|
Echo transesophageal
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$1,578.00
|
|
Echo transthoracic
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,361.75
|
|
Echo transthoracic
|
$765.00 |
$765.00 |
$765.00 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$795.00 |
$795.00 |
$795.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$835.00 |
$835.00 |
$835.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$795.00 |
$795.00 |
$795.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$905.00 |
$905.00 |
$905.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$442.50 |
$442.50 |
$442.50 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$442.50 |
$442.50 |
$442.50 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$885.00 |
$885.00 |
$885.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$885.00 |
$885.00 |
$885.00 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$442.50 |
$442.50 |
$442.50 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$885.00 |
$885.00 |
$885.00 |
$1,632.95
|
|
Egfr gene com variants
|
$590.00 |
$590.00 |
$590.00 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$112.50 |
$112.50 |
$112.50 |
$93.00
|
|
EKG (Tracing Only)
|
$222.50 |
$222.50 |
$222.50 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$300.00 |
$300.00 |
$300.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$375.00 |
$375.00 |
$375.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$497.50 |
$497.50 |
$497.50 |
$616.00
|
|
Electrd sq emblem s-icd
|
$8,492.85 |
$8,492.85 |
$8,492.85 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$75.00 |
$75.00 |
$75.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$62.50 |
$62.50 |
$62.50 |
$81.75
|
|
Electrolyte panel
|
$50.00 |
$50.00 |
$50.00 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,685.00 |
$1,685.00 |
$1,685.00 |
$1,011.98
|
|
Electrophysiologic study
|
$6,155.00 |
$6,155.00 |
$6,155.00 |
$7,493.20
|
|
Electrophysiology evaluation
|
$6,520.00 |
$6,520.00 |
$6,520.00 |
$8,975.40
|
|
Electrophysiology evaluation
|
$6,520.00 |
$6,520.00 |
$6,520.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$5,270.00 |
$5,270.00 |
$5,270.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,475.00 |
$4,475.00 |
$4,475.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,620.00 |
$2,620.00 |
$2,620.00 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$5,705.00 |
$5,705.00 |
$5,705.00 |
$5,762.40
|
|
Emboli detcj wo IV mbubb njx
|
$760.00 |
$760.00 |
$760.00 |
$484.25
|
|
Embolization s&i
|
$3,215.00 |
$3,215.00 |
$3,215.00 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$15,055.00 |
$15,055.00 |
$15,055.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,785.00 |
$12,785.00 |
$12,785.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,385.00 |
$12,385.00 |
$12,385.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$12,785.00 |
$12,785.00 |
$12,785.00 |
$14,741.00
|
|
Emb without cervical dilation 58100
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$447.50 |
$447.50 |
$447.50 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$515.00 |
$515.00 |
$515.00 |
$502.80
|
|
Emg needle test 1-extremity
|
$297.50 |
$297.50 |
$297.50 |
$351.50
|
|
Emg needle test 4-extremities
|
$590.00 |
$590.00 |
$590.00 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$280.00 |
$280.00 |
$280.00 |
$309.83
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,410.00 |
$3,410.00 |
$3,410.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,195.00 |
$4,195.00 |
$4,195.00 |
$5,515.40
|
|
Endoluminal bx biliary tree
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$2,379.30
|
|
Endoluminal bx urtr rnl plvs
|
$1,600.00 |
$1,600.00 |
$1,600.00 |
$2,375.60
|
|
Endoluminl ivus oct c 1st
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$2,158.95
|
|
Endovasc rpr a-biiliac endogft 34705
|
$4,460.00 |
$4,460.00 |
$4,460.00 |
$9,122.40
|
|
Endovenous laser vein addon 36479
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$2,755.76
|
|
Endovenous rf abl vein addl
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$6,366.08
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$71.73 |
$71.73 |
$71.73 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$22.33 |
$22.33 |
$22.33 |
$112.79
|
|
Enzyme histochemistry
|
$665.00 |
$665.00 |
$665.00 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$27,075.00 |
$27,075.00 |
$27,075.00 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$29,785.00 |
$29,785.00 |
$29,785.00 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$750.00 |
$750.00 |
$750.00 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$2,702.70
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$48.06 |
$48.06 |
$48.06 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$83.77 |
$83.77 |
$83.77 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$72.50 |
$72.50 |
$72.50 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$85.00 |
$85.00 |
$85.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$112.50 |
$112.50 |
$112.50 |
$85.50
|
|
Ercp biliary & pancreas
|
$705.00 |
$705.00 |
$705.00 |
$967.04
|
|
Ercp w/specimen collection
|
$4,460.00 |
$4,460.00 |
$4,460.00 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$47.30 |
$47.30 |
$47.30 |
$232.12
|
|
ER Visit (level 1, minor)
|
$195.00 |
$195.00 |
$195.00 |
$252.60
|
|
ER Visit (level 2)
|
$375.00 |
$375.00 |
$375.00 |
$463.00
|
|
ER Visit (level 3)
|
$650.00 |
$650.00 |
$650.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$1,871.60
|
|
Esoph balloon distension tst
|
$780.00 |
$780.00 |
$780.00 |
$1,040.00
|
|
Established Patient Office Visit (level 1)
|
$90.00 |
$90.00 |
$90.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$120.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$147.50 |
$147.50 |
$147.50 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$177.50 |
$177.50 |
$177.50 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$207.50 |
$207.50 |
$207.50 |
$290.68
|
|
Estradiol total
|
$80.00 |
$80.00 |
$80.00 |
$152.10
|
|
Ethylene glycol -sendout
|
$85.00 |
$85.00 |
$85.00 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$500.00 |
$500.00 |
$500.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$305.00 |
$305.00 |
$305.00 |
$213.15
|
|
Evaluation heart device
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$257.50 |
$257.50 |
$257.50 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$310.00 |
$310.00 |
$310.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$3,825.00 |
$3,825.00 |
$3,825.00 |
$2,803.24
|
|
Exam pelvic add-on
|
$50.00 |
$50.00 |
$50.00 |
$46.85
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$855.00 |
$855.00 |
$855.00 |
$779.35
|
|
Exchange biliary drg cath
|
$4,070.00 |
$4,070.00 |
$4,070.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,850.00 |
$2,850.00 |
$2,850.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$2,958.80
|
|
Exc prtl bn phlnx toe
|
$3,905.00 |
$3,905.00 |
$3,905.00 |
$3,839.54
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,844.50 |
$3,844.50 |
$3,844.50 |
$4,101.67
|
