|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$193.70 |
$193.70 |
$193.70 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$131.56 |
$131.56 |
$131.56 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$203.06 |
$203.06 |
$203.06 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$169.52 |
$169.52 |
$169.52 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$350.74 |
$350.74 |
$350.74 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$332.80 |
$332.80 |
$332.80 |
$1,045.20
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$166.92 |
$166.92 |
$166.92 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$131.56 |
$131.56 |
$131.56 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$166.92 |
$166.92 |
$166.92 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$131.56 |
$131.56 |
$131.56 |
$1,206.15
|
|
Ecog impltd brn npgt <30 d
|
$76.70 |
$76.70 |
$76.70 |
$146.00
|
|
E coli 0157 ag ia
|
$9.88 |
$9.88 |
$9.88 |
$56.80
|
|
Ecp ciliary body destruction
|
$361.14 |
$361.14 |
$361.14 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$34.84 |
$34.84 |
$34.84 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$766.64 |
$766.64 |
$766.64 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,007.40
|
|
Eeg during surgery
|
$1,383.06 |
$1,383.06 |
$1,383.06 |
$779.25
|
|
Eeg monitoring/function test
|
$160.42 |
$160.42 |
$160.42 |
$1,548.52
|
|
Eeg monitoring/giving drugs
|
$80.60 |
$80.60 |
$80.60 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$766.64 |
$766.64 |
$766.64 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$766.64 |
$766.64 |
$766.64 |
$1,119.54
|
|
Eeg phy/qhp>36<60 hr without vid
|
$148.20 |
$148.20 |
$148.20 |
$1,456.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$180.18 |
$180.18 |
$180.18 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$182.00 |
$182.00 |
$182.00 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$228.80 |
$228.80 |
$228.80 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$208.52 |
$208.52 |
$208.52 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$290.68 |
$290.68 |
$290.68 |
$1,932.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$148.72 |
$148.72 |
$148.72 |
$1,021.00
|
|
Eeg phys/qhp 2-12 hr without vid
|
$76.96 |
$76.96 |
$76.96 |
$499.00
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$96.72 |
$96.72 |
$96.72 |
$615.00
|
|
Eeg phys/qhp ea incr without vid
|
$115.70 |
$115.70 |
$115.70 |
$852.00
|
|
Eeg/record in coma or sleep only 95822
|
$766.64 |
$766.64 |
$766.64 |
$871.00
|
|
Eeg recording awake and asleep
|
$766.64 |
$766.64 |
$766.64 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$766.64 |
$766.64 |
$766.64 |
$730.91
|
|
Eeg without vid ea 12-26hr intmt
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$766.64 |
$766.64 |
$766.64 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,632.95
|
|
E equine encephalitis igg
|
$83.62 |
$83.62 |
$83.62 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$165.10 |
$165.10 |
$165.10 |
$2,244.82
|
|
Egd control bleeding any
|
$144.04 |
$144.04 |
$144.04 |
$2,553.75
|
|
Egd dilate stricture
|
$127.40 |
$127.40 |
$127.40 |
$2,283.20
|
|
Egd endo mucosal resection
|
$194.22 |
$194.22 |
$194.22 |
$2,430.40
|
|
Egd endoscopic stent place
|
$156.52 |
$156.52 |
$156.52 |
$3,986.00
|
|
Egd esophagogastrc fndoplsty
|
$310.44 |
$310.44 |
$310.44 |
$7,229.60
|
|
Egd flx trnsorl dplmnt balo
|
$128.96 |
$128.96 |
$128.96 |
$2,638.57
|
|
Egd flx trnsorl rmvl balo
|
$116.22 |
$116.22 |
$116.22 |
$1,247.13
|
|
Egd guide wire insertion
|
$119.60 |
$119.60 |
$119.60 |
$1,664.00
|
|
Egd injection varices
|
$171.08 |
$171.08 |
$171.08 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$102.70 |
$102.70 |
$102.70 |
$2,244.82
|
|
Egd lesion ablation
|
$161.72 |
$161.72 |
$161.72 |
$2,354.48
