|
Dx laryngoscopy newborn
|
$470.00 |
$470.00 |
$470.00 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,755.53
|
|
Ear canal biopsy 69105
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,889.50
|
|
Ear irrigation 69209
|
$238.00 |
$238.00 |
$238.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$367.50 |
$367.50 |
$367.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$85.00 |
$85.00 |
$85.00 |
$132.08
|
|
Ecg external < 48 hours recording
|
$249.00 |
$249.00 |
$249.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$475.00 |
$475.00 |
$475.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$73.00 |
$73.00 |
$73.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$114.00 |
$114.00 |
$114.00 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$289.50 |
$289.50 |
$289.50 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$735.50 |
$735.50 |
$735.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$735.50 |
$735.50 |
$735.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$257.00 |
$257.00 |
$257.00 |
$371.25
|
|
Echo exam of eye
|
$493.00 |
$493.00 |
$493.00 |
$172.00
|
|
Echo exam of eye thickness
|
$51.00 |
$51.00 |
$51.00 |
$40.30
|
|
Echo exam uterus 76831-
|
$365.00 |
$365.00 |
$365.00 |
$552.50
|
|
Echograp trans r pros study
|
$369.50 |
$369.50 |
$369.50 |
$466.20
|
|
Echo guidance radiotherapy
|
$1,303.00 |
$1,303.00 |
$1,303.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$545.50 |
$545.50 |
$545.50 |
$446.60
|
|
Echo guide for artery repair
|
$365.50 |
$365.50 |
$365.50 |
$687.35
|
|
Echo guide for heart biopsy
|
$256.50 |
$256.50 |
$256.50 |
$666.40
|
|
Echo stress
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,413.00 |
$1,413.00 |
$1,413.00 |
$1,889.20
|
|
Echo transesophageal
|
$535.00 |
$535.00 |
$535.00 |
$1,075.20
|
|
Echo transthoracic
|
$716.00 |
$716.00 |
$716.00 |
$1,361.75
|
|
Echo transthoracic
|
$639.00 |
$639.00 |
$639.00 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$1,022.30
|
|
Ecp ciliary body destruction
|
$2,653.00 |
$2,653.00 |
$2,653.00 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$45,660.93 |
$45,660.93 |
$45,660.93 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$71.00 |
$71.00 |
$71.00 |
$90.26
|
|
Eeg 41-60 minutes 95812-26
|
$696.00 |
$696.00 |
$696.00 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$340.00 |
$340.00 |
$340.00 |
$970.07
|
|
Eeg during surgery
|
$427.00 |
$427.00 |
$427.00 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$622.00 |
$622.00 |
$622.00 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$845.50 |
$845.50 |
$845.50 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$799.00 |
$799.00 |
$799.00 |
$865.00
|
|
Eeg recording awake and asleep
|
$683.00 |
$683.00 |
$683.00 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$248.50 |
$248.50 |
$248.50 |
$681.02
|
|
Eeg wo vid ea 12-26hr unmntr
|
$429.00 |
$429.00 |
$429.00 |
$1,591.10
|
|
E equine encephalitis igg
|
$65.00 |
$65.00 |
$65.00 |
$50.88
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$37,142.28 |
$37,142.28 |
$37,142.28 |
$12,999.80
|
|
Egd control bleeding any
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$2,553.75
|
|
Egd dilate stricture
|
$1,152.51 |
$1,152.51 |
$1,152.51 |
$2,244.82
|
|
Egd endo mucosal resection
|
$399.34 |
$399.34 |
$399.34 |
$2,430.40
|
|
Egd guide wire insertion
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$2,340.50 |
$2,340.50 |
$2,340.50 |
$2,234.01
|
|
Egd lesion ablation
|
$519.34 |
$519.34 |
$519.34 |
$2,244.82
|
|
Egd remove foreign body
|
$1,505.50 |
$1,505.50 |
$1,505.50 |
$1,548.00
|
|
Egd remove lesion snare
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$434.75 |
$434.75 |
