|
Dxa bone density axl vrt fx
|
$293.20 |
$293.20 |
$293.20 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$653.58 |
$653.58 |
$653.58 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$653.58 |
$653.58 |
$653.58 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$374.58 |
$374.58 |
$374.58 |
$2,410.50
|
|
Dx dark adaptation exam i&r
|
$319.04 |
$319.04 |
$319.04 |
$472.21
|
|
Dx duod intub w/asp spec 43756
|
$215.77 |
$215.77 |
$215.77 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$207.47 |
$207.47 |
$207.47 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$187.56 |
$187.56 |
$187.56 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$120.90 |
$120.90 |
$120.90 |
$308.70
|
|
Dx intraop epcar Ultrasound chd i&r
|
$624.88 |
$624.88 |
$624.88 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$624.88 |
$624.88 |
$624.88 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$624.88 |
$624.88 |
$624.88 |
$558.11
|
|
Dx laryngoscopy newborn
|
$727.48 |
$727.48 |
$727.48 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$4,439.50 |
$4,439.50 |
$4,439.50 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$624.88 |
$624.88 |
$624.88 |
$558.11
|
|
Ear and throat examination
|
$850.88 |
$850.88 |
$850.88 |
$602.63
|
|
Ear canal biopsy 69105
|
$4,064.47 |
$4,064.47 |
$4,064.47 |
$1,889.50
|
|
Ear cartilage graft
|
$5,686.18 |
$5,686.18 |
$5,686.18 |
$6,385.40
|
|
Ear irrigation 69209
|
$84.92 |
$84.92 |
$84.92 |
$154.70
|
|
Ecallantide injection
|
$29,917.98 |
$29,917.98 |
$29,917.98 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$160.28 |
$160.28 |
$200.61 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$714.43 |
$714.43 |
$714.43 |
$412.88
|
|
Ecg external < 48 hours recording
|
$238.41 |
$238.41 |
$762.46 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$462.24 |
$462.24 |
$871.39 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$443.17 |
$443.17 |
$443.17 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$443.17 |
$443.17 |
$443.17 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,516.41 |
$1,516.41 |
$2,589.56 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$205.20 |
$205.20 |
$838.44 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$441.45 |
$441.45 |
$640.45 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$217.53 |
$217.53 |
$547.57 |
$371.25
|
|
Echo exam of eye
|
$280.25 |
$280.25 |
$280.25 |
$143.75
|
|
Echo exam of eye
|
$401.77 |
$401.77 |
$401.77 |
$172.00
|
|
Echo exam of eye thickness
|
$107.10 |
$107.10 |
$107.10 |
$40.30
|
|
Echo exam of fetal heart
|
$943.49 |
$943.49 |
$943.49 |
$904.80
|
|
Echo exam of fetal heart
|
$569.48 |
$569.48 |
$569.48 |
$538.27
|
|
Echo exam of fetal heart
|
$429.87 |
$429.87 |
$429.87 |
$431.41
|
|
Echo exam of fetal heart
|
$328.97 |
$328.97 |
$328.97 |
$318.34
|
|
Echo exam uterus 76831-
|
$170.10 |
$170.10 |
$585.61 |
$561.00
|
|
Echograp trans r pros study
|
$336.96 |
$336.96 |
$617.85 |
$468.00
|
|
Echo guidance radiotherapy
|
$612.45 |
$612.45 |
$822.42 |
$812.00
|
|
Echo guide cardiocentesis
|
$269.33 |
$269.33 |
$269.33 |
$269.33
|
|
Echo guide for amniocentesis
|
$56.61 |
$56.61 |
$377.11 |
$455.57
|
|
Echo guide for artery repair
|
$291.69 |
$291.69 |
$512.15 |
$696.30
|
|
Echo guide for transfusion
|
$344.76 |
$344.76 |
$344.76 |
$332.39
|
|
Echo guide ova aspiration
|
$75.98 |
$75.98 |
$75.98 |
$174.20
|
|
Echo guide villus sampling
|
$298.77 |
$298.77 |
$298.77 |
$362.88
|
|
Echo stress
|
$610.20 |
$610.20 |
$3,004.21 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,196.35 |
$1,196.35 |
$1,196.35 |
$751.34
|
|
Echo tee guidance
|
$1,730.79 |
$1,730.79 |
$3,967.40 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,273.86 |
$1,273.86 |
$2,872.38 |
$1,913.60
|
|
Echo transesophageal
|
$913.34 |
$913.34 |
$913.34 |
$1,075.20
|
|
Echo transesophageal
|
$1,734.10 |
$1,734.10 |
$1,734.10 |
$1,650.00
|
|
Echo transthoracic
|
$773.46 |
$773.46 |
$2,646.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,470.53 |
$1,470.53 |
$1,470.53 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,649.11 |
$1,649.11 |
$1,649.11 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$10,364.48 |
$10,364.48 |
$10,364.48 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$10,364.48 |
$10,364.48 |
$10,364.48 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$3,152.98 |
$3,152.98 |
$3,152.98 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$3,468.27 |
$3,468.27 |
$3,468.27 |
$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
|
$925.55 |
$925.55 |
$925.55 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,221.72 |
$1,221.72 |
$1,221.72 |
$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
|
$1,279.90 |
$1,279.90 |
$1,279.90 |
$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
|
$1,110.65 |
$1,110.65 |
$1,110.65 |
$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
|
$2,178.52 |
$2,178.52 |
$2,178.52 |
$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
|
$64.25 |
$64.25 |
$64.25 |
$58.40
|
|
Ed svc ckd ind per session
|
$94.43 |
$94.43 |
$94.43 |
$249.60
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$76.05 |
$76.05 |
$99.27 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$692.91 |
$692.91 |
$1,232.05 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$717.93 |
$717.93 |
$1,025.45 |
$994.15
|
|
Eeg during surgery
|
$262.53 |
$262.53 |
$262.53 |
$775.45
|
|
Eeg monitoring/function test
|
$293.58 |
$293.58 |
$1,383.98 |
$1,557.60
|
|
Eeg monitoring/giving drugs
|
$759.53 |
$759.53 |
$759.53 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$602.28 |
$602.28 |
$917.44 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$718.56 |
$718.56 |
$1,283.80 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$649.08 |
$649.08 |
$1,420.01 |
$871.00
|
|
Eeg recording awake and asleep
|
$611.46 |
$611.46 |
$1,287.83 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$2,266.72 |
$2,266.72 |
$2,266.72 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$314.46 |
$314.46 |
$1,220.47 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$4,911.24 |
$4,911.24 |
$4,911.24 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$3,574.05 |
$3,574.05 |
$3,574.05 |
$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
|
$527.13 |
$527.13 |
$2,966.93 |
$1,632.95
|
|
E equine encephalitis igg
|
$83.72 |
$83.72 |
$83.72 |
$51.84
|