|
Dup scan/hemodialysis access 93990
|
$114.66 |
$114.66 |
$114.66 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$439.40 |
$439.40 |
$439.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$488.02 |
$488.02 |
$488.02 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$23,743.62 |
$23,743.62 |
$23,743.62 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$706.68 |
$706.68 |
$706.68 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$751.14 |
$751.14 |
$751.14 |
$2,369.64
|
|
Dx bronchoscope/wash 31622
|
$644.54 |
$644.54 |
$644.54 |
$2,322.60
|
|
Ear irrigation 69209
|
$562.12 |
$562.12 |
$562.12 |
$150.00
|
|
Ecg 12 lead tracing only
|
$82.42 |
$82.42 |
$82.42 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$15.60 |
$15.60 |
$15.60 |
$135.80
|
|
Ecg external < 48 hours recording
|
$169.00 |
$169.00 |
$169.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$215.28 |
$215.28 |
$215.28 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$32.50 |
$32.50 |
$32.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$33.02 |
$33.02 |
$33.02 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$862.16 |
$862.16 |
$862.16 |
$2,020.00
|
|
Echocardiography doppler color flow mapping
|
$508.82 |
$508.82 |
$508.82 |
$467.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$998.92 |
$998.92 |
$998.92 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$663.78 |
$663.78 |
$663.78 |
$705.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$663.78 |
$663.78 |
$663.78 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$190.58 |
$190.58 |
$190.58 |
$362.50
|
|
Echo exam of fetal heart
|
$425.62 |
$425.62 |
$425.62 |
$939.00
|
|
Echograp trans r pros study
|
$387.66 |
$387.66 |
$387.66 |
$459.40
|
|
Echo guidance radiotherapy
|
$493.22 |
$493.22 |
$493.22 |
$812.00
|
|
Echo guide for amniocentesis
|
$177.84 |
$177.84 |
$177.84 |
$456.30
|
|
Echo stress
|
$661.70 |
$661.70 |
$661.70 |
$1,592.05
|
|
Echo tee guidance
|
$1,473.68 |
$1,473.68 |
$1,473.68 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,151.28 |
$1,151.28 |
$1,151.28 |
$1,849.50
|
|
Echo transesophageal
|
$488.28 |
$488.28 |
$488.28 |
$1,530.42
|
|
Echo transthoracic
|
$205.66 |
$205.66 |
$205.66 |
$1,361.75
|
|
Echo transthoracic
|
$137.54 |
$137.54 |
$137.54 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$849.42 |
$849.42 |
$849.42 |
$985.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$72,126.64 |
$72,126.64 |
$72,126.64 |
$18,199.20
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$172.38 |
$172.38 |
$172.38 |
$87.84
|
|
Eeg 41-60 minutes 95812-26
|
$1,029.86 |
$1,029.86 |
$1,029.86 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$399.10 |
$399.10 |
$399.10 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$705.64 |
$705.64 |
$705.64 |
$834.60
|
|
Eeg over 1 hour 95813 - 26
|
$2,133.82 |
$2,133.82 |
$2,133.82 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$748.02 |
$748.02 |
$748.02 |
$907.80
|
|
Eeg recording awake and asleep
|
$687.18 |
$687.18 |
$687.18 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$645.58 |
$645.58 |
$645.58 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$645.58 |
$645.58 |
$645.58 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$645.58 |
$645.58 |
$645.58 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$645.58 |
$645.58 |
$645.58 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$645.58 |
$645.58 |
$645.58 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$645.58 |
$645.58 |
$645.58 |
$1,502.40
|
|
E equine encephalitis igg
|
$58.50 |
$58.50 |
$58.50 |
$49.92
|
|
Egd balloon dil esoph30 mm/>
|
$856.18 |
$856.18 |
$856.18 |
$2,244.82
|
|
Egd control bleeding any
|
$2,745.86 |
$2,745.86 |
$2,745.86 |
$2,553.75
|
|
Egd dilate stricture
|
$1,251.90 |
$1,251.90 |
$1,251.90 |
$2,244.82
|
|
Egd endoscopic stent place
|
$1,425.06 |
$1,425.06 |
$1,425.06 |
$3,786.00
|
|
Egd guide wire insertion
|
