|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$8,139.38 |
$8,139.38 |
$8,139.38 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$7,330.08 |
$7,330.08 |
$7,330.08 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$8,933.22 |
$8,933.22 |
$8,933.22 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$667.20 |
$667.20 |
$667.20 |
$667.20
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$4,848.52 |
$4,848.52 |
$4,848.52 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$4,060.13 |
$4,060.13 |
$4,060.13 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$8,429.45 |
$8,429.45 |
$8,429.45 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$572.80 |
$572.80 |
$572.80 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$452.00 |
$452.00 |
$452.00 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$240.80 |
$240.80 |
$240.80 |
$148.40
|
|
E coli 0157 ag ia
|
$32.00 |
$32.00 |
$32.00 |
$71.50
|
|
Ecp ciliary body destruction
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$2,698.92
|
|
Ed svc ckd grp per session
|
$58.40 |
$58.40 |
$58.40 |
$58.40
|
|
Ed svc ckd ind per session
|
$249.60 |
$249.60 |
$249.60 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$93.19 |
$93.19 |
$93.19 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,364.82 |
$1,364.82 |
$1,364.82 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$994.15
|
|
Eeg during surgery
|
$452.00 |
$452.00 |
$452.00 |
$775.45
|
|
Eeg monitoring/function test
|
$1,373.60 |
$1,373.60 |
$1,373.60 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$844.80 |
$844.80 |
$844.80 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$779.20 |
$779.20 |
$779.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$889.60 |
$889.60 |
$889.60 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,456.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$2,048.00 |
$2,048.00 |
$2,048.00 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$2,072.80 |
$2,072.80 |
$2,072.80 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$2,072.80 |
$2,072.80 |
$2,072.80 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$592.80 |
$592.80 |
$592.80 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$296.80 |
$296.80 |
$296.80 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$303.20 |
$303.20 |
$303.20 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$592.80 |
$592.80 |
$592.80 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$837.60 |
$837.60 |
$837.60 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,104.83 |
$1,104.83 |
$1,104.83 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,104.83 |
$1,104.83 |
$1,104.83 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$2,119.64 |
$2,119.64 |
$2,119.64 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$2,119.64 |
$2,119.64 |
$2,119.64 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,104.83 |
$1,104.83 |
$1,104.83 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,119.64 |
$2,119.64 |
$2,119.64 |
$1,632.95
|
|
E equine encephalitis igg
|
$48.57 |
$48.57 |
$48.57 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$574.40 |
$574.40 |
$574.40 |
$2,244.82
|
|
Egd control bleeding any
|
$3,328.26 |
$3,328.26 |
$3,328.26 |
$2,553.75
|
|
Egd dilate stricture
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$2,394.60
|
|
Egd endo mucosal resection
|
$684.00 |
$684.00 |
$684.00 |
$2,430.40
|
|
Egd endoscopic stent place
|
$548.80 |
$548.80 |
$548.80 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$1,077.60 |
$1,077.60 |
$1,077.60 |
$7,229.60
|
|
Egd guide wire insertion
|
$955.20 |
$955.20 |
$955.20 |
$1,664.00
|
|
Egd injection varices
|
$600.00 |
$600.00 |
$600.00 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$358.40 |
$358.40 |
$358.40 |
$2,244.82
|
|
Egd lesion ablation
|
$1,750.40 |
$1,750.40 |
$1,750.40 |
$2,354.48
|
|
Egd optical endomicroscopy
|
$797.60 |
$797.60 |
$797.60 |
$2,372.30
|
|
Egd remove foreign body
|
$911.20 |
$911.20 |
$911.20 |
$1,571.40
|
|
Egd remove lesion snare
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$572.80 |
$572.80 |
$572.80 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$588.00 |
$588.00 |
$588.00 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$665.60 |
$665.60 |
$665.60 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$666.40 |
$666.40 |
$666.40 |
$3,333.85
|
|
Egd varices ligation
|
$620.80 |
$620.80 |
$620.80 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$587.20 |
$587.20 |
$587.20 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$993.60 |
$993.60 |
$993.60 |
$4,379.25
|
|
Egfr gene com variants
|
$351.41 |
$351.41 |
$351.41 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$70.40 |
$70.40 |
$70.40 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$48.57 |
$48.57 |
$48.57 |
$48.57
|
|
EKG (Electrocardiogram)
|
$37.60 |
$37.60 |
$37.60 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$37.60 |
$37.60 |
$37.60 |
$37.60
|
|
EKG interpret & report preve g0405
|
$19.20 |
$19.20 |
$19.20 |
$19.20
|
|
EKG tracing for initial prev
|
$243.11 |
$243.11 |
$243.11 |
$81.76
|
|
EKG (Tracing Only)
|
$243.11 |
$243.11 |
$243.11 |
$226.50
|
|
Elbow arthroscopy
|
$2,241.60 |
$2,241.60 |
$2,241.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,420.80 |
$2,420.80 |
$2,420.80 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,499.20 |
$2,499.20 |
$2,499.20 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$2,873.60 |
$2,873.60 |
$2,873.60 |
$8,412.89
|
|
Elbow arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,916.80 |
$2,916.80 |
$2,916.80 |
$3,545.97
|
|
Elbow X-ray (2 views, both sides)
|
$273.49 |
$273.49 |
$273.49 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$300.62 |
$300.62 |
$300.62 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$627.08 |
$627.08 |
$627.08 |
$616.00
|
|
Elec stim unattend for press
|
$30.40 |
$30.40 |
$30.40 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$602.93 |
$602.93 |
$602.93 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$651.19 |
$651.19 |
$651.19 |
$618.80
|
|
Electrd sq emblem s-icd
|
$12,416.00 |
$12,416.00 |
$12,416.00 |
$10,243.24
|
|
Electrical bone stim 20974
|
$192.00 |
$192.00 |
$192.00 |
$61.91
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$119.88 |
$119.88 |
$119.88 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$30.40 |
$30.40 |
$30.40 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$166.40 |
$166.40 |
$166.40 |
$166.40
|
|
Electroacous eval hear aid/biaural 92595
|
$98.40 |
$98.40 |
$98.40 |
$97.50
|
|
Electrocochleography
|
$196.00 |
$196.00 |
$196.00 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$542.16 |
$542.16 |
$542.16 |
$1,235.00
|
|
Electrocorticography durng sx
|
$4,179.20 |
$4,179.20 |
$4,179.20 |
$1,642.53
|
|
Electrode stimulation brain
|
$672.80 |
$672.80 |
$672.80 |
$1,203.94
|
|
Electroejaculation
|
$438.40 |
$438.40 |
$438.40 |
$1,030.40
|
|
Electrogastrography
|
$768.00 |
$768.00 |
$768.00 |
$768.00
|
|
Electrogastrography w/test
|
$811.20 |
$811.20 |
$811.20 |
$385.45
|
|
Electrolyte panel
|
$68.56 |
$68.56 |
$68.56 |
$79.30
|
|
Electromagntic tx for ulcers
|
$19.20 |
$19.20 |
$19.20 |
$19.20
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$100.00 |
$100.00 |
$100.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$160.00 |
$160.00 |
$160.00 |
$160.00
|
