|
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
|
$931.20 |
$931.20 |
$931.20 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$526.57 |
$526.57 |
$526.57 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$526.57 |
$526.57 |
$526.57 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,009.88 |
$1,009.88 |
$1,009.88 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,009.88 |
$1,009.88 |
$1,009.88 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$526.57 |
$526.57 |
$526.57 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,009.88 |
$1,009.88 |
$1,009.88 |
$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
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$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
|
$1,569.73 |
$1,569.73 |
$1,569.73 |
$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
|
$18.40 |
$18.40 |
$18.40 |
$81.76
|
|
EKG (Tracing Only)
|
$164.88 |
$164.88 |
$164.88 |
$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)
|
$105.60 |
$105.60 |
$105.60 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$282.19 |
$282.19 |
$282.19 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$593.77 |
$593.77 |
$593.77 |
$616.00
|
|
Elec stim unattend for press
|
$30.40 |
$30.40 |
$30.40 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$593.77 |
$593.77 |
$593.77 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$593.77 |
$593.77 |
$593.77 |
$618.80
|
|
Electrd sq emblem s-icd
|
$8,735.20 |
$8,735.20 |
$8,735.20 |
$10,243.24
|
|
Electrical bone stim 20974
|
$192.00 |
$192.00 |
$192.00 |
$61.91
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$82.62 |
$82.62 |
$82.62 |
$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
|
$589.00 |
$589.00 |
$589.00 |
$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
|
|
Electron microscopy diagnostic
|
$936.80 |
$936.80 |
$936.80 |
$1,011.98
|
|
Electro-oculography w/i&r
|
$230.40 |
$230.40 |
$230.40 |
$249.60
|
|
Electrophysiologic study
|
$3,149.92 |
$3,149.92 |
$3,149.92 |
$7,493.20
|
|
Electrophysiology evaluation
|
$4,648.60 |
$4,648.60 |
$4,648.60 |
$8,975.40
|
|
Electrophysiology evaluation
|
$8,409.49 |
$8,409.49 |
$8,409.49 |
$10,724.84
|
|
Electrophysiology evaluation
|
$2,548.52 |
$2,548.52 |
$2,548.52 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,155.41 |
$4,155.41 |
$4,155.41 |
$5,883.66
|
|
Electrophysiology evaluation
|
$2,404.43 |
$2,404.43 |
$2,404.43 |
$2,559.70
|
|
Electrophysiology evaluation
|
$2,419.87 |
$2,419.87 |
$2,419.87 |
$2,914.40
|
|
Electrophysiology evaluation
|
$514.40 |
$514.40 |
$514.40 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$6,608.64 |
$6,608.64 |
$6,608.64 |
$5,762.40
|
|
Elisa hiv-1/hiv-2 screen
|
$48.57 |
$48.57 |
$48.57 |
$45.34
|
|
Embedded ip cath exit-site 49436
|
$970.40 |
$970.40 |
$970.40 |
$3,226.64
|
|
Emboli detcj wo IV mbubb njx
|
$400.00 |
$400.00 |
$400.00 |
$484.25
|
|
Embolization s&i
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$18,504.00 |
$18,504.00 |
$18,504.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,178.40 |
$17,178.40 |
$17,178.40 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$23,377.60 |
$23,377.60 |
$23,377.60 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$17,016.15 |
$17,016.15 |
$17,016.15 |
$14,741.00
|
|
Embryo hatching
|
$212.80 |
$212.80 |
$212.80 |
$326.15
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$5,004.80 |
$5,004.80 |
$5,004.80 |
$7,310.39
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$4,636.80 |
$4,636.80 |
$4,636.80 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$126.40 |
$126.40 |
$126.40 |
$290.55
|
