|
Ecmo/ecls daily mgmt-venous 33948
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$1,826.25 |
$1,826.25 |
$1,826.25 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$9,378.75 |
$9,378.75 |
$9,378.75 |
$2,660.16
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$22,430.49 |
$22,430.49 |
$22,430.49 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$20,833.61 |
$20,833.61 |
$20,833.61 |
$8,739.98
|
|
Eeg 41-60 minutes 95812-26
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,605.75 |
$1,605.75 |
$1,605.75 |
$994.15
|
|
Eeg during surgery
|
$1,488.75 |
$1,488.75 |
$1,488.75 |
$775.45
|
|
Eeg monitoring/function test
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,283.25 |
$1,283.25 |
$1,283.25 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,440.75 |
$1,440.75 |
$1,440.75 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,283.25 |
$1,283.25 |
$1,283.25 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,283.25 |
$1,283.25 |
$1,283.25 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$303.75 |
$303.75 |
$303.75 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,181.25 |
$1,181.25 |
$1,181.25 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$303.75 |
$303.75 |
$303.75 |
$1,632.95
|
|
E equine encephalitis igg
|
$122.25 |
$122.25 |
$122.25 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$1,903.50 |
$1,903.50 |
$1,903.50 |
$2,244.82
|
|
Egd control bleeding any
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$2,553.75
|
|
Egd dilate stricture
|
$2,455.50 |
$2,455.50 |
$2,455.50 |
$2,394.60
|
|
Egd endoscopic stent place
|
$3,395.25 |
$3,395.25 |
$3,395.25 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$9,945.00 |
$9,945.00 |
$9,945.00 |
$7,229.60
|
|
Egd flx trnsorl rmvl balo
|
$876.00 |
$876.00 |
$876.00 |
$1,247.13
|
|
Egd guide wire insertion
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$1,664.00
|
|
Egd injection varices
|
$2,004.75 |
$2,004.75 |
$2,004.75 |
$2,244.82
|
|
Egd lesion ablation
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$2,354.48
|
|
Egd remove foreign body
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$1,914.75 |
$1,914.75 |
$1,914.75 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,198.25 |
$2,198.25 |
$2,198.25 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,562.75 |
$2,562.75 |
$2,562.75 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,322.50 |
$3,322.50 |
$3,322.50 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,033.00 |
$3,033.00 |
$3,033.00 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$3,127.50 |
$3,127.50 |
$3,127.50 |
$3,333.85
|
|
Egd varices ligation
|
$2,376.75 |
$2,376.75 |
$2,376.75 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$5,043.00 |
$5,043.00 |
$5,043.00 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$5,831.25 |
$5,831.25 |
$5,831.25 |
$4,379.25
|
|
Ehrlicha chaffeensis amp prb
|
$105.00 |
$105.00 |
$105.00 |
$93.00
|
|
EKG (Tracing Only)
|
$167.25 |
$167.25 |
$167.25 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$259.50 |
$259.50 |
$259.50 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$283.50 |
$283.50 |
$283.50 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$300.00 |
$300.00 |
$300.00 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$508.50 |
$508.50 |
$508.50 |
$563.20
|
|
Electrd sq emblem s-icd
|
$12,127.50 |
$12,127.50 |
$12,127.50 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$114.75 |
$114.75 |
$114.75 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$109.50 |
$109.50 |
$109.50 |
$81.75
|
|
Electrocorticography durng sx
|
$1,450.50 |
$1,450.50 |
$1,450.50 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,605.75 |
$1,605.75 |
$1,605.75 |
$1,203.94
|
|
Electrolyte panel
|
$61.50 |
$61.50 |
