|
Echo guidance radiotherapy
|
$322.40 |
$322.40 |
$322.40 |
|
|
Echo guide for amniocentesis
|
$173.25 |
$570.00 |
$1,231.92 |
|
|
Echo guide for artery repair
|
$490.80 |
$721.00 |
$1,970.40 |
|
|
Echo guide for heart biopsy
|
$192.80 |
$781.20 |
$2,311.80 |
|
|
Echo guide for transfusion
|
$273.60 |
$472.50 |
$833.40 |
|
|
Echo guide ova aspiration
|
$144.80 |
$144.80 |
$144.80 |
|
|
Echo guide villus sampling
|
$191.20 |
$963.20 |
$963.20 |
|
|
Echo stress
|
$800.00 |
$1,565.00 |
$3,594.96 |
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$65.60 |
$344.40 |
$344.40 |
|
|
Echo tee guidance
|
$1,125.00 |
$2,826.00 |
$5,871.60 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$636.90 |
$2,119.15 |
$3,568.80 |
|
|
Echo transesophageal
|
$575.00 |
$871.20 |
$1,435.80 |
|
|
Echo transesophageal
|
$552.60 |
$564.80 |
$916.00 |
|
|
Echo transesophageal
|
$1,090.00 |
$1,090.00 |
$4,362.60 |
|
|
Echo transesophageal
|
$603.20 |
$1,286.40 |
$2,835.60 |
|
|
Echo transesophageal intraop
|
$702.90 |
$1,803.07 |
$3,877.20 |
|
|
Echo transthoracic
|
$375.00 |
$1,283.20 |
$2,688.00 |
|
|
Echo transthoracic
|
$325.00 |
$979.80 |
$1,957.90 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$300.00 |
$1,005.95 |
$2,456.80 |
|
|
Ecmo/ecls daily mgmt artery 33949
|
$515.40 |
$1,032.50 |
$6,054.30 |
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$530.40 |
$1,032.50 |
$5,866.00 |
|
|
Ecmo/ecls initiation artery 33947
|
$742.80 |
$2,922.50 |
$26,930.00 |
|
|
Ecmo/ecls initiation venous 33946
|
$672.00 |
$2,922.50 |
$9,540.00 |
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,854.60 |
$1,854.60 |
$2,040.80 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$970.80 |
$970.80 |
$970.80 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,056.00 |
$1,056.00 |
$1,165.60 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$345.60 |
$1,356.60 |
$107,424.35 |
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$1,198.80 |
$1,198.80 |
$1,198.80 |
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,146.60 |
$1,146.60 |
$1,280.00 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$636.60 |
$636.60 |
$667.20 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$432.00 |
$432.00 |
$432.00 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$628.20 |
$628.20 |
$694.40 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$523.20 |
$1,043.70 |
$1,240.00 |
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,128.60 |
$1,128.60 |
$1,128.60 |
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$549.60 |
$549.60 |
$549.60 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$432.00 |
$432.00 |
$432.00 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$519.00 |
$519.00 |
$572.80 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$418.80 |
$835.10 |
$835.10 |
|
|
Ecog impltd brn npgt <30 d
|
$49.20 |
$49.20 |
$240.80 |
|
|
E coli 0157 ag ia
|
$32.00 |
$32.00 |
$32.00 |
|
|
Ecp ciliary body destruction
|
$2,486.40 |
$2,486.40 |
$21,829.69 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$112.72 |
$62,220.37 |
$82,430.60 |
|
|
Eculizumab injection
|
$364.21 |
$364.21 |
$364.21 |
|
|
Edetate calcium disodium inj
|
$149.45 |
$149.45 |
$16,834.07 |
|
|
Ed svc ckd grp per session
|
$58.40 |
$58.40 |
$58.40 |
|
|
Ed svc ckd ind per session
|
$249.60 |
$249.60 |
$249.60 |
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$37.44 |
$80.64 |
$154.08 |
|
|
Eeg 41-60 minutes 95812-26
|
$115.80 |
$795.00 |
$2,229.00 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$277.53 |
