|
Ear irrigation 69209
|
$242.20 |
$242.20 |
$242.20 |
$150.00
|
|
Ecg 12 lead tracing only
|
$304.50 |
$304.50 |
$304.50 |
$226.50
|
|
Ecg external < 48 hours recording
|
$211.40 |
$211.40 |
$211.40 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$234.50 |
$234.50 |
$234.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$645.40 |
$645.40 |
$645.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$645.40 |
$645.40 |
$645.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,713.90 |
$2,713.90 |
$2,713.90 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$863.80 |
$863.80 |
$863.80 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,305.50 |
$1,305.50 |
$1,305.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,383.90 |
$1,383.90 |
$1,383.90 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$877.80 |
$877.80 |
$877.80 |
$371.25
|
|
Echo exam of fetal heart
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$904.80
|
|
Echo exam of fetal heart
|
$952.00 |
$952.00 |
$952.00 |
$538.27
|
|
Echo exam of fetal heart
|
$987.70 |
$987.70 |
$987.70 |
$431.41
|
|
Echo exam of fetal heart
|
$387.80 |
$387.80 |
$387.80 |
$319.00
|
|
Echo exam uterus 76831-
|
$1,399.30 |
$1,399.30 |
$1,399.30 |
$552.50
|
|
Echograp trans r pros study
|
$2,104.90 |
$2,104.90 |
$2,104.90 |
$466.20
|
|
Echo guide for amniocentesis
|
$1,050.70 |
$1,050.70 |
$1,050.70 |
$446.60
|
|
Echo guide for artery repair
|
$721.00 |
$721.00 |
$721.00 |
$687.35
|
|
Echo guide for heart biopsy
|
$781.20 |
$781.20 |
$781.20 |
$666.40
|
|
Echo guide for transfusion
|
$472.50 |
$472.50 |
$472.50 |
$332.39
|
|
Echo guide villus sampling
|
$963.20 |
$963.20 |
$963.20 |
$362.88
|
|
Echo stress
|
$2,590.00 |
$2,590.00 |
$2,590.00 |
$1,606.44
|
|
Echo tee guidance
|
$5,871.60 |
$5,871.60 |
$5,871.60 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,572.50 |
$2,572.50 |
$2,572.50 |
$1,889.20
|
|
Echo transthoracic
|
$2,471.70 |
$2,471.70 |
$2,471.70 |
$1,361.75
|
|
Echo transthoracic
|
$1,957.90 |
$1,957.90 |
$1,957.90 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,997.10 |
$1,997.10 |
$1,997.10 |
$1,022.30
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$3,099.00
|
|
Ecmo/ecls initiation venous 33946
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$3,988.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,356.60 |
$1,356.60 |
$1,356.60 |
$2,825.34
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$1,362.00
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$835.10 |
$835.10 |
$835.10 |
$1,073.80
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$45,758.30 |
$45,758.30 |
$45,758.30 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$1,010.80 |
$1,010.80 |
$1,010.80 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$970.07
|
|
Eeg during surgery
|
$2,186.10 |
$2,186.10 |
$2,186.10 |
$775.45
|
|
Eeg monitoring/function test
|
$707.70 |
$707.70 |
$707.70 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$885.50 |
$885.50 |
$885.50 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,022.30 |
$2,022.30 |
$2,022.30 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$1,162.70 |
$1,162.70 |
$1,162.70 |
$865.00
|
|
Eeg recording awake and asleep
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$4,246.90 |
$4,246.90 |
$4,246.90 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$3,033.80 |
$3,033.80 |
$3,033.80 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$6,154.40 |
$6,154.40 |
$6,154.40 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$5,595.80 |
$5,595.80 |
$5,595.80 |
$1,402.50
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,370.50 |
$3,370.50 |
$3,370.50 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,246.90 |
$4,246.90 |
$4,246.90 |
$1,591.10
|
|
E equine encephalitis igg
|
$162.40 |
$162.40 |
$162.40 |
$50.88
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$35,325.67 |
$35,325.67 |
$35,325.67 |
$12,999.80
|
|
Egd balloon dil esoph30 mm/>
|
$2,023.70 |
$2,023.70 |
