|
Dx laryngoscopy newborn
|
$579.20 |
$579.20 |
$589.60 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$220.80 |
$220.80 |
$220.80 |
$558.11
|
|
Ear and throat examination
|
$229.60 |
$229.60 |
$229.60 |
$602.63
|
|
Ear canal biopsy 69105
|
$2,514.40 |
$2,514.40 |
$2,514.40 |
$1,889.50
|
|
Ear cartilage graft
|
$3,452.00 |
$3,452.00 |
$3,452.00 |
$6,385.40
|
|
Ear irrigation 69209
|
$190.30 |
$190.30 |
$286.83 |
$154.70
|
|
Ecg/1-3 leads/interp & report only 93042
|
$118.40 |
$118.40 |
$118.40 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$91.20 |
$91.20 |
$91.20 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$787.20 |
$787.20 |
$787.20 |
$412.88
|
|
Ecg external < 48 hours recording
|
$360.25 |
$360.25 |
$541.83 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$551.29 |
$551.29 |
$559.35 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$166.84 |
$166.84 |
$166.84 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$274.43 |
$274.43 |
$274.43 |
$173.40
|
|
Ecg record/review
|
$1,596.80 |
$1,596.80 |
$1,596.80 |
$371.28
|
|
Ecg/review interpret only
|
$372.80 |
$372.80 |
$372.80 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,856.80 |
$1,856.80 |
$3,191.20 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$598.95 |
$598.95 |
$1,139.08 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$593.45 |
$593.45 |
$668.77 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,013.55 |
$2,013.55 |
$3,983.08 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$487.85 |
$487.85 |
$2,097.37 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$235.95 |
$235.95 |
$542.11 |
$371.25
|
|
Echo exam of fetal heart
|
$1,191.08 |
$1,191.08 |
$1,251.80 |
$904.80
|
|
Echo exam of fetal heart
|
$916.85 |
$916.85 |
$1,191.08 |
$538.27
|
|
Echo exam of fetal heart
|
$910.80 |
$910.80 |
$919.47 |
$431.41
|
|
Echo exam of fetal heart
|
$392.15 |
$392.15 |
$919.47 |
$318.34
|
|
Echo exam uterus 76831-
|
$846.45 |
$846.45 |
$1,225.04 |
$561.00
|
|
Echo guide for amniocentesis
|
$249.76 |
$249.76 |
$888.80 |
$455.57
|
|
Echo guide for artery repair
|
$1,248.29 |
$1,248.29 |
$1,291.40 |
$696.30
|
|
Echo guide for heart biopsy
|
$110.00 |
$110.00 |
$110.00 |
$666.40
|
|
Echo guide for transfusion
|
$691.54 |
$691.54 |
$1,531.75 |
$332.39
|
|
Echo guide villus sampling
|
$705.58 |
$705.58 |
$755.70 |
$362.88
|
|
Echo stress
|
$711.70 |
$711.70 |
$2,641.45 |
$1,609.44
|
|
Echo tee guidance
|
$2,424.40 |
$2,424.40 |
$2,561.55 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$973.50 |
$973.50 |
$1,951.87 |
$1,913.60
|
|
Echo transesophageal
|
$1,390.40 |
$1,390.40 |
$1,390.40 |
$602.00
|
|
Echo transesophageal
|
$803.00 |
$803.00 |
$2,314.68 |
$1,650.00
|
|
Echo transesophageal intraop
|
$2,308.90 |
$2,308.90 |
$2,380.93 |
$1,578.00
|
|
Echo transthoracic
|
$963.05 |
$963.05 |
$2,441.30 |
$1,361.75
|
|
Echo transthoracic
|
$506.00 |
$506.00 |
$1,140.54 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,014.29 |
$2,014.29 |
$2,014.29 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$9,543.98 |
$9,543.98 |
$9,543.98 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$2,599.85 |
$2,599.85 |
$9,543.98 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$6,145.60 |
$6,145.60 |
$6,145.60 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$4,936.80 |
$4,936.80 |
$4,936.80 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$3,784.00 |
$3,784.00 |
$3,784.00 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$3,396.80 |
$3,396.80 |
$3,396.80 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,210.45 |
$2,210.45 |
$9,543.98 |
$2,660.16
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$4,826.40 |
$4,826.40 |
$4,826.40 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$2,609.60 |
$2,609.60 |
$2,609.60 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$1,660.50
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$9,089.51 |
$9,089.51 |
$9,089.51 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$3,414.40 |
$3,414.40 |
$3,414.40 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$1,764.80 |
$1,764.80 |
$1,764.80 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$1,802.40 |
$1,802.40 |
$1,802.40 |
$1,518.60
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$69.72 |
$69.72 |
$69.72 |
$19,540.29
|
|
Eculizumab injection
|
$348.68 |
$348.68 |
$348.68 |
$16,330.48
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$70.40 |
$70.40 |
$125.60 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,376.65 |
$1,376.65 |
$1,376.65 |
$934.05
|
|
Eeg during surgery
|
$568.15 |
$568.15 |
$883.90 |
$775.45
|
|
Eeg monitoring/function test
|
$752.95 |
$752.95 |
$752.95 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$728.20 |
$728.20 |
$1,022.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$3,059.56 |
$3,059.56 |
$3,059.56 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$806.85 |
$806.85 |
$1,267.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$699.60 |
$699.60 |
$1,514.64 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$935.64 |
$935.64 |
$935.64 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$935.64 |
$935.64 |
$935.64 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$1,794.68 |
$1,794.68 |
$1,794.68 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,794.68 |
$1,794.68 |
$1,794.68 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$935.64 |
$935.64 |
$935.64 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,794.68 |
$1,794.68 |
$1,794.68 |
$1,632.95
|
|
E equine encephalitis igg
|
$44.80 |
$44.80 |
$46.75 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$49.67 |
$49.67 |
$49.67 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$2,553.75
|
|
Egd dilate stricture
|
$776.00 |
$776.00 |
$776.00 |
$2,394.60
|
|
Egd endoscopic stent place
|
$5,064.95 |
$5,064.95 |
$5,064.95 |
$3,986.00
|
|
Egd guide wire insertion
|
$779.20 |
$779.20 |
$779.20 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$641.60 |
$641.60 |
$641.60 |
$2,244.82
|
|
Egd remove foreign body
|
$2,211.00 |
$2,211.00 |
$3,372.81 |
$1,571.40
|
|
Egd remove lesion snare
|
$895.20 |
$895.20 |
$895.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$776.80 |
$776.80 |
$776.80 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,509.55 |
$3,509.55 |
$3,509.55 |
$2,392.00
|
|
Egd Ultrasound transmural injxn/mark
|
$3,667.40 |
$3,667.40 |
$3,667.40 |
$3,333.85
|
|
Egd varices ligation
|
$1,647.20 |
$1,647.20 |
$1,647.20 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$1,312.00 |
$1,312.00 |
$1,312.00 |
$4,480.44
|
|
Egd w/transmural drain cyst
|
$1,631.20 |
$1,631.20 |
$1,631.20 |
$4,379.25
|
|
Egfr gene com variants
|
$729.85 |
$729.85 |
$973.82 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$100.65 |
$100.65 |
$147.20 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$44.80 |
$44.80 |
$44.80 |
$48.57
|
|
EKG (Electrocardiogram)
|
$272.00 |
$272.00 |
$272.00 |
$89.60
|
|
EKG for initial prevent exam g0403
|
$272.00 |
$272.00 |
$272.00 |
$37.60
|