|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,104.09 |
$1,104.09 |
$1,104.09 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$688.74 |
$688.74 |
$688.74 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$532.35 |
$532.35 |
$532.35 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$3,215.94 |
$3,215.94 |
$3,215.94 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$3,215.94 |
$3,215.94 |
$3,215.94 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,215.94 |
$3,215.94 |
$3,215.94 |
$2,410.50
|
|
Dynamic surface emg
|
$268.71 |
$268.71 |
$268.71 |
$368.50
|
|
Ear irrigation 69209
|
$149.76 |
$149.76 |
$149.76 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$118.56 |
$118.56 |
$118.56 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$120.12 |
$120.12 |
$120.12 |
$412.88
|
|
Ecg external < 48 hours recording
|
$461.76 |
$461.76 |
$461.76 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$584.22 |
$584.22 |
$584.22 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$58.50 |
$58.50 |
$58.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$96.72 |
$96.72 |
$96.72 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,835.34 |
$1,835.34 |
$1,835.34 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$615.42 |
$615.42 |
$615.42 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$344.76 |
$344.76 |
$344.76 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,070.12 |
$2,070.12 |
$2,070.12 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$615.42 |
$615.42 |
$615.42 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$244.53 |
$244.53 |
$244.53 |
$371.25
|
|
Echo exam of eye
|
$105.30 |
$105.30 |
$105.30 |
$143.75
|
|
Echo exam of eye
|
$161.46 |
$161.46 |
$161.46 |
$172.00
|
|
Echo exam of eye
|
$107.64 |
$107.64 |
$107.64 |
$169.62
|
|
Echo exam of eye thickness
|
$32.37 |
$32.37 |
$32.37 |
$40.30
|
|
Echo exam of fetal heart
|
$405.99 |
$405.99 |
$405.99 |
$904.80
|
|
Echo exam of fetal heart
|
$261.69 |
$261.69 |
$261.69 |
$538.27
|
|
Echo exam of fetal heart
|
$226.20 |
$226.20 |
$226.20 |
$431.41
|
|
Echo exam of fetal heart
|
$423.54 |
$423.54 |
$423.54 |
$318.34
|
|
Echo exam uterus 76831-
|
$448.50 |
$448.50 |
$448.50 |
$561.00
|
|
Echograp trans r pros study
|
$262.86 |
$262.86 |
$262.86 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,201.98 |
$1,201.98 |
$1,201.98 |
$812.00
|
|
Echo guide for amniocentesis
|
$493.35 |
$493.35 |
$493.35 |
$455.57
|
|
Echo guide for artery repair
|
$1,939.47 |
$1,939.47 |
$1,939.47 |
$696.30
|
|
Echo guide for heart biopsy
|
$1,116.57 |
$1,116.57 |
$1,116.57 |
$666.40
|
|
Echo guide for transfusion
|
$497.25 |
$497.25 |
$497.25 |
$332.39
|
|
Echo guide ova aspiration
|
$493.35 |
$493.35 |
$493.35 |
$174.20
|
|
Echo guide villus sampling
|
$139.62 |
$139.62 |
$139.62 |
$362.88
|
|
Echo stress
|
$2,299.44 |
$2,299.44 |
$2,299.44 |
$1,609.44
|
|
Echo tee guidance
|
$1,753.44 |
$1,753.44 |
$1,753.44 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,913.60
|
|
Echo transesophageal
|
$405.60 |
$405.60 |
$405.60 |
$1,075.20
|
|
Echo transesophageal
|
$923.13 |
$923.13 |
$923.13 |
$1,650.00
|
|
Echo transesophageal
|
$473.85 |
$473.85 |
$473.85 |
$603.20
|
|
Echo transesophageal intraop
|
$1,093.17 |
$1,093.17 |
$1,093.17 |
$1,578.00
|
|
Echo transthoracic
|
$1,220.31 |
$1,220.31 |
$1,220.31 |
$1,361.75
|
|
Echo transthoracic
|
$585.39 |
$585.39 |
$585.39 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$661.83 |
$661.83 |
$661.83 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$7,630.74 |
$7,630.74 |
$7,630.74 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$7,242.30 |
$7,242.30 |
$7,242.30 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$13,573.56 |
$13,573.56 |
$13,573.56 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$13,573.56 |
$13,573.56 |
$13,573.56 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$7,346.04 |