$2,023.70 |
$2,234.01
|
|
Egd control bleeding any
|
$14,516.82 |
$14,516.82 |
$14,516.82 |
$2,553.75
|
|
Egd dilate stricture
|
$11,639.47 |
$11,639.47 |
$11,639.47 |
$2,244.82
|
|
Egd endo mucosal resection
|
$12,613.13 |
$12,613.13 |
$12,613.13 |
$2,430.40
|
|
Egd endoscopic stent place
|
$4,629.10 |
$4,629.10 |
$4,629.10 |
$3,786.00
|
|
Egd esophagogastrc fndoplsty
|
$9,573.90 |
$9,573.90 |
$9,573.90 |
$7,229.60
|
|
Egd guide wire insertion
|
$11,309.75 |
$11,309.75 |
$11,309.75 |
$1,664.00
|
|
Egd injection varices
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$10,827.31 |
$10,827.31 |
$10,827.31 |
$2,234.01
|
|
Egd lesion ablation
|
$11,680.38 |
$11,680.38 |
$11,680.38 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$2,372.30 |
$2,372.30 |
$2,372.30 |
$2,372.30
|
|
Egd remove foreign body
|
$7,743.60 |
$7,743.60 |
$7,743.60 |
$1,548.00
|
|
Egd remove lesion snare
|
$14,620.95 |
$14,620.95 |
$14,620.95 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,141.30 |
$2,141.30 |
$2,141.30 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$9,822.46 |
$9,822.46 |
$9,822.46 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$12,313.23 |
$12,313.23 |
$12,313.23 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$13,058.94 |
$13,058.94 |
$13,058.94 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$2,386.30 |
$2,386.30 |
$2,386.30 |
$3,127.50
|
|
Egd varices ligation
|
$6,688.23 |
$6,688.23 |
$6,688.23 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$3,483.90 |
$3,483.90 |
$3,483.90 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$4,375.00 |
$4,375.00 |
$4,375.00 |
$4,379.25
|
|
Egfr gene com variants
|
$984.20 |
$984.20 |
$984.20 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$81.20 |
$81.20 |
$81.20 |
$93.00
|
|
Elbow arthroscopy/surgery
|
$32,576.89 |
$32,576.89 |
$32,576.89 |
$2,916.80
|
|
Elec analys infus pump w/reprog 62368
|
$53,803.29 |
$53,803.29 |
$53,803.29 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$677.60 |
$677.60 |
$677.60 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,070.30 |
$1,070.30 |
$1,070.30 |
$618.80
|
|
Electrd sq emblem s-icd
|
$30,043.20 |
$30,043.20 |
$30,043.20 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$163.80 |
$163.80 |
$163.80 |
$81.00
|
|
Electroconvulsive therapy 90870
|
$1,384.60 |
$1,384.60 |
$1,384.60 |
$1,296.90
|
|
Electrocorticography durng sx
|
$3,099.60 |
$3,099.60 |
$3,099.60 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,719.90 |
$1,719.90 |
$1,719.90 |
$1,180.80
|
|
Electrolyte panel
|
$125.30 |
$125.30 |
$125.30 |
$78.65
|
|
Electron microscopy diagnostic
|
$13,841.18 |
$13,841.18 |
$13,841.18 |
$1,006.20
|
|
Electrophysiologic study
|
$9,277.80 |
$9,277.80 |
$9,277.80 |
$7,023.00
|
|
Electrophysiology evaluation
|
$13,189.40 |
$13,189.40 |
$13,189.40 |
$8,979.45
|
|
Electrophysiology evaluation
|
$12,341.70 |
$12,341.70 |
$12,341.70 |
$10,593.00
|
|
Electrophysiology evaluation
|
$6,186.60 |
$6,186.60 |
$6,186.60 |
$6,760.00
|
|
Electrophysiology evaluation
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$5,854.80
|
|
Electrophysiology evaluation
|
$3,880.10 |
$3,880.10 |
$3,880.10 |
$2,504.00
|
|
Electrophys map 3d add-on
|
$6,140.40 |
$6,140.40 |
$6,140.40 |
$5,881.00
|
|
Elotuzumab 300 mg intravenous solution
|
$10,757.25 |
$10,757.25 |
$10,757.25 |
$5,761.81
|
|
Embolization s&i
|
$4,783.80 |
$4,783.80 |
$4,783.80 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$17,031.00 |
$17,031.00 |
$17,031.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,031.00 |
$17,031.00 |
$17,031.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$51,838.04 |
$51,838.04 |
$51,838.04 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$167,269.38 |
$167,269.38 |
$167,269.38 |
$14,743.50
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$15,229.20 |
$15,229.20 |
$15,229.20 |
$7,651.38
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$13,282.50 |
$13,282.50 |
$13,282.50 |
$6,719.96
|
