|
Ecg external < 48 hours recording
|
$601.90 |
$601.90 |
$3,677.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$487.50 |
$487.50 |
$487.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$213.20 |
$213.20 |
$213.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$213.20 |
$213.20 |
$213.20 |
$173.40
|
|
Ecg record/review
|
$135.20 |
$135.20 |
$135.20 |
$371.28
|
|
Ecg/review interpret only
|
$135.20 |
$135.20 |
$135.20 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,978.95 |
$2,978.95 |
$3,564.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,281.15 |
$1,281.15 |
$3,690.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$886.60 |
$886.60 |
$3,878.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,691.35 |
$3,691.35 |
$3,691.35 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,608.10 |
$1,608.10 |
$1,608.10 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$487.50 |
$487.50 |
$487.50 |
$371.25
|
|
Echo exam of eye
|
$596.70 |
$596.70 |
$596.70 |
$143.75
|
|
Echo exam of eye
|
$596.70 |
$596.70 |
$596.70 |
$172.00
|
|
Echo exam of eye thickness
|
$137.15 |
$137.15 |
$137.15 |
$40.30
|
|
Echo exam of fetal heart
|
$3,508.05 |
$3,508.05 |
$3,508.05 |
$904.80
|
|
Echo exam of fetal heart
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$538.27
|
|
Echo exam of fetal heart
|
$747.50 |
$747.50 |
$747.50 |
$431.41
|
|
Echo exam of fetal heart
|
$596.70 |
$596.70 |
$596.70 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,542.45 |
$1,542.45 |
$1,923.00 |
$561.00
|
|
Echograp trans r pros study
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,316.90 |
$1,316.90 |
$10,714.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$396.50 |
$396.50 |
$4,510.00 |
$455.57
|
|
Echo guide for artery repair
|
$2,263.30 |
$2,263.30 |
$2,412.00 |
$696.30
|
|
Echo guide for heart biopsy
|
$680.55 |
$680.55 |
$680.55 |
$666.40
|
|
Echo guide for transfusion
|
$936.65 |
$936.65 |
$936.65 |
$332.39
|
|
Echo guide ova aspiration
|
$174.20 |
$174.20 |
$174.20 |
$174.20
|
|
Echo guide villus sampling
|
$368.55 |
$368.55 |
$368.55 |
$362.88
|
|
Echo stress
|
$2,978.95 |
$2,978.95 |
$11,420.00 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$171.60 |
$171.60 |
$171.60 |
$751.34
|
|
Echo tee guidance
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,219.45 |
$3,219.45 |
$3,893.00 |
$1,913.60
|
|
Echo transesophageal
|
$74.10 |
$74.10 |
$10,600.00 |
$1,075.20
|
|
Echo transesophageal
|
$1,817.40 |
$1,817.40 |
$1,817.40 |
$602.00
|
|
Echo transesophageal
|
$769.60 |
$769.60 |
$769.60 |
$1,650.00
|
|
Echo transesophageal
|
$526.50 |
$526.50 |
$526.50 |
$603.20
|
|
Echo transesophageal intraop
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,578.00
|
|
Echo transthoracic
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,361.75
|
|
Echo transthoracic
|
$2,776.15 |
$2,776.15 |
$6,552.00 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,392.95 |
$1,392.95 |
$4,407.00 |
$1,033.00
|
|
Ecmo/ecls initiation artery 33947
|
$2,239.90 |
$2,239.90 |
$2,239.90 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,027.35 |
$2,027.35 |
$2,027.35 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$2,368.60 |
$2,368.60 |
$2,368.60 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,171.65 |
$2,171.65 |
$2,171.65 |
$2,660.16
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,660.50
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$912.60 |
$912.60 |
$912.60 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$514.80 |
$514.80 |
$514.80 |
$148.40
|
|
E coli 0157 ag ia
|
$24.70 |
$24.70 |
$24.70 |
$71.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$508.79 |
$508.79 |
$508.79 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$1,197.00 |
$1,197.00 |
$3,039.48 |
$8,739.98
|
|
Ed svc ckd grp per session
|
$143.00 |
$143.00 |
$143.00 |
$58.40
|
|
Ed svc ckd ind per session
|
$606.45 |
$606.45 |
$606.45 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$102.70 |
$102.70 |
$102.70 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$2,026.70 |
$2,026.70 |
$4,923.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,166.80 |
$3,166.80 |
$5,355.00 |
$994.15
|
|
Eeg during surgery
|
$1,231.75 |
$1,231.75 |
$1,231.75 |
$775.45
|
|
Eeg monitoring/function test
|
$6,806.15 |
$6,806.15 |
$6,806.15 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$3,675.10 |
$3,675.10 |
$3,675.10 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,054.65 |
$2,054.65 |
$5,550.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,169.70 |
$2,169.70 |
$4,742.00 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$1,456.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$2,167.75 |
$2,167.75 |
$2,167.75 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$572.00 |
$572.00 |
$572.00 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$715.00 |
$715.00 |
$715.00 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$858.00 |
$858.00 |
$858.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$2,054.65 |
$2,054.65 |
$3,432.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$2,054.65 |
$2,054.65 |
$4,742.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$721.76
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,745.90 |
$1,745.90 |
$1,745.90 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,632.95
|
|
E equine encephalitis igg
|
$36.40 |
$36.40 |
$36.40 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$738.76 |
$738.76 |
$738.76 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$1,058.20 |
$1,058.20 |
$1,058.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,553.75
|
|
Egd dilate stricture
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,394.60
|
|
Egd endo mucosal resection
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$2,430.40
|
|
Egd endoscopic stent place
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$7,229.60
|
|
Egd flx trnsorl rmvl balo
|
$728.00 |
$728.00 |
$728.00 |
$1,247.13
|
|
Egd guide wire insertion
|
$832.00 |
$832.00 |
$832.00 |
$1,664.00
|
|
Egd injection varices
|
$1,221.35 |
$1,221.35 |
$1,221.35 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd lesion ablation
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$2,354.48
|
|
Egd remove foreign body
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,571.40
|
|
Egd remove lesion snare
|
$992.55 |
$992.55 |
$992.55 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$849.55 |
$849.55 |
$849.55 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$3,333.85
|
|
Egd varices ligation
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$2,244.82
|
