|
Dstrj nulyt agt gnclr nrv
|
$2,012.89 |
$2,012.89 |
$2,012.89 |
$3,390.00
|
|
Dup scan/hemodialysis access 93990
|
$459.25 |
$459.25 |
$459.25 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$916.78 |
$916.78 |
$916.78 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$10,163.72 |
$10,163.72 |
$10,163.72 |
$13,812.34
|
|
Dx bronchoscope/brush 31623
|
$755.85 |
$755.85 |
$755.85 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$856.00 |
$856.00 |
$856.00 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,270.54 |
$2,270.54 |
$2,270.54 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$400.18 |
$400.18 |
$400.18 |
$368.50
|
|
Ecallantide injection
|
$13,610.40 |
$13,610.40 |
$13,610.40 |
$6,745.86
|
|
Ecg 12 lead tracing only
|
$466.10 |
$466.10 |
$466.10 |
$245.00
|
|
Ecg external < 48 hours recording
|
$431.43 |
$431.43 |
$431.43 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$431.43 |
$431.43 |
$431.43 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,912.74 |
$1,912.74 |
$1,912.74 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$580.80 |
$580.80 |
$580.80 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,524.78 |
$2,524.78 |
$2,524.78 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$767.84 |
$767.84 |
$767.84 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$906.51 |
$906.51 |
$906.51 |
$762.00
|
|
Echo exam of fetal heart
|
$1,286.14 |
$1,286.14 |
$1,286.14 |
$855.38
|
|
Echo exam of fetal heart
|
$977.13 |
$977.13 |
$977.13 |
$503.80
|
|
Echo exam of fetal heart
|
$554.69 |
$554.69 |
$554.69 |
$431.41
|
|
Echo exam of fetal heart
|
$495.63 |
$495.63 |
$495.63 |
$323.40
|
|
Echo exam uterus 76831-
|
$423.72 |
$423.72 |
$423.72 |
$547.20
|
|
Echo guide for amniocentesis
|
$240.54 |
$240.54 |
$240.54 |
$384.65
|
|
Echo guide for transfusion
|
$482.79 |
$482.79 |
$482.79 |
$324.60
|
|
Echo guide villus sampling
|
$333.84 |
$333.84 |
$333.84 |
$355.80
|
|
Echo stress
|
$1,081.56 |
$1,081.56 |
$1,081.56 |
$1,582.75
|
|
Echo tee guidance
|
$701.07 |
$701.07 |
$701.07 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,584.46 |
$1,584.46 |
$1,584.46 |
$1,871.10
|
|
Echo transthoracic
|
$1,510.84 |
$1,510.84 |
$1,510.84 |
$1,492.50
|
|
Echo transthoracic
|
$1,072.57 |
$1,072.57 |
$1,072.57 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$783.24 |
$783.24 |
$783.24 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,243.58 |
$2,243.58 |
$2,243.58 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,243.58 |
$2,243.58 |
$2,243.58 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$3,899.51 |
$3,899.51 |
$3,899.51 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,016.36 |
$4,016.36 |
$4,016.36 |
$4,324.50
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$251.67 |
$251.67 |
$251.67 |
$1,158.70
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$251.67 |
$251.67 |
$251.67 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$251.67 |
$251.67 |
$251.67 |
$925.55
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$251.67 |
$251.67 |
$251.67 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$251.67 |
$251.67 |
$251.67 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$251.67 |
$251.67 |
$251.67 |
$4,331.00
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$276.49 |
$276.49 |
$276.49 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$276.49 |
$276.49 |
$276.49 |
$1,394.09
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$318.01 |
$318.01 |
$318.01 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$289.33 |
$289.33 |
$289.33 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$318.01 |
$318.01 |
$318.01 |
$1,624.70
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$289.33 |
$289.33 |
$289.33 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$251.67 |
$251.67 |
$251.67 |
$1,128.60
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$251.67 |
$251.67 |
$251.67 |
$925.55
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$251.67 |
