|
Drain thigh/knee lesion 27301
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$3,620.47
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$229.45 |
$229.45 |
$229.45 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$298.35 |
$298.35 |
$298.35 |
$515.00
|
|
Drng of finger abscess comp 26011
|
$780.00 |
$780.00 |
$780.00 |
$1,908.09
|
|
Drug assay caffeine
|
$110.50 |
$110.50 |
$110.50 |
$89.17
|
|
Drug assay posaconazole
|
$132.60 |
$132.60 |
$132.60 |
$96.75
|
|
Drug assay voriconazole
|
$104.65 |
$104.65 |
$104.65 |
$96.75
|
|
Drug test prsmv instrmnt
|
$83.20 |
$83.20 |
$83.20 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$236.60 |
$236.60 |
$236.60 |
$278.85
|
|
Drvvt confirm - quest
|
$112.45 |
$112.45 |
$112.45 |
$108.55
|
|
Dstr mal les s/n/h/f/g >4.0
|
$395.20 |
$395.20 |
$395.20 |
$604.09
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$314.60 |
$314.60 |
$314.60 |
$603.20
|
|
Ear irrigation 69209
|
$104.00 |
$104.00 |
$104.00 |
$152.50
|
|
Ecg 12 lead tracing only
|
$195.00 |
$195.00 |
$195.00 |
$222.30
|
|
Ecg external < 48 hours recording
|
$323.70 |
$323.70 |
$323.70 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$331.50 |
$331.50 |
$331.50 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,646.45 |
$1,646.45 |
$1,646.45 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$469.95 |
$469.95 |
$469.95 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$737.75 |
$737.75 |
$737.75 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$356.20 |
$356.20 |
$356.20 |
$348.80
|
|
Echo transthoracic
|
$624.00 |
$624.00 |
$624.00 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$218.40 |
$218.40 |
$218.40 |
$997.40
|
|
E coli 0157 ag ia
|
$72.15 |
$72.15 |
$72.15 |
$32.00
|
|
E equine encephalitis igg
|
$53.30 |
$53.30 |
$53.30 |
$49.92
|
|
Egd balloon dil esoph30 mm/>
|
$461.50 |
$461.50 |
$461.50 |
$2,099.70
|
|
Egd/insert intraluminal tube/cath 43241
|
$394.55 |
$394.55 |
$394.55 |
$2,105.22
|
|
Egd remove lesion snare
|
$4,751.82 |
$4,751.82 |
$4,751.82 |
$2,200.46
|
|
Egfr gene com variants
|
$672.10 |
$672.10 |
$672.10 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$255.45 |
$255.45 |
$255.45 |
$112.50
|
|
Electrical stimulation/unattended 97014
|
$65.65 |
$65.65 |
$65.65 |
$79.20
|
|
Electrolyte panel
|
$100.75 |
$100.75 |
$100.75 |
$68.56
|
|
Electron microscopy diagnostic
|
$585.00 |
$585.00 |
$585.00 |
$1,107.84
|
|
Encephalitis, california igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$42.90 |
$42.90 |
$42.90 |
$55.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$25.97 |
$25.97 |
$25.97 |
$43.20
|
|
Entamoeba histolytica ag eia - sendout
|
$61.10 |
$61.10 |
$61.10 |
$68.90
|
|
Enzyme histochemistry
|
$247.00 |
$247.00 |
$247.00 |
$506.35
|
|
Epstein barr early antigen antibody
|
$88.40 |
$88.40 |
$88.40 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$68.90 |
$68.90 |
$68.90 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$74.75 |
$74.75 |
$74.75 |
$112.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$92.62 |
$92.62 |
$92.62 |
$138.28
|
|
ER Visit (level 1, minor)
|
$334.75 |
$334.75 |
$334.75 |
$270.00
|
|
ER Visit (level 2)
|
$562.25 |
$562.25 |
$562.25 |
$469.39
|
|
ER Visit (level 3)
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$821.52
|
|
ER Visit (level 4)
|
$1,515.15 |
$1,515.15 |
$1,515.15 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$3,621.51 |
$3,621.51 |
$3,621.51 |
$1,900.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,074.14 |
$1,074.14 |
$1,074.14 |
$406.83
|
|
Esophagoscopy/flex/diagnostic 43200
|
$3,412.27 |
$3,412.27 |
$3,412.27 |
$1,048.28
|
|
Esoph egd dilation <30 mm
|
$4,877.91 |
$4,877.91 |
$4,877.91 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$118.95 |
$118.95 |
$118.95 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$146.25 |
$146.25 |
$146.25 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$167.05 |
