|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test def 1-7 classes
|
$227.70 |
$227.70 |
$227.70 |
$250.52
|
|
Drug test prsmv instrmnt
|
$105.05 |
$105.05 |
$105.05 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$342.10 |
$342.10 |
$342.10 |
$278.85
|
|
Drvvt confirm - quest
|
$102.30 |
$102.30 |
$102.30 |
$101.66
|
|
Ductogram sgl duct
|
$510.40 |
$510.40 |
$510.40 |
$413.91
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$903.00
|
|
Ear irrigation 69209
|
$171.05 |
$171.05 |
$171.05 |
$165.42
|
|
Ecg 12 lead tracing only
|
$221.65 |
$221.65 |
$221.65 |
$245.00
|
|
Ecg < 30 days transmission & analysis
|
$700.70 |
$700.70 |
$700.70 |
$429.00
|
|
Ecg external < 48 hours recording
|
$476.85 |
$476.85 |
$476.85 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$649.55 |
$649.55 |
$649.55 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,850.20 |
$1,850.20 |
$1,850.20 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$561.00 |
$561.00 |
$561.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$349.80 |
$349.80 |
$349.80 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$485.65 |
$485.65 |
$485.65 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$234.85 |
$234.85 |
$234.85 |
$353.46
|
|
Echo exam of fetal heart
|
$1,470.70 |
$1,470.70 |
$1,470.70 |
$855.38
|
|
Echo exam of fetal heart
|
$1,099.45 |
$1,099.45 |
$1,099.45 |
$503.80
|
|
Echo exam uterus 76831-
|
$994.95 |
$994.95 |
$994.95 |
$547.20
|
|
Echo guide for amniocentesis
|
$1,046.10 |
$1,046.10 |
$1,046.10 |
$384.65
|
|
Echo stress
|
$709.50 |
$709.50 |
$709.50 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,009.52 |
$1,009.52 |
$1,009.52 |
$1,871.10
|
|
Echo transthoracic
|
$959.20 |
$959.20 |
$959.20 |
$1,492.50
|
|
Echo transthoracic
|
$504.35 |
$504.35 |
$504.35 |
$953.10
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$62.15 |
$62.15 |
$62.15 |
$81.90
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$581.90 |
$581.90 |
$581.90 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$636.90 |
$636.90 |
$636.90 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$706.20 |
$706.20 |
$706.20 |
$936.00
|
|
Eeg recording awake and asleep
|
$611.60 |
$611.60 |
$611.60 |
$1,030.27
|
|
E equine encephalitis igg
|
$83.60 |
$83.60 |
$83.60 |
$48.73
|
|
Egfr gene com variants
|
$990.00 |
$990.00 |
$990.00 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$106.15 |
$106.15 |
$106.15 |
$105.00
|
|
Electrolyte panel
|
$100.65 |
$100.65 |
$100.65 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,300.65 |
$2,300.65 |
$2,300.65 |
$966.69
|
|
Embolization s&i
|
$3,348.95 |
$3,348.95 |
$3,348.95 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$7,592.20 |
$7,592.20 |
$7,592.20 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,592.20 |
$7,592.20 |
$7,592.20 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$7,592.20 |
$7,592.20 |
$7,592.20 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$7,592.20 |
$7,592.20 |
$7,592.20 |
$15,038.25
|
|
Encephalitis, california igg/igm
|
$83.60 |
$83.60 |
$83.60 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$83.60 |
$83.60 |
$83.60 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$83.60 |
$83.60 |
$83.60 |
$50.70
|
|
Endo cath bile duct s&i
|
$583.55 |
$583.55 |
$583.55 |
$612.37
|
|
Endo cath panc duct s&i
|
$487.85 |
$487.85 |
$487.85 |
$645.00
|
|
Endo cholangiopancreatograph
|
$2,312.75 |
$2,312.75 |
$2,312.75 |
$4,450.00
|
|
Endoscopic pancreatoscopy
|
$634.70 |
$634.70 |
$634.70 |
$2,363.00
|
|
Endovasc prosth delayed 33886
|
$2,925.45 |
$2,925.45 |
$2,925.45 |
$2,191.65
|
|
Entamoeba histolytica ag eia - sendout
|
$52.25 |
$52.25 |
$52.25 |
$66.47
|
|
Enzyme histochemistry
|
$1,216.60 |
