|
Dup scan/hemodialysis access 93990
|
$701.60 |
$701.60 |
$701.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$100.80 |
$100.80 |
$100.80 |
$10,564.87
|
|
Ecg/1-3 leads/tracing only 93041
|
$136.80 |
$136.80 |
$136.80 |
$132.08
|
|
Ecg external < 48 hours recording
|
$472.00 |
$472.00 |
$472.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$723.20 |
$723.20 |
$723.20 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,229.60 |
$2,229.60 |
$2,229.60 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$841.60 |
$841.60 |
$841.60 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$600.80 |
$600.80 |
$600.80 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$430.40 |
$430.40 |
$430.40 |
$371.25
|
|
Echo exam of fetal heart
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$904.80
|
|
Echo exam of fetal heart
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$538.27
|
|
Echo exam of fetal heart
|
$706.40 |
$706.40 |
$706.40 |
$431.41
|
|
Echo exam of fetal heart
|
$502.40 |
$502.40 |
$502.40 |
$318.34
|
|
Echo guide for amniocentesis
|
$696.80 |
$696.80 |
$696.80 |
$455.57
|
|
Echo guide for artery repair
|
$750.40 |
$750.40 |
$750.40 |
$696.30
|
|
Echo guide for transfusion
|
$517.60 |
$517.60 |
$517.60 |
$332.39
|
|
Echo stress
|
$1,927.20 |
$1,927.20 |
$1,927.20 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,676.00 |
$2,676.00 |
$2,676.00 |
$1,913.60
|
|
Echo transesophageal
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,650.00
|
|
Echo transesophageal intraop
|
$1,902.40 |
$1,902.40 |
$1,902.40 |
$1,578.00
|
|
Echo transthoracic
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$1,361.75
|
|
Echo transthoracic
|
$1,304.80 |
$1,304.80 |
$1,304.80 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$1,033.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,290.40 |
$1,290.40 |
$1,290.40 |
$934.05
|
|
Eeg over 1 hour 95813 - 26
|
$1,541.60 |
$1,541.60 |
$1,541.60 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
$931.20
|
|
EKG tracing for initial prev
|
$69.60 |
$69.60 |
$69.60 |
$81.76
|
|
EKG (Tracing Only)
|
$228.00 |
$228.00 |
$228.00 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$255.20 |
$255.20 |
$255.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$380.00 |
$380.00 |
$380.00 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$106.40 |
$106.40 |
$106.40 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$159.20 |
$159.20 |
$159.20 |
$81.75
|
|
Embolization s&i
|
$4,590.40 |
$4,590.40 |
$4,590.40 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$17,756.00 |
$17,756.00 |
$17,756.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,844.00 |
$17,844.00 |
$17,844.00 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$17,819.20 |
$17,819.20 |
$17,819.20 |
$14,741.00
|
|
Emb without cervical dilation 58100
|
$356.00 |
$356.00 |
$356.00 |
$373.60
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,940.80 |
$6,940.80 |
$6,940.80 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$2,158.95
|
|
Endoscopy swallow (fees) vid
|
$420.00 |
$420.00 |
$420.00 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$19,116.80 |
$19,116.80 |
$19,116.80 |
$9,122.40
|
|
Endovasc tempory vessel occl
|
$3,536.80 |
$3,536.80 |
$3,536.80 |
$11,474.40
|
|
Endovenous rf abl vein addl
|
$5,151.20 |
$5,151.20 |
$5,151.20 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$7,971.20 |
$7,971.20 |
$7,971.20 |
$6,366.08
|
|
Endoven ther chem adhes sbsq 36483
|
$4,199.20 |
$4,199.20 |
$4,199.20 |
$2,794.37
|
|
Enzyme histochemistry
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$455.91
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,162.40 |
$1,162.40 |
$1,162.40 |
$1,182.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,236.80 |
$2,236.80 |
$2,236.80 |
$3,778.57
|
|
Ercp biliary & pancreas
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$967.04
|
|
ER Visit (level 1, minor)
|
$309.60 |
$309.60 |
$309.60 |
$252.60
|
|
ER Visit (level 2)
|
$510.40 |
$510.40 |
$510.40 |
$463.00
|
|
ER Visit (level 3)
|
$712.00 |
$712.00 |
$712.00 |
$812.18
|
|
ER Visit (level 4)
|
$984.80 |
$984.80 |
$984.80 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,569.60 |
$1,569.60 |
$1,569.60 |
$1,871.60
|
|
Esophageal dilat s&i
|
$1,124.80 |
$1,124.80 |
$1,124.80 |
$551.20
|
|
Esophagoscopy flex remove fb
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$2,089.60
|
|
Esophagus motility study
|
$1,673.60 |
$1,673.60 |
$1,673.60 |
$1,257.17
|
|
Esoph imped funct test > 1hr
|
$2,243.20 |
$2,243.20 |
$2,243.20 |
$1,121.40
|
|
Establish access to aorta
|
$2,526.40 |
$2,526.40 |
$2,526.40 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$92.80 |
$92.80 |
$92.80 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$125.60 |
$125.60 |
$125.60 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$168.00 |
$168.00 |
$168.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$234.40 |
$234.40 |
$234.40 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$306.40 |
$306.40 |
$306.40 |
$290.68
|
|
Eval aud rehab status/first hr 92626
|
$332.00 |
$332.00 |
$332.00 |
$329.59
|
|
Evaluation of speech fluency 92521
|
$366.40 |
$366.40 |
$366.40 |
$302.50
|
|
Event monitor
|
$310.40 |
$310.40 |
$310.40 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$144.00 |
$144.00 |
$144.00 |
$261.30
|
|
Exc benign tal 0.5 < cm 11400
|
$675.20 |
$675.20 |
$675.20 |
$832.60
|
|
Exchange biliary drg cath
|
$5,088.80 |
$5,088.80 |
$5,088.80 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,505.60 |
$2,505.60 |
$2,505.60 |
$2,958.80
|
|
Exc thrombosed hemorrhoid 46320
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$2,175.36
|
|
Exercise tst brncspsm w/ecg
|
$497.60 |
$497.60 |
$497.60 |
$335.52
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$2,480.00 |
$2,480.00 |
$2,480.00 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$4,580.00 |
$4,580.00 |
$4,580.00 |
$2,784.80
|
|
Explore woundchest 20101
|
$4,427.20 |
$4,427.20 |
$4,427.20 |
$2,227.68
|
|
Explore wound neck 20100
|
$5,173.60 |
$5,173.60 |
$5,173.60 |
$1,185.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$480.80 |
$480.80 |
$480.80 |
$457.07
|
|
Eye Socket (Orbit) X-ray
|
$375.20 |
$375.20 |
$375.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,709.60 |
$2,709.60 |
$2,709.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,235.20 |
$2,235.20 |
$2,235.20 |
$1,320.00
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$371.20 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,159.20 |
$4,159.20 |
$4,159.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,095.20 |
$3,095.20 |
$3,095.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$160.00 |
$160.00 |
$160.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$521.60 |
$521.60 |
$521.60 |
$381.75
|
|
Fetal biophys profile w/nst 76818
|
$753.60 |
$753.60 |
$753.60 |
$541.74
|
|
Fetal non stress test
|
$439.20 |
$439.20 |
$439.20 |
$478.50
|
|
Filter spider fx 3mmx320cm
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,020.00 |
$4,020.00 |
$4,020.00 |
$3,718.18
|