|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$454.00 |
$454.00 |
$454.00 |
$371.25
|
|
Echo exam of fetal heart
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$904.80
|
|
Echo exam of fetal heart
|
$1,753.00 |
$1,753.00 |
$1,753.00 |
$538.27
|
|
Echo exam of fetal heart
|
$796.00 |
$796.00 |
$796.00 |
$431.41
|
|
Echo exam of fetal heart
|
$801.00 |
$801.00 |
$801.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$968.00 |
$968.00 |
$968.00 |
$561.00
|
|
Echograp trans r pros study
|
$436.00 |
$436.00 |
$436.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$455.57
|
|
Echo guide villus sampling
|
$560.00 |
$560.00 |
$560.00 |
$362.88
|
|
Echo stress
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,609.44
|
|
Echo tee guidance
|
$451.00 |
$451.00 |
$451.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,461.00 |
$2,461.00 |
$2,461.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$1,650.00
|
|
Echo transthoracic
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$1,361.75
|
|
Echo transthoracic
|
$854.00 |
$854.00 |
$854.00 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$790.00 |
$790.00 |
$790.00 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,971.00 |
$3,971.00 |
$3,971.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,971.00 |
$3,971.00 |
$3,971.00 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$5,991.00 |
$5,991.00 |
$5,991.00 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$5,991.00 |
$5,991.00 |
$5,991.00 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,321.00 |
$3,321.00 |
$3,321.00 |
$2,660.16
|
|
Ecog impltd brn npgt <30 d
|
$146.00 |
$146.00 |
$146.00 |
$148.40
|
|
Eeg 41-60 minutes 95812-26
|
$2,794.00 |
$2,794.00 |
$2,794.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$994.15
|
|
Eeg during surgery
|
$933.00 |
$933.00 |
$933.00 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$3,086.00 |
$3,086.00 |
$3,086.00 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$911.00 |
$911.00 |
$911.00 |
$871.00
|
|
Eeg recording awake and asleep
|
$2,911.00 |
$2,911.00 |
$2,911.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$965.00 |
$965.00 |
$965.00 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$853.00 |
$853.00 |
$853.00 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,632.95
|
|
Egd remove foreign body
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,571.40
|
|
Egfr gene com variants
|
$657.00 |
$657.00 |
$657.00 |
$672.88
|
|
EKG tracing for initial prev
|
$84.00 |
$84.00 |
$84.00 |
$81.76
|
|
EKG (Tracing Only)
|
$200.00 |
$200.00 |
$200.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$359.00 |
$359.00 |
$359.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$389.00 |
$389.00 |
$389.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$618.80
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$122.00 |
$122.00 |
$122.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$50.00 |
$50.00 |
$50.00 |
$81.75
|
|
Electrocorticography durng sx
|
$6,791.00 |
$6,791.00 |
$6,791.00 |
$1,642.53
|
|
Electrode stimulation brain
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$1,203.94
|
|
Electrolyte panel
|
$32.00 |
$32.00 |
$32.00 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$181.00 |
$181.00 |
$181.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$331.00 |
$331.00 |
$331.00 |
$160.00
|
|
Electron microscopy diagnostic
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$1,011.98
|
|
Electrophysiology evaluation
|
$55,227.00 |
$55,227.00 |
$55,227.00 |
$8,975.40
|
|
Electrophysiology evaluation
|
$24,364.00 |
$24,364.00 |
$24,364.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,584.00 |
$3,584.00 |
$3,584.00 |
$2,914.40
|
|
Electrophys map 3d add-on
|
$5,488.00 |
$5,488.00 |
$5,488.00 |
$5,762.40
|
|
Embolization s&i
|
$3,927.00 |
$3,927.00 |
$3,927.00 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$45,800.00 |
$45,800.00 |
$45,800.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$45,800.00 |
$45,800.00 |
$45,800.00 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$45,800.00 |
$45,800.00 |
$45,800.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$22,900.00 |
$22,900.00 |
$22,900.00 |
$14,741.00
|
|
Emb w/colposcopy 58110
|
$413.00 |
$413.00 |
$413.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$688.00 |
$688.00 |
$688.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$547.00 |
$547.00 |
$547.00 |
$394.80
|
|
Emg cranial nerve bilateral
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$529.10
|
|
Emg needle test 1-extremity
|
$377.00 |
$377.00 |
$377.00 |
$351.50
|
|
Emg thor paraspinal without t1/t2
|
$759.00 |
$759.00 |
$759.00 |
$309.83
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$9,209.00 |
$9,209.00 |
$9,209.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$10,291.00 |
$10,291.00 |
$10,291.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,991.00 |
$1,991.00 |
$1,991.00 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$515.50
|
|
Endocervical curettage 57505
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$1,060.50
|
|
Endoluminal bx biliary tree
|
$14,108.00 |
$14,108.00 |
$14,108.00 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$4,879.00 |
$4,879.00 |
$4,879.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$5,107.00 |
$5,107.00 |
$5,107.00 |
$2,158.95
|
|
Endoscopic injection/implant
|
$10,434.00 |
$10,434.00 |
$10,434.00 |
$5,304.00
|
|
Endoscopy swallow (fees) vid
|
$641.00 |
$641.00 |
$641.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$4,946.00 |
$4,946.00 |
$4,946.00 |
$2,787.20
|
|
Endovasc rpr a-biiliac endogft 34705
|
$16,224.00 |
$16,224.00 |
$16,224.00 |
$9,122.40
|
|
Endovenous laser vein addon 36479
|
$3,225.00 |
$3,225.00 |
$3,225.00 |
$2,755.76
|
|
Endovenous rf abl vein addl
|
$7,298.00 |
$7,298.00 |
$7,298.00 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$16,805.00 |
$16,805.00 |
$16,805.00 |
$6,366.08
|
|
Enzyme histochemistry
|
$849.00 |
$849.00 |
$849.00 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$72,263.00 |
$72,263.00 |
$72,263.00 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$72,263.00 |
$72,263.00 |
$72,263.00 |
$27,778.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$6,243.00 |
$6,243.00 |
$6,243.00 |
$3,778.57
|
|
Epstein barr early antigen antibody
|
$119.00 |
$119.00 |
$119.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$141.00 |
$141.00 |
$141.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$166.00 |
$166.00 |
$166.00 |
$85.50
|
|
Ercp biliary & pancreas
|
$1,866.00 |
$1,866.00 |
$1,866.00 |
$967.04
|
|
ER Visit (level 1, minor)
|
$270.00 |
$270.00 |
$270.00 |
$252.60
|
|
ER Visit (level 2)
|
$742.00 |
$742.00 |
$742.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$812.18
|
|
ER Visit (level 4)
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,998.00 |
$2,998.00 |
$2,998.00 |
$1,871.60
|
