|
Dx gastr intub w/asp spec
|
$411.50 |
$411.50 |
$411.50 |
$441.60
|
|
Dx laryngoscopy newborn
|
$382.50 |
$382.50 |
$382.50 |
$707.25
|
|
Ear irrigation 69209
|
$100.00 |
$100.00 |
$100.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$133.00 |
$133.00 |
$133.00 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$8.00 |
$8.00 |
$8.00 |
$16.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$77.50 |
$77.50 |
$77.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$114.00 |
$114.00 |
$114.00 |
$161.85
|
|
Ecg/review interpret only
|
$26.50 |
$26.50 |
$26.50 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$722.00 |
$722.00 |
$722.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$132.50 |
$132.50 |
$132.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$457.50 |
$457.50 |
$457.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$750.50 |
$750.50 |
$750.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$252.00 |
$252.00 |
$252.00 |
$362.50
|
|
Echo exam of eye
|
$33.00 |
$33.00 |
$33.00 |
$172.00
|
|
Echo exam of eye
|
$91.00 |
$91.00 |
$91.00 |
$168.00
|
|
Echo exam of eye thickness
|
$8.50 |
$8.50 |
$8.50 |
$50.91
|
|
Echo exam uterus 76831-
|
$39.00 |
$39.00 |
$39.00 |
$523.71
|
|
Echo stress
|
$75.50 |
$75.50 |
$75.50 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$117.50 |
$117.50 |
$117.50 |
$1,849.50
|
|
Echo transesophageal
|
$138.00 |
$138.00 |
$138.00 |
$1,559.35
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$48.00 |
$48.00 |
$48.00 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$71.00 |
$71.00 |
$71.00 |
$87.84
|
|
Eeg monitor/record/awake/drowsy 95816
|
$62.50 |
$62.50 |
$62.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$632.50 |
$632.50 |
$632.50 |
$1,102.05
|
|
Eeg phy/qhp ea incr w/veeg
|
$196.00 |
$196.00 |
$196.00 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$127.50 |
$127.50 |
$127.50 |
$586.80
|
|
Eeg/record in coma or sleep only 95822
|
$63.00 |
$63.00 |
$63.00 |
$907.80
|
|
Eeg recording awake and asleep
|
$426.50 |
$426.50 |
$426.50 |
$931.20
|
|
Egd balloon dil esoph30 mm/>
|
$236.50 |
$236.50 |
$236.50 |
$2,244.82
|
|
Egd control bleeding any
|
$206.00 |
$206.00 |
$206.00 |
$2,553.75
|
|
Egd dilate stricture
|
$180.50 |
$180.50 |
$180.50 |
$2,244.82
|
|
Egd endoscopic stent place
|
$221.00 |
$221.00 |
$221.00 |
$3,774.00
|
|
Egd guide wire insertion
|
$169.00 |
$169.00 |
$169.00 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$145.00 |
$145.00 |
$145.00 |
$2,237.95
|
|
Egd lesion ablation
|
$226.00 |
$226.00 |
$226.00 |
$2,244.82
|
|
Egd remove foreign body
|
$191.50 |
$191.50 |
$191.50 |
$1,505.50
|
|
Egd remove lesion snare
|
$212.00 |
$212.00 |
$212.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$175.50 |
$175.50 |
$175.50 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$233.00 |
$233.00 |
$233.00 |
$2,392.00
|
|
Egd varices ligation
|
$246.00 |
$246.00 |
$246.00 |
$2,244.82
|
|
Ehrlicha chaffeensis amp prb
|
$146.00 |
$146.00 |
$146.00 |
$93.00
|
|
EKG (Electrocardiogram)
|
$209.00 |
$209.00 |
$209.00 |
$89.60
|
|
Electrical stimulation/unattended 97014
|
$38.00 |
$38.00 |
$38.00 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$823.00 |
$823.00 |
$823.00 |
$1,180.80
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$983.41
|
|
Emb w/colposcopy 58110
|
$42.00 |
$42.00 |
$42.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$65.50 |
$65.50 |
$65.50 |
$370.50
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$295.00 |
$295.00 |
$295.00 |
$5,119.50
|
|
Endocerv curettage w/scope 57456
|
$105.00 |
$105.00 |
$105.00 |
$470.25
|
|
Endocervical curettage 57505
