|
Echo stress
|
$1,760.00 |
$1,854.40 |
$2,320.00 |
|
|
Echo tee guidance
|
$1,319.20 |
$1,319.20 |
$1,436.80 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,578.40 |
$2,469.60 |
$2,582.40 |
|
|
Echo transesophageal
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
|
|
Echo transesophageal
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
|
|
Echo transesophageal
|
$1,977.60 |
$1,977.60 |
$2,391.20 |
|
|
Echo transesophageal
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
|
|
Echo transthoracic
|
$1,204.80 |
$1,204.80 |
$1,914.40 |
|
|
Echo transthoracic
|
$869.60 |
$869.60 |
$1,444.00 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,440.00 |
$1,440.00 |
$1,649.60 |
|
|
Ecmo/ecls initiation artery 33947
|
$4,120.80 |
$4,120.80 |
$4,120.80 |
|
|
Ecmo/ecls initiation venous 33946
|
$4,293.60 |
$4,293.60 |
$4,293.60 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,852.00 |
$3,852.00 |
$3,852.00 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$7,258.00 |
$7,258.00 |
$7,258.00 |
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$108.00 |
$108.00 |
$150.40 |
|
|
Eeg 41-60 minutes 95812-26
|
$1,268.00 |
$1,268.00 |
$1,272.80 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$482.40 |
$482.40 |
$1,115.20 |
|
|
Eeg monitoring/function test
|
$1,420.80 |
$1,420.80 |
$1,420.80 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,067.20 |
$1,067.20 |
$1,073.60 |
|
|
Eeg over 1 hour 95813 - 26
|
$1,436.00 |
$1,436.00 |
$1,443.20 |
|
|
Eeg/record in coma or sleep only 95822
|
$1,185.60 |
$1,185.60 |
$1,216.80 |
|
|
Eeg recording awake and asleep
|
$1,185.60 |
$1,185.60 |
$1,224.00 |
|
|
Eeg without vid 2-12hr cont mntr
|
$3,673.60 |
$3,673.60 |
$3,673.60 |
|
|
Eeg without vid 2-12 hr unmntr
|
$1,728.80 |
$1,728.80 |
$2,544.00 |
|
|
Eeg without vid ea 12-26hr cont
|
$3,784.00 |
$3,784.00 |
$3,784.00 |
|
|
Eeg without vid ea 12-26hr intmt
|
$3,331.20 |
$3,331.20 |
$3,331.20 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,048.80 |
$3,048.80 |
$3,048.80 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,991.20 |
$1,991.20 |
$2,862.40 |
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$6,549.00 |
$6,549.00 |
$6,549.00 |
|
|
Egd balloon dil esoph30 mm/>
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
|
|
Egd control bleeding any
|
$2,967.20 |
$2,967.20 |
$2,967.20 |
|
|
Egd dilate stricture
|
$2,283.20 |
$2,283.20 |
$2,775.20 |
|
|
Egd endo mucosal resection
|
$2,384.00 |
$2,396.80 |
$2,396.80 |
|
|
Egd endoscopic stent place
|
$6,038.40 |
$6,038.40 |
$6,038.40 |
|
|
Egd flx trnsorl dplmnt balo
|
$3,032.00 |
$3,032.00 |
$3,032.00 |
|
|
Egd guide wire insertion
|
$2,801.60 |
$2,801.60 |
$2,801.60 |
|
|
Egd injection varices
|
$2,699.20 |
$2,699.20 |
$2,699.20 |
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,859.20 |
$2,859.20 |
$2,859.20 |
|
|
Egd lesion ablation
|
$2,608.80 |
$2,608.80 |
$2,608.80 |
|
|
Egd optical endomicroscopy
|
$3,274.40 |
$3,274.40 |
$3,274.40 |
|
|
Egd remove foreign body
|
$2,028.00 |
$2,028.00 |
$2,885.60 |
|
|
Egd remove lesion snare
|
$2,397.60 |
$2,397.60 |
$2,992.00 |
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,477.60 |
$2,477.60 |
$2,477.60 |
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,128.80 |
$3,128.80 |
$3,128.80 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,128.80 |
$3,128.80 |
$3,128.80 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,128.80 |
$3,128.80 |
$3,128.80 |
|
|
Egd Ultrasound transmural injxn/mark
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
|
|
Egd varices ligation
|
$2,942.40 |
$2,942.40 |
$2,942.40 |
|
|
Egd w/transmural drain cyst
|
$4,429.60 |
$4,429.60 |
$4,429.60 |
|
|
EKG (Electrocardiogram)
