|
Dxa bone density axl vrt fx
|
$1,383.85 |
$1,383.85 |
$1,383.85 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$4,641.00 |
$4,641.00 |
$4,641.00 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$3,597.10 |
$3,597.10 |
$3,597.10 |
$2,755.53
|
|
Dx bronchoscope/wash 31622
|
$3,255.85 |
$3,255.85 |
$3,255.85 |
$2,520.60
|
|
Ear irrigation 69209
|
$159.90 |
$159.90 |
$159.90 |
$165.42
|
|
Ecg 12 lead tracing only
|
$154.70 |
$154.70 |
$154.70 |
$245.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$274.95 |
$274.95 |
$274.95 |
$129.83
|
|
Ecg external < 48 hours recording
|
$519.35 |
$519.35 |
$519.35 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$416.00 |
$416.00 |
$416.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$519.35 |
$519.35 |
$519.35 |
$161.00
|
|
Ecg external >7 days up to 15 days recording
|
$519.35 |
$519.35 |
$519.35 |
$194.01
|
|
Echocardiogram (Heart Ultrasound)
|
$1,541.80 |
$1,541.80 |
$1,541.80 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$179.40 |
$179.40 |
$179.40 |
$463.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,541.80 |
$1,541.80 |
$1,541.80 |
$2,013.55
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,104.35 |
$1,104.35 |
$1,104.35 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,104.35 |
$1,104.35 |
$1,104.35 |
$757.45
|
|
Echocardiograpy doppler follow up/limited study
|
$241.80 |
$241.80 |
$241.80 |
$353.46
|
|
Echo exam of fetal heart
|
$741.65 |
$741.65 |
$741.65 |
$855.38
|
|
Echo exam of fetal heart
|
$488.15 |
$488.15 |
$488.15 |
$503.80
|
|
Echo exam of fetal heart
|
$739.05 |
$739.05 |
$739.05 |
$431.41
|
|
Echo exam of fetal heart
|
$554.45 |
$554.45 |
$554.45 |
$323.40
|
|
Echo exam uterus 76831-
|
$828.10 |
$828.10 |
$828.10 |
$536.40
|
|
Echograp trans r pros study
|
$196.95 |
$196.95 |
$196.95 |
$459.40
|
|
Echo guidance radiotherapy
|
$918.45 |
$918.45 |
$918.45 |
$774.80
|
|
Echo guide for amniocentesis
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$378.24
|
|
Echo guide for artery repair
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$680.28
|
|
Echo guide for transfusion
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$324.60
|
|
Echo guide villus sampling
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$355.80
|
|
Echo stress
|
$1,582.75 |
$1,582.75 |
$1,582.75 |
$1,582.75
|
|
Echo tee guidance
|
$1,969.50 |
$1,969.50 |
$1,969.50 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,938.95 |
$1,938.95 |
$1,938.95 |
$1,854.44
|
|
Echo transesophageal
|
$1,567.15 |
$1,567.15 |
$1,567.15 |
$913.33
|
|
Echo transesophageal
|
$1,729.00 |
$1,729.00 |
$1,729.00 |
$1,729.00
|
|
Echo transthoracic
|
$1,725.10 |
$1,725.10 |
$1,725.10 |
$1,475.25
|
|
Echo transthoracic
|
$1,515.15 |
$1,515.15 |
$1,515.15 |
$945.32
|
|
Ecmo/ecls daily mgmt artery 33949
|
$17,118.40 |
$17,118.40 |
$17,118.40 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$17,118.40 |
$17,118.40 |
$17,118.40 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$17,118.40 |
$17,118.40 |
$17,118.40 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$17,118.40 |
$17,118.40 |
$17,118.40 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$21,591.70 |
$21,591.70 |
$21,591.70 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$17,641.10
|
|
Eeg 41-60 minutes 95812-26
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,807.35 |
$2,807.35 |
$2,807.35 |
$1,048.30
|
|
Eeg monitoring/function test
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$1,117.38
|
|
Eeg/record in coma or sleep only 95822
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,259.70 |
$1,259.70 |
$1,259.70 |
$1,030.27
|
|
E equine encephalitis igg
|
$95.55 |
$95.55 |
$95.55 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$20,499.86 |
$20,499.86 |
$20,499.86 |
$79.20
|
|
Egd balloon dil esoph30 mm/>
