|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,737.45 |
$1,737.45 |
$2,119.00 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$2,571.40 |
$2,571.40 |
$2,571.40 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$912.60 |
$912.60 |
$912.60 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$2,470.00 |
$2,470.00 |
$2,470.00 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$912.60 |
$912.60 |
$912.60 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$912.60 |
$912.60 |
$912.60 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$514.80 |
$514.80 |
$514.80 |
$148.40
|
|
Ecp ciliary body destruction
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$508.79 |
$508.79 |
$508.79 |
$19,540.29
|
|
Edetate calcium disodium inj
|
$3,039.48 |
$3,039.48 |
$3,039.48 |
$8,739.98
|
|
Ed svc ckd grp per session
|
$143.00 |
$143.00 |
$143.00 |
$58.40
|
|
Ed svc ckd ind per session
|
$606.45 |
$606.45 |
$606.45 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$81.90 |
$81.90 |
$81.90 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,396.85 |
$1,396.85 |
$1,677.65 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,379.65 |
$2,379.65 |
$2,572.05 |
$994.15
|
|
Eeg during surgery
|
$775.45 |
$775.45 |
$1,038.05 |
$775.45
|
|
Eeg monitoring/function test
|
$5,665.40 |
$5,665.40 |
$5,665.40 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,396.85 |
$1,396.85 |
$1,705.60 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,396.85 |
$1,396.85 |
$1,820.65 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$1,456.00
|
|
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
|
$1,396.85 |
$1,396.85 |
$1,705.60 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,396.85 |
$1,396.85 |
$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
|
|
E equine encephalitis igg
|
$59.15 |
$59.15 |
$59.15 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$738.76 |
$738.76 |
$738.76 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,244.82
|
|
Egd control bleeding any
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,553.75
|
|
Egd dilate stricture
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,394.60
|
|
Egd endo mucosal resection
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,430.40
|
|
Egd endoscopic stent place
|
$17,798.95 |
$17,798.95 |
$17,798.95 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$31,129.80 |
$31,129.80 |
$31,129.80 |
$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
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,664.00
|
|
Egd injection varices
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,244.82
|
|
Egd lesion ablation
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,354.48
|
|
Egd optical endomicroscopy
|
$846.30 |
$846.30 |
$846.30 |
$2,372.30
|
|
Egd remove foreign body
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,571.40
|
|
Egd remove lesion snare
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$3,333.85
|
|
Egd varices ligation
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$11,375.65 |
$11,375.65 |
$11,375.65 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$17,798.95 |
$17,798.95 |
$17,798.95 |
$4,379.25
|
|
Egfr gene com variants
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$157.30 |
$157.30 |
$157.30 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$87.75 |
$87.75 |
$87.75 |
$48.57
|
|
EKG (Electrocardiogram)
|
$269.75 |
$269.75 |
$269.75 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$48.75 |
$48.75 |
$48.75 |
$37.60
|
|
EKG interpret & report preve g0405
|
$48.75 |
$48.75 |
$48.75 |
$19.20
|
|
EKG tracing for initial prev
|
$63.70 |
$63.70 |
$181.35 |
$81.76
|
|
EKG (Tracing Only)
|
$222.30 |
$222.30 |
$222.30 |
$226.50
|
|
Elb mold sock flex hinge pad
|
$1,928.39 |
$1,928.39 |
$1,928.39 |
$2,363.20
|
|
Elbow arthroscopy
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$3,839.54
|
|
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
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$8,412.89
|
|
Elbow arthroscopy/surgery
|
$1,822.60 |
$1,822.60 |
$1,822.60 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$3,545.97
|
|
Elbow X-ray (2 views, both sides)
|
$395.20 |
$395.20 |
$436.80 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$395.20 |
$395.20 |
$439.40 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$616.00
|
|
Elec hand ind art digits
|
$61,482.66 |
$61,482.66 |
$61,482.66 |
$29,087.52
|
|
Elec knee-shin swing/stance
|
$18,403.08 |
$18,403.08 |
$18,403.08 |
$26,493.60
|
|
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
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$618.80
|
|
Electrd sq emblem s-icd
|
$5,200.00 |
$7,800.00 |
$7,800.00 |
$10,243.24
|
|
Electrical bone stim 20974
|
$161.20 |
$161.20 |
$161.20 |
$61.91
|
|
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
|
$48.75 |
$48.75 |
$154.70 |
$166.40
|
|
Electrocochleography
|
$406.90 |
$406.90 |
$406.90 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$1,235.00
|
|
Electrocorticography durng sx
|
$3,535.35 |
$3,535.35 |
$3,535.35 |
$1,642.53
|