|
Ear irrigation 69209
|
$56.76 |
$56.76 |
$56.76 |
$150.00
|
|
Ecg 12 lead tracing only
|
$126.72 |
$126.72 |
$126.72 |
$226.20
|
|
Ecg/1-3 leads/interp & report only 93042
|
$17.16 |
$17.16 |
$17.16 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$18.48 |
$18.48 |
$18.48 |
$132.03
|
|
Ecg < 30 days transmission & analysis
|
$345.18 |
$345.18 |
$345.18 |
$466.20
|
|
Ecg external < 48 hours recording
|
$402.60 |
$402.60 |
$402.60 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$420.42 |
$420.42 |
$420.42 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$89.76 |
$89.76 |
$89.76 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$124.08 |
$124.08 |
$124.08 |
$161.85
|
|
Ecg record/review
|
$450.12 |
$450.12 |
$450.12 |
$251.20
|
|
Ecg/review interpret only
|
$42.90 |
$42.90 |
$42.90 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,851.96 |
$1,851.96 |
$1,851.96 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$427.02 |
$427.02 |
$427.02 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$176.88 |
$176.88 |
$176.88 |
$1,931.25
|
|
Echocardiography transthoracic 2d followup/limited
|
$671.22 |
$671.22 |
$671.22 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$63.36 |
$63.36 |
$63.36 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$222.42 |
$222.42 |
$222.42 |
$370.50
|
|
Echo exam of eye
|
$79.86 |
$79.86 |
$79.86 |
$172.00
|
|
Echo exam of eye thickness
|
$29.70 |
$29.70 |
$29.70 |
$40.30
|
|
Echo exam of fetal heart
|
$71.94 |
$71.94 |
$71.94 |
$431.41
|
|
Echo exam uterus 76831-
|
$89.76 |
$89.76 |
$89.76 |
$552.03
|
|
Echograp trans r pros study
|
$199.32 |
$199.32 |
$199.32 |
$466.20
|
|
Echo guide for amniocentesis
|
$47.52 |
$47.52 |
$47.52 |
$446.60
|
|
Echo guide for artery repair
|
$696.30 |
$696.30 |
$696.30 |
$687.35
|
|
Echo stress
|
$1,285.68 |
$1,285.68 |
$1,285.68 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,732.30 |
$3,732.30 |
$3,732.30 |
$1,885.56
|
|
Echo transesophageal
|
$69.30 |
$69.30 |
$69.30 |
$1,087.90
|
|
Echo transesophageal
|
$601.26 |
$601.26 |
$601.26 |
$602.00
|
|
Echo transesophageal
|
$321.42 |
$321.42 |
$321.42 |
$1,559.35
|
|
Echo transthoracic
|
$857.34 |
$857.34 |
$857.34 |
$1,361.75
|
|
Echo transthoracic
|
$648.78 |
$648.78 |
$648.78 |
$986.06
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$557.04 |
$557.04 |
$557.04 |
$1,020.09
|
|
Ecmo/ecls initiation venous 33946
|
$657.36 |
$657.36 |
$657.36 |
$3,988.60
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$500.94 |
$500.94 |
$500.94 |
$1,362.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$70.62 |
$70.62 |
$70.62 |
$90.26
|
|
Eeg 41-60 minutes 95812-26
|
$330.00 |
$330.00 |
$330.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$385.44 |
$385.44 |
$385.44 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$671.22 |
$671.22 |
$671.22 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$382.80 |
$382.80 |
$382.80 |
$1,092.60
|
|
Eeg/record in coma or sleep only 95822
|
$284.46 |
$284.46 |
$284.46 |
$865.00
|
|
Eeg recording awake and asleep
|
$893.64 |
$893.64 |
$893.64 |
$918.40
|
|
Egd balloon dil esoph30 mm/>
|
$504.90 |
$504.90 |
$504.90 |
$2,234.01
|
|
Egd control bleeding any
|
$446.82 |
$446.82 |
$446.82 |
$2,553.75
|
|
Egd dilate stricture
|
$391.38 |
$391.38 |
$391.38 |
$2,244.82
|
|
Egd endo mucosal resection
|
$599.94 |
$599.94 |
$599.94 |
$2,430.40
|
|
Egd endoscopic stent place
|
$481.80 |
$481.80 |
$481.80 |
$3,786.00
|
|
Egd guide wire insertion
|
$370.26 |
$370.26 |
$370.26 |
$1,664.00
|
|
Egd injection varices
|
$526.02 |
$526.02 |
$526.02 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$317.46 |
$317.46 |
$317.46 |
$2,234.01
|
|
Egd lesion ablation
|
$499.62 |
$499.62 |
$499.62 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$374.88 |
$374.88 |
