|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,854.60 |
$1,854.60 |
$1,854.60 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$970.80 |
$970.80 |
$970.80 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$944.40 |
$944.40 |
$944.40 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$1,198.80 |
$1,198.80 |
$1,198.80 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$636.60 |
$636.60 |
$636.60 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$432.00 |
$432.00 |
$432.00 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$628.20 |
$628.20 |
$628.20 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$523.20 |
$523.20 |
$523.20 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,128.60 |
$1,128.60 |
$1,128.60 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$549.60 |
$549.60 |
$549.60 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$432.00 |
$432.00 |
$432.00 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$519.00 |
$519.00 |
$519.00 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$418.80 |
$418.80 |
$418.80 |
$1,518.60
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$11,583.15 |
$11,583.15 |
$11,583.15 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$149.45 |
$149.45 |
$149.45 |
$8,739.98
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$40.80 |
$40.80 |
$40.80 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$115.80 |
$115.80 |
$115.80 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$556.80 |
$556.80 |
$556.80 |
$994.15
|
|
Eeg monitor/record/awake/drowsy 95816
|
$790.20 |
$790.20 |
$790.20 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$175.20 |
$175.20 |
$175.20 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$712.20 |
$712.20 |
$712.20 |
$1,456.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$3,438.00 |
$3,438.00 |
$3,438.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$871.20 |
$871.20 |
$871.20 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$523.20 |
$523.20 |
$523.20 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$449.40 |
$449.40 |
$449.40 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$621.00 |
$621.00 |
$621.00 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$282.00 |
$282.00 |
$282.00 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$146.40 |
$146.40 |
$146.40 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$183.00 |
$183.00 |
$183.00 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$219.00 |
$219.00 |
$219.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$811.80 |
$811.80 |
$811.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$775.80 |
$775.80 |
$775.80 |
$931.20
|
|
E equine encephalitis igg
|
$52.80 |
$52.80 |
$52.80 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$493.80 |
$493.80 |
$493.80 |
$2,244.82
|
|
Egd control bleeding any
|
$1,387.20 |
$1,387.20 |
$1,387.20 |
$2,553.75
|
|
Egd dilate stricture
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$2,394.60
|
|
Egd endo mucosal resection
|
$558.60 |
$558.60 |
$558.60 |
$2,430.40
|
|
Egd endoscopic stent place
|
$323.40 |
$323.40 |
$323.40 |
$3,986.00
|
|
Egd guide wire insertion
|
$246.00 |
$246.00 |
$246.00 |
$1,664.00
|
|
Egd injection varices
|
$307.80 |
$307.80 |
$307.80 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$312.60 |
$312.60 |
$312.60 |
$2,244.82
|
|
Egd lesion ablation
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$2,354.48
|
|
Egd optical endomicroscopy
|
$712.20 |
$712.20 |
$712.20 |
$2,372.30
|
|
Egd remove foreign body
|
$804.00 |
$804.00 |
$804.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$290.40 |
$290.40 |
$290.40 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$876.60 |
$876.60 |
$876.60 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$406.20 |
$406.20 |
$406.20 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$387.60 |
$387.60 |
$387.60 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$550.80 |
$550.80 |
$550.80 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$375.00 |
$375.00 |
$375.00 |
$3,333.85
|
|
Egd varices ligation
|
$552.00 |
$552.00 |
$552.00 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$777.60 |
$777.60 |
$777.60 |
$4,379.25
|
|
EKG (Electrocardiogram)
|
$94.80 |
$94.80 |
$94.80 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$30.00 |
$30.00 |
$30.00 |
$37.60
|
|
EKG interpret & report preve g0405
|
$15.60 |
$15.60 |
$15.60 |
$19.20
|
|
EKG tracing for initial prev
|
$17.40 |
$17.40 |
$17.40 |
$81.76
|
|
EKG (Tracing Only)
|
$120.60 |
$120.60 |
$120.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$193.20 |
$193.20 |
$193.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$293.40 |
$293.40 |
$293.40 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$339.00 |
$339.00 |
$339.00 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$339.00 |
$339.00 |
$339.00 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$244.20 |
$244.20 |
$244.20 |
$618.80
|
|
Electrd sq emblem s-icd
|
$10,206.00 |
$10,206.00 |
$10,206.00 |
$10,243.24
|
|
Electrical bone stim 20974
|
$316.80 |
$316.80 |
$316.80 |
$61.91
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$95.40 |
$95.40 |
$95.40 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$82.20 |
$82.20 |
$82.20 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$128.40 |
$128.40 |
$128.40 |
$166.40
|
|
Electroacous eval hear aid/biaural 92595
|
$63.60 |
$63.60 |
$63.60 |
$97.50
|
|
Electroconvulsive therapy 90870
|
$279.60 |
$279.60 |
$279.60 |
$1,235.00
|
|
Electrolyte panel
|
$49.20 |
$49.20 |
$49.20 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$247.80 |
$247.80 |
$247.80 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$281.40 |
$281.40 |
$281.40 |
$160.00
|
|
Elotuzumab 300 mg intravenous solution
|
$5,523.02 |
$5,523.02 |
$5,523.02 |
$5,761.81
|
|
Embedded ip cath exit-site 49436
|
$344.40 |
$344.40 |
$344.40 |
$3,226.64
|
|
Embo or occlude vascular arterial s&i
|
$715.80 |
$715.80 |
$715.80 |
$16,031.73
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$756.00 |
$756.00 |
$756.00 |
$15,101.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$7,310.39
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$93.60 |
$93.60 |
$93.60 |
$290.55
|
|
Emb without cervical dilation 58100
|
$213.00 |
$213.00 |
$213.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$274.80 |
$274.80 |
$274.80 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$331.20 |
$331.20 |
$331.20 |
$502.80
|
|
Emg cranial nerve bilateral
|
$205.20 |
$205.20 |
$205.20 |
$529.10
|
|
Emg needle test 1-extremity
|
$187.80 |
$187.80 |
$187.80 |
$351.50
|
|
Emg needle test 4-extremities
|
$359.40 |
$359.40 |
$359.40 |
$613.20
|
|
Encephalitis, california igg/igm
|
$50.40 |
$50.40 |
$50.40 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$47.40 |
$47.40 |
$47.40 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$48.00 |
$48.00 |
$48.00 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$2,721.00 |
$2,721.00 |
$2,721.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$34.20 |
$34.20 |
$34.20 |
$714.24
|
|
Endo cath panc duct s&i
|
$72.60 |
$72.60 |
$72.60 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$261.60 |
$261.60 |
$261.60 |
$515.50
|
|
Endocervical curettage 57505
|
$197.40 |
$197.40 |
$197.40 |
$1,060.50
|
|
Endo cholangiopancreatograph
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$4,233.50
|