|
Dx bronchoscope/wash 31622
|
$2,211.40 |
$2,211.40 |
$2,211.40 |
$2,512.54
|
|
Ear irrigation 69209
|
$99.16 |
$99.16 |
$99.16 |
$152.50
|
|
Ecg 12 lead tracing only
|
$68.82 |
$68.82 |
$68.82 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$29.14 |
$29.14 |
$29.14 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$176.86 |
$176.86 |
$176.86 |
$404.21
|
|
Ecg external < 48 hours recording
|
$121.18 |
$121.18 |
$121.18 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$196.10 |
$196.10 |
$196.10 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$856.37 |
$856.37 |
$856.37 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$250.21 |
$250.21 |
$250.21 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,110.09 |
$1,110.09 |
$1,110.09 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$375.46 |
$375.46 |
$375.46 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$355.57 |
$355.57 |
$355.57 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$87.04 |
$87.04 |
$87.04 |
$348.80
|
|
Echo exam uterus 76831-
|
$242.07 |
$242.07 |
$242.07 |
$497.93
|
|
Echo guide for amniocentesis
|
$264.92 |
$264.92 |
$264.92 |
$355.17
|
|
Echo guide for artery repair
|
$699.76 |
$699.76 |
$699.76 |
$687.35
|
|
Echo stress
|
$640.10 |
$640.10 |
$640.10 |
$1,401.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$847.95 |
$847.95 |
$847.95 |
$1,946.10
|
|
Echo transesophageal
|
$855.35 |
$855.35 |
$855.35 |
$1,737.60
|
|
Echo transthoracic
|
$890.41 |
$890.41 |
$890.41 |
$1,361.75
|
|
Echo transthoracic
|
$314.69 |
$314.69 |
$314.69 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$535.39 |
$535.39 |
$535.39 |
$997.40
|
|
Edetate calcium disodium inj
|
$141.69 |
$141.69 |
$141.69 |
$20,833.61
|
|
Eeg 41-60 minutes 95812-26
|
$461.85 |
$461.85 |
$461.85 |
$934.05
|
|
Eeg during surgery
|
$744.81 |
$744.81 |
$744.81 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$245.31 |
$245.31 |
$245.31 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$660.27 |
$660.27 |
$660.27 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$245.31 |
$245.31 |
$245.31 |
$892.52
|
|
Eeg recording awake and asleep
|
$245.31 |
$245.31 |
$245.31 |
$937.95
|
|
E equine encephalitis igg
|
$48.38 |
$48.38 |
$48.38 |
$49.92
|
|
Egd remove foreign body
|
$871.07 |
$871.07 |
$871.07 |
$1,588.55
|
|
Egfr gene com variants
|
$144.71 |
$144.71 |
$144.71 |
$619.04
|
|
Electrical stimulation/unattended 97014
|
$33.58 |
$33.58 |
$33.58 |
$79.20
|
|
Electrode stimulation brain
|
$398.77 |
$398.77 |
$398.77 |
$1,127.09
|
|
Electrolyte panel
|
$27.75 |
$27.75 |
$27.75 |
$68.56
|
|
Electron microscopy diagnostic
|
$578.13 |
$578.13 |
$578.13 |
$1,107.84
|
|
Embolization s&i
|
$1,331.26 |
$1,331.26 |
$1,331.26 |
$2,869.75
|
|
Emb without cervical dilation 58100
|
$459.54 |
$459.54 |
$459.54 |
$426.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$280.92 |
$280.92 |
$280.92 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$157.25 |
$157.25 |
$157.25 |
$482.30
|
|
Emg cranial nerve bilateral
|
$164.74 |
$164.74 |
$164.74 |
$494.13
|
|
Emg needle test 1-extremity
|
$148.65 |
$148.65 |
$148.65 |
$362.25
|
|
Emg needle test 4-extremities
|
$310.52 |
$310.52 |
$310.52 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$93.61 |
$93.61 |
$93.61 |
$309.83
|
|
Encephalitis, california igg/igm
|
$41.44 |
$41.44 |
$41.44 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$45.23 |
$45.23 |
$45.23 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$53.10 |
$53.10 |
$53.10 |
$55.25
|
|
Endo cath bile duct s&i
|
$421.80 |
$421.80 |
$421.80 |
$525.00
|
|
Endo cath panc duct s&i
|
$394.14 |
$394.14 |
$394.14 |
$634.40
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,516.93 |
$2,516.93 |
$2,516.93 |
$2,872.59
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$21.88 |
