|
Eeg monitor/record/awake/drowsy 95816
|
$481.25 |
$481.25 |
$481.25 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$364.65 |
$364.65 |
$364.65 |
$1,102.94
|
|
Eeg/record in coma or sleep only 95822
|
$872.30 |
$872.30 |
$872.30 |
$936.00
|
|
Eeg without vid 2-12hr cont mntr
|
$684.75 |
$684.75 |
$684.75 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$730.95 |
$730.95 |
$730.95 |
$555.00
|
|
Eeg without vid ea 12-26hr cont
|
$1,224.30 |
$1,224.30 |
$1,224.30 |
$1,194.00
|
|
Eeg without vid ea 12-26hr intmt
|
$1,153.90 |
$1,153.90 |
$1,153.90 |
$1,139.40
|
|
Eeg wo vid 2-12hr intmt mntr
|
$579.15 |
$579.15 |
$579.15 |
$593.91
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,284.80 |
$1,284.80 |
$1,284.80 |
$1,178.40
|
|
Electrolyte panel
|
$58.30 |
$58.30 |
$58.30 |
$88.78
|
|
Electrophysiology evaluation
|
$2,910.60 |
$2,910.60 |
$2,910.60 |
$2,845.10
|
|
Emb without cervical dilation 58100
|
$279.95 |
$279.95 |
$279.95 |
$397.66
|
|
Endo cath bile duct s&i
|
$1,373.35 |
$1,373.35 |
$1,373.35 |
$545.37
|
|
Endoluminl ivus oct c 1st
|
$2,189.00 |
$2,189.00 |
$2,189.00 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$1,394.25 |
$1,394.25 |
$1,394.25 |
$2,294.50
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,943.40 |
$4,943.40 |
$4,943.40 |
$3,615.39
|
|
Epstein barr early antigen antibody
|
$13.20 |
$13.20 |
$13.20 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$33.00 |
$33.00 |
$33.00 |
$83.85
|
|
Epstein barr viral capsid antigen antibody igm
|
$38.50 |
$38.50 |
$38.50 |
$96.20
|
|
ER Visit (level 1, minor)
|
$154.55 |
$154.55 |
$154.55 |
$274.95
|
|
ER Visit (level 2)
|
$343.75 |
$343.75 |
$343.75 |
$481.37
|
|
ER Visit (level 3)
|
$550.55 |
$550.55 |
$550.55 |
$850.50
|
|
ER Visit (level 4)
|
$860.20 |
$860.20 |
$860.20 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$1,167.10 |
$1,167.10 |
$1,167.10 |
$1,957.38
|
|
Established Patient Office Visit (level 1)
|
$116.60 |
$116.60 |
$116.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$148.50 |
$148.50 |
$148.50 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$165.55 |
$165.55 |
$165.55 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$184.80 |
$184.80 |
$184.80 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$243.10 |
$243.10 |
$243.10 |
$280.50
|
|
Estradiol total
|
$158.95 |
$158.95 |
$158.95 |
$151.20
|
|
Ethylene glycol -sendout
|
$63.80 |
$63.80 |
$63.80 |
$78.65
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$114.40 |
$114.40 |
$114.40 |
$222.75
|
|
Evaluation of speech fluency 92521
|
$130.90 |
$130.90 |
$130.90 |
$348.27
|
|
Event monitor
|
$12.54 |
$12.54 |
$12.54 |
$249.60
|
|
Exam pelvic add-on
|
$23.76 |
$23.76 |
$23.76 |
$41.60
|
|
Exc arm/elbo les sc >=3cm 24071
|
$337.39 |
$337.39 |
$337.39 |
$3,386.84
|
|
Exc back les sbq <3 cm 21930
|
$393.23 |
$393.23 |
$393.23 |
$2,531.25
|
|
Exc benign tal 0.5 < cm 11400
|
$101.38 |
$101.38 |
$101.38 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$111.28 |
$111.28 |
$111.28 |
$836.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$154.84 |
$154.84 |
$154.84 |
$1,006.31
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$129.89 |
$129.89 |
$129.89 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,910.05 |
$2,910.05 |
$2,910.05 |
$2,019.05
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$122.36 |
$122.36 |
$122.36 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,444.30 |
$1,444.30 |
$1,444.30 |
$1,343.00
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$196.02 |
$196.02 |
$196.02 |
$1,250.83
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$264.53 |
$264.53 |
$264.53 |
$2,101.45
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$138.60 |
$138.60 |
$138.60 |
$778.78
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$144.54 |
$144.54 |
$144.54 |
$1,874.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$136.22 |