|
$109.50 |
$109.50 |
$109.50 |
$1,035.00
|
|
Endome abla/them without hystero guide 58353
|
$233.50 |
$233.50 |
$233.50 |
$4,317.40
|
|
Endoscopic injection/implant
|
$205.00 |
$205.00 |
$205.00 |
$4,846.99
|
|
Endoscopy bowel pouch/biop
|
$92.00 |
$92.00 |
$92.00 |
$2,184.00
|
|
Endoscopy of bowel pouch 44385
|
$76.50 |
$76.50 |
$76.50 |
$1,899.00
|
|
Endo, single, pulmonary
|
$2,412.50 |
$2,412.50 |
$2,412.50 |
$1,046.66
|
|
Endovasc visc aorta 1 graft
|
$1,290.50 |
$1,290.50 |
$1,290.50 |
$7,758.24
|
|
Endovasc visc aorta 3 graft
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$7,311.20
|
|
Endovasc visc aorta 4 graft
|
$1,634.00 |
$1,634.00 |
$1,634.00 |
$6,219.85
|
|
Endovas iliac a device addon
|
$223.00 |
$223.00 |
$223.00 |
$826.80
|
|
Endovenous laser vein addon 36479
|
$143.00 |
$143.00 |
$143.00 |
$2,603.36
|
|
Endovenous mchnchem 1st vein
|
$190.50 |
$190.50 |
$190.50 |
$4,845.93
|
|
Endovenous mchnchem add-on
|
$94.50 |
$94.50 |
$94.50 |
$2,203.63
|
|
Endoven ther chem adhes 1st 36482
|
$191.00 |
$191.00 |
$191.00 |
$5,988.54
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1.50 |
$1.50 |
$1.50 |
$109.71
|
|
Enterectomy small intestine addl 44121
|
$260.00 |
$260.00 |
$260.00 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$1,447.00 |
$1,447.00 |
$1,447.00 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$1,532.50 |
$1,532.50 |
$1,532.50 |
$2,650.80
|
|
Enterorrhaphy multiple perforations 44603
|
$1,757.50 |
$1,757.50 |
$1,757.50 |
$2,901.00
|
|
Enzyme histochemistry
|
$28.00 |
$28.00 |
$28.00 |
$471.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$52.50 |
$52.50 |
$52.50 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$254.50 |
$254.50 |
$254.50 |
$2,202.48
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$161.00 |
$161.00 |
$161.00 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$4.00 |
$4.00 |
$4.00 |
$4.82
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$13.50 |
$13.50 |
$13.50 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$43.00 |
$43.00 |
$43.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$46.50 |
$46.50 |
$46.50 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$48.50 |
$48.50 |
$48.50 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$15.00 |
$15.00 |
$15.00 |
$222.98
|
|
ER Visit (level 1, minor)
|
$170.00 |
$170.00 |
$170.00 |
$246.24
|
|
ER Visit (level 2)
|
$189.00 |
$189.00 |
$189.00 |
$452.20
|
|
ER Visit (level 3)
|
$266.50 |
$266.50 |
$266.50 |
$770.04
|
|
ER Visit (level 4)
|
$406.50 |
$406.50 |
$406.50 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$611.50 |
$611.50 |
$611.50 |
$1,820.02
|
|
Esophageal dilat s&i
|
$32.50 |
$32.50 |
$32.50 |
$581.10
|
|
Esophagoscopy balloon <30mm
|
$120.50 |
$120.50 |
$120.50 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$105.50 |
$105.50 |
$105.50 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$90.50 |
$90.50 |
$90.50 |
$1,296.00
|
|
Esophagoscopy snare les remv
|
$161.50 |
$161.50 |
$161.50 |
$2,638.57
|
|
Esoph balloon distension tst
|
$57.50 |
$57.50 |
$57.50 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$155.00 |
$155.00 |
$155.00 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$36.50 |
$36.50 |
$36.50 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$145.00 |
$145.00 |
$145.00 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$145.00 |
$145.00 |
$145.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$145.00 |
$145.00 |
$145.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$168.00 |
$168.00 |
$168.00 |
$280.33
|
|
Estradiol total
|
$86.00 |
$86.00 |
$86.00 |
$146.50
|
