|
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 |
$649.74
|
|
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
|
$165.42 |
$165.42 |
$165.42 |
$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
|
$80.55 |
$80.55 |
$80.55 |
$133.60
|
|
Ecg < 30 days transmission & analysis
|
$1,199.46 |
$1,199.46 |
$1,199.46 |
$410.43
|
|
Ecg external < 48 hours recording
|
$734.63 |
$734.63 |
$734.63 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$734.63 |
$734.63 |
$734.63 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$344.48 |
$344.48 |
$344.48 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$46.40 |
$46.40 |
$46.40 |
$170.38
|
|
Ecg record/review
|
$469.60 |
$469.60 |
$469.60 |
$371.28
|
|
Ecg/review interpret only
|
$57.60 |
$57.60 |
$57.60 |
$52.80
|
|
Echocardiogram (Heart Ultrasound)
|
$2,030.14 |
$2,030.14 |
$2,030.14 |
$2,020.00
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$454.17 |
$454.17 |
$454.17 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$558.00 |
$558.00 |
$558.00 |
$520.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,210.64 |
$2,210.64 |
$2,210.64 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,692.44 |
$1,692.44 |
$1,692.44 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$322.19 |
$322.19 |
$322.19 |
$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 |
$178.85
|
|
Echo exam of eye thickness
|
$29.60 |
$29.60 |
$29.60 |
$39.77
|
|
Echo exam of fetal heart
|
$1,179.44 |
$1,179.44 |
$1,179.44 |
$904.80
|
|
Echo exam of fetal heart
|
$547.43 |
$547.43 |
$547.43 |
$538.27
|
|
Echo exam of fetal heart
|
$565.77 |
$565.77 |
$565.77 |
$431.41
|
|
Echo exam of fetal heart
|
$250.55 |
$250.55 |
$250.55 |
$318.34
|
|
Echo exam uterus 76831-
|
$677.37 |
$677.37 |
$677.37 |
$561.00
|
|
Echograp trans r pros study
|
$336.80 |
$336.80 |
$336.80 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,008.28 |
$1,008.28 |
$1,008.28 |
$812.00
|
|
Echo guidance radiotherapy
|
$322.40 |
$322.40 |
$322.40 |
$322.40
|
|
Echo guide for amniocentesis
|
$355.17 |
$355.17 |
$355.17 |
$455.57
|
|
Echo guide for artery repair
|
$680.28 |
$680.28 |
$680.28 |
$698.70
|
|
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
|
$1,347.45 |
$1,347.45 |
$1,347.45 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$65.60 |
$65.60 |
$65.60 |
$751.34
|
|
Echo tee guidance
|
$2,291.20 |
$2,291.20 |
$2,291.20 |
$1,865.50
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,885.56 |
$1,885.56 |
$1,885.56 |
$1,907.26
|
|
Echo transesophageal
|
$1,115.03 |
$1,115.03 |
$1,115.03 |
$1,067.95
|
|
Echo transesophageal
|
$564.80 |
$564.80 |
$564.80 |
$588.00
|
|
Echo transesophageal
|
$1,530.42 |
$1,530.42 |
$1,530.42 |
$1,626.00
|
|
Echo transesophageal
|
$603.20 |
$603.20 |
$603.20 |
$603.20
|
|
Echo transesophageal intraop
|
$1,803.07 |
$1,803.07 |
$1,803.07 |
$1,578.00
|
|
Echo transthoracic
|
$865.63 |
$865.63 |
$865.63 |
$1,361.75
|
|
Echo transthoracic
|
$454.17 |
$454.17 |
$454.17 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$865.63 |
$865.63 |
$865.63 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$580.00 |
$580.00 |
$580.00 |
$2,822.71
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$599.20 |
$599.20 |
$599.20 |
$2,967.53
|
|
Ecmo/ecls initiation artery 33947
|
$844.00 |
$844.00 |
$844.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$761.60 |
$761.60 |
$761.60 |
$4,016.36
|
|
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
|
$1,165.60 |
$1,165.60 |
$1,165.60 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,612.00
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$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
|
$694.40 |
$694.40 |
$694.40 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$581.60 |
$581.60 |
$581.60 |
$1,533.65
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$572.80 |
$572.80 |
$572.80 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$452.00 |
$452.00 |
$452.00 |
$1,206.15
|
|
Ecog impltd brn npgt <30 d
|
$240.80 |
$240.80 |
$240.80 |
$146.00
|
|
E coli 0157 ag ia
|
$32.00 |
$32.00 |
$32.00 |
$56.80
|
|
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
|
$104.83 |
$104.83 |
$104.83 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,546.88 |
$1,546.88 |
$1,546.88 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,091.75 |
$1,091.75 |
$1,091.75 |
$1,000.42
|
|
Eeg during surgery
|
$3,294.64 |
$3,294.64 |
$3,294.64 |
$775.45
|
|
Eeg monitoring/function test
|
$1,373.60 |
$1,373.60 |
$1,373.60 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$844.80 |
$844.80 |
$844.80 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,025.76 |
$1,025.76 |
$1,025.76 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,064.12 |
$2,064.12 |
$2,064.12 |
$1,117.38
|
|
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 |
$615.00
|
|
Eeg phys/qhp ea incr without vid
|
$592.80 |
$592.80 |
$592.80 |
$852.00
|
|
Eeg/record in coma or sleep only 95822
|
$837.60 |
$837.60 |
$837.60 |
$870.76
|
|
Eeg recording awake and asleep
|
$1,025.76 |
$1,025.76 |
$1,025.76 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,124.01 |
$1,124.01 |
$1,124.01 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,124.01 |
$1,124.01 |
$1,124.01 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$2,156.63 |
$2,156.63 |
$2,156.63 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$2,156.63 |
$2,156.63 |
$2,156.63 |
$1,584.70
|
