|
Duplex scan unilateral study 93986
|
$317.55 |
$317.55 |
$317.55 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$229.50 |
$229.50 |
$229.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$229.50 |
$229.50 |
$229.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$344.25 |
$344.25 |
$344.25 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$63.90 |
$63.90 |
$63.90 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$710.40 |
$710.40 |
$710.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$784.20 |
$784.20 |
$784.20 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$531.15 |
$531.15 |
$531.15 |
$2,322.60
|
|
Dx gastr intub w/asp specs
|
$69.45 |
$69.45 |
$69.45 |
$308.70
|
|
Ear irrigation 69209
|
$48.30 |
$48.30 |
$48.30 |
$149.76
|
|
Ecg 12 lead tracing only
|
$70.95 |
$70.95 |
$70.95 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$247.50 |
$247.50 |
$247.50 |
$135.80
|
|
Ecg external < 48 hours recording
|
$247.50 |
$247.50 |
$247.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$247.50 |
$247.50 |
$247.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$161.85 |
$161.85 |
$161.85 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$161.85 |
$161.85 |
$161.85 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$448.35 |
$448.35 |
$448.35 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$112.20 |
$112.20 |
$112.20 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$473.85 |
$473.85 |
$473.85 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$175.35 |
$175.35 |
$175.35 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$289.50 |
$289.50 |
$289.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$103.50 |
$103.50 |
$103.50 |
$362.50
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$939.00
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$431.41
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$323.40
|
|
Echo exam uterus 76831-
|
$99.00 |
$99.00 |
$99.00 |
$523.71
|
|
Echograp trans r pros study
|
$93.90 |
$93.90 |
$93.90 |
$459.40
|
|
Echo guidance radiotherapy
|
$167.55 |
$167.55 |
$167.55 |
$812.00
|
|
Echo guide for amniocentesis
|
$101.55 |
$101.55 |
$101.55 |
$456.30
|
|
Echo guide for artery repair
|
$166.35 |
$166.35 |
$166.35 |
$664.00
|
|
Echo stress
|
$448.35 |
$448.35 |
$448.35 |
$1,592.05
|
|
Echo tee guidance
|
$324.75 |
$324.75 |
$324.75 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$448.35 |
$448.35 |
$448.35 |
$1,849.50
|
|
Echo transesophageal
|
$293.10 |
$293.10 |
$293.10 |
$1,559.35
|
|
Echo transthoracic
|
$448.35 |
$448.35 |
$448.35 |
$1,361.75
|
|
Echo transthoracic
|
$209.55 |
$209.55 |
$209.55 |
$953.10
|
|
Ecmo/ecls daily mgmt artery 33949
|
$413.40 |
$413.40 |
$413.40 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$413.40 |
$413.40 |
$413.40 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$826.95 |
$826.95 |
$826.95 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$257.10 |
$257.10 |
$257.10 |
$3,468.27
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$463.05 |
$463.05 |
$463.05 |
$1,158.70
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$463.05 |
$463.05 |
$463.05 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$463.05 |
$463.05 |
$463.05 |
$925.55
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$463.05 |
$463.05 |
$463.05 |
$925.55
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$463.05 |
$463.05 |
$463.05 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$463.05 |
$463.05 |
$463.05 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$296.40 |
$296.40 |
$296.40 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$296.40 |
$296.40 |
$296.40 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$296.40 |
$296.40 |
$296.40 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$296.40 |
$296.40 |
$296.40 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$296.40 |
$296.40 |
$296.40 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$296.40 |
$296.40 |
$296.40 |
$1,240.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$370.50 |
$370.50 |
$370.50 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$370.50 |
$370.50 |
$370.50 |
$1,045.20
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$370.50 |
$370.50 |
$370.50 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$370.50 |
$370.50 |
$370.50 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$370.50 |
$370.50 |
$370.50 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$370.50 |
$370.50 |
$370.50 |
$1,057.76
|
|
Eeg 41-60 minutes 95812-26
|
$350.70 |
$350.70 |
$350.70 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$184.80 |
$184.80 |
$184.80 |
$1,000.42
|
|
Eeg during surgery
|
$184.80 |
$184.80 |
$184.80 |
$797.30
|
|
Eeg monitoring/giving drugs
|
$232.95 |
$232.95 |
$232.95 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$205.50 |
$205.50 |
$205.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$386.85 |
$386.85 |
$386.85 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$282.45 |
$282.45 |
$282.45 |
$907.80
|
|
Eeg recording awake and asleep
|
$213.45 |
$213.45 |
$213.45 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$318.75 |
$318.75 |
$318.75 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$263.55 |
$263.55 |
$263.55 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$505.35 |
$505.35 |
$505.35 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$241.05 |
$241.05 |
$241.05 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$289.80 |
$289.80 |
$289.80 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$505.35 |
$505.35 |
$505.35 |
$1,502.40
|
|
E equine encephalitis igg
|
$12.45 |
$12.45 |
$12.45 |
$49.92
|
|
Egd control bleeding any
|
$806.40 |
$806.40 |
$806.40 |
$2,553.75
|
|
Egd/insert intraluminal tube/cath 43241
|
$806.40 |
$806.40 |
$806.40 |
$2,237.95
|
|
Egd remove foreign body
|
$384.60 |
$384.60 |
$384.60 |
$1,505.50
|
|
Egd varices ligation
|
$806.40 |
$806.40 |
$806.40 |
$2,244.82
|
|
Egfr gene com variants
|
$205.20 |
$205.20 |
$205.20 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$61.50 |
$61.50 |
$61.50 |
$93.00
|
|
EKG for initial prevent exam g0403
|
$161.85 |
$161.85 |
$161.85 |
$37.60
|
|
EKG interpret & report preve g0405
|
$161.85 |
$161.85 |
$161.85 |
$19.20
|
|
Elec stim unattend for press
|
$23.85 |
$23.85 |
$23.85 |
$83.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$147.00 |
$147.00 |
$147.00 |
$616.11
|
|
Electrical stimulation/unattended 97014
|
$15.90 |
$15.90 |
$15.90 |
$79.20
|
|
Electrode stimulation brain
|
$282.60 |
$282.60 |
$282.60 |
$1,180.80
|
|
Electrolyte panel
|
$12.00 |
$12.00 |
$12.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$720.00 |
$720.00 |
$720.00 |
$983.41
|
|
Electrophysiologic study
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$6,758.40
|
|
Electrophysiology evaluation
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$8,979.45
|
|
Electrophysiology evaluation
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$10,233.60
|
|
Electrophysiology evaluation
|
$2,690.85 |
$2,690.85 |
$2,690.85 |
$6,760.00
|
|
Electrophysiology evaluation
|
$513.90 |
$513.90 |
$513.90 |
$5,854.80
|
|
Electrophysiology evaluation
|
$513.90 |
$513.90 |
$513.90 |
$2,451.90
|
|
Electrophysiology evaluation
|
$513.90 |
$513.90 |
$513.90 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$513.90 |
$513.90 |
$513.90 |
$5,881.00
|
|
Embolization s&i
|
$659.10 |
$659.10 |
$659.10 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|