$434.75 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$4,747.67 |
$4,747.67 |
$4,747.67 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,439.00 |
$1,439.00 |
$1,439.00 |
$2,392.00
|
|
Egd varices ligation
|
$659.00 |
$659.00 |
$659.00 |
$2,244.82
|
|
Egfr gene com variants
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$167.50 |
$167.50 |
$167.50 |
$93.00
|
|
EKG (Electrocardiogram)
|
$190.50 |
$190.50 |
$190.50 |
$89.60
|
|
EKG tracing for initial prev
|
$120.00 |
$120.00 |
$120.00 |
$81.76
|
|
Elec analys infus pump w/reprog 62368
|
$647.50 |
$647.50 |
$647.50 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$484.00 |
$484.00 |
$484.00 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$3,670.88 |
$3,670.88 |
$3,670.88 |
$618.80
|
|
Electrical bone stim 20974
|
$33.00 |
$33.00 |
$33.00 |
$61.91
|
|
Electrical stimulation/unattended 97014
|
$45.50 |
$45.50 |
$45.50 |
$81.00
|
|
Electrocochleography
|
$177.50 |
$177.50 |
$177.50 |
$423.87
|
|
Electroconvulsive therapy 90870
|
$809.00 |
$809.00 |
$809.00 |
$1,296.90
|
|
Electrodes, pair
|
$2,003.65 |
$2,003.65 |
$2,003.65 |
$15.12
|
|
Electrode stimulation brain
|
$888.00 |
$888.00 |
$888.00 |
$1,180.80
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$78.65
|
|
Electron microscopy diagnostic
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$1,006.20
|
|
Electrophysiology evaluation
|
$3,742.00 |
$3,742.00 |
$3,742.00 |
$10,593.00
|
|
Electrophysiology evaluation
|
$1,620.50 |
$1,620.50 |
$1,620.50 |
$2,504.00
|
|
Electrophysiology evaluation
|
$3,054.50 |
$3,054.50 |
$3,054.50 |
$2,902.81
|
|
Electrophys map 3d add-on
|
$20,961.50 |
$20,961.50 |
$20,961.50 |
$5,881.00
|
|
Elotuzumab 300 mg intravenous solution
|
$6,963.44 |
$6,963.44 |
$6,963.44 |
$5,761.81
|
|
Embolization s&i
|
$8,239.50 |
$8,239.50 |
$8,239.50 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$9,515.00 |
$9,515.00 |
$9,515.00 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$7,965.50 |
$7,965.50 |
$7,965.50 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$7,965.50 |
$7,965.50 |
$7,965.50 |
$14,633.25
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$5,069.50 |
$5,069.50 |
$5,069.50 |
$6,719.96
|
|
Emb w/colposcopy 58110
|
$119.00 |
$119.00 |
$119.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$201.50 |
$201.50 |
$201.50 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$433.50 |
$433.50 |
$433.50 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$743.50 |
$743.50 |
$743.50 |
$487.20
|
|
Emg cranial nerve bilateral
|
$403.00 |
$403.00 |
$403.00 |
$518.00
|
|
Emg needle test 1-extremity
|
$366.00 |
$366.00 |
$366.00 |
$342.24
|
|
Emg needle test 4-extremities
|
$972.50 |
$972.50 |
$972.50 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$140.50 |
$140.50 |
$140.50 |
$308.80
|
|
Encephalitis, california igg/igm
|
$50.00 |
$50.00 |
$50.00 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$50.00 |
$50.00 |
$50.00 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$93.00 |
$93.00 |
$93.00 |
$53.90
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$10,588.67 |
$10,588.67 |
$10,588.67 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$714.50 |
$714.50 |
$714.50 |
$694.06
|
|
Endo cath panc duct s&i
|
$714.50 |
$714.50 |
$714.50 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$350.50 |
$350.50 |
$350.50 |
$474.65
|
|
Endocervical curettage 57505
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,058.40
|
|
Endo cholangiopancreatograph
|
$3,369.50 |
$3,369.50 |
$3,369.50 |
$4,214.73
|
|
Endoluminal bx urtr rnl plvs
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$2,290.60
|
|
Endoluminl ivus oct c 1st
|
$8,739.00 |
$8,739.00 |
$8,739.00 |
$3,290.30
|