|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,597.53 |
$1,597.53 |
$1,597.53 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,597.53 |
$1,597.53 |
$1,597.53 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$1,863.95 |
$1,863.95 |
$1,863.95 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$160.64 |
$160.64 |
$160.64 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,597.53 |
$1,597.53 |
$1,597.53 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$160.64 |
$160.64 |
$160.64 |
$1,518.60
|
|
Eeg 41-60 minutes 95812-26
|
$210.33 |
$210.33 |
$828.83 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$202.22 |
$202.22 |
$607.93 |
$994.15
|
|
Eeg during surgery
|
$172.45 |
$172.45 |
$981.86 |
$775.45
|
|
Eeg monitoring/function test
|
$750.20 |
$750.20 |
$750.20 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$522.29 |
$522.29 |
$522.29 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$405.66 |
$405.66 |
$575.64 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$236.16 |
$236.16 |
$974.84 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$458.30 |
$458.30 |
$675.32 |
$871.00
|
|
Eeg recording awake and asleep
|
$461.01 |
$461.01 |
$685.15 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$437.58 |
$437.58 |
$437.58 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$231.98 |
$231.98 |
$350.06 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$612.61 |
$612.61 |
$612.61 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$577.98 |
$577.98 |
$577.98 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$402.95 |
$402.95 |
$402.95 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$525.10 |
$525.10 |
$525.10 |
$1,632.95
|
|
E equine encephalitis igg
|
$9.55 |
$9.55 |
$12.98 |
$51.84
|
|
Egfr gene com variants
|
$172.40 |
$172.40 |
$172.40 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$34.53 |
$34.53 |
$34.53 |
$93.00
|
|
EKG (Tracing Only)
|
$95.47 |
$95.47 |
$176.14 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$100.68 |
$100.68 |
$100.68 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$109.30 |
$109.30 |
$109.30 |
$364.20
|
|
Electrd sq emblem s-icd
|
$5,914.20 |
$5,914.20 |
$11,244.17 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$40.45 |
$40.45 |
$40.45 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$21.65 |
$21.65 |
$30.85 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$483.90 |
$483.90 |
$483.90 |
$1,235.00
|
|
Electrocorticography durng sx
|
$910.73 |
$910.73 |
$910.73 |
$1,642.53
|
|
Electrode stimulation brain
|
$416.52 |
$416.52 |
$416.52 |
$1,203.94
|
|
Electrolyte panel
|
$37.02 |
$37.02 |
$136.29 |
$79.30
|
|
Electron microscopy diagnostic
|
$361.23 |
$361.23 |
$856.82 |
$1,011.98
|
|
Electrophysiology evaluation
|
$4,571.18 |
$4,571.18 |
$4,571.18 |
$8,975.40
|
|
Electrophysiology evaluation
|
$4,712.63 |
$4,712.63 |
$4,712.63 |
$10,724.84
|
|
Electrophysiology evaluation
|
$2,356.19 |
$2,356.19 |
$2,356.19 |
$6,760.00
|
|
Electrophysiology evaluation
|
$2,356.19 |
$2,356.19 |
$2,356.19 |
$5,883.66
|
|
Electrophysiology evaluation
|
$1,077.24 |
$1,077.24 |
$1,077.24 |
$2,559.70
|
|
Electrophysiology evaluation
|
$1,465.18 |
$1,465.18 |
$1,465.18 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$3,278.94 |
$3,278.94 |
$3,278.94 |
$5,762.40
|
|
Emboli detcj wo IV mbubb njx
|
$377.61 |
$377.61 |
$377.61 |
$484.25
|
|
Embolization s&i
|
$804.28 |
$804.28 |
$1,159.89 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$3,126.18 |
$3,126.18 |
$3,126.18 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$3,126.18 |
$3,126.18 |
$3,126.18 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,635.09 |
$4,635.09 |
$13,861.37 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$3,126.18 |
$3,126.18 |
$12,475.16 |
$14,741.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$111.44 |
$111.44 |
$250.91 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$310.88 |
