Endoluminal bx urtr rnl plvs
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$2,253.12
|
|
Endoscopic pancreatoscopy
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$2,635.20
|
|
Endoscopy swallow (fees) vid
|
$405.00 |
$405.00 |
$405.00 |
$402.35
|
|
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 |
$2,511.80
|
|
Endovenous mchnchem 1st vein
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$4,812.93
|
|
Endovenous mchnchem add-on
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$2,203.63
|
|
Endovenous rf abl vein addl
|
$2,575.00 |
$2,575.00 |
$2,575.00 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$4,670.00 |
$4,670.00 |
$4,670.00 |
$6,259.55
|
|
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
|
$20.25 |
$20.25 |
$20.25 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$35.00 |
$35.00 |
$35.00 |
$57.51
|
|
Enzyme histochemistry
|
$265.00 |
$265.00 |
$265.00 |
$455.91
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$33.74 |
$33.74 |
$33.74 |
$810.60
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$95.84 |
$95.84 |
$95.84 |
$1,202.24
|
|
Epstein barr early antigen antibody
|
$37.50 |
$37.50 |
$37.50 |
$59.15
|
|
Epstein barr nuclear antigen antibody
|
$47.50 |
$47.50 |
$47.50 |
$77.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$90.40
|
|
Ercp biliary & pancreas
|
$610.00 |
$610.00 |
$610.00 |
$944.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$43.21 |
$43.21 |
$43.21 |
$217.60
|
|
ER Visit (level 1, minor)
|
$235.00 |
$235.00 |
$235.00 |
$249.00
|
|
ER Visit (level 2)
|
$470.00 |
$470.00 |
$470.00 |
$457.92
|
|
ER Visit (level 3)
|
$940.00 |
$940.00 |
$940.00 |
$770.04
|
|
ER Visit (level 4)
|
$880.00 |
$880.00 |
$880.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$1,823.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$26.98 |
$26.98 |
$26.98 |
$553.88
|
|
Esophagus motility study
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$1,257.17
|
|
Esoph balloon distension tst
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$1,039.09
|
|
Esophgl motil w/stim/perfus
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$1,341.75
|
|
Established Patient Office Visit (level 1)
|
$132.50 |
$132.50 |
$132.50 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$170.00 |
$170.00 |
$170.00 |
$131.14
|
|
Established Patient Office Visit (level 3)
|
$207.50 |
$207.50 |
$207.50 |
$177.60
|