$1,216.60 |
$1,216.60 |
$460.32
|
|
Epidural/lumbar/sacral/ea add level64484
|
$3,022.80 |
$3,022.80 |
$3,022.80 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$8,760.40 |
$8,760.40 |
$8,760.40 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$25.30 |
$25.30 |
$25.30 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$25.30 |
$25.30 |
$25.30 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$25.30 |
$25.30 |
$25.30 |
$95.04
|
|
Ercp biliary & pancreas
|
$729.85 |
$729.85 |
$729.85 |
$943.50
|
|
Ercp remove duct calculi 43264
|
$2,312.75 |
$2,312.75 |
$2,312.75 |
$4,214.73
|
|
Ercp w/specimen collection
|
$2,312.75 |
$2,312.75 |
$2,312.75 |
$4,440.54
|
|
ER Visit (level 1, minor)
|
$249.70 |
$249.70 |
$249.70 |
$276.70
|
|
ER Visit (level 2)
|
$460.90 |
$460.90 |
$460.90 |
$487.50
|
|
ER Visit (level 3)
|
$663.30 |
$663.30 |
$663.30 |
$850.50
|
|
ER Visit (level 4)
|
$1,063.15 |
$1,063.15 |
$1,063.15 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,598.85 |
$1,598.85 |
$1,598.85 |
$2,007.00
|
|
Esophageal dilat s&i
|
$534.60 |
$534.60 |
$534.60 |
$525.00
|
|
Establish access to aorta
|
$300.85 |
$300.85 |
$300.85 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$69.85 |
$69.85 |
$69.85 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$92.40 |
$92.40 |
$92.40 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$113.30 |
$113.30 |
$113.30 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$124.30 |
$124.30 |
$124.30 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$165.00 |
$165.00 |
$165.00 |
$287.10
|
|
Estradiol total
|
$346.50 |
$346.50 |
$346.50 |
$153.00
|
|
Estrogens total-sendout
|
$53.90 |
$53.90 |
$53.90 |
$89.25
|
|
Ethylene glycol -sendout
|
$57.75 |
$57.75 |
$57.75 |
$75.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$121.55 |
$121.55 |
$121.55 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$258.50 |
$258.50 |
$258.50 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$443.30 |
$443.30 |
$443.30 |
$320.00
|
|
Evasc prlng admn rx agnt 1st
|
$8,421.60 |
$8,421.60 |
$8,421.60 |
$4,462.80
|
|
Event monitor
|
$333.30 |
$333.30 |
$333.30 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$174.35 |
$174.35 |
$174.35 |
$283.62
|
|
Exam plvc w/anes othr thn lcl
|
$4,590.85 |
$4,590.85 |
$4,590.85 |
$3,649.80
|
|
Exchange biliary drg cath
|
$2,513.50 |
$2,513.50 |
$2,513.50 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,202.85 |
$1,202.85 |
$1,202.85 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$3,649.80 |
$3,649.80 |
$3,649.80 |
$3,097.16
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,350.95 |
$5,350.95 |
$5,350.95 |
$3,588.30
|
|
Expose art endoprosth iliac 34820
|
$1,515.25 |
$1,515.25 |
$1,515.25 |
$1,820.00
|
|
External chromosome analysis 20-25 cells
|
$491.70 |
$491.70 |
$491.70 |
$389.35
|
|
External newborn metabolic screening panel
|
$292.60 |
$292.60 |
$292.60 |
$114.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$24.75 |
$24.75 |
$24.75 |
$61.32
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$7,565.25 |
$7,565.25 |
$7,565.25 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$491.70 |
$491.70 |
$491.70 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$99.00 |
$99.00 |
$99.00 |
$102.78
|
|
Eye implant band 40
|
$4,043.56 |
$4,043.56 |
$4,043.56 |
$125.00
|
|
Facial bones <3
|
$248.60 |
$248.60 |
$248.60 |
$248.60
|
|
Factor ix
|
$99.00 |
$99.00 |
$99.00 |
$131.30
|
|
Factor viii
|
$96.80 |
$96.80 |
$96.80 |
$144.30
|
|
Fancc gene
|
$990.00 |
$990.00 |
$990.00 |
$147.31
|
|
Fat/lipids feces qualitative
|
$23.10 |
$23.10 |
$23.10 |
$34.56
|
|
Fatty acids nonesterified
|
$530.75 |
$530.75 |
$530.75 |
$57.60
|
|
#fecal-sodium
|
$23.10 |
$23.10 |
$23.10 |
$37.50
|
