|
Dress/debride pt-thick burn/<5% bs 16020
|
$312.93 |
$312.93 |
$312.93 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$606.48 |
$606.48 |
$606.48 |
$554.40
|
|
Dronabinol 2.5mg oral
|
$3.39 |
$3.39 |
$3.39 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.59 |
$21.59 |
$21.59 |
$39.60
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$3,374.24
|
|
Drug admin & hemodynmic meas
|
$646.95 |
$646.95 |
$646.95 |
$528.50
|
|
Drug assay posaconazole
|
$91.77 |
$91.77 |
$91.77 |
$96.39
|
|
Drug assay rufinamide
|
$63.84 |
$63.84 |
$63.84 |
$93.60
|
|
Drug assay voriconazole
|
$163.59 |
$163.59 |
$163.59 |
$96.75
|
|
Drug of abuse screen urine
|
$78.66 |
$78.66 |
$78.66 |
$63.75
|
|
Drug test def 1-7 classes
|
$165.30 |
$165.30 |
$165.30 |
$250.52
|
|
Drug test def 8-14 classes
|
$181.26 |
$181.26 |
$181.26 |
$172.25
|
|
Drug test prsmv instrmnt
|
$35.34 |
$35.34 |
$35.34 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$177.84 |
$177.84 |
$177.84 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$3,818.43 |
$3,818.43 |
$3,818.43 |
$3,390.00
|
|
Ductogram sgl duct
|
$238.83 |
$238.83 |
$238.83 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$1,046.52 |
$1,046.52 |
$1,046.52 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$524.40 |
$524.40 |
$524.40 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$740.43 |
$740.43 |
$740.43 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,243.74 |
$1,243.74 |
$1,243.74 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,072.17 |
$1,072.17 |
$1,072.17 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,587.60
|
|
Ear irrigation 69209
|
$123.69 |
$123.69 |
$123.69 |
$165.42
|
|
Ecg 12 lead tracing only
|
$144.21 |
$144.21 |
$144.21 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$181.83 |
$181.83 |
$181.83 |
$129.83
|
|
Ecg external < 48 hours recording
|
$467.40 |
$467.40 |
$467.40 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$420.66 |
$420.66 |
$420.66 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,723.68 |
$1,723.68 |
$1,723.68 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$337.44 |
$337.44 |
$337.44 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$938.22 |
$938.22 |
$938.22 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$337.44 |
$337.44 |
$337.44 |
$353.46
|
|
Echo guide for artery repair
|
$373.92 |
$373.92 |
$373.92 |
$680.28
|
|
Echo stress
|
$808.83 |
$808.83 |
$808.83 |
$1,582.75
|
|
Echo tee guidance
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,668.96 |
$1,668.96 |
$1,668.96 |
$1,871.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,594.86 |
$1,594.86 |
$1,594.86 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$737.01 |
$737.01 |
$737.01 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$669.18 |
$669.18 |
$669.18 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$758.67 |
$758.67 |
$758.67 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$765.51 |
$765.51 |
$765.51 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$528.96 |
$528.96 |
$528.96 |
$704.79
|
|
Eeg without vid ea 12-26hr cont
|
$1,012.32 |
$1,012.32 |
$1,012.32 |
$1,353.60
|
|
Egfr gene com variants
|
$722.76 |
$722.76 |
$722.76 |
$619.04
|
|
EKG tracing for initial prev
|
$144.21 |
$144.21 |
$144.21 |
$56.65
|
|
Electrical stimulation/unattended 97014
|
$26.79 |
$26.79 |
$26.79 |
$81.75
|
|
Electrode stimulation brain
|
$1,304.16 |
$1,304.16 |
$1,304.16 |
$1,180.80
|
|
Electrolyte panel
|
$35.91 |
$35.91 |
$35.91 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,328.10 |
$1,328.10 |
$1,328.10 |
$966.69
|
|
Electrophysiology evaluation
|
$11,175.42 |
$11,175.42 |
$11,175.42 |
$8,979.45
|
|
Electrophysiology evaluation
|
$11,175.42 |
$11,175.42 |
$11,175.42 |
$11,175.42
|
|
Electrophysiology evaluation
|
$7,496.64 |
$7,496.64 |