$1,091.75 |
$2,599.80 |
|
|
Eeg during surgery
|
$355.74 |
$1,172.50 |
$3,294.64 |
|
|
Eeg monitoring/function test
|
$513.48 |
$707.70 |
$9,276.60 |
|
|
Eeg monitoring/giving drugs
|
$844.80 |
$844.80 |
$844.80 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$187.77 |
$835.00 |
$1,947.00 |
|
|
Eeg over 1 hour 95813 - 26
|
$175.20 |
$1,224.30 |
$3,861.36 |
|
|
Eeg phy/qhp>36<60 hr without vid
|
$712.20 |
$712.20 |
$1,456.00 |
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,456.00 |
$3,438.00 |
$3,438.00 |
|
|
Eeg phy/qhp>60<84 hr without vid
|
$871.20 |
$871.20 |
$2,048.00 |
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$523.20 |
$523.20 |
$2,048.00 |
|
|
Eeg phy/qhp>84 hr without vid
|
$449.40 |
$449.40 |
$2,072.80 |
|
|
Eeg phy/qhp>84 hr w/veeg
|
$621.00 |
$621.00 |
$2,072.80 |
|
|
Eeg phy/qhp ea incr w/veeg
|
$282.00 |
$282.00 |
$592.80 |
|
|
Eeg phys/qhp 2-12 hr without vid
|
$146.40 |
$146.40 |
$296.80 |
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$183.00 |
$183.00 |
$303.20 |
|
|
Eeg phys/qhp ea incr without vid
|
$219.00 |
$219.00 |
$592.80 |
|
|
Eeg/record in coma or sleep only 95822
|
$229.35 |
$804.50 |
$1,948.20 |
|
|
Eeg recording awake and asleep
|
$251.79 |
$966.40 |
$1,678.60 |
|
|
Eeg without vid 2-12hr cont mntr
|
$442.50 |
$2,922.00 |
$4,283.40 |
|
|
Eeg without vid 2-12 hr unmntr
|
$372.90 |
$2,523.60 |
$4,283.40 |
|
|
Eeg without vid ea 12-26hr cont
|
$885.00 |
$2,156.63 |
$6,154.40 |
|
|
Eeg without vid ea 12-26hr intmt
|
$885.00 |
$1,161.30 |
$5,595.80 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$442.50 |
$2,922.00 |
$4,283.40 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$885.00 |
$3,027.60 |
$5,045.40 |
|
|
E equine encephalitis igg
|
$13.75 |
$61.80 |
$162.40 |
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$63.89 |
$237.21 |
$59,468.32 |
|
|
Egd balloon dil esoph30 mm/>
|
$493.80 |
$6,015.39 |
$18,507.00 |
|
|
Egd control bleeding any
|
$1,387.20 |
$11,411.99 |
$19,318.38 |
|
|
Egd dilate stricture
|
$1,170.00 |
$10,100.64 |
$17,778.01 |
|
|
Egd endo mucosal resection
|
$558.60 |
$12,613.13 |
$20,701.00 |
|
|
Egd endoscopic stent place
|
$323.40 |
$5,441.10 |
$35,334.14 |
|
|
Egd esophagogastrc fndoplsty
|
$1,077.60 |
$9,573.90 |
$59,685.14 |
|
|
Egd guide wire insertion
|
$246.00 |
$8,626.04 |
$13,092.58 |
|
|
Egd injection varices
|
$307.80 |
$600.00 |
$2,784.60 |
|
|
Egd/insert intraluminal tube/cath 43241
|
$312.60 |
$2,252.60 |
$10,827.31 |
|
|
Egd lesion ablation
|
$1,069.20 |
$11,680.38 |
$17,614.38 |
|
|
Egd optical endomicroscopy
|
$712.20 |
$2,372.30 |
$16,291.85 |
|
|
Egd remove foreign body
|
$786.60 |
$1,602.60 |
$15,762.34 |
|
|
Egd remove lesion snare
|
$290.40 |
$13,244.91 |
$17,601.32 |
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$876.60 |
$2,141.30 |
$12,889.18 |
|
|
Egd Ultrasound exam duodenum/jejunum
|
$406.20 |
$9,822.46 |
$18,718.11 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$387.60 |
$1,837.20 |
$40,015.93 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$550.80 |
$13,058.94 |
$20,115.33 |
|
|
Egd Ultrasound transmural injxn/mark
|
$375.00 |
$4,602.50 |
$31,201.44 |
|
|
Egd varices ligation
|
$552.00 |
$5,501.43 |
$11,620.50 |
|
|
Egd w/thrml txmnt gerd
|
$587.20 |
$4,687.20 |
$17,619.58 |
|
|
Egd w/transmural drain cyst
|
$777.60 |
$4,375.00 |
$15,762.34 |
|
|
Egfr gene com variants
|
$175.56 |
$984.20 |
$8,329.60 |
|
|
Ehrlicha chaffeensis amp prb
|
$37.20 |
$81.20 |
$270.72 |
|