$167.05 |
$167.05 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$187.85 |
$187.85 |
$187.85 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$222.95 |
$222.95 |
$222.95 |
$270.09
|
|
Estradiol total
|
$157.30 |
$157.30 |
$157.30 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$577.58 |
$577.58 |
$577.58 |
$137.64
|
|
Estrogens total-sendout
|
$81.25 |
$81.25 |
$81.25 |
$111.00
|
|
Ethylene glycol -sendout
|
$81.25 |
$81.25 |
$81.25 |
$81.25
|
|
Eval/fit voice prosthesis iii, st
|
$189.80 |
$189.80 |
$189.80 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$187.20 |
$187.20 |
$187.20 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$416.00 |
$416.00 |
$416.00 |
$347.75
|
|
Exc abd les sc 3 cm/>
|
$854.10 |
$854.10 |
$854.10 |
$3,167.89
|
|
Exc arm/elbo les sc >=3cm 24071
|
$757.25 |
$757.25 |
$757.25 |
$3,167.89
|
|
Exc back les sbq <3 cm 21930
|
$833.95 |
$833.95 |
$833.95 |
$2,271.01
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$577.20 |
$577.20 |
$577.20 |
$1,874.89
|
|
Exc benign tal 0.5 < cm 11400
|
$185.90 |
$185.90 |
$185.90 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$237.90 |
$237.90 |
$237.90 |
$828.59
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$356.20 |
$356.20 |
$356.20 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$374.40 |
$374.40 |
$374.40 |
$1,908.09
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$266.50 |
$266.50 |
$266.50 |
$1,224.75
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$373.75 |
$373.75 |
$373.75 |
$1,967.25
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$581.10 |
$581.10 |
$581.10 |
$3,335.67
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$244.40 |
$244.40 |
$244.40 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$360.10 |
$360.10 |
$360.10 |
$1,228.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$395.20 |
$395.20 |
$395.20 |
$973.71
|
|
Exchange blood transfusion newborn 36450
|
$725.40 |
$725.40 |
$725.40 |
$485.65
|
|
Exc hidradenitis ing simpl 11462
|
$708.50 |
$708.50 |
$708.50 |
$2,738.93
|
|
Excise anal ext tag/papilla
|
$436.80 |
$436.80 |
$436.80 |
$1,388.56
|
|
Excise/repair mouth lesion
|
$458.90 |
$458.90 |
$458.90 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$762.45 |
$762.45 |
$762.45 |
$2,271.01
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$316.55 |
$316.55 |
$316.55 |
$765.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$331.50 |
$331.50 |
$331.50 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$310.70 |
$310.70 |
$310.70 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$589.55 |
$589.55 |
$589.55 |
$2,925.00
|
|
Excision floor mouth lesion 41116
|
$543.40 |
$543.40 |
$543.40 |
$3,589.62
|
|
Excision olecranon bursa
|
$726.70 |
$726.70 |
$726.70 |
$1,736.00
|
|
Exc malig feenl 1.1-2 11642
|
$485.55 |
$485.55 |
$485.55 |
$1,082.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$394.55 |
$394.55 |
$394.55 |
$869.48
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$492.05 |
$492.05 |
$492.05 |
$1,849.38
|
|
Exc malig tal <0.5cm 11600
|
$312.00 |
$312.00 |
$312.00 |
$805.38
|
|
Exc malig tal 0.6-1.0cm 11601
|
$369.85 |
$369.85 |
$369.85 |
$817.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$385.45 |
$385.45 |
$385.45 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,390.35 |
$1,390.35 |
$1,390.35 |
$1,154.00
|
|
Exc neck tum deep 5 cm/>
|
$971.75 |
$971.75 |
$971.75 |
$3,170.64
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$508.30 |
$508.30 |
$508.30 |
$3,285.96
|
|
Exc rect tum transanal full
|
$1,719.25 |
$1,719.25 |
$1,719.25 |
$3,038.07
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$717.60 |
$717.60 |
$717.60 |
$1,982.40
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$414.70 |
$414.70 |
$414.70 |
$1,329.08
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$791.05 |
$791.05 |
$791.05 |
$2,271.01
|
