|
Dna antibody native/double stranded
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Dna gardnerella
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Dna trichomonas
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
Doppler echo complete
|
$650.00 |
$650.00 |
$650.00 |
$554.68
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$540.00 |
$540.00 |
$540.00 |
$653.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$362.50 |
$362.50 |
$362.50 |
$463.20
|
|
Dpyd gene common variants
|
$175.00 |
$175.00 |
$175.00 |
$380.50
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$75.00 |
$75.00 |
$75.00 |
$171.20
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,540.00 |
$2,540.00 |
$2,540.00 |
$2,540.00
|
|
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 |
$1,044.00
|
|
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
|
|
Droperidol 2.5 mg/ml injection solution
|
$25.80 |
$25.80 |
$25.80 |
$31.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,679.71 |
$2,679.71 |
$2,679.71 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.00 |
$15.00 |
$15.00 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$27.50 |
$27.50 |
$27.50 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$697.47 |
$697.47 |
$697.47 |
$7,612.97
|
|
Drug assay caffeine
|
$80.00 |
$80.00 |
$80.00 |
$80.00
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$100.00 |
$96.75
|
|
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 of abuse screen urine
|
$27.50 |
$27.50 |
$27.50 |
$61.60
|
|
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 |
$286.55
|
|
Dstrj nulyt agt gnclr nrv
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,979.74
|
|
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 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$730.00 |
$730.00 |
$730.00 |
$360.33
|
|
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 |
$873.38
|
|
Dxa bone density axl vrt fx
|
$457.50 |
$457.50 |
$457.50 |
$397.65
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$140.00 |
$140.00 |
$140.00 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$155.00 |
$155.00 |
$155.00 |
$132.60
|
|
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 |
$536.06
|
|
Echocardiogram (Heart Ultrasound)
|
$2,980.00 |
$2,980.00 |
$2,980.00 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$525.00 |
$525.00 |
$525.00 |
$475.10
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$707.10
|
|
Echocardiograpy doppler follow up/limited study
|
$367.50 |
$367.50 |
$367.50 |
$356.40
|
|
Echo exam of fetal heart
|
$690.00 |
$690.00 |
$690.00 |
$914.76
|
|
Echo exam of fetal heart
|
$345.00 |
$345.00 |
$345.00 |
$431.41
|
|
Echo exam of fetal heart
|
$277.50 |
$277.50 |
$277.50 |
$318.34
|
|
Echo exam uterus 76831-
|
$475.00 |
$475.00 |
$475.00 |
$513.00
|
|
Echograp trans r pros study
|
$670.00 |
$670.00 |
$670.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$515.00 |
$515.00 |
$515.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$375.00 |
$375.00 |
$375.00 |
$421.83
|
|
Echo guide for artery repair
|
$660.00 |
$660.00 |
$660.00 |
$660.00
|
|
Echo tee guidance
|
$4,245.00 |
$4,245.00 |
$4,245.00 |
$1,827.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,430.00 |
$3,430.00 |
$3,430.00 |
$1,849.50
|
|
Echo transesophageal
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,087.90
|
|
Echo transesophageal intraop
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$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
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$964.50
|
|
Eeg 41-60 minutes 95812-26
|
$920.00 |
$920.00 |
$920.00 |
$931.27
|
|
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 |
$775.45
|
|
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 |
$1,102.94
|
|
Eeg/record in coma or sleep only 95822
|
$865.00 |
$865.00 |
$865.00 |
$895.20
|
|
Eeg recording awake and asleep
|
$740.00 |
$740.00 |
$740.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$700.18
|
|
Eeg without vid 2-12 hr unmntr
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$593.91
|
|
Eeg without vid ea 12-26hr cont
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$1,296.93
|
|
Eeg without vid ea 12-26hr intmt
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$1,224.00
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$611.40
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$1,402.50
|
|
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 |
$535.43
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$625.00 |
$625.00 |
$625.00 |
$577.20
|
|
Electrical stimulation/unattended 97014
|
$55.00 |
$55.00 |
$55.00 |
$77.33
|
|
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
|
$16,400.00 |
$16,400.00 |
$16,400.00 |
$15,681.00
|
|
Embo or occlude vascular hemorrhage s&i
|
$16,400.00 |
$16,400.00 |
$16,400.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,400.00 |
$16,400.00 |
$16,400.00 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$16,400.00 |
$16,400.00 |
$16,400.00 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$257.50 |
$257.50 |
$257.50 |
$360.57
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$372.50 |
$372.50 |
$372.50 |
$377.36
|
|
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 |
$324.10
|
|
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 |
$5,110.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,150.00 |
$5,150.00 |
$5,150.00 |
$5,275.40
|
|
Endo cath bile duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$667.60
|
|
Endo cath panc duct s&i
|
$485.00 |
$485.00 |
$485.00 |
$648.96
|
