|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$186.74 |
$219.27 |
$300.12 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$324.56 |
$366.06 |
$501.02 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$102.82 |
$102.82 |
$102.82 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$275.27 |
$275.27 |
$275.27 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$68.63 |
$68.63 |
$68.63 |
$51.52
|
|
Dynamic cavernosometry
|
$914.38 |
$914.38 |
$914.38 |
$3,442.40
|
|
Ecg/1-3 leads/tracing only 93041
|
$42.20 |
$44.00 |
$146.48 |
$132.08
|
|
Ecg external < 48 hours recording
|
$107.13 |
$112.55 |
$136.71 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$146.95 |
$154.40 |
$187.53 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$474.01 |
$573.09 |
$1,016.16 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$182.84 |
$221.06 |
$425.09 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$107.97 |
$130.54 |
$222.55 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$592.60 |
$716.47 |
$832.15 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$228.68 |
$276.49 |
$378.41 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$101.77 |
$123.05 |
$186.98 |
$371.25
|
|
Echo exam of eye
|
$128.46 |
$128.46 |
$128.46 |
$169.62
|
|
Echo exam of fetal heart
|
$462.40 |
$462.40 |
$627.13 |
$904.80
|
|
Echo exam of fetal heart
|
$220.16 |
$220.16 |
$298.59 |
$538.27
|
|
Echo exam of fetal heart
|
$245.76 |
$245.76 |
$333.31 |
$431.41
|
|
Echo exam of fetal heart
|
$192.96 |
$192.96 |
$192.96 |
$318.34
|
|
Echo exam uterus 76831-
|
$298.59 |
$298.59 |
$298.59 |
$561.00
|
|
Echograp trans r pros study
|
$73.92 |
$168.96 |
$229.15 |
$468.00
|
|
Echo guidance radiotherapy
|
$162.68 |
$371.84 |
$504.31 |
$812.00
|
|
Echo guide for amniocentesis
|
$49.56 |
$113.28 |
$153.64 |
$455.57
|
|
Echo guide for artery repair
|
$87.64 |
$200.32 |
$271.68 |
$696.30
|
|
Echo guide for transfusion
|
$269.95 |
$269.95 |
$269.95 |
$332.39
|
|
Echo stress
|
$347.45 |
$420.08 |
$509.07 |
$1,609.44
|
|
Echo tee guidance
|
$518.79 |
$518.79 |
$627.23 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$443.56 |
$536.28 |
$1,006.72 |
$1,913.60
|
|
Echo transesophageal
|
$504.18 |
$504.18 |
$577.22 |
$602.00
|
|
Echo transesophageal
|
$437.90 |
$529.44 |
$606.13 |
$1,650.00
|
|
Echo transesophageal
|
$563.99 |
$563.99 |
$563.99 |
$603.20
|
|
Echo transesophageal intraop
|
$489.76 |
$592.14 |
$677.92 |
$1,578.00
|
|
Echo transthoracic
|
$433.56 |
$433.56 |
$496.37 |
$1,361.75
|
|
Echo transthoracic
|
$230.26 |
$230.26 |
$263.62 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$244.97 |
$296.18 |
$339.08 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$601.50 |
$601.50 |
$601.50 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$619.52 |
$619.52 |
$619.52 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$752.04 |
$752.04 |
$752.04 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$541.35 |
$541.35 |
$541.35 |
$4,084.29
|
|
Eeg 41-60 minutes 95812-26
|
$113.34 |
$471.09 |
$919.15 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$83.14 |
$345.53 |
$674.18 |
$994.15
|
|
Eeg during surgery
|
$134.27 |
$558.07 |
$1,088.86 |
$775.45
|
|
Eeg monitoring/function test
|
$102.59 |
$426.40 |
$831.96 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$579.20 |
$579.20 |
$579.20 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$78.72 |
$327.18 |
$638.37 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$133.31 |
$554.08 |
$1,081.08 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$92.35 |
$383.84 |
$748.92 |
$871.00
|
|
Eeg recording awake and asleep
|
$93.70 |
$389.42 |
$759.82 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$59.84 |
$248.71 |
$485.27 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$47.87 |
$198.97 |
