|
Dx aly aud oi snd prcsr 1st
|
$62.85 |
$62.85 |
$62.85 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$15.75 |
$15.75 |
$15.75 |
$51.52
|
|
Dx bronchoscope/lavage 31624
|
$403.80 |
$403.80 |
$403.80 |
$2,365.20
|
|
Dx intraop epcar Ultrasound chd i&r
|
$261.15 |
$261.15 |
$261.15 |
$261.15
|
|
Dx intraop epicar car Ultrasound chd
|
$261.15 |
$261.15 |
$261.15 |
$351.20
|
|
Dx intraop thoracic aorta Ultrasound
|
$261.15 |
$261.15 |
$261.15 |
$558.11
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$261.15 |
$261.15 |
$261.15 |
$558.11
|
|
Ear irrigation 69209
|
$15.30 |
$15.30 |
$15.30 |
$149.76
|
|
Ecg 12 lead tracing only
|
$62.70 |
$62.70 |
$62.70 |
$226.50
|
|
Ecg external < 48 hours recording
|
$131.55 |
$131.55 |
$131.55 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$131.55 |
$131.55 |
$131.55 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$594.90 |
$594.90 |
$594.90 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$91.50 |
$91.50 |
$91.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$565.35 |
$565.35 |
$565.35 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$157.05 |
$157.05 |
$157.05 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$361.20 |
$361.20 |
$361.20 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$85.35 |
$85.35 |
$85.35 |
$362.50
|
|
Echo exam of fetal heart
|
$103.95 |
$103.95 |
$103.95 |
$431.41
|
|
Echo exam uterus 76831-
|
$174.45 |
$174.45 |
$174.45 |
$523.71
|
|
Echograp trans r pros study
|
$164.40 |
$164.40 |
$164.40 |
$459.40
|
|
Echo guidance radiotherapy
|
$159.15 |
$159.15 |
$159.15 |
$812.00
|
|
Echo guide for amniocentesis
|
$112.80 |
$112.80 |
$112.80 |
$456.30
|
|
Echo guide for artery repair
|
$293.85 |
$293.85 |
$293.85 |
$664.00
|
|
Echo stress
|
$335.10 |
$335.10 |
$335.10 |
$1,592.05
|
|
Echo tee guidance
|
$425.85 |
$425.85 |
$425.85 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$345.00 |
$345.00 |
$345.00 |
$1,849.50
|
|
Echo transesophageal intraop
|
$329.25 |
$329.25 |
$329.25 |
$1,571.70
|
|
Echo transthoracic
|
$594.90 |
$594.90 |
$594.90 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$271.35 |
$271.35 |
$271.35 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,281.30 |
$1,281.30 |
$1,281.30 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,281.30 |
$1,281.30 |
$1,281.30 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$1,601.25 |
$1,601.25 |
$1,601.25 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$1,601.25 |
$1,601.25 |
$1,601.25 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$389.55 |
$389.55 |
$389.55 |
$925.55
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$389.55 |
$389.55 |
$389.55 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$389.55 |
$389.55 |
$389.55 |
$2,825.34
|
|
E coli 0157 ag ia
|
$7.80 |
$7.80 |
$7.80 |
$72.15
|
|
Edetate calcium disodium inj
|
$6,504.61 |
$6,504.61 |
$6,504.61 |
$8,569.35
|
|
Eeg 41-60 minutes 95812-26
|
$203.70 |
$203.70 |
$203.70 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$223.80 |
$223.80 |
$223.80 |
$1,000.42
|
|
Eeg during surgery
|
$384.30 |
$384.30 |
$384.30 |
$797.30
|
|
Eeg monitoring/function test
|
$199.65 |
$199.65 |
$199.65 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$136.80 |
$136.80 |
$136.80 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$143.85 |
$143.85 |
$143.85 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$223.80 |
$223.80 |
$223.80 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$143.85 |
$143.85 |
$143.85 |
$907.80
|
|
Eeg recording awake and asleep
|
$184.65 |
$184.65 |
$184.65 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$127.50 |
$127.50 |
$127.50 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$127.50 |
$127.50 |
$127.50 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$244.65 |