$7,496.64 |
$7,769.30
|
|
Electrophysiology evaluation
|
$6,973.38 |
$6,973.38 |
$6,973.38 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,812.60 |
$1,812.60 |
$1,812.60 |
$2,845.10
|
|
Electrophys map 3d add-on
|
$3,956.94 |
$3,956.94 |
$3,956.94 |
$6,534.00
|
|
Embolization s&i
|
$1,161.09 |
$1,161.09 |
$1,161.09 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$28,010.94 |
$28,010.94 |
$28,010.94 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$28,010.94 |
$28,010.94 |
$28,010.94 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$28,010.94 |
$28,010.94 |
$28,010.94 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$28,010.94 |
$28,010.94 |
$28,010.94 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$259.35 |
$259.35 |
$259.35 |
$434.00
|
|
Emg cranial nerve bilateral
|
$245.67 |
$245.67 |
$245.67 |
$518.00
|
|
Emg needle test 4-extremities
|
$360.81 |
$360.81 |
$360.81 |
$570.50
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,847.28 |
$4,847.28 |
$4,847.28 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,187.00 |
$5,187.00 |
$5,187.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$192.66 |
$192.66 |
$192.66 |
$612.37
|
|
Endo cath panc duct s&i
|
$200.07 |
$200.07 |
$200.07 |
$645.00
|
|
Endoluminal bx urtr rnl plvs
|
$4,034.46 |
$4,034.46 |
$4,034.46 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$5,869.29 |
$5,869.29 |
$5,869.29 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$2,934.36 |
$2,934.36 |
$2,934.36 |
$2,367.97
|
|
Endovasc rpr a-biiliac endogft 34705
|
$9,044.19 |
$9,044.19 |
$9,044.19 |
$10,604.25
|
|
Endovenous laser vein addon 36479
|
$2,424.21 |
$2,424.21 |
$2,424.21 |
$2,535.97
|
|
Endovenous mchnchem 1st vein
|
$4,847.28 |
$4,847.28 |
$4,847.28 |
$5,134.35
|
|
Endovenous rf abl vein addl
|
$2,594.07 |
$2,594.07 |
$2,594.07 |
$3,156.02
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$54.97 |
$54.97 |
$54.97 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$5.47 |
$5.47 |
$5.47 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$17.67 |
$17.67 |
$17.67 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$34,628.07 |
$34,628.07 |
$34,628.07 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$35,910.57 |
$35,910.57 |
$35,910.57 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$669.18 |
$669.18 |
$669.18 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$7,643.13 |
$7,643.13 |
$7,643.13 |
$2,753.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$27.66 |
$27.66 |
$27.66 |
$918.00
|
|
Epstein barr early antigen antibody
|
$45.03 |
$45.03 |
$45.03 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$38.76 |
$38.76 |
$38.76 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$43.89 |
$43.89 |
$43.89 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$64.68 |
$64.68 |
$64.68 |
$363.57
|
|
Ercp biliary & pancreas
|
$213.18 |
$213.18 |
$213.18 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$138.28 |
$138.28 |
$138.28 |
$364.08
|
|
ER Visit (level 1, minor)
|
$263.34 |
$263.34 |
$263.34 |
$276.70
|
|
ER Visit (level 2)
|
$461.13 |
$461.13 |
$461.13 |
$487.50
|
|
ER Visit (level 3)
|
$790.02 |
$790.02 |
$790.02 |
$850.50
|
|
ER Visit (level 4)
|
$1,252.29 |
$1,252.29 |
$1,252.29 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,957.38 |
$1,957.38 |
$1,957.38 |
$2,007.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$275.62 |
$275.62 |
$275.62 |
$540.00
|
|
Establish access to aorta
|
$2,839.17 |
$2,839.17 |
$2,839.17 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$129.96 |
$129.96 |
$129.96 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$193.80 |
$193.80 |
$193.80 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$210.33 |
$210.33 |
$210.33 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$224.01 |
$224.01 |
$224.01 |
$233.60
|
