|
Doppler intravascular pressure flow initial vessel
|
$1,764.40 |
$1,764.40 |
$1,764.40 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$754.60 |
$754.60 |
$754.60 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$63.80 |
$63.80 |
$63.80 |
$482.03
|
|
Dpyd gene common variants
|
$673.75 |
$673.75 |
$673.75 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$947.65 |
$947.65 |
$947.65 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$592.90 |
$592.90 |
$592.90 |
$900.80
|
|
Drainage external ear simple 69000
|
$342.10 |
$342.10 |
$342.10 |
$809.25
|
|
Drainage mouth roof lesion
|
$337.15 |
$337.15 |
$337.15 |
$474.39
|
|
Drainage of arm bursa 23931
|
$1,395.35 |
$1,395.35 |
$1,395.35 |
$2,419.30
|
|
Drainage of kidney lesion
|
$1,343.65 |
$1,343.65 |
$1,343.65 |
$1,706.65
|
|
Drainage of nose lesion int 30000
|
$367.40 |
$367.40 |
$367.40 |
$548.00
|
|
Drainage of pelvis lesion 26990
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$3,969.00
|
|
Drain blood from under nail 11740
|
$131.45 |
$131.45 |
$131.45 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,387.90 |
$4,387.90 |
$4,387.90 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,158.75 |
$2,158.75 |
$2,158.75 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$198.55 |
$198.55 |
$198.55 |
$492.81
|
|
Drain thigh/knee lesion 27301
|
$3,687.20 |
$3,687.20 |
$3,687.20 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$397.65 |
$397.65 |
$397.65 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$115.50 |
$115.50 |
$115.50 |
$365.60
|
|
Dressing change not for burn w/anes 15852
|
$448.80 |
$448.80 |
$448.80 |
$790.56
|
|
Drng of eyelid abscess 67700
|
$505.45 |
$505.45 |
$505.45 |
$747.00
|
|
Drng of scrotum abscess 55100
|
$1,663.75 |
$1,663.75 |
$1,663.75 |
$2,069.60
|
|
Drng open retroperitoneal abscess 49060
|
$1,541.10 |
$1,541.10 |
$1,541.10 |
$2,708.80
|
|
Drng peritoneal abscess open 49020
|
$4,119.50 |
$4,119.50 |
$4,119.50 |
$2,824.19
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$251.25 |
$251.25 |
$251.25 |
$1,778.40
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$164.16
|
|
Drug of abuse screen urine
|
$143.00 |
$143.00 |
$143.00 |
$63.75
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test def 1-7 classes
|
$270.05 |
$270.05 |
$270.05 |
$250.52
|
|
Drug test prsmv instrmnt
|
$143.00 |
$143.00 |
$143.00 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$286.55 |
$286.55 |
$286.55 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,572.90 |
$2,572.90 |
$2,572.90 |
$3,390.00
|
|
Ductogram sgl duct
|
$968.00 |
$968.00 |
$968.00 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$785.40 |
$785.40 |
$785.40 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$392.15 |
$392.15 |
$392.15 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$451.00 |
$451.00 |
$451.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$902.00 |
$902.00 |
$902.00 |
$757.57
|
|
Dxa bone density axl vrt fx
|
$386.65 |
$386.65 |
$386.65 |
$374.00
|
|
Dx gastr intub w/asp spec
|
$333.85 |
$333.85 |
$333.85 |
$368.50
|
|
Ear irrigation 69209
|
$72.60 |
$72.60 |
$72.60 |
$165.42
|
|
Ecg 12 lead tracing only
|
$224.40 |
$224.40 |
$224.40 |
$245.00
|
|
Ecg external < 48 hours recording
|
$389.61 |
$389.61 |
$389.61 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$46.20 |
$46.20 |
$46.20 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$46.20 |
$46.20 |
$46.20 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$365.75 |
$365.75 |
$365.75 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,422.20 |
$2,422.20 |
$2,422.20 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$367.95 |
$367.95 |
$367.95 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$710.60 |
$710.60 |
$710.60 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$255.20 |
$255.20 |
$255.20 |
$353.46
|
|
