|
Drng of scrotum abscess 55100
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
|
|
Drng salivary gland simple 42300
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
|
|
Drng salivary gland submax/subling 42310
|
$890.76 |
$890.76 |
$890.76 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$50.70 |
$50.70 |
$50.70 |
|
|
Drug assay rufinamide
|
$74.88 |
$74.88 |
$74.88 |
|
|
Drug assay voriconazole
|
$75.66 |
$75.66 |
$75.66 |
|
|
Drug test prsmv instrmnt
|
$101.40 |
$101.40 |
$101.40 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$200.46 |
$200.46 |
$200.46 |
|
|
Drvvt confirm - quest
|
$133.38 |
$133.38 |
$133.38 |
|
|
Dx bronchoscope/lavage 31624
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
|
|
Dx bronchoscope/wash 31622
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
|
|
Dx gastr intub w/asp spec
|
$546.00 |
$546.00 |
$546.00 |
|
|
Dx gastr intub w/asp specs
|
$283.92 |
$283.92 |
$283.92 |
|
|
Dx laryngoscopy newborn
|
$735.54 |
$735.54 |
$735.54 |
|
|
Dx laryngoscopy w/oper scope
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
|
|
Ear irrigation 69209
|
$328.38 |
$328.38 |
$328.38 |
|
|
Ecg 12 lead tracing only
|
$484.38 |
$484.38 |
$484.38 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$385.32 |
$385.32 |
$385.32 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,024.92 |
$1,024.92 |
$1,024.92 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,488.24 |
$1,488.24 |
$1,488.24 |
|
|
Echocardiography transthoracic 2d followup/limited
|
$455.52 |
$455.52 |
$455.52 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$715.26 |
$715.26 |
$715.26 |
|
|
E equine encephalitis igg
|
$33.54 |
$33.54 |
$33.54 |
|
|
Egd remove foreign body
|
$1,609.92 |
$1,609.92 |
$1,609.92 |
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
|
|
Egfr gene com variants
|
$297.96 |
$297.96 |
$297.96 |
|
|
Elec analys infus pump w/reprog 62368
|
$539.76 |
$539.76 |
$539.76 |
|
|
Electrical stimulation/unattended 97014
|
$144.30 |
$144.30 |
$144.30 |
|
|
Electrolyte panel
|
$107.64 |
$107.64 |
$107.64 |
|
|
Emb without cervical dilation 58100
|
$347.10 |
$347.10 |
$347.10 |
|
|
Encephalitis, california igg/igm
|
$33.54 |
$33.54 |
$33.54 |
|
|
Encephalitis, st louis igg/igm
|
$33.54 |
$33.54 |
$33.54 |
|
|
Encephalitis, western equine igg/igm
|
$33.54 |
$33.54 |
$33.54 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,116.88 |
$3,116.88 |
$3,116.88 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$80.78 |
$80.78 |
$80.78 |
|
|
Entamoeba histolytica ag eia - sendout
|
$88.92 |
$88.92 |
$88.92 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$862.61 |
$862.61 |
$862.61 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
|
|
Epstein barr nuclear antigen antibody
|
$225.42 |
$225.42 |
$225.42 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$232.44 |
$232.44 |
$232.44 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$908.53 |
$908.53 |
$908.53 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$672.20 |
$672.20 |
$672.20 |
|
|
ER Visit (level 1, minor)
|
$425.10 |
$425.10 |
$425.10 |
|
|
ER Visit (level 2)
|
$788.58 |
$788.58 |
$788.58 |
|
|
ER Visit (level 3)
|
$1,386.06 |
$1,386.06 |
$1,386.06 |
|
|
ER Visit (level 4)
|
$2,324.40 |
$2,324.40 |
$2,324.40 |
|
|
ER Visit (level 5, high severity)
|
$3,608.28 |
$3,608.28 |
$3,608.28 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$401.12 |
$401.12 |
$401.12 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,609.92 |
$1,609.92 |
$1,609.92 |
|
|
Esophagoscopy flex remove fb
