|
Disability dlco
|
$201.06 |
$201.06 |
$201.06 |
$293.76
|
|
Disaccharidases
|
$232.40 |
$232.40 |
$232.40 |
$230.40
|
|
Dna antibody native/double stranded
|
$73.35 |
$73.35 |
$73.35 |
$100.00
|
|
Doppler echo complete
|
$478.02 |
$478.02 |
$478.02 |
$558.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$473.22 |
$473.22 |
$473.22 |
$481.65
|
|
Dpyd gene common variants
|
$377.47 |
$377.47 |
$377.47 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$153.94 |
$153.94 |
$153.94 |
$800.00
|
|
Drainage external ear simple 69000
|
$225.22 |
$225.22 |
$225.22 |
$790.40
|
|
Drainage mouth roof lesion
|
$129.38 |
$129.38 |
$129.38 |
$405.60
|
|
Drainage of arm bursa 23931
|
$289.92 |
$289.92 |
$289.92 |
$2,271.01
|
|
Drain blood from under nail 11740
|
$38.93 |
$38.93 |
$38.93 |
$182.40
|
|
Drain cerebro spinal fluid 62272
|
$279.97 |
$279.97 |
$279.97 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$171.91 |
$171.91 |
$171.91 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$137.77 |
$137.77 |
$137.77 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$67.69 |
$67.69 |
$67.69 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$166.52 |
$166.52 |
$166.52 |
$541.00
|
|
Drng of scrotum abscess 55100
|
$207.85 |
$207.85 |
$207.85 |
$1,997.89
|
|
Drug assay caffeine
|
$74.47 |
$74.47 |
$74.47 |
$80.00
|
|
Drug assay posaconazole
|
$75.76 |
$75.76 |
$75.76 |
$96.75
|
|
Drug assay voriconazole
|
$81.53 |
$81.53 |
$81.53 |
$96.75
|
|
Drug of abuse screen urine
|
$24.40 |
$24.40 |
$24.40 |
$67.89
|
|
Drug screening tapentadol
|
$35.95 |
$35.95 |
$35.95 |
$47.03
|
|
Drug test prsmv instrmnt
|
$33.38 |
$33.38 |
$33.38 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$288.26 |
$288.26 |
$288.26 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,794.96 |
$2,794.96 |
$2,794.96 |
$2,980.00
|
|
Ductogram sgl duct
|
$315.59 |
$315.59 |
$315.59 |
$469.80
|
|
Dxa bone density axl vrt fx
|
$388.36 |
$388.36 |
$388.36 |
$401.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$114.14 |
$114.14 |
$114.14 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$564.19 |
$564.19 |
$564.19 |
$412.88
|
|
Ecg external < 48 hours recording
|
$362.88 |
$362.88 |
$362.88 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$541.73 |
$541.73 |
$541.73 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$468.29 |
$468.29 |
$468.29 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$352.51 |
$352.51 |
$352.51 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,083.84 |
$2,083.84 |
$2,083.84 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$470.98 |
$470.98 |
$470.98 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$377.34 |
$377.34 |
$377.34 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,604.80 |
$2,604.80 |
$2,604.80 |
$1,944.80
|
|
Echocardiograpy doppler follow up/limited study
|
$325.25 |
$325.25 |
$325.25 |
$371.25
|
|
Echo exam uterus 76831-
|
$562.85 |
$562.85 |
$562.85 |
$561.00
|
|
Echo stress
|
$907.46 |
$907.46 |
$907.46 |
$1,609.44
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$663.17 |
$663.17 |
$663.17 |
$1,033.00
|
|
E equine encephalitis igg
|
$76.90 |
$76.90 |
$76.90 |
$51.84
|
|
Egfr gene com variants
|
$700.31 |
$700.31 |
$700.31 |
$672.88
|
|
EKG (Tracing Only)
|
$216.48 |
$216.48 |
$216.48 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$298.74 |
$298.74 |
$298.74 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$368.45 |
$368.45 |
$368.45 |
$364.20
|
|
Elect analysis of infusion pump 62367
|
$253.12 |
$253.12 |
$253.12 |
$563.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$107.54 |
$107.54 |
$107.54 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$86.35 |
$86.35 |
$86.35 |
$81.75
|
|
Electrolyte panel
|
$50.08 |
$50.08 |
$50.08 |
$79.30
|
|
Electron microscopy diagnostic
|
$915.14 |
