|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,535.82 |
$1,535.82 |
$1,535.82 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$9,663.83 |
$9,663.83 |
$9,663.83 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$9,663.83 |
$9,663.83 |
$9,663.83 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$2,729.85 |
$2,729.85 |
$2,729.85 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,780.40 |
$2,780.40 |
$2,780.40 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$925.55 |
$925.55 |
$925.55 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$925.55 |
$925.55 |
$925.55 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$925.55 |
$925.55 |
$925.55 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$999.59 |
$999.59 |
$999.59 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,163.54 |
$1,163.54 |
$1,163.54 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$925.55 |
$925.55 |
$925.55 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,163.54 |
$1,163.54 |
$1,163.54 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$925.55 |
$925.55 |
$925.55 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$925.55 |
$925.55 |
$925.55 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$925.55 |
$925.55 |
$925.55 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$925.55 |
$925.55 |
$925.55 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$925.55 |
$925.55 |
$925.55 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,057.76 |
$1,057.76 |
$1,057.76 |
$1,518.60
|
|
Ecog impltd brn npgt <30 d
|
$225.28 |
$225.28 |
$225.28 |
$148.40
|
|
E coli 0157 ag ia
|
$80.63 |
$80.63 |
$80.63 |
$71.50
|
|
Ecp ciliary body destruction
|
$2,017.15 |
$2,017.15 |
$2,017.15 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$11,741.38 |
$11,741.38 |
$11,741.38 |
$19,540.29
|
|
Ed svc ckd grp per session
|
$53.10 |
$53.10 |
$53.10 |
$58.40
|
|
Ed svc ckd ind per session
|
$76.27 |
$76.27 |
$76.27 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$75.36 |
$75.36 |
$75.36 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,053.58 |
$1,053.58 |
$1,053.58 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$950.87 |
$950.87 |
$950.87 |
$994.15
|
|
Eeg monitoring/function test
|
$1,569.43 |
$1,569.43 |
$1,569.43 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$797.51 |
$797.51 |
$797.51 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$977.98 |
$977.98 |
$977.98 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,460.63 |
$1,460.63 |
$1,460.63 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,250.16 |
$1,250.16 |
$1,250.16 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,171.82 |
$1,171.82 |
$1,171.82 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$2,057.66 |
$2,057.66 |
$2,057.66 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$1,271.31 |
$1,271.31 |
$1,271.31 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$4,134.02 |
$4,134.02 |
$4,134.02 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$3,752.75 |
$3,752.75 |
$3,752.75 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,732.04 |
$1,732.04 |
$1,732.04 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,776.54 |
$2,776.54 |
$2,776.54 |
$1,632.95
|
|
E equine encephalitis igg
|
$72.03 |
$72.03 |
$72.03 |
$51.84
|
|
Egd w/transmural drain cyst
|
$786.71 |
$786.71 |
$786.71 |
$4,379.25
|
|
Egfr gene com variants
|
$2,898.60 |
$2,898.60 |
$2,898.60 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$240.00 |
$240.00 |
$240.00 |
$93.00
|
|
EKG (Electrocardiogram)
|
$140.07 |
$140.07 |
$140.07 |
$89.60
|
|
EKG tracing for initial prev
|
$103.95 |
$103.95 |
$103.95 |
$81.76
|
|
EKG (Tracing Only)
|
$284.07 |
$284.07 |
$284.07 |
$226.50
|
|
Elbow arthroscopy
|
$4,022.93 |
$4,022.93 |
$4,022.93 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,400.28 |