$388.21 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$83.78 |
$348.19 |
$679.37 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$79.04 |
$328.51 |
$640.96 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$55.10 |
$229.03 |
$446.86 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$71.81 |
$298.45 |
$582.32 |
$1,632.95
|
|
E equine encephalitis igg
|
$10.92 |
$12.03 |
$20.26 |
$51.84
|
|
Egfr gene com variants
|
$65.26 |
$212.33 |
$428.56 |
$672.88
|
|
EKG (Tracing Only)
|
$96.85 |
$100.98 |
$204.27 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$94.92 |
$97.63 |
$304.56 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$103.04 |
$105.98 |
$338.39 |
$364.20
|
|
Electrd sq emblem s-icd
|
$4,751.07 |
$5,204.50 |
$5,362.21 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$17.79 |
$20.02 |
$41.99 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$15.90 |
$15.90 |
$15.90 |
$81.75
|
|
Electrocochleography
|
$265.68 |
$265.68 |
$265.68 |
$427.44
|
|
Electrocorticography durng sx
|
$124.54 |
$517.64 |
$1,009.97 |
$1,642.53
|
|
Electrolyte panel
|
$18.73 |
$28.32 |
$39.77 |
$79.30
|
|
Electron microscopy diagnostic
|
$183.18 |
$376.64 |
$711.12 |
$1,011.98
|
|
Electrophysiologic study
|
$1,089.40 |
$3,147.14 |
$3,543.29 |
$7,493.20
|
|
Electrophysiology evaluation
|
$1,040.59 |
$3,006.15 |
$3,384.54 |
$8,975.40
|
|
Electrophysiology evaluation
|
$1,887.53 |
$5,452.88 |
$6,139.25 |
$10,724.84
|
|
Electrophysiology evaluation
|
$365.90 |
$1,057.06 |
$1,190.11 |
$6,760.00
|
|
Electrophysiology evaluation
|
$548.76 |
$1,585.30 |
$1,784.85 |
$5,883.66
|
|
Electrophysiology evaluation
|
$313.04 |
$904.33 |
$1,018.16 |
$2,559.70
|
|
Electrophysiology evaluation
|
$319.37 |
$922.64 |
$1,038.77 |
$2,914.40
|
|
Electrophysiology evaluation
|
$294.82 |
$294.82 |
$851.71 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$953.86 |
$2,755.61 |
$3,102.47 |
$5,762.40
|
|
Embolization s&i
|
$758.24 |
$779.90 |
$1,123.82 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$2,881.79 |
$3,482.59 |
$3,604.78 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$2,881.79 |
$3,482.59 |
$3,604.78 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,272.73 |
$5,163.52 |
$5,344.69 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$2,881.79 |
$3,482.59 |
$3,604.78 |
$14,741.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$3,843.38 |
$3,843.38 |
$3,843.38 |
$7,310.39
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$183.50 |
$192.80 |
$234.17 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$227.36 |
$238.88 |
$290.14 |
$502.80
|
|
Emg cranial nerve bilateral
|
$98.05 |
$103.02 |
$125.13 |
$529.10
|
|
Emg needle test 1-extremity
|
$128.30 |
$134.80 |
$163.72 |
$351.50
|
|
Emg needle test 4-extremities
|
$265.92 |
$279.40 |
$339.35 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$117.71 |
$123.68 |
$150.22 |
$309.83
|
|
Encephalitis, california igg/igm
|
$10.92 |
$12.03 |
$20.26 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$10.92 |
$12.03 |
$20.26 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$10.92 |
$12.03 |
$20.26 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,452.16 |
$5,380.34 |
$5,569.13 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,730.81 |
$3,730.81 |
$3,730.81 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$262.36 |
$269.86 |
$388.85 |
$714.24
|
|
Endo cath panc duct s&i
|
$266.28 |
$273.89 |
$394.66 |
$672.43
|
|
Endoluminal bx biliary tree
|
$1,259.18 |
$1,259.18 |
$1,259.18 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$1,209.78 |
$1,227.74 |
$1,509.59 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$967.78 |
$982.16 |
$1,207.62 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$121.17 |
$170.65 |
$207.98 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$14,501.61 |
$14,501.61 |
$14,501.61 |
$9,122.40
|
