|
Dxa bone density axl vrt fx
|
$550.20 |
$550.20 |
$550.20 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$26,437.86 |
$26,437.86 |
$26,437.86 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$24,921.87 |
$24,921.87 |
$24,921.87 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$20,662.46 |
$20,662.46 |
$20,662.46 |
$2,322.60
|
|
Dx laryngoscopy newborn
|
$408.80 |
$408.80 |
$408.80 |
$658.00
|
|
Ear irrigation 69209
|
$236.60 |
$236.60 |
$236.60 |
$150.00
|
|
Ecg 12 lead tracing only
|
$238.00 |
$238.00 |
$238.00 |
$226.50
|
|
Ecg external < 48 hours recording
|
$863.10 |
$863.10 |
$863.10 |
$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
|
$342.30 |
$342.30 |
$342.30 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$210.00 |
$210.00 |
$210.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,950.50 |
$2,950.50 |
$2,950.50 |
$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
|
$2,814.70 |
$2,814.70 |
$2,814.70 |
$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 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
|
$76,834.62 |
$76,834.62 |
$76,834.62 |
$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
|
$1,110.90 |
$1,110.90 |
$1,110.90 |
$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
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$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 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
|
$37,262.05 |
$37,262.05 |
$37,262.05 |
$12,999.80
|
|
Egd balloon dil esoph30 mm/>
|
$18,507.00 |
$18,507.00 |
$18,507.00 |
$2,234.01
|
|
Egd control bleeding any
|
$19,318.38 |
$19,318.38 |
$19,318.38 |
$2,553.75
|
|
Egd dilate stricture
|
$11,402.40 |
$11,402.40 |
$11,402.40 |
$2,244.82
|
|
Egd endo mucosal resection
|
$20,701.00 |
$20,701.00 |
$20,701.00 |
$2,430.40
|
|
Egd endoscopic stent place
|
$5,441.10 |
$5,441.10 |
$5,441.10 |
$3,786.00
|
|
Egd esophagogastrc fndoplsty
|
$9,573.90 |
$9,573.90 |
$9,573.90 |
$7,229.60
|
|
Egd guide wire insertion
|
$10,432.09 |
$10,432.09 |
$10,432.09 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,252.60 |
$2,252.60 |
$2,252.60 |
$2,234.01
|
|
Egd lesion ablation
|
$15,964.32 |
$15,964.32 |
$15,964.32 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$2,372.30 |
$2,372.30 |
$2,372.30 |
$2,372.30
|
|
Egd remove foreign body
|
$10,632.01 |
$10,632.01 |
$10,632.01 |
$1,548.00
|
|
Egd remove lesion snare
|
$17,340.53 |
$17,340.53 |
$17,340.53 |
$2,597.25
|
|
Egd Ultrasound exam duodenum/jejunum
|
$18,718.11 |
$18,718.11 |
$18,718.11 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$14,153.38 |
$14,153.38 |
$14,153.38 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$20,115.33 |
$20,115.33 |
$20,115.33 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$31,201.44 |
$31,201.44 |
$31,201.44 |
$3,127.50
|
|
Egd varices ligation
|
$8,136.09 |
$8,136.09 |
$8,136.09 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$4,687.20 |
$4,687.20 |
$4,687.20 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$4,375.00 |
$4,375.00 |
$4,375.00 |
$4,379.25
|
|
Egfr gene com variants
|
$2,340.80 |
$2,340.80 |
$2,340.80 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$81.20 |
$81.20 |
$81.20 |
$93.00
|
|
Elbow arthroscopy/surgery
|
$22,598.51 |
$22,598.51 |
$22,598.51 |
$3,839.54
|
|
Elec analys infus pump w/reprog 62368
|
$685.30 |
$685.30 |
$685.30 |
$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
|
$38,638.84 |
$38,638.84 |
$38,638.84 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$163.80 |
$163.80 |
$163.80 |
$81.00
|
|
Electrode stimulation brain
|
$2,180.50 |
$2,180.50 |
$2,180.50 |
$1,180.80
|
|
Electrolyte panel
|
$158.20 |
$158.20 |
$158.20 |
$78.65
|
|
Electron microscopy diagnostic
|
$16,956.97 |
$16,956.97 |
$16,956.97 |
$1,006.20
|
|
Electrophysiologic study
|
$9,277.80 |
$9,277.80 |
$9,277.80 |
$7,023.00
|
|
Electrophysiology evaluation
|
$8,975.40 |
$8,975.40 |
$8,975.40 |
$8,979.45
|
|
Electrophysiology evaluation
|
$11,383.40 |
$11,383.40 |
$11,383.40 |
$10,593.00
|
|
Electrophysiology evaluation
|
$7,105.70 |
$7,105.70 |
$7,105.70 |
$6,760.00
|
|
Electrophysiology evaluation
|
$7,905.80 |
$7,905.80 |
$7,905.80 |
$5,854.80
|
|
Electrophys map 3d add-on
|
$5,647.60 |
$5,647.60 |
$5,647.60 |
$5,881.00
|
|
Elotuzumab 300 mg intravenous solution
|
$18,062.97 |
$18,062.97 |
$18,062.97 |
$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
|
$55,945.18 |
$55,945.18 |
$55,945.18 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$54,458.50 |
$54,458.50 |
$54,458.50 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$59,344.38 |
$59,344.38 |
$59,344.38 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$33,640.45 |
$33,640.45 |
$33,640.45 |
$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
|
|
Emb without cervical dilation 58100
|
$537.60 |
$537.60 |
$537.60 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$811.30 |
$811.30 |
$811.30 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$553.70 |
$553.70 |
$553.70 |
$487.20
|
|
Emg cranial nerve bilateral
|
$656.60 |
$656.60 |
$656.60 |
$518.00
|