$21.88 |
$21.88 |
$43.20
|
|
Enzyme histochemistry
|
$145.60 |
$145.60 |
$145.60 |
$506.35
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,386.96 |
$2,386.96 |
$2,386.96 |
$2,154.21
|
|
Epidrm a-grft f/n/hf/g addl
|
$548.34 |
$548.34 |
$548.34 |
$614.72
|
|
Epidrm agrft t/a/l 1st 100
|
$1,641.97 |
$1,641.97 |
$1,641.97 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$857.75 |
$857.75 |
$857.75 |
$1,113.83
|
|
Epilepsy gen seq alys panel
|
$1,163.17 |
$1,163.17 |
$1,163.17 |
$2,448.56
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$656.07 |
$656.07 |
$656.07 |
$161.59
|
|
Epoetin alfa, 100 units esrd
|
$34.97 |
$34.97 |
$34.97 |
$8.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$536.54 |
$536.54 |
$536.54 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$417.79 |
$417.79 |
$417.79 |
$379.58
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$27.27 |
$27.27 |
$27.27 |
$178.29
|
|
Epstein barr early antigen antibody
|
$46.44 |
$46.44 |
$46.44 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$42.83 |
$42.83 |
$42.83 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$43.38 |
$43.38 |
$43.38 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$66.06 |
$66.06 |
$66.06 |
$62.40
|
|
Ercp biliary & pancreas
|
$421.80 |
$421.80 |
$421.80 |
$885.80
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,346.95 |
$1,346.95 |
$1,346.95 |
$296.58
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$64.55 |
$64.55 |
$64.55 |
$138.28
|
|
ER Visit (level 1, minor)
|
$141.62 |
$141.62 |
$141.62 |
$270.00
|
|
ER Visit (level 2)
|
$314.96 |
$314.96 |
$314.96 |
$469.39
|
|
ER Visit (level 3)
|
$529.47 |
$529.47 |
$529.47 |
$821.52
|
|
ER Visit (level 4)
|
$757.95 |
$757.95 |
$757.95 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,152.46 |
$1,152.46 |
$1,152.46 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$107.65 |
$107.65 |
$107.65 |
$195.33
|
|
Established Patient Office Visit (level 1)
|
$92.87 |
$92.87 |
$92.87 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$131.07 |
$131.07 |
$131.07 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$165.39 |
$165.39 |
$165.39 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$213.21 |
$213.21 |
$213.21 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$264.46 |
$264.46 |
$264.46 |
$270.09
|
|
Estradiol total
|
$88.43 |
$88.43 |
$88.43 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$137.64 |
$137.64 |
$137.64 |
$137.64
|
|
Estrogens total-sendout
|
$83.71 |
$83.71 |
$83.71 |
$111.00
|
|
Etanercept injection
|
$2,306.67 |
$2,306.67 |
$2,306.67 |
$1,080.88
|
|
Ethylene glycol -sendout
|
$64.75 |
$64.75 |
$64.75 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$20.35 |
$20.35 |
$20.35 |
$20.35
|
|
Etoposide 50 mg cap
|
$110.87 |
$110.87 |
$110.87 |
$110.87
|
|
Euglobulin lysis
|
$84.92 |
$84.92 |
$84.92 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$119.60 |
$119.60 |
$119.60 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$122.29 |
$122.29 |
$122.29 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$76.41 |
$76.41 |
$76.41 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$123.95 |
$123.95 |
$123.95 |
$325.65
|
|
Event monitor
|
$120.81 |
$120.81 |
$120.81 |
$228.60
|
|
Evoked potentials upper limbs
|
$188.70 |
$188.70 |
$188.70 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$452.97 |
$452.97 |
$452.97 |
$852.80
|
|
Exc bartholins gland/cyst
|
$2,463.18 |
$2,463.18 |
$2,463.18 |
$2,476.30
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$225.70 |
$225.70 |
$225.70 |
$1,874.89
|
|
Exc benign feenlm >4.0cm 11446
|
$312.37 |
$312.37 |
$312.37 |
$3,127.88
|
|
Exc benign tal 0.5 < cm 11400
|
$289.06 |
$289.06 |
$289.06 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$108.41 |
$108.41 |
$108.41 |
$828.59
|