$5,400.28 |
$5,400.28 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,669.53 |
$5,669.53 |
$5,669.53 |
$4,350.00
|
|
Elbow arthroscopy/surgery
|
$5,953.01 |
$5,953.01 |
$5,953.01 |
$8,412.89
|
|
Elbow arthroscopy/surgery
|
$4,957.24 |
$4,957.24 |
$4,957.24 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,439.24 |
$5,439.24 |
$5,439.24 |
$3,545.97
|
|
Elbow mold sock suspension t
|
$2,876.02 |
$2,876.02 |
$2,876.02 |
$3,060.40
|
|
Elbow X-ray (2 views, both sides)
|
$349.14 |
$349.14 |
$349.14 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$440.72 |
$440.72 |
$440.72 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$601.17 |
$601.17 |
$601.17 |
$616.00
|
|
Elec stim unattend for press
|
$105.34 |
$105.34 |
$105.34 |
$95.55
|
|
Elect analysis of infusion pump 62367
|
$535.43 |
$535.43 |
$535.43 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$348.52 |
$348.52 |
$348.52 |
$618.80
|
|
Electrd sq emblem s-icd
|
$10,992.37 |
$10,992.37 |
$10,992.37 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$104.47 |
$104.47 |
$104.47 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$90.60 |
$90.60 |
$90.60 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$241.06 |
$241.06 |
$241.06 |
$166.40
|
|
Electroacous eval hear aid/biaural 92595
|
$147.22 |
$147.22 |
$147.22 |
$97.50
|
|
Electrocochleography
|
$499.99 |
$499.99 |
$499.99 |
$427.44
|
|
Electroconvulsive therapy 90870
|
$698.32 |
$698.32 |
$698.32 |
$1,235.00
|
|
Electrocorticography durng sx
|
$1,660.52 |
$1,660.52 |
$1,660.52 |
$1,642.53
|
|
Electrode stimulation brain
|
$1,082.64 |
$1,082.64 |
$1,082.64 |
$1,203.94
|
|
Electrogastrography w/test
|
$252.88 |
$252.88 |
$252.88 |
$385.45
|
|
Electrolyte panel
|
$104.73 |
$104.73 |
$104.73 |
$79.30
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$136.22 |
$136.22 |
$136.22 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$144.70 |
$144.70 |
$144.70 |
$160.00
|
|
Electron microscopy diagnostic
|
$1,817.00 |
$1,817.00 |
$1,817.00 |
$1,011.98
|
|
Electro-oculography w/i&r
|
$319.04 |
$319.04 |
$319.04 |
$249.60
|
|
Electrophysiologic study
|
$6,371.24 |
$6,371.24 |
$6,371.24 |
$7,493.20
|
|
Electrophysiology evaluation
|
$8,678.21 |
$8,678.21 |
$8,678.21 |
$8,975.40
|
|
Electrophysiology evaluation
|
$14,029.39 |
$14,029.39 |
$14,029.39 |
$10,724.84
|
|
Electrophysiology evaluation
|
$11,304.10 |
$11,304.10 |
$11,304.10 |
$6,760.00
|
|
Electrophysiology evaluation
|
$6,971.38 |
$6,971.38 |
$6,971.38 |
$5,883.66
|
|
Electrophysiology evaluation
|
$5,285.96 |
$5,285.96 |
$5,285.96 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,424.87 |
$3,424.87 |
$3,424.87 |
$2,914.40
|
|
Electrophysiology evaluation
|
$1,869.13 |
$1,869.13 |
$1,869.13 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$8,280.85 |
$8,280.85 |
$8,280.85 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$5,384.44 |
$5,384.44 |
$5,384.44 |
$5,761.81
|
|
Embedded ip cath exit-site 49436
|
$3,226.64 |
$3,226.64 |
$3,226.64 |
$3,226.64
|
|
Embolization s&i
|
$705.22 |
$705.22 |
$705.22 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$11,909.14 |
$11,909.14 |
$11,909.14 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$15,565.91 |
$15,565.91 |
$15,565.91 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$14,633.25 |
$14,633.25 |
$14,633.25 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$18,620.78 |
$18,620.78 |
$18,620.78 |
$14,741.00
|
|
Embryo hatching
|
$326.15 |
$326.15 |
$326.15 |
$326.15
|
|
Embryo transfer intrauterine
|
$604.38 |
$604.38 |
$604.38 |
$1,033.91
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$7,310.39 |
$7,310.39 |
$7,310.39 |
$7,310.39
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$6,708.28 |
$6,708.28 |
$6,708.28 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$374.90 |
$374.90 |
$374.90 |
$290.55
|