|
Echocardiograpy doppler follow up/limited study
|
$174.16 |
$174.16 |
$174.16 |
$354.90
|
|
Echo exam of fetal heart
|
$420.09 |
$420.09 |
$420.09 |
$855.38
|
|
Echo exam of fetal heart
|
$155.12 |
$155.12 |
$155.12 |
$431.41
|
|
Echo exam uterus 76831-
|
$188.38 |
$188.38 |
$188.38 |
$547.23
|
|
Echo guidance radiotherapy
|
$315.94 |
$315.94 |
$315.94 |
$769.18
|
|
Echo guide for amniocentesis
|
$391.87 |
$391.87 |
$391.87 |
$377.11
|
|
Echo guide for artery repair
|
$384.86 |
$384.86 |
$384.86 |
$676.80
|
|
Echo guide for transfusion
|
$124.05 |
$124.05 |
$124.05 |
$324.60
|
|
Echo guide villus sampling
|
$161.69 |
$161.69 |
$161.69 |
$355.80
|
|
Echo stress
|
$557.28 |
$557.28 |
$557.28 |
$1,607.45
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,207.77 |
$1,207.77 |
$1,207.77 |
$1,938.95
|
|
Echo transesophageal
|
$817.65 |
$817.65 |
$817.65 |
$1,734.10
|
|
Echo transthoracic
|
$405.65 |
$405.65 |
$405.65 |
$1,475.25
|
|
Echo transthoracic
|
$266.27 |
$266.27 |
$266.27 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$444.82 |
$444.82 |
$444.82 |
$1,020.09
|
|
E coli 0157 ag ia
|
$13.93 |
$13.93 |
$13.93 |
$32.00
|
|
Ecp ciliary body destruction
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,526.64
|
|
Eeg 41-60 minutes 95812-26
|
$482.89 |
$482.89 |
$482.89 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$168.03 |
$168.03 |
$168.03 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$246.80 |
$246.80 |
$246.80 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$442.85 |
$442.85 |
$442.85 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$268.90 |
$268.90 |
$268.90 |
$911.00
|
|
Eeg recording awake and asleep
|
$294.06 |
$294.06 |
$294.06 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$485.29 |
$485.29 |
$485.29 |
$684.75
|
|
Eeg without vid 2-12 hr unmntr
|
$291.00 |
$291.00 |
$291.00 |
$526.57
|
|
Eeg without vid ea 12-26hr cont
|
$973.66 |
$973.66 |
$973.66 |
$1,167.64
|
|
Eeg without vid ea 12-26hr intmt
|
$769.08 |
$769.08 |
$769.08 |
$1,126.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$346.79 |
$346.79 |
$346.79 |
$593.91
|
|
Eeg wo vid ea 12-26hr unmntr
|
$740.20 |
$740.20 |
$740.20 |
$1,139.40
|
|
E equine encephalitis igg
|
$14.51 |
$14.51 |
$14.51 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,244.82
|
|
Egd control bleeding any
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,553.75
|
|
Egd dilate stricture
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,775.20
|
|
Egd endo mucosal resection
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,433.60
|
|
Egd endoscopic stent place
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$9,562.50
|
|
Egd flx trnsorl dplmnt balo
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,244.82
|
|
Egd flx trnsorl rmvl balo
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,104.13
|
|
Egd guide wire insertion
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,318.75
|
|
Egd injection varices
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,244.82
|
|
Egd lesion ablation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,805.40
|
|
Egd optical endomicroscopy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,234.01
|
|
Egd remove foreign body
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,608.60
|
|
Egd remove lesion snare
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,571.00
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,475.85
|
|
Egd Ultrasound exam duodenum/jejunum
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,919.80
|
|
Egd Ultrasound transmural injxn/mark
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,638.57
|
|
Egd varices ligation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,576.75
|
|
Egd w/thrml txmnt gerd
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,379.25
|
|
Egfr gene com variants
|
$357.04 |
$357.04 |
$357.04 |
$646.75
|
|
Ehrlicha chaffeensis amp prb
|
$38.60 |
$38.60 |
$38.60 |
$105.00
|
|
Elbow arthroscopy
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,953.01
|
|
Elbow arthroscopy/surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,839.54
|
|
Elec analys infus pump w/reprog 62368
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$624.96
|
|
Elect analysis of infusion pump 62367
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$524.40
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$576.81
|
|
Electroejaculation
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,030.40
|
|
Electrolyte panel
|
$7.71 |
$7.71 |
$7.71 |
$86.33
|
|
Electron microscopy diagnostic
|
$344.61 |
$344.61 |
$344.61 |
$1,006.20
|
|
Embedded ip cath exit-site 49436
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,244.82
|
|
Embolization s&i
|
$1,332.05 |
$1,332.05 |
$1,332.05 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$15,038.25
|
|
Embryo transfer intrauterine
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$998.79
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,396.89
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$397.66
|
|
Encephalitis, california igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$50.35
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,522.00
|
|
Endo cath bile duct s&i
|
$269.34 |
$269.34 |
$269.34 |
$545.37
|
|
Endocerv curettage w/scope 57456
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$515.50
|
|
Endocervical curettage 57505
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,030.40
|
|
Endo cholangiopancreatograph
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,450.00
|
|
Endoluminl ivus oct c 1st
|
$909.11 |
$909.11 |
$909.11 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$397.12 |
$397.12 |
$397.12 |
$2,294.50
|
|
Endome abla/them without hystero guide 58353
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,350.00
|
|
Endometrial cryoablation w/us 58356
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,441.87
|
|
Endoscopic injection/implant
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,081.37
|
|
Endoscopic Ultrasound exam esoph
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,896.00
|
|
Endoscopy ligate perf veins 37500
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$4,478.21
|
|
Endoscopy maxillary sinus
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$5,419.00
|
|
Endoscopy of bowel pouch 44385
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$1,500.75
|
|
Endoscopy of ureter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,817.53
|
|
Endoscopy of ureter
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$3,986.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
$2,872.59
|
