|
Dress/debrid prtl-thick burn l 16030
|
$252.50 |
$252.50 |
$252.50 |
$530.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,603.20
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$471.35 |
$471.35 |
$471.35 |
$2,001.24
|
|
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
|
$341.73 |
$341.73 |
$341.73 |
$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 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 of abuse screen urine
|
$27.50 |
$27.50 |
$27.50 |
$59.60
|
|
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 |
$276.30
|
|
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 |
$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 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$394.00
|
|
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 |
$890.55
|
|
Dxa bone density axl vrt fx
|
$457.50 |
$457.50 |
$457.50 |
$392.60
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$147.50 |
$147.50 |
$147.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$155.00 |
$155.00 |
$155.00 |
$133.82
|
|
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)
|
$1,925.00 |
$1,925.00 |
$1,925.00 |
$2,030.14
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$490.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$945.00 |
$945.00 |
$945.00 |
$692.40
|
|
Echocardiograpy doppler follow up/limited study
|
$285.00 |
$285.00 |
$285.00 |
$356.40
|
|
Echo exam uterus 76831-
|
$475.00 |
$475.00 |
$475.00 |
$560.50
|
|
Echograp trans r pros study
|
$670.00 |
$670.00 |
$670.00 |
$462.80
|
|
Echo guidance radiotherapy
|
$515.00 |
$515.00 |
$515.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$375.00 |
$375.00 |
$375.00 |
$399.50
|
|
Echo guide for artery repair
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Echo tee guidance
|
$1,930.00 |
$1,930.00 |
$1,930.00 |
$1,827.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$1,871.10
|
|
Echo transesophageal
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,087.90
|
|
Echo transesophageal intraop
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,571.70
|
|
Echo transthoracic
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,361.75
|
|
Echo transthoracic
|
$950.00 |
$950.00 |
$950.00 |
$950.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$964.50
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$3,105.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$3,105.00
|
|
Ecmo/ecls initiation artery 33947
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$3,468.27
|
|
Ecog impltd brn npgt <30 d
|
$230.00 |
$230.00 |
$230.00 |
$148.40
|
|
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 |
$970.07
|
|
Eeg during surgery
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$749.00
|
|
Eeg monitoring/function test
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$680.00 |
$680.00 |
$680.00 |
$855.60
|
|
Eeg over 1 hour 95813 - 26
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$1,164.10
|
|
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
|
|
Eeg without vid 2-12hr cont mntr
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$755.48
|
|
Eeg without vid 2-12 hr unmntr
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$593.91
|
|
Eeg without vid ea 12-26hr cont
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,456.65
|
|
Eeg without vid ea 12-26hr intmt
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,343.48
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,284.80
|
|
Egfr gene com variants
|
$427.50 |
$427.50 |
$427.50 |
$594.10
|
|
Ehrlicha chaffeensis amp prb
|
$47.50 |
$47.50 |
$47.50 |
$92.40
|
|
Electrical stimulation/unattended 97014
|
$55.00 |
$55.00 |
$55.00 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$915.00 |
$915.00 |
$915.00 |
$1,258.40
|
|
Electrocorticography durng sx
|
$340.00 |
$340.00 |
$340.00 |
$1,660.52
|
|
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 |
$3,099.00
|
|
Embo or occlude vascular arterial s&i
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$15,839.57
|
|
Embo or occlude vascular hemorrhage s&i
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$16,200.00 |
$16,200.00 |
$16,200.00 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$257.50 |
$257.50 |
$257.50 |
$379.80
|
|
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
|
|
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 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,150.00 |
$5,150.00 |
$5,150.00 |
$5,372.80
|
|
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 |
$662.81
|
|
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
|
|
Endoscopic pancreatoscopy
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$2,635.20
|
|
Endoscopy swallow (fees) vid
|
$405.00 |
$405.00 |
$405.00 |
$402.60
|
|
Endovasc rpr a-biiliac endogft 34705
|
$18,785.00 |
$18,785.00 |
$18,785.00 |
$9,316.45
|
|
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
|
|
Endovenous mchnchem 1st vein
|
$4,940.00 |
$4,940.00 |
$4,940.00 |
$4,940.00
|
|
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 |
$3,061.07
|
|
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
|
$9.73 |
$9.73 |
$9.73 |
$109.71
|
