|
Dx bronchoscope/lavage 31624
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,322.60
|
|
Ear canal biopsy 69105
|
$1,766.00 |
$1,766.00 |
$1,766.00 |
$1,889.50
|
|
Ear irrigation 69209
|
$30.00 |
$30.00 |
$30.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$124.00 |
$124.00 |
$124.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$73.50 |
$73.50 |
$73.50 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$540.50 |
$540.50 |
$540.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$336.50 |
$336.50 |
$336.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$425.00 |
$425.00 |
$425.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$427.50 |
$427.50 |
$427.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$427.50 |
$427.50 |
$427.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,335.50 |
$1,335.50 |
$1,335.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$385.50 |
$385.50 |
$385.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$576.50 |
$576.50 |
$576.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$732.00 |
$732.00 |
$732.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$149.00 |
$149.00 |
$149.00 |
$362.50
|
|
Echo exam of eye
|
$262.50 |
$262.50 |
$262.50 |
$168.00
|
|
Echo exam of fetal heart
|
$1,114.50 |
$1,114.50 |
$1,114.50 |
$939.00
|
|
Echo exam of fetal heart
|
$320.50 |
$320.50 |
$320.50 |
$524.55
|
|
Echo exam of fetal heart
|
$152.00 |
$152.00 |
$152.00 |
$431.41
|
|
Echo exam of fetal heart
|
$152.00 |
$152.00 |
$152.00 |
$323.40
|
|
Echo exam uterus 76831-
|
$347.00 |
$347.00 |
$347.00 |
$523.71
|
|
Echograp trans r pros study
|
$615.00 |
$615.00 |
$615.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$399.50 |
$399.50 |
$399.50 |
$456.30
|
|
Echo guide for artery repair
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$664.00
|
|
Echo guide for transfusion
|
$297.50 |
$297.50 |
$297.50 |
$324.60
|
|
Echo stress
|
$990.50 |
$990.50 |
$990.50 |
$1,592.05
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$242.00 |
$242.00 |
$242.00 |
$751.34
|
|
Echo tee guidance
|
$1,847.00 |
$1,847.00 |
$1,847.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$675.50 |
$675.50 |
$675.50 |
$1,849.50
|
|
Echo transesophageal
|
$242.00 |
$242.00 |
$242.00 |
$1,087.90
|
|
Echo transesophageal
|
$854.50 |
$854.50 |
$854.50 |
$1,559.35
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$702.50 |
$702.50 |
$702.50 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,382.50 |
$2,382.50 |
$2,382.50 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,382.50 |
$2,382.50 |
$2,382.50 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$688.50 |
$688.50 |
$688.50 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$688.50 |
$688.50 |
$688.50 |
$3,468.27
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$60.50 |
$60.50 |
$60.50 |
$87.84
|
|
Eeg 41-60 minutes 95812-26
|
$416.50 |
$416.50 |
$416.50 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$479.00 |
$479.00 |
$479.00 |
$1,000.42
|
|
Eeg during surgery
|
$451.50 |
$451.50 |
$451.50 |
$797.30
|
|
Eeg monitoring/function test
|
$930.50 |
$930.50 |
$930.50 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$581.50 |
$581.50 |
$581.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$575.00 |
$575.00 |
$575.00 |
$1,102.05
|
|
Eeg phy/qhp>36<60 hr without vid
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,932.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$2,072.80
|
|
Eeg phy/qhp ea incr w/veeg
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr without vid
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$553.80
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$586.80
|
|
Eeg phys/qhp ea incr without vid
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$395.50 |
$395.50 |
$395.50 |
$907.80
|
|
Eeg recording awake and asleep
|
$671.50 |
$671.50 |
$671.50 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$3,769.50 |
$3,769.50 |
$3,769.50 |
$1,502.40
|
|
E equine encephalitis igg
|
$25.00 |
$25.00 |
$25.00 |
$49.92
|
|
Egd remove foreign body
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$1,505.50
|
|
Egfr gene com variants
|
$886.00 |
$886.00 |
$886.00 |
$657.00
|
|
EKG tracing for initial prev
|
$19.00 |
$19.00 |
$19.00 |
$81.76
|
|
Elbow arthroscopy/surgery
|
$3,625.00 |
$3,625.00 |
$3,625.00 |
$3,839.54
|
|
Elec analys infus pump w/reprog 62368
|
$465.50 |
$465.50 |
$465.50 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$394.50 |
$394.50 |
$394.50 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$445.50 |
$445.50 |
$445.50 |
$616.11
|
|
Electrd sq emblem s-icd
|
$4,124.48 |
$4,124.48 |
$4,124.48 |
$10,243.24
|
|
Electroconvulsive therapy 90870
|
$822.00 |
$822.00 |
$822.00 |
$1,180.80
|
|
Electrocorticography durng sx
|
$788.50 |
$788.50 |
$788.50 |
$1,660.52
|
|
Electrode stimulation brain
|
$778.00 |
$778.00 |
$778.00 |
$1,180.80
|
|
Electrolyte panel
|
$38.00 |
$38.00 |
$38.00 |
$84.24
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$83.00 |
$83.00 |
$83.00 |
$156.00
|
|
Electronic analysis with brain program first 15 min 95983
|
$64.50 |
$64.50 |
$64.50 |
$160.00
|
|
Electron microscopy diagnostic
|
$847.50 |
$847.50 |
$847.50 |
$983.41
|
|
Electrophysiologic study
|
$4,374.00 |
$4,374.00 |
$4,374.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,138.00 |
$4,138.00 |
$4,138.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$4,138.00 |
$4,138.00 |
$4,138.00 |
$10,233.60
|
|
Electrophysiology evaluation
|
$1,933.00 |
$1,933.00 |
$1,933.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$5,854.80
|
|
Electrophysiology evaluation
|
$1,680.50 |
$1,680.50 |
$1,680.50 |
$2,451.90
|
|
Electrophysiology evaluation
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
$2,821.00
|
|
Electrophysiology evaluation
|
$564.50 |
$564.50 |
$564.50 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$272.00 |
$272.00 |
$272.00 |
$5,881.00
|
|
Embolization s&i
|
$4,392.00 |
$4,392.00 |
$4,392.00 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$22,011.50 |
$22,011.50 |
$22,011.50 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$22,011.50 |
$22,011.50 |
$22,011.50 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$22,011.50 |
$22,011.50 |
$22,011.50 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$22,011.50 |
$22,011.50 |
$22,011.50 |
$14,586.00
|
|
Emb w/colposcopy 58110
|
$285.50 |
$285.50 |
$285.50 |
$290.55
|
|
Emb without cervical dilation 58100
|
$274.50 |
$274.50 |
$274.50 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$145.50 |
$145.50 |
$145.50 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$180.50 |
$180.50 |
$180.50 |
$464.00
|
|
Emg needle test 1-extremity
|
$125.00 |
$125.00 |
$125.00 |
$334.34
|
|
Emg needle test 4-extremities
|
$265.00 |
$265.00 |
$265.00 |
$547.00
|