$251.67 |
$251.67 |
$925.55
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$251.67 |
$251.67 |
$251.67 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$251.67 |
$251.67 |
$251.67 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$251.67 |
$251.67 |
$251.67 |
$1,802.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$18,199.20
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$62.92 |
$62.92 |
$62.92 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$646.28 |
$646.28 |
$646.28 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$347.97 |
$347.97 |
$347.97 |
$1,049.59
|
|
Eeg during surgery
|
$65.49 |
$65.49 |
$65.49 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$695.50 |
$695.50 |
$695.50 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$646.28 |
$646.28 |
$646.28 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$525.59 |
$525.59 |
$525.59 |
$936.00
|
|
Eeg recording awake and asleep
|
$695.50 |
$695.50 |
$695.50 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$328.28 |
$328.28 |
$328.28 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$328.28 |
$328.28 |
$328.28 |
$586.20
|
|
Eeg without vid ea 12-26hr intmt
|
$630.88 |
$630.88 |
$630.88 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$328.28 |
$328.28 |
$328.28 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$630.88 |
$630.88 |
$630.88 |
$1,251.52
|
|
E equine encephalitis igg
|
$7.43 |
$7.43 |
$7.43 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$17,246.41
|
|
Egfr gene com variants
|
$134.82 |
$134.82 |
$134.82 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$17.12 |
$17.12 |
$17.12 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$350.11 |
$350.11 |
$350.11 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$483.22 |
$483.22 |
$483.22 |
$535.43
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$353.96 |
$353.96 |
$353.96 |
$576.81
|
|
Electrd sq emblem s-icd
|
$10,163.72 |
$10,163.72 |
$10,163.72 |
$9,319.72
|
|
Electrolyte panel
|
$139.53 |
$139.53 |
$139.53 |
$86.33
|
|
Electron microscopy diagnostic
|
$629.34 |
$629.34 |
$629.34 |
$966.69
|
|
Electrophysiologic study
|
$6,530.86 |
$6,530.86 |
$6,530.86 |
$6,758.40
|
|
Electrophysiology evaluation
|
$7,137.33 |
$7,137.33 |
$7,137.33 |
$8,979.45
|
|
Electrophysiology evaluation
|
$11,309.90 |
$11,309.90 |
$11,309.90 |
$11,175.42
|
|
Electrophysiology evaluation
|
$439.13 |
$439.13 |
$439.13 |
$7,769.30
|
|
Electrophysiology evaluation
|
$658.70 |
$658.70 |
$658.70 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,456.92 |
$1,456.92 |
$1,456.92 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,724.42 |
$1,724.42 |
$1,724.42 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$2,050.12 |
$2,050.12 |
$2,050.12 |
$6,534.00
|
|
Elotuzumab 300 mg intravenous solution
|
$12,162.05 |
$12,162.05 |
$12,162.05 |
$8,397.94
|
|
Embolization s&i
|
$1,494.58 |
$1,494.58 |
$1,494.58 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$18,949.70 |
$18,949.70 |
$18,949.70 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$18,588.90 |
$18,588.90 |
$18,588.90 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,047.48 |
$18,047.48 |
$18,047.48 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$18,047.48 |
$18,047.48 |
$18,047.48 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$157.94 |
$157.94 |
$157.94 |
$434.00
|
|
Encephalitis, california igg/igm
|
$7.43 |
$7.43 |
$7.43 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$7.43 |
$7.43 |
$7.43 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$7.43 |
$7.43 |
$7.43 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,298.17 |
$3,298.17 |
$3,298.17 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,298.17 |
$3,298.17 |
$3,298.17 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,157.32 |
$1,157.32 |
$1,157.32 |
$612.37
|
|
Endo cath panc duct s&i
|
$1,157.32 |
$1,157.32 |
$1,157.32 |
$645.00
|
|
Endoluminal bx biliary tree
|
$1,001.10 |
$1,001.10 |
$1,001.10 |
$2,476.50
|