|
Ecg external > 48 hours up to 7 days recording
|
$125.13 |
$125.13 |
$564.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$125.13 |
$125.13 |
$911.00 |
$173.40
|
|
Ecg record/review
|
$469.60 |
$469.60 |
$469.60 |
$371.28
|
|
Ecg/review interpret only
|
$57.60 |
$57.60 |
$80.00 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,255.20 |
$1,255.20 |
$1,527.50 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$585.00 |
$585.00 |
$751.98 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$356.47 |
$356.47 |
$2,632.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,667.90 |
$1,667.90 |
$1,707.38 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$601.25 |
$601.25 |
$866.87 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$292.50 |
$292.50 |
$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
|
$742.00 |
$742.00 |
$1,159.68 |
$904.80
|
|
Echo exam of fetal heart
|
$538.27 |
$538.27 |
$568.75 |
$538.27
|
|
Echo exam of fetal heart
|
$246.35 |
$246.35 |
$309.40 |
$431.41
|
|
Echo exam of fetal heart
|
$246.35 |
$246.35 |
$281.45 |
$318.34
|
|
Echo exam uterus 76831-
|
$638.20 |
$638.20 |
$1,501.50 |
$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 |
$1,406.20 |
$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
|
$742.00 |
$742.00 |
$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
|
$1,189.50 |
$1,189.50 |
$1,466.79 |
$1,361.75
|
|
Echo transthoracic
|
$1,053.06 |
$1,053.06 |
$1,189.50 |
$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
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,199.20 |
$18,199.20 |
$18,199.20 |
$19,540.29
|
|
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
|
$53.95 |
$53.95 |
$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
|
$464.10 |
$464.10 |
$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 |
$1,125.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,032.20 |
$1,032.20 |
$1,032.20 |
$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
|
$931.20 |
$931.20 |
$1,356.03 |
$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
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$49.67 |
$49.67 |
$18,942.60 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$574.40 |
$574.40 |
$574.40 |
$2,244.82
|
|
Egd control bleeding any
|
$1,607.20 |
$1,607.20 |
$7,864.95 |
$2,553.75
|
|
Egd dilate stricture
|
$1,440.00 |
$1,440.00 |
$14,446.28 |
$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 |
$11,738.90 |
$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 |
$516.00 |
$2,244.82
|
|
Egd lesion ablation
|
$817.00 |
$817.00 |
$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 |
$11,942.75 |
$1,571.40
|