|
Ecg external < 48 hours scanning analysis w/report
|
$500.00 |
$500.00 |
$500.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$27.60 |
$27.60 |
$100.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$46.00 |
$46.00 |
$122.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,422.78 |
$1,422.78 |
$1,486.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$294.50 |
$294.50 |
$308.20 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$561.20 |
$561.20 |
$1,486.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$576.50 |
$576.50 |
$627.44 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$553.50 |
$553.50 |
$627.44 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$179.50 |
$179.50 |
$548.32 |
$362.50
|
|
Echo exam of fetal heart
|
$437.46 |
$437.46 |
$475.50 |
$939.00
|
|
Echo exam of fetal heart
|
$628.82 |
$628.82 |
$683.50 |
$524.55
|
|
Echo exam of fetal heart
|
$121.90 |
$121.90 |
$132.50 |
$431.41
|
|
Echo exam of fetal heart
|
$88.78 |
$88.78 |
$96.50 |
$323.40
|
|
Echo exam uterus 76831-
|
$197.50 |
$197.50 |
$197.50 |
$523.71
|
|
Echograp trans r pros study
|
$370.00 |
$370.00 |
$370.00 |
$459.40
|
|
Echo guide cardiocentesis
|
$159.16 |
$159.16 |
$173.00 |
$269.33
|
|
Echo guide for amniocentesis
|
$276.92 |
$276.92 |
$301.00 |
$456.30
|
|
Echo guide for heart biopsy
|
$276.46 |
$276.46 |
$276.46 |
$666.40
|
|
Echo stress
|
$1,448.00 |
$1,448.00 |
$1,620.12 |
$1,592.05
|
|
Echo tee guidance
|
$389.16 |
$389.16 |
$1,854.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,380.00 |
$1,380.00 |
$1,442.50 |
$1,849.50
|
|
Echo transesophageal
|
$648.60 |
$648.60 |
$648.60 |
$1,087.90
|
|
Echo transesophageal
|
$400.20 |
$400.20 |
$418.50 |
$664.39
|
|
Echo transesophageal intraop
|
$316.94 |
$316.94 |
$316.94 |
$1,571.70
|
|
Echo transthoracic
|
$1,225.44 |
$1,225.44 |
$1,320.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,225.44 |
$1,225.44 |
$1,320.00 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$939.50 |
$939.50 |
$939.50 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$929.20 |
$929.20 |
$929.20 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$929.20 |
$929.20 |
$929.20 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$6,053.14 |
$6,053.14 |
$6,053.14 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$524.00 |
$524.00 |
$6,053.14 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$929.20 |
$929.20 |
$929.20 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,819.76 |
$1,819.76 |
$1,819.76 |
$2,825.34
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,819.76 |
$1,819.76 |
$1,819.76 |
$1,240.00
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,819.76 |
$1,819.76 |
$1,819.76 |
$1,057.76
|
|
Eeg 41-60 minutes 95812-26
|
$717.14 |
$717.14 |
$916.50 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$141.68 |
$141.68 |
$842.50 |
$1,000.42
|
|
Eeg during surgery
|
$840.50 |
$840.50 |
$840.50 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$603.52 |
$603.52 |
$794.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,026.50 |
$1,026.50 |
$1,026.50 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$380.42 |
$380.42 |
$667.50 |
$907.80
|
|
Eeg recording awake and asleep
|
$826.62 |
$826.62 |
$929.00 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$790.50 |
$790.50 |
$790.50 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$397.90 |
$397.90 |
$397.90 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$397.90 |
$397.90 |
$397.90 |
$1,379.30
|
|
Eeg wo vid ea 12-26hr unmntr
|
$397.90 |
$397.90 |
$1,716.50 |
$1,502.40
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$142.38 |
$142.38 |
$154.76 |
$12,999.80
|
|
Egd remove foreign body
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$1,505.50
|
|
Elec analys infus pump w/reprog 62368
|
$671.00 |
$671.00 |
$671.00 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$351.00 |
$351.00 |
$351.00 |
$563.20
|
|
Electrd sq emblem s-icd
|
$11,672.50 |
$11,672.50 |