$374.88 |
$2,372.30
|
|
Egd remove foreign body
|
$392.70 |
$392.70 |
$392.70 |
$1,548.00
|
|
Egd remove lesion snare
|
$1,144.44 |
$1,144.44 |
$1,144.44 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$378.18 |
$378.18 |
$378.18 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$503.58 |
$503.58 |
$503.58 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$517.44 |
$517.44 |
$517.44 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$583.44 |
$583.44 |
$583.44 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$583.44 |
$583.44 |
$583.44 |
$3,127.50
|
|
Egd varices ligation
|
$544.50 |
$544.50 |
$544.50 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$867.24 |
$867.24 |
$867.24 |
$4,379.25
|
|
Ehrlicha chaffeensis amp prb
|
$19.90 |
$19.90 |
$19.90 |
$93.00
|
|
EKG (Electrocardiogram)
|
$38.28 |
$38.28 |
$38.28 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$157.08 |
$157.08 |
$157.08 |
$37.60
|
|
Elbow arthroscopy
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,156.98 |
$1,156.98 |
$1,156.98 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,191.30 |
$1,191.30 |
$1,191.30 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$1,366.86 |
$1,366.86 |
$1,366.86 |
$7,907.11
|
|
Elbow arthroscopy/surgery
|
$1,213.08 |
$1,213.08 |
$1,213.08 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,385.34 |
$1,385.34 |
$1,385.34 |
$2,916.80
|
|
Elec analys infus pump w/reprog 62368
|
$102.96 |
$102.96 |
$102.96 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$73.26 |
$73.26 |
$73.26 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$217.14 |
$217.14 |
$217.14 |
$618.80
|
|
Electrical stimulation/unattended 97014
|
$65.34 |
$65.34 |
$65.34 |
$81.00
|
|
Electric stim/w chemodenervation 95873
|
$117.48 |
$117.48 |
$117.48 |
$166.40
|
|
Electrolyte panel
|
$42.90 |
$42.90 |
$42.90 |
$78.28
|
|
Electrophysiology evaluation
|
$585.42 |
$585.42 |
$585.42 |
$8,979.45
|
|
Electrophysiology evaluation
|
$468.60 |
$468.60 |
$468.60 |
$2,504.00
|
|
Embedded ip cath exit-site 49436
|
$417.78 |
$417.78 |
$417.78 |
$3,226.64
|
|
Embolization s&i
|
$178.20 |
$178.20 |
$178.20 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$1,017.06 |
$1,017.06 |
$1,017.06 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$1,435.50 |
$1,435.50 |
$1,435.50 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$14,633.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$2,141.04 |
$2,141.04 |
$2,141.04 |
$7,651.38
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$1,995.84 |
$1,995.84 |
$1,995.84 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$112.86 |
$112.86 |
$112.86 |
$290.55
|
|
Emb without cervical dilation 58100
|
$231.00 |
$231.00 |
$231.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$261.36 |
$261.36 |
$261.36 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$356.40 |
$356.40 |
$356.40 |
$482.35
|
|
Emg cranial nerve bilateral
|
$212.52 |
$212.52 |
$212.52 |
$517.84
|
|
Emg needle test 1-extremity
|
$187.44 |
$187.44 |
$187.44 |
$341.60
|
|
Emg needle test 4-extremities
|
$376.20 |
$376.20 |
$376.20 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$156.42 |
$156.42 |
$156.42 |
$300.60
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$594.00 |
$594.00 |
$594.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,422.20 |
$2,422.20 |
$2,422.20 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$101.64 |
$101.64 |
$101.64 |
$694.06
|
|
Endo cath panc duct s&i
|
$81.18 |
$81.18 |
$81.18 |
$670.03
|
|
Endocerv curettage w/scope 57456
|
$349.14 |
$349.14 |
$349.14 |
$474.65
|
|
Endocervical curettage 57505
|
$359.70 |
$359.70 |
$359.70 |
$1,058.40
|
|
Endo cholangiopancreatograph
|
$749.10 |
$749.10 |
$749.10 |
$4,211.08
|
|
Endo cholangiopancreatograph
|
$790.68 |
$790.68 |
$790.68 |
$4,214.73
|