$244.65 |
$244.65 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$244.65 |
$244.65 |
$244.65 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$127.50 |
$127.50 |
$127.50 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$244.65 |
$244.65 |
$244.65 |
$1,502.40
|
|
E equine encephalitis igg
|
$65.25 |
$65.25 |
$65.25 |
$49.92
|
|
Egd guide wire insertion
|
$124.35 |
$124.35 |
$124.35 |
$1,664.00
|
|
Egd remove foreign body
|
$142.95 |
$142.95 |
$142.95 |
$1,505.50
|
|
Egfr gene com variants
|
$96.00 |
$96.00 |
$96.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$16.95 |
$16.95 |
$16.95 |
$93.00
|
|
Electric stim/w chemodenervation 95873
|
$87.30 |
$87.30 |
$87.30 |
$166.40
|
|
Electroacous eval hear aid/biaural 92595
|
$33.30 |
$33.30 |
$33.30 |
$97.50
|
|
Electrocochleography
|
$109.50 |
$109.50 |
$109.50 |
$423.87
|
|
Electrocorticography durng sx
|
$486.30 |
$486.30 |
$486.30 |
$1,660.52
|
|
Electrode stimulation brain
|
$317.10 |
$317.10 |
$317.10 |
$1,180.80
|
|
Electrolyte panel
|
$75.15 |
$75.15 |
$75.15 |
$84.24
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$13.05 |
$13.05 |
$13.05 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$13.05 |
$13.05 |
$13.05 |
$160.00
|
|
Electron microscopy diagnostic
|
$164.70 |
$164.70 |
$164.70 |
$983.41
|
|
Electro-oculography w/i&r
|
$81.60 |
$81.60 |
$81.60 |
$249.60
|
|
Electrophysiologic study
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$6,758.40
|
|
Electrophysiology evaluation
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$8,979.45
|
|
Electrophysiology evaluation
|
$2,298.30 |
$2,298.30 |
$2,298.30 |
$10,233.60
|
|
Electrophysiology evaluation
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$5,854.80
|
|
Electrophysiology evaluation
|
$599.70 |
$599.70 |
$599.70 |
$2,451.90
|
|
Electrophysiology evaluation
|
$599.70 |
$599.70 |
$599.70 |
$2,821.00
|
|
Electrophysiology evaluation
|
$571.05 |
$571.05 |
$571.05 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$5,881.00
|
|
Embolization s&i
|
$281.25 |
$281.25 |
$281.25 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$3,724.20 |
$3,724.20 |
$3,724.20 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$3,587.40 |
$3,587.40 |
$3,587.40 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$3,587.40 |
$3,587.40 |
$3,587.40 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$3,724.20 |
$3,724.20 |
$3,724.20 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$63.75 |
$63.75 |
$63.75 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$213.90 |
$213.90 |
$213.90 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$267.75 |
$267.75 |
$267.75 |
$464.00
|
|
Emg cranial nerve bilateral
|
$143.25 |
$143.25 |
$143.25 |
$500.49
|
|
Emg needle test 1-extremity
|
$107.85 |
$107.85 |
$107.85 |
$334.34
|
|
Emg needle test 4-extremities
|
$346.65 |
$346.65 |
$346.65 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$80.10 |
$80.10 |
$80.10 |
$296.91
|
|
Emr hd pmp elec/combo, rep
|
$46.50 |
$46.50 |
$46.50 |
$255.36
|
|
Emr pwr cbl elec vad, rep
|
$97.35 |
$97.35 |
$97.35 |
$106.40
|
|
Emr pwr source elec vad, rep
|
$318.60 |
$318.60 |
$318.60 |
$837.20
|
|
Encephalitis, california igg/igm
|
$65.25 |
$65.25 |
$65.25 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$65.25 |
$65.25 |
$65.25 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$65.25 |
$65.25 |
$65.25 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$2,094.45 |
$2,094.45 |
$2,094.45 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$1,224.15 |
$1,224.15 |
$1,224.15 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$202.35 |
$202.35 |
$202.35 |
$694.06
|
|
Endo cath panc duct s&i
|
$202.35 |
$202.35 |
$202.35 |
$672.43
|
|
Endoluminal bx biliary tree
|
$1,220.70 |
$1,220.70 |
$1,220.70 |
$2,476.50
|