$915.14 |
$915.14 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$76.90 |
$76.90 |
$76.90 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$76.90 |
$76.90 |
$76.90 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$76.90 |
$76.90 |
$76.90 |
$54.99
|
|
Enzyme histochemistry
|
$915.14 |
$915.14 |
$915.14 |
$455.91
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,330.56 |
$1,330.56 |
$1,330.56 |
$1,182.00
|
|
Epoetin alfa, 100 units esrd
|
$21.49 |
$21.49 |
$21.49 |
$6.00
|
|
Epstein barr early antigen antibody
|
$65.06 |
$65.06 |
$65.06 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$63.88 |
$63.88 |
$63.88 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$73.35 |
$73.35 |
$73.35 |
$85.50
|
|
ER Visit (level 1, minor)
|
$342.80 |
$342.80 |
$342.80 |
$252.60
|
|
ER Visit (level 2)
|
$437.25 |
$437.25 |
$437.25 |
$463.00
|
|
ER Visit (level 3)
|
$918.48 |
$918.48 |
$918.48 |
$812.18
|
|
ER Visit (level 4)
|
$2,390.17 |
$2,390.17 |
$2,390.17 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$3,861.52 |
$3,861.52 |
$3,861.52 |
$1,871.60
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$0.33 |
$0.33 |
$0.33 |
$279.72
|
|
Established Patient Office Visit (level 1)
|
$162.15 |
$162.15 |
$162.15 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$301.61 |
$301.61 |
$301.61 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$591.53 |
$591.53 |
$591.53 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$909.07 |
$909.07 |
$909.07 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$1,282.90 |
$1,282.90 |
$1,282.90 |
$290.68
|
|
Estradiol total
|
$53.93 |
$53.93 |
$53.93 |
$152.10
|
|
Estrogens total-sendout
|
$42.37 |
$42.37 |
$42.37 |
$97.50
|
|
Ethylene glycol -sendout
|
$52.00 |
$52.00 |
$52.00 |
$86.04
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$189.39 |
$189.39 |
$189.39 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$218.76 |
$218.76 |
$218.76 |
$302.50
|
|
Event monitor
|
$354.24 |
$354.24 |
$354.24 |
$231.00
|
|
Evoked oa emissions ltd
|
$194.68 |
$194.68 |
$194.68 |
$244.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$183.29 |
$183.29 |
$183.29 |
$1,314.67
|
|
Exchange drainage catheter
|
$734.58 |
$734.58 |
$734.58 |
$2,220.54
|
|
Excision nasal polyp(s) simple 30110
|
$240.20 |
$240.20 |
$240.20 |
$1,752.89
|
|
Exc thrombosed hemorrhoid 46320
|
$139.57 |
$139.57 |
$139.57 |
$2,175.36
|
|
Explore penetrating wnd/extremity 20103
|
$433.08 |
$433.08 |
$433.08 |
$1,788.80
|
|
Explore wound neck 20100
|
$1,133.31 |
$1,133.31 |
$1,133.31 |
$1,185.00
|
|
Ext ecg>48hr<7d scan a/r
|
$514.94 |
$514.94 |
$514.94 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$534.82 |
$534.82 |
$534.82 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$184.02 |
$184.02 |
$184.02 |
$415.01
|
|
External newborn metabolic screening panel
|
$104.72 |
$104.72 |
$104.72 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$183.17 |
$183.17 |
$183.17 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$153.79 |
$153.79 |
$153.79 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$398.32 |
$398.32 |
$398.32 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,362.19 |
$2,362.19 |
$2,362.19 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,968.71 |
$1,968.71 |
$1,968.71 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,574.58 |
$1,574.58 |
$1,574.58 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,035.52 |
$3,035.52 |
$3,035.52 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,023.68 |
$2,023.68 |
$2,023.68 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$300.27 |
$300.27 |
$300.27 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$350.83 |
$350.83 |
$350.83 |
$381.75
|
|
Factor ix
|
$50.32 |
$50.32 |
$50.32 |
$162.50
|
|
Factor viii
|
$42.04 |
$42.04 |
$42.04 |
$148.00
|