|
Dx laryngoscopy w/oper scope
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,908.75
|
|
Dynamic cavernosometry
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$343.55
|
|
Ear canal biopsy 69105
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,768.50
|
|
Ear cartilage graft
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,741.00
|
|
Ear irrigation 69209
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$154.70
|
|
Ecg 12 lead tracing only
|
$74.77 |
$74.77 |
$74.77 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$77.27 |
$77.27 |
$77.27 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$280.16 |
$280.16 |
$280.16 |
$441.40
|
|
Ecg external < 48 hours recording
|
$378.06 |
$378.06 |
$378.06 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$464.09 |
$464.09 |
$464.09 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$243.50 |
$243.50 |
$243.50 |
$146.90
|
|
Ecg external >7 days up to 15 days recording
|
$170.38 |
$170.38 |
$170.38 |
$182.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,017.12 |
$1,017.12 |
$1,017.12 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$452.63 |
$452.63 |
$452.63 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$313.49 |
$313.49 |
$313.49 |
$773.30
|
|
Echocardiograpy doppler follow up/limited study
|
$165.80 |
$165.80 |
$165.80 |
$354.90
|
|
Echo exam of fetal heart
|
$282.45 |
$282.45 |
$282.45 |
$855.38
|
|
Echo exam of fetal heart
|
$234.54 |
$234.54 |
$234.54 |
$481.55
|
|
Echo exam of fetal heart
|
$255.16 |
$255.16 |
$255.16 |
$431.41
|
|
Echo exam of fetal heart
|
$104.56 |
$104.56 |
$104.56 |
$323.40
|
|
Echo exam uterus 76831-
|
$165.39 |
$165.39 |
$165.39 |
$547.23
|
|
Echograp trans r pros study
|
$126.64 |
$126.64 |
$126.64 |
$445.25
|
|
Echo guidance radiotherapy
|
$300.78 |
$300.78 |
$300.78 |
$769.18
|
|
Echo guide for amniocentesis
|
$307.03 |
$307.03 |
$307.03 |
$377.11
|
|
Echo guide for artery repair
|
$303.70 |
$303.70 |
$303.70 |
$676.80
|
|
Echo guide for transfusion
|
$118.10 |
$118.10 |
$118.10 |
$324.60
|
|
Echo guide villus sampling
|
$153.93 |
$153.93 |
$153.93 |
$355.80
|
|
Echo stress
|
$530.54 |
$530.54 |
$530.54 |
$1,607.45
|
|
Echo tee guidance
|
$960.88 |
$960.88 |
$960.88 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,150.02 |
$1,150.02 |
$1,150.02 |
$1,938.95
|
|
Echo transesophageal
|
$627.60 |
$627.60 |
$627.60 |
$1,734.10
|
|
Echo transesophageal intraop
|
$767.79 |
$767.79 |
$767.79 |
$1,571.70
|
|
Echo transthoracic
|
$575.94 |
$575.94 |
$575.94 |
$1,475.25
|
|
Echo transthoracic
|
$204.75 |
$204.75 |
$204.75 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$433.26 |
$433.26 |
$433.26 |
$1,020.09
|
|
E coli 0157 ag ia
|
$13.93 |
$13.93 |
$13.93 |
$32.00
|
|
Ecp ciliary body destruction
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,526.64
|
|
Eeg 41-60 minutes 95812-26
|
$459.71 |
$459.71 |
$459.71 |
$934.05
|
|
Eeg over 1 hour 95813 - 26
|
$368.27 |
$368.27 |
$368.27 |
$1,100.40
|
|
Eeg without vid 2-12hr cont mntr
|
$346.61 |
$346.61 |
$346.61 |
$684.75
|
|
Eeg without vid 2-12 hr unmntr
|
$310.99 |
$310.99 |
$310.99 |
$526.57
|
|
Eeg without vid ea 12-26hr cont
|
$915.06 |
$915.06 |
$915.06 |
$1,167.64
|
|
Eeg without vid ea 12-26hr intmt
|
$870.06 |
$870.06 |
$870.06 |
$1,126.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$330.15 |
$330.15 |
$330.15 |
$593.91
|
|
Eeg wo vid ea 12-26hr unmntr
|
$704.67 |
$704.67 |
$704.67 |
$1,139.40
|
|
E equine encephalitis igg
|
$14.51 |
$14.51 |
$14.51 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Egd control bleeding any
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,553.75
|
|
Egd dilate stricture
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,775.20
|
|
Egd endo mucosal resection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,433.60
|
|
Egd endoscopic stent place
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$9,562.50
|
|
Egd flx trnsorl dplmnt balo
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Egd flx trnsorl rmvl balo
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,104.13
|
|
Egd guide wire insertion
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,318.75
|
|
Egd injection varices
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Egd lesion ablation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,805.40
|
|
Egd optical endomicroscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,234.01
|
|
Egd remove foreign body
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,608.60
|
|
Egd remove lesion snare
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,571.00
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,475.85
|
|
Egd Ultrasound exam duodenum/jejunum
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,919.80
|
|
Egd Ultrasound transmural injxn/mark
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,638.57
|
|
Egd varices ligation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,576.75
|
|
Egd w/thrml txmnt gerd
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,953.01
|
|
Elbow arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Elec analys infus pump w/reprog 62368
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$624.96
|
|
Elect analysis of infusion pump 62367
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$524.40
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$576.81
|
|
Electric stim/w chemodenervation 95873
|
$32.49 |
$32.49 |
$32.49 |
$125.00
|
|
Electroejaculation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,030.40
|
|
Electrolyte panel
|
$7.71 |
$7.71 |
$7.71 |
$86.33
|
|
Electron microscopy diagnostic
|
$646.14 |
$646.14 |
$646.14 |
$1,006.20
|
|
Electrophysiologic study
|
$2,730.60 |
$2,730.60 |
$2,730.60 |
$6,758.40
|
|
Electrophysiology evaluation
|
$2,696.44 |
$2,696.44 |
$2,696.44 |
$8,979.45
|
|
Electrophysiology evaluation
|
$2,759.55 |
$2,759.55 |
$2,759.55 |
$11,542.01
|
|
Electrophysiology evaluation
|
$2,625.62 |
$2,625.62 |
$2,625.62 |
$8,393.40
|
|
Electrophysiology evaluation
|
$3,255.93 |
$3,255.93 |
$3,255.93 |
$6,516.00
|
|
Electrophysiology evaluation
|
$798.20 |
$798.20 |
$798.20 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,587.03 |
$1,587.03 |
$1,587.03 |
$2,630.40
|
|
Electrophysiology evaluation
|
$405.97 |
$405.97 |
$405.97 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$2,955.77 |
$2,955.77 |
$2,955.77 |
$6,534.00
|
|
Embedded ip cath exit-site 49436
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Embolization s&i
|
$1,010.87 |
$1,010.87 |
$1,010.87 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$15,038.25
|
|
Embryo transfer intrauterine
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$998.79
|