|
Echocardiogram (Heart Ultrasound)
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$788.00 |
$788.00 |
$788.00 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$690.50 |
$690.50 |
$690.50 |
$371.25
|
|
Echo exam uterus 76831-
|
$705.50 |
$705.50 |
$705.50 |
$552.50
|
|
Echo guidance radiotherapy
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$328.00 |
$328.00 |
$328.00 |
$446.60
|
|
Echo guide for artery repair
|
$825.00 |
$825.00 |
$825.00 |
$687.35
|
|
Echo stress
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$1,606.44
|
|
Echo tee guidance
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,059.50 |
$2,059.50 |
$2,059.50 |
$1,889.20
|
|
Echo transesophageal
|
$490.50 |
$490.50 |
$490.50 |
$1,075.20
|
|
Echo transesophageal intraop
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,578.00
|
|
Echo transthoracic
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$994.50 |
$994.50 |
$994.50 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$660.00 |
$660.00 |
$660.00 |
$970.07
|
|
Eeg during surgery
|
$628.50 |
$628.50 |
$628.50 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$660.00 |
$660.00 |
$660.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$660.00 |
$660.00 |
$660.00 |
$865.00
|
|
Eeg recording awake and asleep
|
$660.00 |
$660.00 |
$660.00 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$335.00 |
$335.00 |
$335.00 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$643.00 |
$643.00 |
$643.00 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$643.00 |
$643.00 |
$643.00 |
$1,591.10
|
|
E equine encephalitis igg
|
$34.00 |
$34.00 |
$34.00 |
$50.88
|
|
Egfr gene com variants
|
$345.00 |
$345.00 |
$345.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$33.50 |
$33.50 |
$33.50 |
$93.00
|
|
EKG (Electrocardiogram)
|
$334.50 |
$334.50 |
$334.50 |
$89.60
|
|
Electroconvulsive therapy 90870
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$1,296.90
|
|
Electrode stimulation brain
|
$751.50 |
$751.50 |
$751.50 |
$1,180.80
|
|
Electrolyte panel
|
$247.00 |
$247.00 |
$247.00 |
$78.65
|
|
Electron microscopy diagnostic
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,006.20
|
|
Electrophysiology evaluation
|
$4,419.00 |
$4,419.00 |
$4,419.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$6,805.50 |
$6,805.50 |
$6,805.50 |
$10,593.00
|
|
Electrophysiology evaluation
|
$6,540.00 |
$6,540.00 |
$6,540.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,861.00 |
$4,861.00 |
$4,861.00 |
$5,854.80
|
|
Electrophysiology evaluation
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$2,504.00
|
|
Electrophysiology evaluation
|
$4,065.50 |
$4,065.50 |
$4,065.50 |
$2,902.81
|
|
Electrophysiology evaluation
|
$4,065.50 |
$4,065.50 |
$4,065.50 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$9,071.00 |
$9,071.00 |
$9,071.00 |
$5,881.00
|
|
Embolization s&i
|
$2,447.00 |
$2,447.00 |
$2,447.00 |
$3,215.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$258.50 |
$258.50 |
$258.50 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$308.50 |
$308.50 |
$308.50 |
$487.20
|
|
Emg cranial nerve bilateral
|
$258.50 |
$258.50 |
$258.50 |
$518.00
|
|
Emg needle test 1-extremity
|
$236.00 |
$236.00 |
$236.00 |
$342.24
|
|
Emg needle test 4-extremities
|
$458.00 |
$458.00 |
$458.00 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$239.00 |
$239.00 |
$239.00 |
$308.80
|
|
Encephalitis, california igg/igm
|
$33.50 |
$33.50 |
$33.50 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$75.00 |
$75.00 |
$75.00 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$34.00 |
