|
Elbow X-ray (2 views, both sides)
|
$742.40 |
$742.40 |
$742.40 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$883.20 |
$883.20 |
$883.20 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$115.20 |
$115.20 |
$115.20 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$70.40 |
$70.40 |
$70.40 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$1,235.00
|
|
Electrolyte panel
|
$132.80 |
$132.80 |
$132.80 |
$79.30
|
|
Electron microscopy diagnostic
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$1,011.98
|
|
Electrophysiologic study
|
$13,284.00 |
$13,284.00 |
$13,284.00 |
$7,493.20
|
|
Electrophysiology evaluation
|
$12,672.80 |
$12,672.80 |
$12,672.80 |
$8,975.40
|
|
Electrophysiology evaluation
|
$13,704.80 |
$13,704.80 |
$13,704.80 |
$10,724.84
|
|
Electrophysiology evaluation
|
$11,374.40 |
$11,374.40 |
$11,374.40 |
$6,760.00
|
|
Electrophysiology evaluation
|
$13,704.80 |
$13,704.80 |
$13,704.80 |
$5,883.66
|
|
Electrophysiology evaluation
|
$4,141.60 |
$4,141.60 |
$4,141.60 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,704.00 |
$3,704.00 |
$3,704.00 |
$2,914.40
|
|
Encephalitis, california igg/igm
|
$61.60 |
$61.60 |
$61.60 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$61.60 |
$61.60 |
$61.60 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$61.60 |
$61.60 |
$61.60 |
$54.99
|
|
Endo cath bile duct s&i
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,146.40 |
$1,146.40 |
$1,146.40 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$1,578.40 |
$1,578.40 |
$1,578.40 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$746.40 |
$746.40 |
$746.40 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$500.80 |
$500.80 |
$500.80 |
$402.35
|
|
Enzyme histochemistry
|
$736.00 |
$736.00 |
$736.00 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$20,000.80 |
$20,000.80 |
$20,000.80 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$20,000.80 |
$20,000.80 |
$20,000.80 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$5,971.20 |
$5,971.20 |
$5,971.20 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$5,180.80 |
$5,180.80 |
$5,180.80 |
$2,702.70
|
|
Epstein barr early antigen antibody
|
$167.20 |
$167.20 |
$167.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$166.40 |
$166.40 |
$166.40 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$180.80 |
$180.80 |
$180.80 |
$85.50
|
|
Ercp biliary & pancreas
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$967.04
|
|
ER Visit (level 1, minor)
|
$208.00 |
$208.00 |
$208.00 |
$252.60
|
|
ER Visit (level 2)
|
$431.20 |
$431.20 |
$431.20 |
$463.00
|
|
ER Visit (level 3)
|
$734.40 |
$734.40 |
$734.40 |
$812.18
|
|
ER Visit (level 4)
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,933.60 |
$1,933.60 |
$1,933.60 |
$1,871.60
|
|
Esophageal dilat s&i
|
$1,146.40 |
$1,146.40 |
$1,146.40 |
$551.20
|
|
Esophageal recording
|
$2,554.40 |
$2,554.40 |
$2,554.40 |
$1,985.34
|
|
Esophageal recording
|
$2,554.40 |
$2,554.40 |
$2,554.40 |
$2,187.60
|
|
Esophagoscopy balloon <30mm
|
$848.80 |
$848.80 |
$848.80 |
$2,460.00
|
|
Established Patient Office Visit (level 1)
|
$110.40 |
$110.40 |
$110.40 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$118.40 |
$118.40 |
$118.40 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$199.20 |
$199.20 |
$199.20 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$301.60 |
$301.60 |
$301.60 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$427.20 |
$427.20 |
$427.20 |
$290.68
|
|
Estradiol total
|
$292.80 |
$292.80 |
$292.80 |
$152.10
|
|