$1,434.94 |
$1,434.94 |
$1,434.94 |
$1,664.00
|
|
Egd injection varices
|
$1,158.56 |
$1,158.56 |
$1,158.56 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,225.38 |
$1,225.38 |
$1,225.38 |
$2,237.95
|
|
Egd lesion ablation
|
$1,179.36 |
$1,179.36 |
$1,179.36 |
$2,244.82
|
|
Egd remove foreign body
|
$1,108.90 |
$1,108.90 |
$1,108.90 |
$1,505.50
|
|
Egd remove lesion snare
|
$1,242.80 |
$1,242.80 |
$1,242.80 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$2,244.82
|
|
Egd varices ligation
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$2,244.82
|
|
Ehrlicha chaffeensis amp prb
|
$67.08 |
$67.08 |
$67.08 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$61.62 |
$61.62 |
$61.62 |
$79.20
|
|
Electrolyte panel
|
$13.52 |
$13.52 |
$13.52 |
$84.24
|
|
Electron microscopy diagnostic
|
$142.74 |
$142.74 |
$142.74 |
$983.41
|
|
Electrophysiologic study
|
$3,456.44 |
$3,456.44 |
$3,456.44 |
$6,758.40
|
|
Electrophysiology evaluation
|
$5,830.76 |
$5,830.76 |
$5,830.76 |
$8,979.45
|
|
Electrophysiology evaluation
|
$5,374.46 |
$5,374.46 |
$5,374.46 |
$10,233.60
|
|
Electrophysiology evaluation
|
$5,319.86 |
$5,319.86 |
$5,319.86 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,213.04 |
$4,213.04 |
$4,213.04 |
$5,854.80
|
|
Electrophysiology evaluation
|
$862.68 |
$862.68 |
$862.68 |
$2,451.90
|
|
Electrophysiology evaluation
|
$1,263.08 |
$1,263.08 |
$1,263.08 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$3,098.94 |
$3,098.94 |
$3,098.94 |
$5,799.30
|
|
Embolization s&i
|
$1,192.88 |
$1,192.88 |
$1,192.88 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$8,035.04 |
$8,035.04 |
$8,035.04 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$8,035.04 |
$8,035.04 |
$8,035.04 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$8,035.04 |
$8,035.04 |
$8,035.04 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$4,835.74 |
$4,835.74 |
$4,835.74 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$453.96 |
$453.96 |
$453.96 |
$370.50
|
|
Encephalitis, california igg/igm
|
$58.50 |
$58.50 |
$58.50 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$32.50 |
$32.50 |
$32.50 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$58.50 |
$58.50 |
$58.50 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,174.56 |
$4,174.56 |
$4,174.56 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$455.52 |
$455.52 |
$455.52 |
$686.05
|
|
Endocerv curettage w/scope 57456
|
$145.08 |
$145.08 |
$145.08 |
$470.25
|
|
Endo cholangiopancreatograph
|
$2,089.62 |
$2,089.62 |
$2,089.62 |
$4,217.20
|
|
Endo cholangiopancreatograph
|
$1,760.20 |
$1,760.20 |
$1,760.20 |
$4,214.73
|
|
Endoluminl ivus oct c 1st
|
$1,731.60 |
$1,731.60 |
$1,731.60 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,029.34 |
$1,029.34 |
$1,029.34 |
$2,203.49
|
|
Endoscopy bowel pouch/biop
|
$448.24 |
$448.24 |
$448.24 |
$2,184.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,421.42 |
$1,421.42 |
$1,421.42 |
$2,756.52
|
|
Endovenous laser vein addon 36479
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$2,603.36
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$34,942.39 |
$34,942.39 |
$34,942.39 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$90.14 |
$90.14 |
$90.14 |
$109.71
|
|
Enzyme histochemistry
|
$158.60 |
$158.60 |
$158.60 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$13,660.92 |
$13,660.92 |
$13,660.92 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$17,589.52 |
$17,589.52 |
$17,589.52 |
$28,199.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$696.28 |
$696.28 |
$696.28 |
$1,141.80
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$414.65 |
$414.65 |
$414.65 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$10.87 |
$10.87 |
$10.87 |
$34.13
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,722.42 |
$3,722.42 |
$3,722.42 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,219.62 |
$1,219.62 |
$1,219.62 |
$809.08
|
