|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,375.05 |
$1,375.05 |
$7,790.70 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$466.80 |
$690.50 |
$1,161.41 |
$371.25
|
|
Echo exam of eye
|
$460.50 |
$460.50 |
$460.50 |
$169.62
|
|
Echo exam of fetal heart
|
$855.38 |
$855.38 |
$3,859.29 |
$904.80
|
|
Echo exam of fetal heart
|
$378.00 |
$378.00 |
$2,543.48 |
$538.27
|
|
Echo exam of fetal heart
|
$431.41 |
$431.41 |
$489.27 |
$431.41
|
|
Echo exam of fetal heart
|
$318.34 |
$318.34 |
$489.27 |
$318.34
|
|
Echo exam uterus 76831-
|
$409.50 |
$705.50 |
$993.45 |
$561.00
|
|
Echograp trans r pros study
|
$459.40 |
$459.40 |
$1,742.49 |
$468.00
|
|
Echo guidance radiotherapy
|
$627.20 |
$1,319.00 |
$1,319.00 |
$812.00
|
|
Echo guide cardiocentesis
|
$364.99 |
$364.99 |
$364.99 |
$269.33
|
|
Echo guide for amniocentesis
|
$304.49 |
$328.00 |
$568.35 |
$455.57
|
|
Echo guide for artery repair
|
$610.80 |
$687.35 |
$825.00 |
$696.30
|
|
Echo guide for heart biopsy
|
$455.26 |
$455.26 |
$2,167.90 |
$666.40
|
|
Echo guide for transfusion
|
$256.36 |
$256.36 |
$256.36 |
$332.39
|
|
Echo stress
|
$1,959.00 |
$2,144.62 |
$2,627.64 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$6,839.77 |
$6,839.77 |
$6,839.77 |
$751.34
|
|
Echo tee guidance
|
$1,929.00 |
$3,210.68 |
$6,935.17 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,998.60 |
$2,059.50 |
$13,723.47 |
$1,913.60
|
|
Echo transesophageal
|
$490.50 |
$490.50 |
$2,127.45 |
$1,075.20
|
|
Echo transesophageal
|
$1,921.65 |
$1,921.65 |
$1,921.65 |
$602.00
|
|
Echo transesophageal
|
$1,998.60 |
$2,281.68 |
$6,935.17 |
$1,650.00
|
|
Echo transesophageal
|
$6,839.77 |
$6,839.77 |
$6,839.77 |
$603.20
|
|
Echo transesophageal intraop
|
$1,332.15 |
$1,578.00 |
$7,790.70 |
$1,578.00
|
|
Echo transthoracic
|
$1,332.45 |
$1,834.00 |
$8,859.75 |
$1,361.75
|
|
Echo transthoracic
|
$1,332.45 |
$1,834.00 |
$4,329.17 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$379.20 |
$1,088.00 |
$5,793.43 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,560.70 |
$3,560.70 |
$10,882.70 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,560.70 |
$3,560.70 |
$10,882.70 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$4,320.83 |
$4,320.83 |
$7,121.40 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$4,536.87 |
$4,536.87 |
$7,121.40 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$35,799.80 |
$35,799.80 |
$35,799.80 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,301.39 |
$1,301.39 |
$24,967.50 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$35,799.80 |
$35,799.80 |
$35,799.80 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,313.68 |
$1,313.68 |
$12,988.65 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$9,536.97 |
$9,536.97 |
$12,620.85 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,394.09 |
$1,394.09 |
$14,183.25 |
$1,282.40
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,880.46 |
$1,880.46 |
$9,455.55 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,898.66 |
$1,898.66 |
$4,727.85 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,048.74 |
$1,048.74 |
$4,555.65 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$953.40 |
$953.40 |
$3,037.05 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,518.60 |
$1,518.60 |
$10,841.05 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$225.28 |
$225.28 |
$225.28 |
$148.40
|
|
E coli 0157 ag ia
|
$1,600.60 |
$1,600.60 |
$1,600.60 |
$71.50
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$8,270.00 |
$8,270.00 |
$36,093.06 |
$19,540.29
|
|
Eculizumab injection
|
$12,915.54 |
$12,915.54 |
$106,620.50 |
$16,330.48
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$95.40 |
$95.40 |
$95.40 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$994.50 |
$1,195.08 |
$2,239.80 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$660.00 |
$970.07 |
$3,375.48 |
$994.15
|
|
Eeg during surgery
|
$467.85 |
$628.50 |
$7,826.89 |
$775.45
|
|
Eeg monitoring/function test
|
$1,771.73 |
$1,771.73 |
$4,994.97 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$809.86 |
$809.86 |
$809.86 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$660.00 |
$914.10 |
$2,609.79 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,463.28 |
$1,680.00 |
$8,147.07 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$660.00 |
$1,219.41 |
$2,299.53 |
$871.00
|
|
Eeg recording awake and asleep
|
$660.00 |
$914.10 |
$2,411.23 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$462.30 |
$462.30 |
$2,266.72 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$335.00 |
$335.00 |
$1,391.57 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$643.00 |
$643.00 |
$4,464.76 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$886.80 |
$886.80 |
$4,547.44 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$462.30 |
$462.30 |
$1,249.01 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$643.00 |
$643.00 |
$2,540.78 |
$1,632.95
|
|
E equine encephalitis igg
|
$34.00 |
$34.00 |
$116.40 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,553.75
|
|
Egd dilate stricture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,394.60
|
|
Egd endo mucosal resection
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,430.40
|
|
Egd endoscopic stent place
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,986.00
|
|
Egd guide wire insertion
|
$731.70 |
$731.70 |
$731.70 |
$1,664.00
|
|
Egd injection varices
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd lesion ablation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,354.48
|
|
Egd remove foreign body
|
$731.70 |
$731.70 |
$731.70 |
$1,571.40
|
|
Egd remove lesion snare
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,562.75
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$3,333.85
|
|
Egd varices ligation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$700.80 |
$700.80 |
$3,571.80 |
$4,379.25
|
|
Egfr gene com variants
|
$345.00 |
$1,543.20 |
$17,561.47 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$33.50 |
$33.50 |
$240.00 |
$93.00
|
|
EKG (Electrocardiogram)
|
$334.50 |
$334.50 |
$334.50 |
$89.60
|
|
EKG tracing for initial prev
|
$82.25 |
$82.25 |
$82.25 |
$81.76
|
|
EKG (Tracing Only)
|
$271.92 |
$315.50 |
$908.39 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$291.94 |
$324.00 |
$351.00 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$154.50 |
$154.50 |
$383.10 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$606.10 |
$606.10 |
$606.10 |
$616.00
|
|
Elec stim unattend for press
|
$165.31 |
$165.31 |
$165.31 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$509.91 |
$509.91 |
$509.91 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$430.56 |
$430.56 |
$430.56 |
$618.80
|
|
Electrd sq emblem s-icd
|
$10,992.37 |
$10,992.37 |
$18,003.00 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$95.25 |
$103.50 |
$127.00 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$90.60 |
$90.60 |
$90.60 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$1,052.70 |
$1,427.00 |
$2,709.19 |
$1,235.00
|
|
Electrocorticography durng sx
|
$1,660.52 |
$1,660.52 |
$3,809.83 |
$1,642.53
|
|
Electrode stimulation brain
|
$751.50 |
$751.50 |
$5,403.26 |
$1,203.94
|
|
Electrolyte panel
|
$104.86 |
$193.35 |
$247.00 |
$79.30
|