Ethylene glycol -sendout
|
$290.40 |
$290.40 |
$290.40 |
$86.04
|
|
Euglobulin lysis
|
$365.60 |
$365.60 |
$365.60 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$162.40 |
$162.40 |
$162.40 |
$213.15
|
|
Evaluation heart device
|
$2,642.40 |
$2,642.40 |
$2,642.40 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$483.20 |
$483.20 |
$483.20 |
$302.50
|
|
Event monitor
|
$216.80 |
$216.80 |
$216.80 |
$231.00
|
|
Evoked oa emissions ltd
|
$261.60 |
$261.60 |
$261.60 |
$244.00
|
|
Evoked potentials upper limbs
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,229.60 |
$1,229.60 |
$1,229.60 |
$814.61
|
|
Exchange biliary drg cath
|
$3,122.40 |
$3,122.40 |
$3,122.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$6,904.80 |
$6,904.80 |
$6,904.80 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,414.40 |
$2,414.40 |
$2,414.40 |
$2,064.75
|
|
Excision of gum flap
|
$2,192.80 |
$2,192.80 |
$2,192.80 |
$2,000.80
|
|
Ext ecg>48hr<7d scan a/r
|
$613.60 |
$613.60 |
$613.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$613.60 |
$613.60 |
$613.60 |
$345.60
|
|
Extended visual field xm
|
$135.20 |
$135.20 |
$135.20 |
$162.75
|
|
External chromosome analysis 20-25 cells
|
$1,398.40 |
$1,398.40 |
$1,398.40 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$610.40 |
$610.40 |
$610.40 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$645.60 |
$645.60 |
$645.60 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,231.20 |
$2,231.20 |
$2,231.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,553.60 |
$3,553.60 |
$3,553.60 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,692.00 |
$2,692.00 |
$2,692.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$503.20 |
$503.20 |
$503.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$645.60 |
$645.60 |
$645.60 |
$381.75
|
|
Factor ix
|
$321.60 |
$321.60 |
$321.60 |
$162.50
|
|
Factor viii
|
$327.20 |
$327.20 |
$327.20 |
$148.00
|
|
Fallopian tube recnl
|
$7,782.40 |
$7,782.40 |
$7,782.40 |
$3,740.75
|
|
Fancc gene
|
$1,491.20 |
$1,491.20 |
$1,491.20 |
$140.00
|
|
Fat/lipids feces qualitative
|
$108.00 |
$108.00 |
$108.00 |
$36.00
|
|
Fatty acids nonesterified
|
$276.80 |
$276.80 |
$276.80 |
$72.15
|
|
#fecal-sodium
|
$84.00 |
$84.00 |
$84.00 |
$37.53
|
|
Feeding tube reposition
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$133.60 |
$133.60 |
$133.60 |
$66.43
|
|
Fern test
|
$45.60 |
$45.60 |
$45.60 |
$37.03
|
|
Ferritin
|
$203.20 |
$203.20 |
$203.20 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$3,652.00 |
$3,652.00 |
$3,652.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$784.00 |
$784.00 |
$784.00 |
$477.50
|
|
Fetal fibronectin
|
$1,037.60 |
$1,037.60 |
$1,037.60 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$181.60 |
$181.60 |
$181.60 |
$102.00
|
|
Fetal hemoglobin rosette
|
$144.80 |
$144.80 |
$144.80 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$70.40 |
$70.40 |
$70.40 |
$67.00
|
|
Fetal non stress test
|
$1,491.20 |
$1,491.20 |
$1,491.20 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$247.20 |
$247.20 |
$247.20 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$241.60 |
$241.60 |
$241.60 |
$120.64
|
|
Fibrinogen activity
|
$206.40 |
$206.40 |
$206.40 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$286.40 |
$286.40 |
$286.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$796.80 |
$796.80 |
$796.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$312.00 |
$312.00 |
$312.00 |
$66.60
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,982.40 |
$1,982.40 |
$1,982.40 |
$1,081.52
|
