|
Dxa bone density axl vrt fx
|
$152.74 |
$152.74 |
$152.74 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,936.14 |
$1,936.14 |
$1,936.14 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,680.10 |
$1,680.10 |
$1,680.10 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,125.99 |
$1,125.99 |
$1,125.99 |
$2,587.60
|
|
Ecg 12 lead tracing only
|
$243.61 |
$243.61 |
$243.61 |
$245.00
|
|
Ecg external < 48 hours recording
|
$232.66 |
$232.66 |
$232.66 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$596.15 |
$596.15 |
$596.15 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$56.84 |
$56.84 |
$56.84 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$94.72 |
$94.72 |
$94.72 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$850.41 |
$850.41 |
$850.41 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$312.58 |
$312.58 |
$312.58 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,190.52 |
$1,190.52 |
$1,190.52 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$575.43 |
$575.43 |
$575.43 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$811.34 |
$811.34 |
$811.34 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$231.18 |
$231.18 |
$231.18 |
$353.46
|
|
Echograp trans r pros study
|
$136.16 |
$136.16 |
$136.16 |
$459.40
|
|
Echo guidance radiotherapy
|
$306.36 |
$306.36 |
$306.36 |
$774.80
|
|
Echo guide for artery repair
|
$401.97 |
$401.97 |
$401.97 |
$680.28
|
|
Echo stress
|
$1,002.26 |
$1,002.26 |
$1,002.26 |
$1,582.75
|
|
Echo tee guidance
|
$276.76 |
$276.76 |
$276.76 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,297.67 |
$1,297.67 |
$1,297.67 |
$1,871.10
|
|
Echo transesophageal
|
$1,012.03 |
$1,012.03 |
$1,012.03 |
$913.33
|
|
Echo transesophageal
|
$733.20 |
$733.20 |
$733.20 |
$1,734.10
|
|
Echo transthoracic
|
$931.52 |
$931.52 |
$931.52 |
$1,492.50
|
|
Echo transthoracic
|
$660.68 |
$660.68 |
$660.68 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$702.12 |
$702.12 |
$702.12 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$539.91 |
$539.91 |
$539.91 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$539.91 |
$539.91 |
$539.91 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$848.34 |
$848.34 |
$848.34 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$389.84 |
$389.84 |
$389.84 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,411.92 |
$1,411.92 |
$1,411.92 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,482.67 |
$1,482.67 |
$1,482.67 |
$4,331.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$291.56 |
$291.56 |
$291.56 |
$1,898.66
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$741.48 |
$741.48 |
$741.48 |
$1,802.40
|
|
Eeg 41-60 minutes 95812-26
|
$580.76 |
$580.76 |
$580.76 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$463.54 |
$463.54 |
$463.54 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$580.76 |
$580.76 |
$580.76 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$552.04 |
$552.04 |
$552.04 |
$936.00
|
|
Eeg recording awake and asleep
|
$551.75 |
$551.75 |
$551.75 |
$1,030.27
|
|
Eeg wo vid ea 12-26hr unmntr
|
$596.15 |
$596.15 |
$596.15 |
$1,251.52
|
|
E equine encephalitis igg
|
$46.77 |
$46.77 |
$46.77 |
$48.73
|
|
Egfr gene com variants
|
$155.40 |
$155.40 |
$155.40 |
$619.04
|
|
Electrolyte panel
|
$160.44 |
$160.44 |
$160.44 |
$86.33
|
|
Electron microscopy diagnostic
|
$250.12 |
$250.12 |
$250.12 |
$966.69
|
|
Electrophysiology evaluation
|
$2,890.74 |
$2,890.74 |
$2,890.74 |
$11,175.42
|
|
Electrophysiology evaluation
|
$2,890.74 |
$2,890.74 |
$2,890.74 |
$7,769.30
|
|
Electrophysiology evaluation
|
$2,890.74 |
$2,890.74 |
$2,890.74 |
$6,516.00
|
|
Electrophysiology evaluation
|
$3,495.47 |
$3,495.47 |
$3,495.47 |
$2,845.10
|
|
Electrophysiology evaluation
|
$2,411.81 |
$2,411.81 |
$2,411.81 |
$2,803.20
|
|
Electrophysiology evaluation
|
$380.36 |
$380.36 |
$380.36 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$4,057.57 |
$4,057.57 |
$4,057.57 |
$6,534.00
