|
Dx gastr intub w/asp spec
|
$474.95 |
$474.95 |
$474.95 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$192.50 |
$192.50 |
$192.50 |
$204.96
|
|
Dx laryngoscopy newborn
|
$245.70 |
$245.70 |
$245.70 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,040.67
|
|
Ear irrigation 69209
|
$189.00 |
$189.00 |
$189.00 |
$165.42
|
|
Ecg 12 lead tracing only
|
$195.65 |
$195.65 |
$195.65 |
$245.00
|
|
Ecg external < 48 hours recording
|
$375.90 |
$375.90 |
$375.90 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$870.10 |
$870.10 |
$870.10 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$86.80 |
$86.80 |
$86.80 |
$162.78
|
|
Echocardiogram (Heart Ultrasound)
|
$1,977.50 |
$1,977.50 |
$1,977.50 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$434.35 |
$434.35 |
$434.35 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,027.90 |
$2,027.90 |
$2,027.90 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$679.70 |
$679.70 |
$679.70 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$662.90 |
$662.90 |
$662.90 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$262.50 |
$262.50 |
$262.50 |
$353.46
|
|
Echo exam uterus 76831-
|
$252.00 |
$252.00 |
$252.00 |
$547.20
|
|
Echo guide for artery repair
|
$942.20 |
$942.20 |
$942.20 |
$680.28
|
|
Echo stress
|
$1,586.90 |
$1,586.90 |
$1,586.90 |
$1,582.75
|
|
Echo tee guidance
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,277.85 |
$1,277.85 |
$1,277.85 |
$1,871.10
|
|
Echo transesophageal intraop
|
$1,277.85 |
$1,277.85 |
$1,277.85 |
$1,571.70
|
|
Echo transthoracic
|
$1,473.15 |
$1,473.15 |
$1,473.15 |
$1,492.50
|
|
Echo transthoracic
|
$662.90 |
$662.90 |
$662.90 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,195.95 |
$1,195.95 |
$1,195.95 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,402.00 |
$3,402.00 |
$3,402.00 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,744.00 |
$2,744.00 |
$2,744.00 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$6,600.30 |
$6,600.30 |
$6,600.30 |
$4,331.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,622.55 |
$2,622.55 |
$2,622.55 |
$1,898.66
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$25,442.29 |
$25,442.29 |
$25,442.29 |
$18,038.06
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$753.20 |
$753.20 |
$753.20 |
$1,049.59
|
|
Eeg during surgery
|
$355.95 |
$355.95 |
$355.95 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$561.40 |
$561.40 |
$561.40 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$705.95 |
$705.95 |
$705.95 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$537.60 |
$537.60 |
$537.60 |
$936.00
|
|
Eeg recording awake and asleep
|
$705.95 |
$705.95 |
$705.95 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$432.60 |
$432.60 |
$432.60 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$322.70 |
$322.70 |
$322.70 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,294.30 |
$1,294.30 |
$1,294.30 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$971.25 |
$971.25 |
$971.25 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$333.90 |
$333.90 |
$333.90 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$648.55 |
$648.55 |
$648.55 |
$1,251.52
|
|
Egd remove foreign body
|
$508.20 |
$508.20 |
$508.20 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,019.55 |
$1,019.55 |
$1,019.55 |
$2,664.75
|
|
Egfr gene com variants
|
$139.65 |
$139.65 |
$139.65 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$179.90 |
$179.90 |
$179.90 |
$619.45
|
|
Electrd sq emblem s-icd
|
$7,764.83 |
$7,764.83 |
$7,764.83 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$80.85 |
$80.85 |
$80.85 |
$81.75
|
|
Electrode stimulation brain
|
$1,974.35 |
$1,974.35 |
$1,974.35 |
$1,180.80
|
|
Electrolyte panel
|
$131.60 |
$131.60 |
$131.60 |
$86.33
|
|
Electrophysiologic study
|
$2,874.55 |
$2,874.55 |
$2,874.55 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,308.50 |
$4,308.50 |
$4,308.50 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,308.50 |
$4,308.50 |
$4,308.50 |
$11,175.42
|
|
Electrophysiology evaluation
|
$214.90 |
$214.90 |
$214.90 |
$7,769.30
|
|
Electrophysiology evaluation
|
$626.85 |
$626.85 |
$626.85 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,600.55 |
$1,600.55 |
$1,600.55 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$2,803.20
|
|
Electrophysiology evaluation
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$3,204.25 |
$3,204.25 |
$3,204.25 |
$6,534.00
|
|
Embolization s&i
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$8,821.40 |
$8,821.40 |
$8,821.40 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$9,095.45 |
$9,095.45 |
$9,095.45 |
$6,962.27
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$6,852.65 |
$6,852.65 |
$6,852.65 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$242.20 |
$242.20 |
$242.20 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$408.10 |
$408.10 |
$408.10 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$497.35 |
$497.35 |
$497.35 |
$487.20
|
|
Emg cranial nerve bilateral
|
$247.10 |
$247.10 |
$247.10 |
$518.00
|
|
Emg needle test 1-extremity
|
$324.10 |
$324.10 |
$324.10 |
$342.24
|
|
Emg needle test 4-extremities
|
$570.50 |
$570.50 |
$570.50 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$121.10 |
$121.10 |
$121.10 |
$309.83
|
|
Endo cath bile duct s&i
|
$656.25 |
$656.25 |
$656.25 |
$612.37
|
|
Endoluminal bx biliary tree
|
$332.50 |
$332.50 |
$332.50 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$643.65 |
$643.65 |
$643.65 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$320.60 |
$320.60 |
$320.60 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$201.25 |
$201.25 |
$201.25 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,872.59
|
|
Endovasc rpr a-biiliac endogft 34705
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$22,518.65 |
$22,518.65 |
$22,518.65 |
$11,261.25
|
|
Endovasc visc aorta 2 graft
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$13,279.50
|
|
Endovas iliac a device addon
|
$2,702.70 |
$2,702.70 |
$2,702.70 |
$1,764.36
|
|
Endoven ther chem adhes 1st 36482
|
$15,193.50 |
$15,193.50 |
$15,193.50 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$7,598.15 |
$7,598.15 |
$7,598.15 |
$3,800.23
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$116.08 |
$116.08 |
$116.08 |
$121.63
|
|
Enzyme histochemistry
|
$479.85 |
$479.85 |
$479.85 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$22,008.00 |
$22,008.00 |
$22,008.00 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$25,848.20 |
$25,848.20 |
$25,848.20 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$754.60 |
$754.60 |
$754.60 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,728.65 |
$1,728.65 |
$1,728.65 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1,082.45 |
$1,082.45 |
$1,082.45 |
$450.94
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,135.25 |
$4,135.25 |
$4,135.25 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$337.77 |
$337.77 |
$337.77 |
$918.00
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$39.83 |
$39.83 |
$39.83 |
$136.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$221.48 |
$221.48 |
$221.48 |
$363.57
|
|
Ercp biliary & pancreas
|
$656.25 |
$656.25 |
$656.25 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$465.97 |
$465.97 |
$465.97 |
$364.08
|
|
ER Visit (level 1, minor)
|
$245.00 |
$245.00 |
$245.00 |
$276.70
|