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$2,244.82
|
|
Egd control bleeding any
|
$2,551.90 |
$2,551.90 |
$2,551.90 |
$2,553.75
|
|
Egd dilate stricture
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$2,638.57
|
|
Egd endo mucosal resection
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$2,433.60
|
|
Egd endoscopic stent place
|
$3,686.80 |
$3,686.80 |
$3,686.80 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$8,412.30 |
$8,412.30 |
$8,412.30 |
$9,562.50
|
|
Egd guide wire insertion
|
$2,671.50 |
$2,671.50 |
$2,671.50 |
$2,250.00
|
|
Egd injection varices
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,330.90 |
$2,330.90 |
$2,330.90 |
$2,244.82
|
|
Egd lesion ablation
|
$2,404.35 |
$2,404.35 |
$2,404.35 |
$2,805.40
|
|
Egd remove foreign body
|
$3,070.60 |
$3,070.60 |
$3,070.60 |
$1,569.73
|
|
Egd remove lesion snare
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$2,975.70 |
$2,975.70 |
$2,975.70 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,627.65 |
$3,627.65 |
$3,627.65 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,919.80 |
$2,919.80 |
$2,919.80 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$2,490.80 |
$2,490.80 |
$2,490.80 |
$2,638.57
|
|
Egd varices ligation
|
$2,808.65 |
$2,808.65 |
$2,808.65 |
$2,576.75
|
|
Egd w/transmural drain cyst
|
$3,686.80 |
$3,686.80 |
$3,686.80 |
$4,379.25
|
|
Egfr gene com variants
|
$1,523.60 |
$1,523.60 |
$1,523.60 |
$615.57
|
|
Ehrlicha chaffeensis amp prb
|
$43.55 |
$43.55 |
$43.55 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$1,038.70 |
$1,038.70 |
$1,038.70 |
$616.00
|
|
Elec stim unattend for press
|
$87.10 |
$87.10 |
$87.10 |
$43.59
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$773.50 |
$773.50 |
$773.50 |
$576.81
|
|
Electrd sq emblem s-icd
|
$3,068.65 |
$3,068.65 |
$3,068.65 |
$9,175.83
|
|
Electroconvulsive therapy 90870
|
$2,342.60 |
$2,342.60 |
$2,342.60 |
$1,180.80
|
|
Electrocorticography durng sx
|
$4,822.35 |
$4,822.35 |
$4,822.35 |
$1,660.52
|
|
Electrode stimulation brain
|
$2,100.15 |
$2,100.15 |
$2,100.15 |
$1,180.80
|
|
Electrolyte panel
|
$16.90 |
$16.90 |
$16.90 |
$86.33
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$58.50 |
$58.50 |
$58.50 |
$122.50
|
|
Electronic analysis with brain program first 15 min 95983
|
$87.75 |
$87.75 |
$87.75 |
$154.00
|
|
Electron microscopy diagnostic
|
$794.30 |
$794.30 |
$794.30 |
$966.69
|
|
Electrophysiologic study
|
$22,158.50 |
$22,158.50 |
$22,158.50 |
$6,758.40
|
|
Electrophysiology evaluation
|
$18,073.25 |
$18,073.25 |
$18,073.25 |
$8,979.45
|
|
Electrophysiology evaluation
|
$35,772.10 |
$35,772.10 |
$35,772.10 |
$11,155.51
|
|
Electrophysiology evaluation
|
$15,163.85 |
$15,163.85 |
$15,163.85 |
$7,769.30
|
|
Electrophysiology evaluation
|
$15,271.75 |
$15,271.75 |
$15,271.75 |
$6,516.00
|
|
Electrophysiology evaluation
|
$4,875.65 |
$4,875.65 |
$4,875.65 |
$2,845.10
|
|
Electrophysiology evaluation
|
$13,111.80 |
$13,111.80 |
$13,111.80 |
$2,783.20
|
|
Electrophysiology evaluation
|
$244.40 |
$244.40 |
$244.40 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$6,309.55 |
$6,309.55 |
$6,309.55 |
$6,418.44
|
|
Embolization s&i
|
$4,064.45 |
$4,064.45 |
$4,064.45 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$9,694.75 |
$9,694.75 |
$9,694.75 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,694.75 |
$9,694.75 |
$9,694.75 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,694.75 |
$9,694.75 |
$9,694.75 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$9,694.75 |
$9,694.75 |
$9,694.75 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$5,505.50 |
$5,505.50 |
$5,505.50 |
$6,962.27
|
|
Emb without cervical dilation 58100
|
$384.15 |
$384.15 |
$384.15 |
$397.66
|
|
Emg cranial nerve bilateral
|
$1,873.30 |
$1,873.30 |
$1,873.30 |
$518.00
|
|
Encephalitis, california igg/igm
|
$33.80 |
$33.80 |
$33.80 |
$46.50
|