$7,346.04 |
$7,346.04 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$8,167.38 |
$8,167.38 |
$8,167.38 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$8,167.38 |
$8,167.38 |
$8,167.38 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$3,672.63 |
$3,672.63 |
$3,672.63 |
$1,282.40
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$3,672.63 |
$3,672.63 |
$3,672.63 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$4,083.69 |
$4,083.69 |
$4,083.69 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$3,672.63 |
$3,672.63 |
$3,672.63 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$3,672.63 |
$3,672.63 |
$3,672.63 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$4,083.69 |
$4,083.69 |
$4,083.69 |
$1,518.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$154.83 |
$154.83 |
$154.83 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$934.05 |
$934.05 |
$934.05 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,203.15 |
$1,203.15 |
$1,203.15 |
$994.15
|
|
Eeg during surgery
|
$260.91 |
$260.91 |
$260.91 |
$775.45
|
|
Eeg monitoring/function test
|
$1,600.95 |
$1,600.95 |
$1,600.95 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$861.12 |
$861.12 |
$861.12 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,215.63 |
$1,215.63 |
$1,215.63 |
$871.00
|
|
Eeg recording awake and asleep
|
$937.95 |
$937.95 |
$937.95 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,233.96 |
$1,233.96 |
$1,233.96 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$441.09 |
$441.09 |
$441.09 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$3,530.67 |
$3,530.67 |
$3,530.67 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$3,530.67 |
$3,530.67 |
$3,530.67 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,233.96 |
$1,233.96 |
$1,233.96 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$3,530.67 |
$3,530.67 |
$3,530.67 |
$1,632.95
|
|
E equine encephalitis igg
|
$131.43 |
$131.43 |
$131.43 |
$51.84
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,105.22 |
$2,105.22 |
$2,105.22 |
$2,244.82
|
|
Egfr gene com variants
|
$3,061.89 |
$3,061.89 |
$3,061.89 |
$672.88
|
|
EKG (Tracing Only)
|
$305.76 |
$305.76 |
$305.76 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$193.05 |
$193.05 |
$193.05 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$261.30 |
$261.30 |
$261.30 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$504.27 |
$504.27 |
$504.27 |
$616.00
|
|
Elec stim unattend for press
|
$140.01 |
$140.01 |
$140.01 |
$95.55
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$576.81 |
$576.81 |
$576.81 |
$618.80
|
|
Electrd sq emblem s-icd
|
$10,160.27 |
$10,160.27 |
$10,160.27 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$92.43 |
$92.43 |
$92.43 |
$87.49
|
|
Electroacous eval hear aid/biaural 92595
|
$55.77 |
$55.77 |
$55.77 |
$97.50
|
|
Electrocochleography
|
$427.44 |
$427.44 |
$427.44 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$4,517.37 |
$4,517.37 |
$4,517.37 |
$1,235.00
|
|
Electrocorticography durng sx
|
$431.73 |
$431.73 |
$431.73 |
$1,642.53
|
|
Electrode stimulation brain
|
$2,265.90 |
$2,265.90 |
$2,265.90 |
$1,203.94
|
|
Electrolyte panel
|
$140.40 |
$140.40 |
$140.40 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$55.38 |
$55.38 |
$55.38 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$73.71 |
$73.71 |
$73.71 |
$160.00
|
|
Electron microscopy diagnostic
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$1,011.98
|
|
Electrophysiologic study
|
$3,384.81 |
$3,384.81 |
$3,384.81 |
$7,493.20
|
|
Electrophysiology evaluation
|
$4,675.71 |
$4,675.71 |
$4,675.71 |
$8,975.40
|
|
Electrophysiology evaluation
|
$7,683.78 |
$7,683.78 |
$7,683.78 |
$10,724.84
|
|
Electrophysiology evaluation
|
$2,187.12 |
$2,187.12 |
$2,187.12 |
$6,760.00
|
|
Electrophysiology evaluation
|
$2,742.09 |
$2,742.09 |
$2,742.09 |
$5,883.66
|