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
|
|
Esoph egd dilation <30 mm
|
$3,396.12 |
$3,396.12 |
$3,396.12 |
|
|
Established Patient Office Visit (level 3)
|
$219.96 |
$219.96 |
$219.96 |
|
|
Estradiol total
|
$382.98 |
$382.98 |
$382.98 |
|
|
Estrogens total-sendout
|
$26.52 |
$26.52 |
$26.52 |
|
|
Ethylene glycol -sendout
|
$20.28 |
$20.28 |
$20.28 |
|
|
Etonogestrel implant system
|
$4,557.24 |
$4,557.24 |
$4,557.24 |
|
|
Evaluation of speech fluency 92521
|
$747.24 |
$747.24 |
$747.24 |
|
|
Exam plvc w/anes othr thn lcl
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
|
|
Exc bartholins gland/cyst
|
$5,513.82 |
$5,513.82 |
$5,513.82 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
|
|
Exc benign feenlm >4.0cm 11446
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,094.30 |
$2,094.30 |
$2,094.30 |
|
|
Exc benign tal 0.5 < cm 11400
|
$1,307.28 |
$1,307.28 |
$1,307.28 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,430.52 |
$1,430.52 |
$1,430.52 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,573.26 |
$1,573.26 |
$1,573.26 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,903.98 |
$1,903.98 |
$1,903.98 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,304.12 |
$2,304.12 |
$2,304.12 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,391.52 |
$1,391.52 |
$1,391.52 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,684.02 |
$1,684.02 |
$1,684.02 |
|
|
Exchange biliary drg cath
|
$7,942.74 |
$7,942.74 |
$7,942.74 |
|
|
Exchange drainage catheter
|
$3,905.46 |
$3,905.46 |
$3,905.46 |
|
|
Excise/repair mouth lesion
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,730.82 |
$1,730.82 |
$1,730.82 |
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,531.14 |
$1,531.14 |
$1,531.14 |
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,240.94 |
$2,240.94 |
$2,240.94 |
|
|
Excision of gum lesion 41825
|
$5,548.14 |
$5,548.14 |
$5,548.14 |
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,265.16 |
$1,265.16 |
$1,265.16 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,037.24 |
$5,037.24 |
$5,037.24 |
|
|
Exc prtl bn phlnx toe
|
$6,675.24 |
$6,675.24 |
$6,675.24 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,924.22 |
$2,924.22 |
$2,924.22 |
|
|
Exc tendon sheath or cap lesion 26160
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
|
|
Exc thrombosed hemorrhoid 46320
|
$1,038.96 |
$1,038.96 |
$1,038.96 |
|
|
Exc vagina lesion 57135
|
$6,340.62 |
$6,340.62 |
$6,340.62 |
|
|
Exploration of knee joint
|
$5,804.76 |
$5,804.76 |
$5,804.76 |
|
|
Explore/irrigate tear ducts
|
$593.58 |
$593.58 |
$593.58 |
|
|
Explore penetrating wnd/extremity 20103
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
|
|
Explore/repair chest 32110
|
$5,172.18 |
$5,172.18 |
$5,172.18 |
|
|
Explore/treat finger joint
|
$2,797.08 |
$2,797.08 |
$2,797.08 |
|
|
Explore wound abdomen 20102
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
|
|
Explore woundchest 20101
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
|
|
Explore wound neck 20100
|
$890.76 |
$890.76 |
$890.76 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$8,083.14 |
$8,083.14 |
$8,083.14 |
|
|
External cannula declotting
|
$3,336.84 |
$3,336.84 |
$3,336.84 |
|
|
External chromosome analysis 20-25 cells
|
$123.24 |
$123.24 |
$123.24 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$123.24 |
$123.24 |
$123.24 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$190.32 |
$190.32 |
$190.32 |
|
|
Factor viii
|
$152.10 |
$152.10 |
$152.10 |
|