$61.50 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$513.00 |
$513.00 |
$513.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$990.75 |
$990.75 |
$990.75 |
$160.00
|
|
Electron microscopy diagnostic
|
$2,127.75 |
$2,127.75 |
$2,127.75 |
$1,011.98
|
|
Electrophysiology evaluation
|
$16,433.25 |
$16,433.25 |
$16,433.25 |
$10,724.84
|
|
Electrophysiology evaluation
|
$2,056.50 |
$2,056.50 |
$2,056.50 |
$2,559.70
|
|
Elotuzumab 300 mg intravenous solution
|
$11,443.25 |
$11,443.25 |
$11,443.25 |
$5,761.81
|
|
Emboli detcj wo IV mbubb njx
|
$701.25 |
$701.25 |
$701.25 |
$484.25
|
|
Embolization s&i
|
$4,145.25 |
$4,145.25 |
$4,145.25 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$25,183.50 |
$25,183.50 |
$25,183.50 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,402.75 |
$9,402.75 |
$9,402.75 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,811.50 |
$9,811.50 |
$9,811.50 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$8,421.00 |
$8,421.00 |
$8,421.00 |
$14,741.00
|
|
Emb w/colposcopy 58110
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$687.75 |
$687.75 |
$687.75 |
$394.80
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$913.50 |
$913.50 |
$913.50 |
$502.80
|
|
Emg cranial nerve bilateral
|
$768.00 |
$768.00 |
$768.00 |
$529.10
|
|
Emg needle test 1-extremity
|
$362.25 |
$362.25 |
$362.25 |
$351.50
|
|
Emg needle test 4-extremities
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$613.20
|
|
Emg thor paraspinal without t1/t2
|
$397.50 |
$397.50 |
$397.50 |
$309.83
|
|
Emr pwr cbl elec vad, rep
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$106.40
|
|
Encephalitis, california igg/igm
|
$122.25 |
$122.25 |
$122.25 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$122.25 |
$122.25 |
$122.25 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$122.25 |
$122.25 |
$122.25 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,891.00 |
$3,891.00 |
$3,891.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,779.00 |
$4,779.00 |
$4,779.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$857.25 |
$857.25 |
$857.25 |
$714.24
|
|
Endo cath panc duct s&i
|
$810.75 |
$810.75 |
$810.75 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$585.00 |
$585.00 |
$585.00 |
$515.50
|
|
Endocervical curettage 57505
|
$956.25 |
$956.25 |
$956.25 |
$1,060.50
|
|
Endo cholangiopancreatograph
|
$2,763.75 |
$2,763.75 |
$2,763.75 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$3,171.75 |
$3,171.75 |
$3,171.75 |
$4,350.00
|
|
Endoluminal bx urtr rnl plvs
|
$1,202.25 |
$1,202.25 |
$1,202.25 |
$2,375.60
|
|
Endoluminl ivus oct c 1st
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$4,043.25 |
$4,043.25 |
$4,043.25 |
$2,158.95
|
|
Endoscopic Ultrasound exam esoph
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$2,638.57
|
|
Endoscopy of bowel pouch 44385
|
$1,319.25 |
$1,319.25 |
$1,319.25 |
$1,899.00
|
|
Endoscopy swallow (fees) vid
|
$551.25 |
$551.25 |
$551.25 |
$402.35
|
|
Endo, single, pulmonary
|
$6,975.00 |
$6,975.00 |
$6,975.00 |
$993.30
|
|
Endovasc tempory vessel occl
|
$15,514.50 |
$15,514.50 |
$15,514.50 |
$11,474.40
|
|
Endovenous laser vein addon 36479
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$2,755.76
|
|
Endovenous rf abl vein addl
|
$3,603.00 |
$3,603.00 |
$3,603.00 |
$3,156.02
|
|
Endoven ther chem adhes sbsq 36483
|
$3,375.75 |
$3,375.75 |
$3,375.75 |
$2,794.37
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$15,579.42 |
$15,579.42 |
$15,579.42 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$109.71 |
$109.71 |
$109.71 |
$112.79
|
|
Entamoeba histolytica ag eia - sendout
|
$89.25 |
$89.25 |
$89.25 |
$56.89
|
|
Enzyme cell activity ra
|
$752.25 |
$752.25 |
$752.25 |
$197.60
|
|
Enzyme histochemistry
|
$772.50 |
$772.50 |
$772.50 |
$455.91
|