$310.88 |
$310.88 |
$502.80
|
|
Emg cranial nerve bilateral
|
$225.34 |
$225.34 |
$225.34 |
$529.10
|
|
Emg needle test 1-extremity
|
$68.88 |
$68.88 |
$175.43 |
$351.50
|
|
Emg needle test 4-extremities
|
$363.62 |
$363.62 |
$363.62 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$160.96 |
$160.96 |
$160.96 |
$309.83
|
|
Encephalitis, california igg/igm
|
$9.55 |
$9.55 |
$12.98 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$9.55 |
$9.55 |
$12.98 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$9.55 |
$9.55 |
$12.98 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,219.82 |
$3,219.82 |
$3,219.82 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,235.47 |
$3,235.47 |
$3,235.47 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$278.29 |
$278.29 |
$278.29 |
$714.24
|
|
Endo cath panc duct s&i
|
$282.45 |
$282.45 |
$282.45 |
$672.43
|
|
Endoluminal bx biliary tree
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$2,680.91 |
$2,680.91 |
$2,680.91 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$2,064.19 |
$2,064.19 |
$2,064.19 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$200.76 |
$200.76 |
$200.76 |
$402.35
|
|
Endo, single, pulmonary
|
$1,057.07 |
$1,057.07 |
$1,057.07 |
$993.30
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,999.71 |
$4,999.71 |
$4,999.71 |
$9,122.40
|
|
Endovasc tempory vessel occl
|
$3,196.48 |
$3,196.48 |
$8,159.58 |
$11,474.40
|
|
Endovenous laser vein addon 36479
|
$1,572.45 |
$1,572.45 |
$1,572.45 |
$2,755.76
|
|
Endovenous rf abl vein addl
|
$1,563.24 |
$1,563.24 |
$1,563.24 |
$3,156.02
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$311.93 |
$311.93 |
$311.93 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$11.79 |
$11.79 |
$11.79 |
$56.89
|
|
Enzyme histochemistry
|
$361.23 |
$361.23 |
$856.82 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$12,335.67 |
$12,335.67 |
$12,335.67 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$10,115.28 |
$10,115.28 |
$10,115.28 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$398.49 |
$398.49 |
$398.49 |
$1,182.00
|
|
Epoetin alfa, 100 units esrd
|
$9.17 |
$9.17 |
$9.17 |
$6.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,107.25 |
$1,107.25 |
$1,107.25 |
$865.80
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$99.14 |
$99.14 |
$99.14 |
$129.30
|
|
Epstein barr early antigen antibody
|
$8.08 |
$8.08 |
$27.06 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$7.94 |
$7.94 |
$27.06 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$9.11 |
$9.11 |
$27.06 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$980.31 |
$980.31 |
$980.31 |
$427.26
|
|
Ercp biliary & pancreas
|
$327.29 |
$327.29 |
$490.77 |
$967.04
|
|
Ercp w/specimen collection
|
$1,166.91 |
$1,166.91 |
$1,166.91 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$257.32 |
$257.32 |
$257.32 |
$232.12
|
|
ER Visit (level 1, minor)
|
$156.95 |
$156.95 |
$470.92 |
$252.60
|
|
ER Visit (level 2)
|
$240.59 |
$240.59 |
$674.98 |
$463.00
|
|
ER Visit (level 3)
|
$386.96 |
$386.96 |
$1,064.42 |
$812.18
|
|
ER Visit (level 4)
|
$1,563.48 |
$1,563.48 |
$2,122.49 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,666.36 |
$1,666.36 |
$4,380.77 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$108.74 |
$108.74 |
$108.74 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,173.67 |
$1,173.67 |
$1,173.67 |
$516.71
|
|
Esophageal dilat s&i
|
$157.71 |
$157.71 |
$157.71 |
$551.20
|
|
Esophageal motility
|
$430.90 |
$430.90 |
$430.90 |
$655.45
|
|
Esophagus motility study
|
$466.72 |
$466.72 |
$620.91 |
$1,257.17
|
|
Esoph imped function test
|
$459.53 |
$459.53 |
$459.53 |
$603.00
|
|
Establish access to aorta
|
$248.36 |
$248.36 |
$249.69 |
$1,273.00
|
|
Establish access to artery
|
$259.42 |
$259.42 |
$259.42 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$236.35 |
$236.35 |
$659.28 |
$122.20
|