$12,687.50 |
$10,243.24
|
|
Electrolyte panel
|
$41.40 |
$41.40 |
$117.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$751.50 |
$751.50 |
$751.50 |
$983.41
|
|
Electrophysiologic study
|
$948.52 |
$948.52 |
$6,005.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,633.50 |
$4,633.50 |
$7,903.26 |
$8,979.45
|
|
Electrophysiology evaluation
|
$3,068.00 |
$3,068.00 |
$5,246.30 |
$10,233.60
|
|
Electrophysiology evaluation
|
$1,967.50 |
$1,967.50 |
$3,363.06 |
$6,760.00
|
|
Electrophysiology evaluation
|
$3,994.00 |
$3,994.00 |
$6,558.22 |
$5,854.80
|
|
Electrophysiology evaluation
|
$1,795.84 |
$1,795.84 |
$1,952.00 |
$2,451.90
|
|
Electrophysiology evaluation
|
$1,690.50 |
$1,690.50 |
$1,762.72 |
$2,821.00
|
|
Electrophysiology evaluation
|
$49.22 |
$49.22 |
$159.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$3,157.44 |
$3,157.44 |
$3,944.50 |
$5,881.00
|
|
Elotuzumab 300 mg intravenous solution
|
$1,341.53 |
$1,341.53 |
$1,458.18 |
$5,523.02
|
|
Embolization s&i
|
$1,555.26 |
$1,555.26 |
$2,138.50 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$8,715.50 |
$8,715.50 |
$9,008.64 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$6,879.00 |
$6,879.00 |
$9,008.64 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$6,691.00 |
$6,691.00 |
$9,008.64 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$6,024.00 |
$6,024.00 |
$9,008.64 |
$14,586.00
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$1,871.74 |
$1,871.74 |
$1,871.74 |
$7,651.38
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$2,044.70 |
$2,044.70 |
$2,044.70 |
$6,708.28
|
|
Emb without cervical dilation 58100
|
$171.12 |
$171.12 |
$204.50 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$858.50 |
$858.50 |
$858.50 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$986.50 |
$986.50 |
$986.50 |
$464.00
|
|
Emg needle test 1-extremity
|
$533.50 |
$533.50 |
$533.50 |
$334.34
|
|
Emg needle test 4-extremities
|
$622.00 |
$622.00 |
$622.00 |
$547.00
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$2,886.00 |
$2,886.00 |
$2,886.00 |
$5,119.50
|
|
Endo cath bile duct s&i
|
$331.00 |
$331.00 |
$331.00 |
$694.06
|
|
Endo cath panc duct s&i
|
$445.50 |
$445.50 |
$445.50 |
$672.43
|
|
Endo cholangiopancreatograph
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$4,214.73
|
|
Endoluminal bx biliary tree
|
$2,843.00 |
$2,843.00 |
$2,843.00 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$2,747.12 |
$2,747.12 |
$2,991.00 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$781.00 |
$781.00 |
$1,922.80 |
$2,203.49
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$228.50 |
$228.50 |
$228.50 |
$2,756.52
|
|
Endo, single, pulmonary
|
$408.95 |
$408.95 |
$444.51 |
$1,046.66
|
|
Endovasc rpr a-biiliac endogft 34705
|
$933.80 |
$933.80 |
$1,173.50 |
$9,055.68
|
|
Endovasc tempory vessel occl
|
$15,492.00 |
$15,492.00 |
$15,492.00 |
$11,261.25
|
|
Endovasc visc aorta 1 graft
|
$8,464.46 |
$8,464.46 |
$8,464.46 |
$7,758.24
|
|
Endovasc visc aorta 2 graft
|
$7,640.60 |
$7,640.60 |
$7,640.60 |
$9,122.40
|
|
Endovas iliac a device addon
|
$272.00 |
$272.00 |
$2,728.26 |
$826.80
|
|
Endovenous laser vein addon 36479
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$2,603.36
|
|
Endovenous mchnchem 1st vein
|
$2,762.50 |
$2,762.50 |
$2,762.50 |
$4,845.93
|
|
Endoven ther chem adhes 1st 36482
|
$3,638.50 |
$3,638.50 |
$3,638.50 |
$5,988.54
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$1,900.26 |
$1,900.26 |
$2,065.50 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$15.68 |
$15.68 |
$17.05 |
$109.71
|
|
Enzyme histochemistry
|
$378.00 |
$378.00 |
$378.00 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$14,491.50 |
$14,491.50 |
$15,813.42 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$10,436.94 |
$10,436.94 |
$10,436.94 |
$28,199.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$1,483.50 |
$1,483.50 |
$1,483.50 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,710.80
|
