|
Ecmo/ecls daily mgmt artery 33949
|
$4,409.25 |
$4,409.25 |
$4,409.25 |
$2,822.71
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$2,967.53
|
|
Ecmo/ecls initiation artery 33947
|
$3,066.75 |
$3,066.75 |
$3,066.75 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$3,767.25 |
$3,767.25 |
$3,767.25 |
$4,016.36
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$15,762.00 |
$15,762.00 |
$15,762.00 |
$2,612.00
|
|
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 |
$1,000.42
|
|
Eeg during surgery
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$775.45
|
|
Eeg monitoring/function test
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,053.75 |
$1,053.75 |
$1,053.75 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,440.75 |
$1,440.75 |
$1,440.75 |
$1,117.38
|
|
Eeg/record in coma or sleep only 95822
|
$1,283.25 |
$1,283.25 |
$1,283.25 |
$870.76
|
|
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
|
$364.50 |
$364.50 |
$364.50 |
$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
|
$364.50 |
$364.50 |
$364.50 |
$1,632.95
|
|
E equine encephalitis igg
|
$144.00 |
$144.00 |
$144.00 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$2,415.75 |
$2,415.75 |
$2,415.75 |
$2,244.82
|
|
Egd control bleeding any
|
$2,675.25 |
$2,675.25 |
$2,675.25 |
$2,553.75
|
|
Egd dilate stricture
|
$3,117.75 |
$3,117.75 |
$3,117.75 |
$2,283.20
|
|
Egd endo mucosal resection
|
$4,041.75 |
$4,041.75 |
$4,041.75 |
$2,430.40
|
|
Egd endoscopic stent place
|
$4,379.25 |
$4,379.25 |
$4,379.25 |
$3,909.00
|
|
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
|
$2,736.75 |
$2,736.75 |
$2,736.75 |
$1,664.00
|
|
Egd injection varices
|
$2,546.25 |
$2,546.25 |
$2,546.25 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,477.25 |
$2,477.25 |
$2,477.25 |
$2,244.82
|
|
Egd lesion ablation
|
$3,634.50 |
$3,634.50 |
$3,634.50 |
$2,354.48
|
|
Egd remove foreign body
|
$2,757.75 |
$2,757.75 |
$2,757.75 |
$1,569.73
|
|
Egd remove lesion snare
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,117.75 |
$3,117.75 |
$3,117.75 |
$2,470.65
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,026.00 |
$4,026.00 |
$4,026.00 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,687.75 |
$3,687.75 |
$3,687.75 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$4,423.50 |
$4,423.50 |
$4,423.50 |
$3,218.80
|
|
Egd varices ligation
|
$3,230.25 |
$3,230.25 |
$3,230.25 |
$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)
|
$305.25 |
$305.25 |
$305.25 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$312.00 |
$312.00 |
$312.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$393.00 |
$393.00 |
$393.00 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$669.75 |
$669.75 |
$669.75 |
$616.00
|
|
Elect analysis of infusion pump 62367
|
$482.25 |
$482.25 |
$482.25 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$587.25 |
$587.25 |
$587.25 |
$618.80
|
|
Electrd sq emblem s-icd
|
$14,730.00 |
$14,730.00 |
$14,730.00 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$136.50 |
$136.50 |
$136.50 |
$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
|
$1,213.50 |
$1,213.50 |
$1,213.50 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$1,235.00
|
|
Electrocorticography durng sx
|
$4,643.25 |
$4,643.25 |
$4,643.25 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,605.75 |
$1,605.75 |
$1,605.75 |
$1,198.14
|
|
Electrolyte panel
|
$121.50 |
$121.50 |
$121.50 |
$79.00
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$513.00 |
$513.00 |
$513.00 |
$143.88
|
|
Electronic analysis with brain program first 15 min 95983
|
$990.75 |
$990.75 |
$990.75 |
$160.00
|
|
Electron microscopy diagnostic
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,018.64
|
|
Electrophysiologic study
|
$12,042.75 |
$12,042.75 |
$12,042.75 |
$7,493.20
|
|
Electrophysiology evaluation
|
$7,058.25 |
$7,058.25 |
$7,058.25 |
$8,975.40
|
|
Electrophysiology evaluation
|
$14,145.75 |
$14,145.75 |
$14,145.75 |
$10,724.84
|
|
Electrophysiology evaluation
|
$13,545.75 |
$13,545.75 |
$13,545.75 |
$6,760.00
|
|
Electrophysiology evaluation
|
$9,366.75 |
$9,366.75 |
$9,366.75 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,672.75 |
$3,672.75 |
$3,672.75 |
$2,559.70
|
|
Electrophysiology evaluation
|
$4,681.50 |
$4,681.50 |
$4,681.50 |
$2,902.81
|
|
Electrophys map 3d add-on
|
$10,106.25 |
$10,106.25 |
$10,106.25 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$11,443.25 |
$11,443.25 |
$11,443.25 |
$5,761.81
|
|
Emboli detcj wo IV mbubb njx
|
$894.75 |
$894.75 |
$894.75 |
$400.00
|
|
Embolization s&i
|
$8,346.75 |
$8,346.75 |
$8,346.75 |
$3,248.56
|
|
Embo or occlude vascular arterial s&i
|
$15,768.75 |
$15,768.75 |
$15,768.75 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,680.50 |
$11,680.50 |
$11,680.50 |
$14,593.50
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$11,680.50 |
$11,680.50 |
$11,680.50 |
$15,290.85
|
|
Embo or occlude vascular venous s&i
|
$15,038.25 |
$15,038.25 |
$15,038.25 |
$14,743.50
|
|
Embryo hatching
|
$394.50 |
$394.50 |
$394.50 |
$326.15
|
|
Embryo transfer intrauterine
|
$1,250.25 |
$1,250.25 |
$1,250.25 |
$1,033.91
|
|
Emb w/colposcopy 58110
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$370.50 |
$370.50 |
$370.50 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$687.75 |
$687.75 |
$687.75 |
$399.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$913.50 |
$913.50 |
$913.50 |
$501.08
|
|
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 |
$610.80
|
|
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
|
$144.00 |
$144.00 |
$144.00 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$144.00 |
$144.00 |
$144.00 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$144.00 |
$144.00 |
$144.00 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$6,948.00 |
$6,948.00 |
$6,948.00 |
$4,937.40
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,527.25 |
$6,527.25 |
$6,527.25 |
$5,522.00
|
|
Endo cath bile duct s&i
|
$981.75 |
$981.75 |
$981.75 |
$711.88
|
|
Endo cath panc duct s&i
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$585.00 |
$585.00 |
$585.00 |
$504.40
|
|
Endocervical curettage 57505
|
$956.25 |
$956.25 |
$956.25 |
$1,059.00
|
|
Endo cholangiopancreatograph
|
$3,506.25 |
$3,506.25 |
$3,506.25 |
$4,217.20
|
|
Endo cholangiopancreatograph
|
$3,868.50 |
$3,868.50 |
$3,868.50 |
$4,329.65
|
|
Endoluminal bx urtr rnl plvs
|
$1,331.25 |
$1,331.25 |
$1,331.25 |
$2,375.60
|
