|
Ear and throat examination
|
$579.00 |
$579.00 |
$579.00 |
$602.63
|
|
Ear canal biopsy 69105
|
$1,768.50 |
$1,768.50 |
$1,768.50 |
$1,889.50
|
|
Ear irrigation 69209
|
$216.75 |
$216.75 |
$216.75 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$624.75 |
$624.75 |
$624.75 |
$410.43
|
|
Ecg external < 48 hours recording
|
$500.25 |
$500.25 |
$500.25 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$567.00 |
$567.00 |
$567.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$238.50 |
$238.50 |
$238.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$238.50 |
$238.50 |
$238.50 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$1,977.50
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$939.00 |
$939.00 |
$939.00 |
$711.00
|
|
Echocardiography doppler color flow mapping
|
$407.25 |
$407.25 |
$407.25 |
$516.10
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$939.00 |
$939.00 |
$939.00 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$350.25 |
$350.25 |
$350.25 |
$372.60
|
|
Echo exam of fetal heart
|
$644.25 |
$644.25 |
$644.25 |
$904.80
|
|
Echo exam of fetal heart
|
$480.75 |
$480.75 |
$480.75 |
$539.56
|
|
Echo exam of fetal heart
|
$576.75 |
$576.75 |
$576.75 |
$431.41
|
|
Echo exam of fetal heart
|
$300.75 |
$300.75 |
$300.75 |
$318.34
|
|
Echo exam uterus 76831-
|
$825.75 |
$825.75 |
$825.75 |
$560.50
|
|
Echo guide for amniocentesis
|
$680.25 |
$680.25 |
$680.25 |
$455.57
|
|
Echo guide for artery repair
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$687.35
|
|
Echo guide for transfusion
|
$317.25 |
$317.25 |
$317.25 |
$332.39
|
|
Echo guide villus sampling
|
$693.75 |
$693.75 |
$693.75 |
$368.55
|
|
Echo stress
|
$1,949.25 |
$1,949.25 |
$1,949.25 |
$1,607.45
|
|
Echo tee guidance
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,282.25 |
$2,282.25 |
$2,282.25 |
$1,889.20
|
|
Echo transesophageal
|
$1,826.25 |
$1,826.25 |
$1,826.25 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,578.00
|
|
Echo transthoracic
|
$1,922.25 |
$1,922.25 |
$1,922.25 |
$1,337.60
|
|
Echo transthoracic
|
$1,341.75 |
$1,341.75 |
$1,341.75 |
$1,045.16
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,278.75 |
$1,278.75 |
$1,278.75 |
$1,010.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$4,409.25 |
$4,409.25 |
$4,409.25 |
$3,099.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$3,066.75 |
$3,066.75 |
$3,066.75 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$4,293.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$15,762.00 |
$15,762.00 |
$15,762.00 |
$2,825.34
|
|
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 |
$931.27
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,116.75 |
$1,116.75 |
$1,116.75 |
$1,000.42
|
|
Eeg during surgery
|
$1,512.75 |
$1,512.75 |
$1,512.75 |
$775.45
|
|
Eeg monitoring/function test
|
$2,747.25 |
$2,747.25 |
$2,747.25 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,099.50 |
$1,099.50 |
$1,099.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,523.25 |
$1,523.25 |
$1,523.25 |
$1,099.95
|
|
Eeg/record in coma or sleep only 95822
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$926.16
|
|
Eeg without vid 2-12 hr unmntr
|
$364.50 |
$364.50 |
$364.50 |
$730.91
|
|
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 |
$718.25
|
|
Eeg wo vid ea 12-26hr unmntr
|
$364.50 |
$364.50 |
$364.50 |
$1,632.95
|
|
E equine encephalitis igg
|
$135.75 |
$135.75 |
$135.75 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$2,244.82
|
|
Egd control bleeding any
|
$2,553.75 |
$2,553.75 |
$2,553.75 |
$2,553.75
|
|
Egd dilate stricture
|
$3,148.50 |
$3,148.50 |
$3,148.50 |
$2,283.20
|
|
Egd endo mucosal resection
|
$4,083.75 |
$4,083.75 |
$4,083.75 |
$2,430.40
|
|
Egd endoscopic stent place
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$11,934.00 |
$11,934.00 |
$11,934.00 |
$7,229.60
|
|
Egd flx trnsorl rmvl balo
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,247.13
|
|
Egd guide wire insertion
|
$2,765.25 |
$2,765.25 |
$2,765.25 |
$1,664.00
|
|
Egd injection varices
|
$2,571.75 |
$2,571.75 |
$2,571.75 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,502.75 |
$2,502.75 |
$2,502.75 |
$2,244.82
|
|
Egd lesion ablation
|
$3,672.75 |
$3,672.75 |
$3,672.75 |
$2,354.48
|
|
Egd remove foreign body
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$2,597.25 |
$2,597.25 |
$2,597.25 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,736.75 |
$2,736.75 |
$2,736.75 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,135.75 |
$3,135.75 |
$3,135.75 |
$2,470.65
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,259.25 |
$4,259.25 |
$4,259.25 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,514.50 |
$3,514.50 |
$3,514.50 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$4,423.50 |
$4,423.50 |
$4,423.50 |
$3,218.80
|
|
Egd varices ligation
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$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
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$4,379.25
|
|
Ehrlicha chaffeensis amp prb
|
$105.00 |
$105.00 |
$105.00 |
$93.00
|
|
EKG (Tracing Only)
|
$292.50 |
$292.50 |
$292.50 |
$226.20
|
|
Elbow X-ray (2 views, both sides)
|
$379.50 |
$379.50 |
$379.50 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$462.00 |
$462.00 |
$462.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$669.75 |
$669.75 |
$669.75 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$509.25 |
$509.25 |
$509.25 |
$575.13
|
|
Electrd sq emblem s-icd
|
$12,127.50 |
$12,127.50 |
$12,127.50 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$164.25 |
$164.25 |
$164.25 |
$87.45
|
|
Electrical stimulation/unattended 97014
|
$125.25 |
$125.25 |
$125.25 |
$81.75
|
|
Electroacous eval hear aid/biaural 92595
|
$97.50 |
$97.50 |
$97.50 |
$97.50
|
|
Electrocochleography
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$423.87
|
|
Electroconvulsive therapy 90870
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$1,226.40
|
|
Electrocorticography durng sx
|
$4,220.25 |
$4,220.25 |
$4,220.25 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,137.75 |
$1,137.75 |
$1,137.75 |
$1,203.94
|
|
Electrolyte panel
|
$120.00 |
$120.00 |
$120.00 |
$78.65
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$642.00 |
$642.00 |
$642.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$160.00
|
|
Electron microscopy diagnostic
|
$2,129.25 |
$2,129.25 |
$2,129.25 |
$1,024.80
|
|
Electrophysiologic study
|
$10,470.75 |
$10,470.75 |
$10,470.75 |
$7,493.20
|
|
Electrophysiology evaluation
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$13,146.75 |
$13,146.75 |
$13,146.75 |
$10,593.00
|
|
Electrophysiology evaluation
|
$10,838.25 |
$10,838.25 |
$10,838.25 |
$6,760.00
|
|
Electrophysiology evaluation
|
$6,516.00 |
$6,516.00 |
$6,516.00 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,130.50 |
$3,130.50 |
$3,130.50 |
$2,504.00
|
|
Electrophysiology evaluation
|
$3,121.50 |
$3,121.50 |
$3,121.50 |
$2,902.68
|
|
Electrophys map 3d add-on
|
$8,985.00 |
$8,985.00 |
$8,985.00 |
$5,610.00
|
