|
Ecmo/ecls initiation artery 33947
|
$1,737.12 |
$1,737.12 |
$1,737.12 |
$3,151.20
|
|
Ecmo/ecls initiation venous 33946
|
$868.56 |
$868.56 |
$868.56 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$954.24 |
$954.24 |
$954.24 |
$3,321.00
|
|
Eeg 41-60 minutes 95812-26
|
$421.68 |
$421.68 |
$421.68 |
$934.05
|
|
Eeg during surgery
|
$361.76 |
$361.76 |
$361.76 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$497.28 |
$497.28 |
$497.28 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$498.96 |
$498.96 |
$498.96 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$799.68 |
$799.68 |
$799.68 |
$892.52
|
|
Eeg recording awake and asleep
|
$413.84 |
$413.84 |
$413.84 |
$937.95
|
|
Egfr gene com variants
|
$205.13 |
$205.13 |
$205.13 |
$619.04
|
|
Electrd sq emblem s-icd
|
$5,724.32 |
$5,724.32 |
$5,724.32 |
$12,127.50
|
|
Electrical stimulation/unattended 97014
|
$40.88 |
$40.88 |
$40.88 |
$79.20
|
|
Electrode stimulation brain
|
$904.96 |
$904.96 |
$904.96 |
$1,127.09
|
|
Electrolyte panel
|
$14.56 |
$14.56 |
$14.56 |
$68.56
|
|
Electron microscopy diagnostic
|
$360.64 |
$360.64 |
$360.64 |
$1,107.84
|
|
Electrophysiologic study
|
$5,396.72 |
$5,396.72 |
$5,396.72 |
$6,371.24
|
|
Electrophysiology evaluation
|
$8,001.84 |
$8,001.84 |
$8,001.84 |
$8,636.37
|
|
Electrophysiology evaluation
|
$9,415.84 |
$9,415.84 |
$9,415.84 |
$11,266.40
|
|
Electrophysiology evaluation
|
$3,248.56 |
$3,248.56 |
$3,248.56 |
$8,605.71
|
|
Electrophysiology evaluation
|
$3,248.56 |
$3,248.56 |
$3,248.56 |
$6,516.00
|
|
Electrophysiology evaluation
|
$5,385.52 |
$5,385.52 |
$5,385.52 |
$2,845.10
|
|
Electrophysiology evaluation
|
$5,333.44 |
$5,333.44 |
$5,333.44 |
$2,630.40
|
|
Electrophysiology evaluation
|
$5,333.44 |
$5,333.44 |
$5,333.44 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$3,184.16 |
$3,184.16 |
$3,184.16 |
$6,534.00
|
|
Embolization s&i
|
$3,248.56 |
$3,248.56 |
$3,248.56 |
$2,869.75
|
|
Embo or occlude vascular arterial s&i
|
$17,091.20 |
$17,091.20 |
$17,091.20 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,091.20 |
$17,091.20 |
$17,091.20 |
$15,266.94
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$17,091.20 |
$17,091.20 |
$17,091.20 |
$16,381.78
|
|
Embo or occlude vascular venous s&i
|
$17,091.20 |
$17,091.20 |
$17,091.20 |
$15,873.70
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$160.16 |
$160.16 |
$160.16 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$198.80 |
$198.80 |
$198.80 |
$482.30
|
|
Emg cranial nerve bilateral
|
$228.48 |
$228.48 |
$228.48 |
$494.13
|
|
Emg needle test 1-extremity
|
$126.00 |
$126.00 |
$126.00 |
$362.25
|
|
Emg needle test 4-extremities
|
$239.68 |
$239.68 |
$239.68 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$152.88 |
$152.88 |
$152.88 |
$309.83
|
|
Encephalitis, california igg/igm
|
$6.72 |
$6.72 |
$6.72 |
$49.92
|
|
Endoluminal bx biliary tree
|
$3,119.20 |
$3,119.20 |
$3,119.20 |
$2,354.40
|
|
Endoluminl ivus oct c 1st
|
$3,129.28 |
$3,129.28 |
$3,129.28 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$473.76 |
$473.76 |
$473.76 |
$2,466.77
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,739.04 |
$6,739.04 |
$6,739.04 |
$10,604.25
|
|
Ep & ablate supravent arrhyt
|
$14,293.44 |
$14,293.44 |
$14,293.44 |
$30,975.00
|
|
Ep & ablate ventric tachy
|
$17,435.04 |
$17,435.04 |
$17,435.04 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$2,154.21
|
|
Epidrm agrft t/a/l 1st 100
|
$3,489.92 |
$3,489.92 |
$3,489.92 |
$2,710.80
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$10.49 |
$10.49 |
$10.49 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$11.81 |
$11.81 |
$11.81 |
$379.58
|
|
Epstein barr early antigen antibody
|
$25.20 |
$25.20 |
$25.20 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$25.20 |
$25.20 |
