|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$3,099.00
|
|
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 cent cannula 6yrs&older 33986
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$1,282.40
|
|
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
|
$1,769.30 |
$1,769.30 |
$1,769.30 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,220.80
|
|
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
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$508.79 |
$508.79 |
$508.79 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$3,039.48 |
$3,039.48 |
$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 |
$2,026.70 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$994.15
|
|
Eeg during surgery
|
$969.15 |
$969.15 |
$969.15 |
$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 |
$2,054.65 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$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>60<84 hr without vid
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$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 |
$2,054.65 |
$871.00
|
|
Eeg recording awake and asleep
|
$2,054.65 |
$2,054.65 |
$2,054.65 |
$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 without vid ea 12-26hr cont
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,584.70
|
|
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/>
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd control bleeding any
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,553.75
|
|
Egd dilate stricture
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,394.60
|
|
Egd endo mucosal resection
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,430.40
|
|
Egd endoscopic stent place
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$38,912.25 |
$38,912.25 |
$38,912.25 |
$7,229.60
|
|
Egd flx trnsorl dplmnt balo
|
$808.60 |
$808.60 |
$808.60 |
$2,638.57
|
|
Egd flx trnsorl rmvl balo
|
$728.00 |
$728.00 |
$728.00 |
$1,247.13
|
|
Egd guide wire insertion
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,664.00
|
|
Egd injection varices
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd lesion ablation
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,354.48
|
|
Egd optical endomicroscopy
|
$846.30 |
$846.30 |
$846.30 |
$2,372.30
|
|
Egd remove foreign body
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,571.40
|
|
Egd remove lesion snare
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$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
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$3,333.85
|
|
Egd varices ligation
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$4,379.25
|
|
Egfr gene com variants
|
$851.50 |
$851.50 |
$851.50 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$63.05 |
$63.05 |
$63.05 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$52.00 |
$52.00 |
$52.00 |
$48.57
|
|
EKG (Electrocardiogram)
|
$337.35 |
$337.35 |
$337.35 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$48.75 |
$48.75 |
$48.75 |
$37.60
|
|
EKG interpret & report preve g0405
|
$48.75 |
$48.75 |
$48.75 |
$19.20
|
|
EKG tracing for initial prev
|
$181.35 |
$181.35 |
$181.35 |
$81.76
|
|
EKG (Tracing Only)
|
$278.20 |
$278.20 |
$278.20 |
$226.50
|
|
Elbow arthroscopy
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$8,412.89
|
|
Elbow arthroscopy/surgery
|
$1,822.60 |
$1,822.60 |
$1,822.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$3,545.97
|
|
Elbow X-ray (2 views, both sides)
|
$535.60 |
$535.60 |
$535.60 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$538.20 |
$538.20 |
$538.20 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$616.00
|
|
Elec stim unattend for press
|
$119.60 |
$119.60 |
$119.60 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,680.90 |
$1,680.90 |
$1,680.90 |
$618.80
|
|
Electrd sq emblem s-icd
|
$14,014.00 |
$14,014.00 |
$14,014.00 |
$10,243.24
|
|
Electrical bone stim 20974
|
$161.20 |
$161.20 |
$161.20 |
$61.91
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$194.35 |
$194.35 |
$194.35 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$143.65 |
$143.65 |
$143.65 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$167.05 |
$167.05 |
$167.05 |
$166.40
|
|
Electrocochleography
|
$508.95 |
$508.95 |
$508.95 |
$427.44
|
|
Electrocorticography durng sx
|
$3,976.05 |
$3,976.05 |
$3,976.05 |
$1,642.53
|
|
Electrode stimulation brain
|
$6,475.95 |
$6,475.95 |
$6,475.95 |
$1,203.94
|
|
Electrogastrography
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$768.00
|
|
Electrolyte panel
|
$93.60 |
$93.60 |
$93.60 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$291.85 |
$291.85 |
$291.85 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$514.15 |
$514.15 |
$514.15 |
$160.00
|
