|
Duplex scan bilateral study 93985
|
$620.00 |
$620.00 |
$620.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$357.60 |
$357.60 |
$357.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$359.20 |
$359.20 |
$359.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$835.86 |
$835.86 |
$835.86 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$962.61 |
$962.61 |
$962.61 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$216.78 |
$216.78 |
$216.78 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$186.40 |
$186.40 |
$186.40 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$48.00 |
$48.00 |
$48.00 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$666.40 |
$666.40 |
$666.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$3,343.44 |
$3,343.44 |
$3,343.44 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,343.44 |
$3,343.44 |
$3,343.44 |
$2,410.50
|
|
Dx duod intub w/asp spec 43756
|
$608.80 |
$608.80 |
$608.80 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$837.60 |
$837.60 |
$837.60 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$441.60 |
$441.60 |
$441.60 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$421.60 |
$421.60 |
$421.60 |
$308.70
|
|
Dx intraop epcar Ultrasound chd i&r
|
$64.00 |
$64.00 |
$64.00 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$171.20 |
$171.20 |
$171.20 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$55.20 |
$55.20 |
$55.20 |
$558.11
|
|
Dx laryngoscopy newborn
|
$385.60 |
$385.60 |
$385.60 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$387.20 |
$387.20 |
$387.20 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$108.80 |
$108.80 |
$108.80 |
$558.11
|
|
Dynamic cavernosometry
|
$354.40 |
$354.40 |
$354.40 |
$3,442.40
|
|
Dynamic surface emg
|
$49.60 |
$49.60 |
$49.60 |
$368.50
|
|
Ear and throat examination
|
$210.40 |
$210.40 |
$210.40 |
$602.63
|
|
Ear canal biopsy 69105
|
$688.00 |
$688.00 |
$688.00 |
$1,889.50
|
|
Ear cartilage graft
|
$1,787.20 |
$1,787.20 |
$1,787.20 |
$6,385.40
|
|
Ear irrigation 69209
|
$152.50 |
$152.50 |
$152.50 |
$154.70
|
|
Ear protector evaluation
|
$141.60 |
$141.60 |
$141.60 |
$112.56
|
|
Ecg/1-3 leads/interp & report only 93042
|
$16.00 |
$16.00 |
$16.00 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$98.17 |
$98.17 |
$98.17 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$377.60 |
$377.60 |
$377.60 |
$412.88
|
|
Ecg external < 48 hours recording
|
$212.68 |
$212.68 |
$212.68 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$193.32 |
$193.32 |
$193.32 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$125.13 |
$125.13 |
$125.13 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$125.13 |
$125.13 |
$125.13 |
$173.40
|
|
Ecg record/review
|
$469.60 |
$469.60 |
$469.60 |
$371.28
|
|
Ecg/review interpret only
|
$57.60 |
$57.60 |
$57.60 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$751.98 |
$751.98 |
$751.98 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$356.47 |
$356.47 |
$356.47 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,707.38 |
$1,707.38 |
$1,707.38 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$866.87 |
$866.87 |
$866.87 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$314.88 |
$314.88 |
$314.88 |
$371.25
|
|
Echo exam of eye
|
$140.80 |
$140.80 |
$140.80 |
$143.75
|
|
Echo exam of eye
|
$172.00 |
$172.00 |
$172.00 |
$172.00
|
|
Echo exam of eye
|
$168.00 |
$168.00 |
$168.00 |
$169.62
|
|
Echo exam of eye thickness
|
$29.60 |
$29.60 |
$29.60 |
$40.30
|
|
Echo exam of fetal heart
|
$1,159.68 |
$1,159.68 |
$1,159.68 |
$904.80
|
|
Echo exam of fetal heart
|
$538.27 |
$538.27 |
$538.27 |
$538.27
|
|
Echo exam of fetal heart
|
$246.35 |
$246.35 |
$246.35 |
$431.41
|
|
Echo exam of fetal heart
|
$246.35 |
$246.35 |
$246.35 |
$318.34
|
|
Echo exam uterus 76831-
|
$638.20 |
$638.20 |
$638.20 |
$561.00
|
|
Echograp trans r pros study
|
$336.80 |
$336.80 |
$336.80 |
$468.00
|
|
Echo guidance radiotherapy
|
$313.60 |
$313.60 |
$313.60 |
$812.00
|
|
Echo guidance radiotherapy
|
$322.40 |
$322.40 |
$322.40 |
$322.40
|
|
Echo guide for amniocentesis
|
$249.49 |
$249.49 |
$249.49 |
$455.57
|
|
Echo guide for artery repair
|
$575.60 |
$575.60 |
$575.60 |
$696.30
|
|
Echo guide for heart biopsy
|
$192.80 |
$192.80 |
$192.80 |
$666.40
|
|
Echo guide for transfusion
|
$273.60 |
$273.60 |
$273.60 |
$332.39
|
|
Echo guide ova aspiration
|
$144.80 |
$144.80 |
$144.80 |
$174.20
|
|
Echo guide villus sampling
|
$191.20 |
$191.20 |
$191.20 |
$362.88
|
|
Echo stress
|
$921.36 |
$921.36 |
$921.36 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$65.60 |
$65.60 |
$65.60 |
$751.34
|
|
Echo tee guidance
|
$2,238.71 |
$2,238.71 |
$2,238.71 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,959.70 |
$1,959.70 |
$1,959.70 |
$1,913.60
|
|
Echo transesophageal
|
$99.20 |
$99.20 |
$99.20 |
$1,075.20
|
|
Echo transesophageal
|
$564.80 |
$564.80 |
$564.80 |
$602.00
|
|
Echo transesophageal
|
$1,530.42 |
$1,530.42 |
$1,530.42 |
$1,650.00
|
|
Echo transesophageal
|
$603.20 |
$603.20 |
$603.20 |
$603.20
|
|
Echo transesophageal intraop
|
$1,251.20 |
$1,251.20 |
$1,251.20 |
$1,578.00
|
|
Echo transthoracic
|
$1,466.79 |
$1,466.79 |
$1,466.79 |
$1,361.75
|
|
Echo transthoracic
|
$1,053.06 |
$1,053.06 |
$1,053.06 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$306.40 |
$306.40 |
$306.40 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$4,084.29
|
|
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
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$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
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$6,110.90 |
$6,110.90 |
$6,110.90 |
$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
|
$132.36 |
$132.36 |
$132.36 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$788.00 |
$788.00 |
$788.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$749.12 |
$749.12 |
$749.12 |
$994.15
|
|
Eeg during surgery
|
$983.58 |
$983.58 |
$983.58 |
$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
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$1,119.54
|