$25.20 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$70.00 |
$70.00 |
$70.00 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$11.86 |
$11.86 |
$11.86 |
$62.40
|
|
Ercp biliary & pancreas
|
$350.00 |
$350.00 |
$350.00 |
$885.80
|
|
ER Visit (level 1, minor)
|
$174.16 |
$174.16 |
$174.16 |
$270.00
|
|
ER Visit (level 2)
|
$357.84 |
$357.84 |
$357.84 |
$469.39
|
|
ER Visit (level 3)
|
$750.96 |
$750.96 |
$750.96 |
$821.52
|
|
ER Visit (level 4)
|
$1,027.04 |
$1,027.04 |
$1,027.04 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,662.64 |
$1,662.64 |
$1,662.64 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$53.76 |
$53.76 |
$53.76 |
$195.33
|
|
Establish access to aorta
|
$614.88 |
$614.88 |
$614.88 |
$1,560.95
|
|
Established Patient Office Visit (level 1)
|
$25.76 |
$25.76 |
$25.76 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$32.48 |
$32.48 |
$32.48 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$45.36 |
$45.36 |
$45.36 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$73.92 |
$73.92 |
$73.92 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$117.60 |
$117.60 |
$117.60 |
$270.09
|
|
Estradiol total
|
$89.60 |
$89.60 |
$89.60 |
$142.20
|
|
Estrogens total-sendout
|
$27.44 |
$27.44 |
$27.44 |
$111.00
|
|
Ethylene glycol -sendout
|
$34.44 |
$34.44 |
$34.44 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.39 |
$2.39 |
$2.39 |
$20.35
|
|
Euglobulin lysis
|
$13.28 |
$13.28 |
$13.28 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$170.80 |
$170.80 |
$170.80 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$119.28 |
$119.28 |
$119.28 |
$219.60
|
|
Evaluation heart device
|
$4,720.80 |
$4,720.80 |
$4,720.80 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$148.40 |
$148.40 |
$148.40 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$277.76 |
$277.76 |
$277.76 |
$325.65
|
|
Evasc rpr a-ao ndgft 34701
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$6,020.00
|
|
Evasc rpr ilio-iliac ndgft
|
$4,412.24 |
$4,412.24 |
$4,412.24 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$7,101.36 |
$7,101.36 |
$7,101.36 |
$9,565.92
|
|
Event monitor
|
$218.96 |
$218.96 |
$218.96 |
$228.60
|
|
Evoked potentials upper limbs
|
$412.72 |
$412.72 |
$412.72 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$274.40 |
$274.40 |
$274.40 |
$852.80
|
|
Exc benign tal 0.5 < cm 11400
|
$1,188.32 |
$1,188.32 |
$1,188.32 |
$805.70
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,327.92 |
$2,327.92 |
$2,327.92 |
$1,228.50
|
|
Exchange biliary drg cath
|
$6,711.60 |
$6,711.60 |
$6,711.60 |
$4,143.00
|
|
Exchange drainage catheter
|
$3,494.96 |
$3,494.96 |
$3,494.96 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$4,845.68 |
$4,845.68 |
$4,845.68 |
$2,752.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,494.96 |
$3,494.96 |
$3,494.96 |
$2,925.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,700.16 |
$1,700.16 |
$1,700.16 |
$2,941.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,101.12 |
$2,101.12 |
$2,101.12 |
$3,449.40
|
|
Explore chest vessels 35820
|
$3,996.16 |
$3,996.16 |
$3,996.16 |
$4,912.80
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$18.48 |
$18.48 |
$18.48 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$548.80 |
$548.80 |
$548.80 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$57.12 |
$57.12 |
$57.12 |
$102.50
|
|
F-18 fdg pet diag
|
$1,015.84 |
$1,015.84 |
$1,015.84 |
$750.58
|
|
F-18 fluciclovine per mci
|
$276.64 |
$276.64 |
$276.64 |
$7,624.40
|
|
Facial bones <3
|
$53.76 |
$53.76 |
$53.76 |
$216.45
|
|
Factor ix
|
$34.16 |
$34.16 |
$34.16 |
$139.75
|
|
Factor ix complex
|
$0.88 |
$0.88 |
$0.88 |
$3.23
|
|
Factor ix recombinant nos
|
$0.93 |
$0.93 |
$0.93 |
$1.88
|
|
Factor viii
|
$43.68 |
$43.68 |
$43.68 |
$152.50
|