Echo exam of fetal heart
|
$398.20 |
$398.20 |
$398.20 |
$431.41
|
|
Echo exam of fetal heart
|
$330.55 |
$330.55 |
$330.55 |
$323.40
|
|
Echo guide for artery repair
|
$1,124.75 |
$1,124.75 |
$1,124.75 |
$680.28
|
|
Echo stress
|
$703.45 |
$703.45 |
$703.45 |
$1,582.75
|
|
Echo tee guidance
|
$2,151.60 |
$2,151.60 |
$2,151.60 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,295.70 |
$2,295.70 |
$2,295.70 |
$1,871.10
|
|
Echo transesophageal
|
$922.90 |
$922.90 |
$922.90 |
$1,734.10
|
|
Echo transesophageal intraop
|
$922.90 |
$922.90 |
$922.90 |
$1,571.70
|
|
Echo transthoracic
|
$1,822.15 |
$1,822.15 |
$1,822.15 |
$1,492.50
|
|
Echo transthoracic
|
$1,245.75 |
$1,245.75 |
$1,245.75 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$755.15 |
$755.15 |
$755.15 |
$1,014.01
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$23.65 |
$23.65 |
$23.65 |
$81.90
|
|
Eeg monitor/record/awake/drowsy 95816
|
$194.70 |
$194.70 |
$194.70 |
$861.12
|
|
E equine encephalitis igg
|
$86.35 |
$86.35 |
$86.35 |
$48.73
|
|
Egfr gene com variants
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$100.65 |
$100.65 |
$100.65 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$67.65 |
$67.65 |
$67.65 |
$81.75
|
|
Electrolyte panel
|
$57.20 |
$57.20 |
$57.20 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,423.95 |
$1,423.95 |
$1,423.95 |
$966.69
|
|
Electrophysiology evaluation
|
$7,018.55 |
$7,018.55 |
$7,018.55 |
$6,516.00
|
|
Electrophysiology evaluation
|
$2,003.10 |
$2,003.10 |
$2,003.10 |
$2,803.20
|
|
Electrophysiology evaluation
|
$1,307.90 |
$1,307.90 |
$1,307.90 |
$1,869.13
|
|
Embolization s&i
|
$4,381.30 |
$4,381.30 |
$4,381.30 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$3,875.30 |
$3,875.30 |
$3,875.30 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,847.15 |
$4,847.15 |
$4,847.15 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,490.80 |
$9,490.80 |
$9,490.80 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$4,028.75 |
$4,028.75 |
$4,028.75 |
$15,038.25
|
|
Emg cranial nerve bilateral
|
$354.20 |
$354.20 |
$354.20 |
$518.00
|
|
Encephalitis, st louis igg/igm
|
$86.35 |
$86.35 |
$86.35 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$86.35 |
$86.35 |
$86.35 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,643.10 |
$4,643.10 |
$4,643.10 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,559.50 |
$4,559.50 |
$4,559.50 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$723.80 |
$723.80 |
$723.80 |
$612.37
|
|
Endoluminal bx biliary tree
|
$413.60 |
$413.60 |
$413.60 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$3,984.20 |
$3,984.20 |
$3,984.20 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,150.50 |
$2,150.50 |
$2,150.50 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$12,173.70 |
$12,173.70 |
$12,173.70 |
$10,604.25
|
|
Endovenous mchnchem 1st vein
|
$4,496.25 |
$4,496.25 |
$4,496.25 |
$5,134.35
|
|
Endovenous mchnchem add-on
|
$1,499.30 |
$1,499.30 |
$1,499.30 |
$2,203.63
|
|
Endovenous rf abl vein addl
|
$2,074.05 |
$2,074.05 |
$2,074.05 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$7,542.15 |
$7,542.15 |
$7,542.15 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$880.00 |
$880.00 |
$880.00 |
$3,800.23
|
|
Epidural/lumbar/sacral/ea add level64484
|
$982.30 |
$982.30 |
$982.30 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$7,195.65 |
$7,195.65 |
$7,195.65 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$111.65 |
$111.65 |
$111.65 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$45.65 |
$45.65 |
$45.65 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$117.15 |
$117.15 |
$117.15 |
$95.04
|
|
Ercp biliary & pancreas
|
$725.45 |
$725.45 |
$725.45 |
$943.50
|
|
ER Visit (level 1, minor)
|
$257.95 |
$257.95 |
$257.95 |
$276.70
|
|
ER Visit (level 2)
|
$370.70 |
$370.70 |
$370.70 |
$487.50
|