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$29,012.98 |
$29,012.98 |
$29,012.98 |
$283.76
|
|
Embolization s&i
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$4,138.38 |
$4,138.38 |
$4,138.38 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,269.61 |
$11,269.61 |
$11,269.61 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$11,055.01 |
$11,055.01 |
$11,055.01 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$2,691.24 |
$2,691.24 |
$2,691.24 |
$6,962.27
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$1,831.06 |
$1,831.06 |
$1,831.06 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$231.48 |
$231.48 |
$231.48 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$973.84 |
$973.84 |
$973.84 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$1,223.37 |
$1,223.37 |
$1,223.37 |
$487.20
|
|
Emg needle test 1-extremity
|
$459.40 |
$459.40 |
$459.40 |
$342.24
|
|
Emg needle test 4-extremities
|
$1,940.88 |
$1,940.88 |
$1,940.88 |
$570.50
|
|
Encephalitis, california igg/igm
|
$46.77 |
$46.77 |
$46.77 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$46.77 |
$46.77 |
$46.77 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$46.77 |
$46.77 |
$46.77 |
$50.70
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,216.52 |
$4,216.52 |
$4,216.52 |
$5,515.40
|
|
Endoluminal bx biliary tree
|
$185.30 |
$185.30 |
$185.30 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$2,512.16 |
$2,512.16 |
$2,512.16 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$2,428.98 |
$2,428.98 |
$2,428.98 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$1,991.79 |
$1,991.79 |
$1,991.79 |
$2,367.97
|
|
Endoscopic injection/implant
|
$2,320.05 |
$2,320.05 |
$2,320.05 |
$4,081.37
|
|
Endovasc prosth delayed 33886
|
$2,204.91 |
$2,204.91 |
$2,204.91 |
$2,191.65
|
|
Endovasc rpr a-biiliac endogft 34705
|
$2,094.50 |
$2,094.50 |
$2,094.50 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$11,055.01 |
$11,055.01 |
$11,055.01 |
$11,261.25
|
|
Endovasc visc aorta 2 graft
|
$1,846.45 |
$1,846.45 |
$1,846.45 |
$13,279.50
|
|
Endovas iliac a device addon
|
$3,377.96 |
$3,377.96 |
$3,377.96 |
$1,764.36
|
|
Endovenous rf abl vein addl
|
$1,550.16 |
$1,550.16 |
$1,550.16 |
$3,156.02
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$50.77 |
$50.77 |
$50.77 |
$121.63
|
|
Enterectomy small intestine addl 44121
|
$585.49 |
$585.49 |
$585.49 |
$593.60
|
|
Enterectomy small intestine single 44120
|
$3,501.68 |
$3,501.68 |
$3,501.68 |
$3,002.40
|
|
Enzyme histochemistry
|
$85.84 |
$85.84 |
$85.84 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$24,828.48 |
$24,828.48 |
$24,828.48 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$24,828.48 |
$24,828.48 |
$24,828.48 |
$30,975.00
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$84,636.33 |
$84,636.33 |
$84,636.33 |
$38,249.16
|
|
Epidural/lumbar/sacral/ea add level64484
|
$603.25 |
$603.25 |
$603.25 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,225.74 |
$1,225.74 |
$1,225.74 |
$2,753.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$210.01 |
$210.01 |
$210.01 |
$450.94
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$190.62 |
$190.62 |
$190.62 |
$950.55
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$86.50 |
$86.50 |
$86.50 |
$136.00
|
|
Epstein barr nuclear antigen antibody
|
$71.64 |
$71.64 |
$71.64 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$55.95 |
$55.95 |
$55.95 |
$95.04
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$80.11 |
$80.11 |
$80.11 |
$363.57
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,219.00 |
$2,219.00 |
$2,219.00 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$195.96 |
$195.96 |
$195.96 |
$943.50
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,177.55 |
$3,177.55 |
$3,177.55 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$162.87 |
$162.87 |
$162.87 |
$364.08
|
|
ER Visit (level 1, minor)
|
$166.06 |
$166.06 |
$166.06 |
$276.70
|
|
ER Visit (level 2)
|
$355.20 |
$355.20 |
$355.20 |
$487.50
|