|
Eeg phy/qhp>36<60 hr w/veeg
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$1,358.50 |
$1,358.50 |
$1,358.50 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$2,167.75 |
$2,167.75 |
$2,167.75 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$572.00 |
$572.00 |
$572.00 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$715.00 |
$715.00 |
$715.00 |
$660.00
|
|
Eeg phys/qhp ea incr without vid
|
$858.00 |
$858.00 |
$858.00 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,379.65 |
$2,379.65 |
$2,379.65 |
$1,632.95
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$738.76 |
$738.76 |
$738.76 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$1,058.20 |
$1,058.20 |
$1,058.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,553.75
|
|
Egd dilate stricture
|
$880.75 |
$880.75 |
$880.75 |
$2,394.60
|
|
Egd endo mucosal resection
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,430.40
|
|
Egd endoscopic stent place
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$7,229.60
|
|
Egd flx trnsorl dplmnt balo
|
$808.60 |
$808.60 |
$808.60 |
$2,638.57
|
|
Egd flx trnsorl rmvl balo
|
$728.00 |
$728.00 |
$728.00 |
$1,247.13
|
|
Egd guide wire insertion
|
$832.00 |
$832.00 |
$832.00 |
$1,664.00
|
|
Egd injection varices
|
$1,221.35 |
$1,221.35 |
$1,221.35 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$712.40 |
$712.40 |
$712.40 |
$2,244.82
|
|
Egd lesion ablation
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$2,354.48
|
|
Egd remove foreign body
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,571.40
|
|
Egd remove lesion snare
|
$992.55 |
$992.55 |
$992.55 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$849.55 |
$849.55 |
$849.55 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,189.50 |
$1,189.50 |
$1,189.50 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$3,333.85
|
|
Egd varices ligation
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$2,044.90 |
$2,044.90 |
$2,044.90 |
$4,379.25
|
|
Egfr gene com variants
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$672.88
|
|
EKG (Electrocardiogram)
|
$269.75 |
$269.75 |
$269.75 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$254.15 |
$254.15 |
$254.15 |
$37.60
|
|
EKG interpret & report preve g0405
|
$48.75 |
$48.75 |
$48.75 |
$19.20
|
|
EKG tracing for initial prev
|
$181.35 |
$181.35 |
$181.35 |
$81.76
|
|
EKG (Tracing Only)
|
$222.30 |
$222.30 |
$222.30 |
$226.50
|
|
Elbow arthroscopy/surgery
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$3,545.97
|
|
Elbow X-ray (2 views, both sides)
|
$436.80 |
$436.80 |
$436.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$439.40 |
$439.40 |
$439.40 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$616.00
|
|
Elec stim unattend for press
|
$95.55 |
$95.55 |
$95.55 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$191.75 |
$191.75 |
$191.75 |
$618.80
|
|
Electrd sq emblem s-icd
|
$15,430.35 |
$15,430.35 |
$15,430.35 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$155.35 |
$155.35 |
$155.35 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$115.05 |
$115.05 |
$115.05 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$154.70 |
$154.70 |
$154.70 |
$166.40
|
|
Electroconvulsive therapy 90870
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$1,235.00
|
|
Electrode stimulation brain
|
$5,335.20 |
$5,335.20 |
$5,335.20 |
$1,203.94
|
|
Electroejaculation
|
$670.80 |
$670.80 |
$670.80 |
$1,030.40
|
|
Electrolyte panel
|
$31.20 |
$31.20 |
$31.20 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$233.35 |
$233.35 |
$233.35 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$411.45 |
$411.45 |
$411.45 |
$160.00
|
|
Electron microscopy diagnostic
|
$3,664.05 |
$3,664.05 |
$3,664.05 |
$1,011.98
|
|
Electrophysiology evaluation
|
$30,310.80 |
$30,310.80 |
$30,310.80 |
$8,975.40
|
|
Electrophysiology evaluation
|
$31,598.45 |
$31,598.45 |
$31,598.45 |
$10,724.84
|
|
Electrophysiology evaluation
|
$9,911.20 |
$9,911.20 |
$9,911.20 |
$6,760.00
|
|
Electrophysiology evaluation
|
$6,834.10 |
$6,834.10 |
$6,834.10 |
$5,883.66
|
|
Electrophysiology evaluation
|
$4,181.45 |
$4,181.45 |
$4,181.45 |
$2,559.70
|
|
Electrophysiology evaluation
|
$5,861.05 |
$5,861.05 |
$5,861.05 |
$2,914.40
|
|
Electrophysiology evaluation
|
$869.70 |
$869.70 |
$869.70 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$8,672.30 |
$8,672.30 |
$8,672.30 |
$5,762.40
|
|
Elliotts b solution per ml
|
$24.57 |
$24.57 |
$24.57 |
$24.57
|
|
Elotuzumab 300 mg intravenous solution
|
$9,281.04 |
$9,281.04 |
$9,281.04 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$24,397.67 |
$24,397.67 |
$24,397.67 |
$14,606.11
|
|
Emboli detcj wo IV mbubb njx
|
$484.25 |
$484.25 |
$484.25 |
$484.25
|
|
Embolization s&i
|
$2,364.05 |
$2,364.05 |
$2,364.05 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$38,133.55 |
$38,133.55 |
$38,133.55 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$29,656.90 |
$29,656.90 |
$29,656.90 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$42,385.20 |
$42,385.20 |
$42,385.20 |
$14,741.00
|
|
Embryo transfer intrauterine
|
$755.95 |
$755.95 |
$755.95 |
$1,033.91
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$20,203.30 |
$20,203.30 |
$20,203.30 |
$7,310.39
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$20,203.30 |
$20,203.30 |
$20,203.30 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$290.55 |
$290.55 |
$290.55 |
$290.55
|
|
Emb without cervical dilation 58100
|
$601.25 |
$601.25 |
$601.25 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$978.25 |
$978.25 |
$978.25 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$486.20 |
$486.20 |
$486.20 |
$502.80
|
|
Emg cranial nerve bilateral
|
$1,703.65 |
$1,703.65 |
$1,703.65 |
$529.10
|
|
Emg needle test 1-extremity
|
$827.45 |
$827.45 |
$827.45 |
$351.50
|
|
Emg needle test 4-extremities
|
$1,219.40 |
$1,219.40 |
$1,219.40 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$1,493.05 |
$1,493.05 |
$1,493.05 |
$309.83
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,888.00
|
|
Endo cath bile duct s&i
|
$403.00 |
$403.00 |
$403.00 |
$714.24
|
|
Endo cath panc duct s&i
|
$492.05 |
$492.05 |
$492.05 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$909.35 |
$909.35 |
$909.35 |
$515.50
|
|
Endocervical curettage 57505
|
$2,603.25 |
$2,603.25 |
$2,603.25 |
$1,060.50
|
|
Endo cholangiopancreatograph
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$4,350.00
|