|
$103.20 |
$103.20 |
$103.20 |
|
|
EKG tracing for initial prev
|
$60.00 |
$60.00 |
$61.60 |
|
|
EKG (Tracing Only)
|
$177.60 |
$177.60 |
$286.40 |
|
|
Elbow X-ray (2 views, both sides)
|
$160.80 |
$177.60 |
$331.20 |
|
|
Elbow X-ray (3 or more views, both sides)
|
$193.60 |
$241.60 |
$455.20 |
|
|
Elec analys infus pump w/reprog 62368
|
$616.00 |
$616.00 |
$975.20 |
|
|
Elect analysis of infusion pump 62367
|
$563.20 |
$563.20 |
$940.80 |
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$628.80 |
$628.80 |
$1,211.20 |
|
|
Electrd sq emblem s-icd
|
$11,404.80 |
$11,404.80 |
$12,441.60 |
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$67.20 |
$67.20 |
$132.00 |
|
|
Electrical stimulation/unattended 97014
|
$54.40 |
$54.40 |
$101.60 |
|
|
Electric stim/w chemodenervation 95873
|
$188.80 |
$188.80 |
$188.80 |
|
|
Electroconvulsive therapy 90870
|
$1,258.40 |
$1,258.40 |
$1,313.60 |
|
|
Electrolyte panel
|
$45.60 |
$45.60 |
$45.60 |
|
|
Electron microscopy diagnostic
|
$955.20 |
$955.20 |
$955.20 |
|
|
Electrophysiology evaluation
|
$10,726.40 |
$10,726.40 |
$11,255.20 |
|
|
Electrophysiology evaluation
|
$11,266.40 |
$11,266.40 |
$11,270.40 |
|
|
Electrophysiology evaluation
|
$7,964.80 |
$7,964.80 |
$9,304.80 |
|
|
Electrophysiology evaluation
|
$7,964.80 |
$7,964.80 |
$8,490.40 |
|
|
Electrophysiology evaluation
|
$2,410.40 |
$2,410.40 |
$2,768.00 |
|
|
Electrophysiology evaluation
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
|
|
Electrophysiology evaluation
|
$2,148.80 |
$2,148.80 |
$2,200.00 |
|
|
Electrophys map 3d add-on
|
$8,652.00 |
$8,652.00 |
$9,596.80 |
|
|
Elotuzumab 300 mg intravenous solution
|
$2,864.80 |
$2,864.80 |
$2,864.80 |
|
|
Embolization s&i
|
$4,592.00 |
$4,592.00 |
$4,620.00 |
|
|
Embo or occlude vascular arterial s&i
|
$18,212.80 |
$18,212.80 |
$21,981.60 |
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,550.40 |
$17,550.40 |
$19,806.40 |
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,061.60 |
$18,061.60 |
$21,473.60 |
|
|
Embo or occlude vascular venous s&i
|
$17,210.40 |
$17,210.40 |
$21,031.20 |
|
|
Embryo hatching
|
$668.00 |
$668.00 |
$668.00 |
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$7,009.60 |
$7,009.60 |
$8,847.20 |
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$6,670.40 |
$6,670.40 |
$8,976.80 |
|
|
Emb without cervical dilation 58100
|
$380.00 |
$380.00 |
$433.60 |
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$368.00 |
$368.00 |
$368.00 |
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$487.20 |
$487.20 |
$487.20 |
|
|
Emg needle test 1-extremity
|
$262.40 |
$262.40 |
$262.40 |
|
|
Emg needle test 4-extremities
|
$504.00 |
$504.00 |
$504.00 |
|
|
Emg thor paraspinal without t1/t2
|
$272.00 |
$272.00 |
$272.00 |
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,271.20 |
$5,271.20 |
$6,068.80 |
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,372.80 |
$5,372.80 |
$7,696.80 |
|
|
Endo cath bile duct s&i
|
$772.00 |
$772.00 |
$988.00 |
|
|
Endo cath panc duct s&i
|
$572.80 |
$572.80 |
$733.60 |
|
|
Endo cholangiopancreatograph
|
$5,340.80 |
$5,340.80 |
$5,340.80 |
|
|
Endo cholangiopancreatograph
|
$4,723.20 |
$4,723.20 |
$4,723.20 |
|
|
Endoluminal bx biliary tree
|
$4,321.60 |
$4,321.60 |
$5,171.20 |
|
|
Endoluminal bx urtr rnl plvs
|
$5,404.80 |
$5,404.80 |
$5,404.80 |
|
|
Endoluminl ivus oct c 1st
|
$2,495.20 |
$2,495.20 |
$4,204.00 |
|
|
Endoluminl ivus oct c ea
|
$914.40 |
$914.40 |
$3,387.20 |
|
|
Endoscopic pancreatoscopy
|
$4,077.60 |
$4,077.60 |
$4,077.60 |
|
|
Endoscopic Ultrasound exam esoph
|
$2,942.40 |
$2,942.40 |
$2,942.40 |
|
|
Endoscopy bowel pouch/biop
|
$2,467.20 |
$2,467.20 |
$2,467.20 |
|