|
|
Egd optical endomicroscopy
|
$120.90 |
$120.90 |
$120.90 |
$2,372.30
|
|
Egd remove foreign body
|
$127.14 |
$127.14 |
$127.14 |
$1,571.40
|
|
Egd remove lesion snare
|
$140.92 |
$140.92 |
$140.92 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$122.98 |
$122.98 |
$122.98 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$162.76 |
$162.76 |
$162.76 |
$2,470.65
|
|
Egd Ultrasound fine needle bx/aspir
|
$167.18 |
$167.18 |
$167.18 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$188.50 |
$188.50 |
$188.50 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$188.76 |
$188.76 |
$188.76 |
$3,218.80
|
|
Egd varices ligation
|
$175.76 |
$175.76 |
$175.76 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$166.92 |
$166.92 |
$166.92 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$280.80 |
$280.80 |
$280.80 |
$4,379.25
|
|
Egfr gene com variants
|
$912.42 |
$912.42 |
$912.42 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$222.00 |
$222.00 |
$222.00 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$123.58 |
$123.58 |
$123.58 |
$48.57
|
|
EKG (Electrocardiogram)
|
$10.40 |
$10.40 |
$10.40 |
$89.60
|
|
EKG interpret & report preve g0405
|
$5.98 |
$5.98 |
$5.98 |
$19.20
|
|
EKG (Tracing Only)
|
$167.24 |
$167.24 |
$167.24 |
$226.50
|
|
Elbow arthroscopy
|
$339.82 |
$339.82 |
$339.82 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$366.34 |
$366.34 |
$366.34 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$378.04 |
$378.04 |
$378.04 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$433.42 |
$433.42 |
$433.42 |
$8,412.89
|
|
Elbow arthroscopy/surgery
|
$385.06 |
$385.06 |
$385.06 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$439.66 |
$439.66 |
$439.66 |
$2,916.80
|
|
Elbow X-ray (2 views, both sides)
|
$340.40 |
$340.40 |
$340.40 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$425.50 |
$425.50 |
$425.50 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$24.96 |
$24.96 |
$24.96 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$17.68 |
$17.68 |
$17.68 |
$575.13
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$25.22 |
$25.22 |
$25.22 |
$618.80
|
|
Electrical bone stim 20974
|
$37.70 |
$37.70 |
$37.70 |
$61.91
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$59.20 |
$59.20 |
$59.20 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$106.56 |
$106.56 |
$106.56 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$13.78 |
$13.78 |
$13.78 |
$166.40
|
|
Electroconvulsive therapy 90870
|
$76.70 |
$76.70 |
$76.70 |
$1,235.00
|
|
Electrocorticography durng sx
|
$235.56 |
$235.56 |
$235.56 |
$1,642.53
|
|
Electrode stimulation brain
|
$115.44 |
$115.44 |
$115.44 |
$1,203.94
|
|
Electroejaculation
|
$102.96 |
$102.96 |
$102.96 |
$1,030.40
|
|
Electrolyte panel
|
$44.40 |
$44.40 |
$44.40 |
$78.65
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$31.20 |
$31.20 |
$31.20 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$35.36 |
$35.36 |
$35.36 |
$160.00
|
|
Electron microscopy diagnostic
|
$2,297.70 |
$2,297.70 |
$2,297.70 |
$1,024.80
|
|
Electro-oculography w/i&r
|
$30.16 |
$30.16 |
$30.16 |
$249.60
|
|
Electrophysiologic study
|
$170.30 |
$170.30 |
$170.30 |
$7,493.20
|
|
Electrophysiology evaluation
|
$272.22 |
$272.22 |
$272.22 |
$8,979.45
|
|
Electrophysiology evaluation
|
$438.62 |
$438.62 |
$438.62 |
$10,724.84
|
|
Electrophysiology evaluation
|
$65.26 |
$65.26 |
$65.26 |
$6,760.00
|
|
Electrophysiology evaluation
|
$120.64 |
$120.64 |
$120.64 |
$5,883.66
|
|
Electrophysiology evaluation
|
$217.88 |
$217.88 |
$217.88 |
$2,559.70
|
|
Electrophysiology evaluation
|
$178.88 |
$178.88 |
$178.88 |
$2,914.40
|
|
Electrophysiology evaluation
|
$102.18 |
$102.18 |
$102.18 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$206.96 |
$206.96 |
$206.96 |
$5,762.40
|
