|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$593.60 |
$593.60 |
$593.60 |
$1,362.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$576.80 |
$576.80 |
$576.80 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$576.80 |
$576.80 |
$576.80 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$520.80 |
$520.80 |
$520.80 |
$1,073.80
|
|
Ecog impltd brn npgt <30 d
|
$148.40 |
$148.40 |
$148.40 |
$148.40
|
|
E coli 0157 ag ia
|
$113.12 |
$113.12 |
$113.12 |
$71.50
|
|
Ecp ciliary body destruction
|
$7,184.80 |
$7,184.80 |
$7,184.80 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$21,043.39 |
$21,043.39 |
$21,043.39 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$9,412.29 |
$9,412.29 |
$9,412.29 |
$8,672.81
|
|
Edetate disodium per 150 mg
|
$221.20 |
$221.20 |
$221.20 |
$221.20
|
|
Ed svc ckd grp per session
|
$110.88 |
$110.88 |
$110.88 |
$58.40
|
|
Ed svc ckd ind per session
|
$464.80 |
$464.80 |
$464.80 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$101.92 |
$101.92 |
$101.92 |
$90.26
|
|
Eeg 41-60 minutes 95812-26
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$322.65 |
$322.65 |
$1,607.20 |
$970.07
|
|
Eeg during surgery
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$775.45
|
|
Eeg monitoring/function test
|
$3,029.60 |
$3,029.60 |
$3,029.60 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$617.25 |
$617.25 |
$1,523.20 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$3,584.00 |
$3,584.00 |
$3,584.00 |
$1,100.40
|
|
Eeg phy/qhp>36<60 hr without vid
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$2,072.80
|
|
Eeg phy/qhp ea incr w/veeg
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr without vid
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$553.80
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$586.80
|
|
Eeg phys/qhp ea incr without vid
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$470.70 |
$470.70 |
$1,629.60 |
$865.00
|
|
Eeg recording awake and asleep
|
$705.60 |
$705.60 |
$1,674.40 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$1,402.50
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,228.80 |
$2,228.80 |
$2,228.80 |
$1,591.10
|
|
E equine encephalitis igg
|
$1.76 |
$1.76 |
$33.60 |
$50.88
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$11,034.94 |
$11,034.94 |
$11,034.94 |
$12,999.80
|
|
Egd balloon dil esoph30 mm/>
|
$6,714.40 |
$6,714.40 |
$6,714.40 |
$2,234.01
|
|
Egd control bleeding any
|
$111.00 |
$111.00 |
$4,138.40 |
$2,553.75
|
|
Egd dilate stricture
|
$97.05 |
$97.05 |
$7,145.60 |
$2,244.82
|
|
Egd endo mucosal resection
|
$2,430.40 |
$2,430.40 |
$2,430.40 |
$2,430.40
|
|
Egd endoscopic stent place
|
$119.55 |
$119.55 |
$3,673.60 |
$3,786.00
|
|
Egd esophagogastrc fndoplsty
|
$7,229.60 |
$7,229.60 |
$7,229.60 |
$7,229.60
|
|
Egd flx trnsorl dplmnt balo
|
$3,679.20 |
$3,679.20 |
$3,679.20 |
$2,244.82
|
|
Egd flx trnsorl rmvl balo
|
$2,391.20 |
$2,391.20 |
$2,391.20 |
$1,109.47
|
|
Egd guide wire insertion
|
$3,018.40 |
$3,018.40 |
$3,018.40 |
$1,664.00
|
|
Egd injection varices
|
$3,522.40 |
$3,522.40 |
$3,522.40 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$4,216.80 |
$4,216.80 |
$4,216.80 |
$2,234.01
|
|