$136.22 |
$136.22 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$257.40 |
$257.40 |
$257.40 |
$2,925.00
|
|
Exc malig feenl 1.1-2 11642
|
$223.74 |
$223.74 |
$223.74 |
$1,278.95
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$247.90 |
$247.90 |
$247.90 |
$1,917.33
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$204.34 |
$204.34 |
$204.34 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$232.85 |
$232.85 |
$232.85 |
$1,372.15
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$259.38 |
$259.38 |
$259.38 |
$1,322.10
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$211.46 |
$211.46 |
$211.46 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$279.18 |
$279.18 |
$279.18 |
$2,171.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$396.40 |
$396.40 |
$396.40 |
$2,473.60
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$371.45 |
$371.45 |
$371.45 |
$1,954.00
|
|
Exploration of foot joint
|
$410.65 |
$410.65 |
$410.65 |
$3,276.00
|
|
Explore penetrating wnd/extremity 20103
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,908.09
|
|
Explore wound abdomen 20102
|
$3,826.90 |
$3,826.90 |
$3,826.90 |
$2,837.09
|
|
External chromosome analysis 20-25 cells
|
$191.40 |
$191.40 |
$191.40 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$190.30 |
$190.30 |
$190.30 |
$471.15
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$124.85 |
$124.85 |
$124.85 |
$102.78
|
|
F-18 fdg pet diag
|
$79.75 |
$79.75 |
$79.75 |
$609.85
|
|
F-18 sodium fluoride
|
$572.00 |
$572.00 |
$572.00 |
$572.00
|
|
Facial bones <3
|
$308.00 |
$308.00 |
$308.00 |
$241.75
|
|
Factor ix
|
$259.05 |
$259.05 |
$259.05 |
$143.00
|
|
Factor viii
|
$105.60 |
$105.60 |
$105.60 |
$152.50
|
|
Fat/lipids feces qualitative
|
$31.90 |
$31.90 |
$31.90 |
$38.00
|
|
#fecal-sodium
|
$20.35 |
$20.35 |
$20.35 |
$37.50
|
|
Fem/popl revasc w/stent
|
$8,091.60 |
$8,091.60 |
$8,091.60 |
$19,039.38
|
|
Ferritin
|
$103.40 |
$103.40 |
$103.40 |
$103.95
|
|
Fetal contract stress test 59020 - 26
|
$269.50 |
$269.50 |
$269.50 |
$579.00
|
|
Fetal fibronectin
|
$114.40 |
$114.40 |
$114.40 |
$345.05
|
|
Fetal hemoglobin (kleihauer betke)
|
$220.55 |
$220.55 |
$220.55 |
$85.23
|
|
Fetal hemoglobin rosette
|
$69.30 |
$69.30 |
$69.30 |
$78.30
|
|
Fetal non stress test
|
$227.15 |
$227.15 |
$227.15 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$50.05 |
$50.05 |
$50.05 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$90.75 |
$90.75 |
$90.75 |
$112.20
|
|
Fibrin degradation products
|
$100.65 |
$100.65 |
$100.65 |
$64.94
|
|
Fibrinogen activity
|
$57.75 |
$57.75 |
$57.75 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$261.80 |
$261.80 |
$261.80 |
$60.00
|
|
Filter spider fx 3mmx320cm
|
$2,555.30 |
$2,555.30 |
$2,555.30 |
$4,176.86
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,046.65 |
$1,046.65 |
$1,046.65 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$621.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$765.70
|
|
Flecainide (tambocor)-sendout
|
$23.10 |
$23.10 |
$23.10 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$484.55 |
$484.55 |
$484.55 |
$565.50
|
|
Flow cytometry interp 16 or more
|
$123.75 |
$123.75 |
$123.75 |
$208.80
|
|
Flow cytometry marker each additional
|
$245.30 |
$245.30 |
$245.30 |
$102.00
|
|
Flow cytometry one marker technical component
|
$403.15 |
$403.15 |
$403.15 |
$286.89
|
|
Fluorescent antibody titer dna
|
$209.55 |
$209.55 |
$209.55 |
$132.86
|
|
Fluoroguide for spine inject 77003-26
|
$41.25 |
$41.25 |
$41.25 |
$507.00
|
|
Fluoroguide needle placement
|
$203.50 |
$203.50 |
$203.50 |
$536.26
|
|
Fluoro polarize fetal lung
|
$108.35 |
$108.35 |
$108.35 |
$64.00
|
|
Fluoroscopy up to 1 hour
|
$204.60 |
$204.60 |
$204.60 |
$489.84
|
|
Fna bx w/ct gdn 1st les
|
$1,046.65 |
$1,046.65 |
$1,046.65 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$1,175.90 |
$1,175.90 |
$1,175.90 |
$737.83
|