$34.00 |
$34.00 |
$53.90
|
|
Endo cath bile duct s&i
|
$895.00 |
$895.00 |
$895.00 |
$694.06
|
|
Endo cath panc duct s&i
|
$895.00 |
$895.00 |
$895.00 |
$672.43
|
|
Endoluminl ivus oct c 1st
|
$2,988.50 |
$2,988.50 |
$2,988.50 |
$3,290.30
|
|
Endoluminl ivus oct c ea
|
$755.50 |
$755.50 |
$755.50 |
$2,096.38
|
|
Endoscopy swallow (fees) vid
|
$433.00 |
$433.00 |
$433.00 |
$402.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$73.37 |
$73.37 |
$73.37 |
$116.08
|
|
Entamoeba histolytica ag eia - sendout
|
$14.50 |
$14.50 |
$14.50 |
$56.89
|
|
Enzyme cell activity ra
|
$112.50 |
$112.50 |
$112.50 |
$197.60
|
|
Enzyme histochemistry
|
$379.50 |
$379.50 |
$379.50 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$20,958.50 |
$20,958.50 |
$20,958.50 |
$26,232.69
|
|
Ep & ablate ventric tachy
|
$26,706.50 |
$26,706.50 |
$26,706.50 |
$27,778.40
|
|
Ep induct arrhy by elect pacing
|
$4,034.00 |
$4,034.00 |
$4,034.00 |
$2,702.70
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$31.75 |
$31.75 |
$31.75 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$182.37 |
$182.37 |
$182.37 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$30.62 |
$30.62 |
$30.62 |
$31.80
|
|
Epstein barr early antigen antibody
|
$9.00 |
$9.00 |
$9.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$10.50 |
$10.50 |
$10.50 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$77.00 |
$77.00 |
$77.00 |
$85.15
|
|
Ercp biliary & pancreas
|
$895.00 |
$895.00 |
$895.00 |
$951.20
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$84.00 |
$84.00 |
$84.00 |
$227.20
|
|
ER Visit (level 1, minor)
|
$262.00 |
$262.00 |
$262.00 |
$252.35
|
|
ER Visit (level 2)
|
$463.00 |
$463.00 |
$463.00 |
$463.00
|
|
ER Visit (level 3)
|
$978.00 |
$978.00 |
$978.00 |
$793.20
|
|
ER Visit (level 4)
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$367.50 |
$367.50 |
$367.50 |
$223.99
|
|
Esophageal dilat s&i
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$550.00
|
|
Esophagus motility study
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$1,257.17
|
|
Esoph balloon distension tst
|
$773.50 |
$773.50 |
$773.50 |
$1,040.00
|
|
Esoph imped funct test > 1hr
|
$674.00 |
$674.00 |
$674.00 |
$1,089.15
|
|
Established Patient Office Visit (level 1)
|
$184.50 |
$184.50 |
$184.50 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$195.00 |
$195.00 |
$195.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$211.00 |
$211.00 |
$211.00 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$321.00 |
$321.00 |
$321.00 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$367.50 |
$367.50 |
$367.50 |
$287.10
|
|
Estradiol total
|
$25.00 |
$25.00 |
$25.00 |
$149.43
|
|
Ethylene glycol -sendout
|
$24.50 |
$24.50 |
$24.50 |
$85.00
|
|
Eval/fit voice prosthesis iii, st
|
$433.00 |
$433.00 |
$433.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$325.00 |
$325.00 |
$325.00 |
$211.12
|
|
Evaluation heart device
|
$887.50 |
$887.50 |
$887.50 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$433.00 |
$433.00 |
$433.00 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$197.00 |
$197.00 |
$197.00 |
$315.00
|
|
Event monitor
|
$43.00 |
$43.00 |
$43.00 |
$237.60
|
|
Evoked oa emissions ltd
|
$193.00 |
$193.00 |
$193.00 |
$244.00
|
|
Evoked potentials upper limbs
|
$1,439.50 |
$1,439.50 |
$1,439.50 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$942.50 |
$942.50 |
$942.50 |
$812.40
|
|
Ewho w/joint(s) cf
|
$107.50 |
$107.50 |
$107.50 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$144.00 |
$144.00 |
$144.00 |
$486.03
|