Egd lesion ablation
|
$124.05 |
$124.05 |
$4,205.60 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$3,354.40 |
$3,354.40 |
$3,354.40 |
$2,372.30
|
|
Egd remove foreign body
|
$894.90 |
$894.90 |
$3,371.20 |
$1,548.00
|
|
Egd remove lesion snare
|
$108.45 |
$108.45 |
$3,332.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$93.90 |
$93.90 |
$6,490.40 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,606.40 |
$3,606.40 |
$3,606.40 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$6,188.00 |
$6,188.00 |
$6,188.00 |
$3,127.50
|
|
Egd varices ligation
|
$135.15 |
$135.15 |
$5,986.40 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$5,499.20 |
$5,499.20 |
$5,499.20 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$7,162.40 |
$7,162.40 |
$7,162.40 |
$4,379.25
|
|
Egfr gene com variants
|
$47.25 |
$47.25 |
$834.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$4.52 |
$4.52 |
$68.88 |
$93.00
|
|
EKG (Electrocardiogram)
|
$47.85 |
$47.85 |
$89.60 |
$89.60
|
|
EKG tracing for initial prev
|
$81.76 |
$81.76 |
$81.76 |
$81.76
|
|
Elb disart prosth tiss shap
|
$4,242.00 |
$4,242.00 |
$4,242.00 |
$4,242.00
|
|
Elb mold sock flex hinge pad
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$2,363.20
|
|
Elbow arthroscopy
|
$8,013.60 |
$8,013.60 |
$8,013.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$10,040.80 |
$10,040.80 |
$10,040.80 |
$7,907.11
|
|
Elbow arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$2,916.80
|
|
Elbow inter loc elbow forarm
|
$4,026.40 |
$4,026.40 |
$4,026.40 |
$4,026.40
|
|
Elbow mold doub splt soc ste
|
$3,474.80 |
$3,474.80 |
$3,474.80 |
$3,474.80
|
|
Elbow mold outsid lock hinge
|
$4,090.80 |
$4,090.80 |
$4,090.80 |
$4,090.80
|
|
Elbow mold sock suspension t
|
$3,060.40 |
$3,060.40 |
$3,060.40 |
$3,060.40
|
|
Elbow socket ins use without lck
|
$736.40 |
$736.40 |
$736.40 |
$736.40
|
|
Elbow socket ins use w/lock
|
$882.00 |
$882.00 |
$882.00 |
$882.00
|
|
Elbow stump activated lock h
|
$3,880.80 |
$3,880.80 |
$3,880.80 |
$3,880.80
|
|
Elec analys infus pump w/reprog 62368
|
$298.80 |
$298.80 |
$957.60 |
$606.10
|
|
Elec hand ind art digits
|
$29,087.52 |
$29,087.52 |
$29,087.52 |
$29,087.52
|
|
Elec knee-shin swing/stance
|
$26,493.60 |
$26,493.60 |
$26,493.60 |
$26,493.60
|
|
Elec stim unattend for press
|
$41.44 |
$41.44 |
$41.44 |
$89.10
|
|
Elect analysis of infusion pump 62367
|
$862.40 |
$862.40 |
$862.40 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$873.60 |
$873.60 |
$873.60 |
$618.80
|
|
Electrd sq emblem s-icd
|
$2,246.40 |
$2,246.40 |
$48,300.00 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$35.55 |
$35.55 |
$85.12 |
$81.00
|
|
Electric stim/w chemodenervation 95873
|
$347.20 |
$347.20 |
$347.20 |
$166.40
|
|
Electrocochleography
|
$756.00 |
$756.00 |
$756.00 |
$423.87
|
|
Electroconvulsive therapy 90870
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$1,296.90
|
|
Electrocorticography durng sx
|
$5,762.40 |
$5,762.40 |
$5,762.40 |
$1,642.53
|
|
Electrodes, pair
|
$15.12 |
$15.12 |
$15.12 |
$15.12
|
|
Electrode stimulation brain
|
$2,940.00 |
$2,940.00 |
$2,940.00 |
$1,180.80
|
|
Electroejaculation
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$1,030.40
|