|
Embo or occlude vascular tumor/organ/infarct s&i
|
$3,564.40 |
$3,564.40 |
$3,564.40 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$3,712.85 |
$3,712.85 |
$3,712.85 |
$15,038.25
|
|
Emb without cervical dilation 58100
|
$128.38 |
$128.38 |
$128.38 |
$397.66
|
|
Endo cath bile duct s&i
|
$258.78 |
$258.78 |
$258.78 |
$612.37
|
|
Endo cath panc duct s&i
|
$258.78 |
$258.78 |
$258.78 |
$645.00
|
|
Endoluminal bx urtr rnl plvs
|
$621.78 |
$621.78 |
$621.78 |
$2,172.53
|
|
Endoluminl ivus oct c 1st
|
$1,576.30 |
$1,576.30 |
$1,576.30 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$1,576.30 |
$1,576.30 |
$1,576.30 |
$2,367.97
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,002.82 |
$1,002.82 |
$1,002.82 |
$2,872.59
|
|
Endo, single, pulmonary
|
$301.99 |
$301.99 |
$301.99 |
$1,052.57
|
|
Endovasc prosth delayed 33886
|
$1,434.96 |
$1,434.96 |
$1,434.96 |
$2,191.65
|
|
Endovasc rpr a-biiliac endogft 34705
|
$1,345.49 |
$1,345.49 |
$1,345.49 |
$10,604.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$14.84 |
$14.84 |
$14.84 |
$109.71
|
|
Enzyme histochemistry
|
$961.90 |
$961.90 |
$961.90 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$7,968.67 |
$7,968.67 |
$7,968.67 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$7,968.67 |
$7,968.67 |
$7,968.67 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$326.65 |
$326.65 |
$326.65 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - adult
|
$8.45 |
$8.45 |
$8.45 |
$50.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$824.16 |
$824.16 |
$824.16 |
$874.20
|
|
Epstein barr early antigen antibody
|
$43.73 |
$43.73 |
$43.73 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$77.54 |
$77.54 |
$77.54 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$91.01 |
$91.01 |
$91.01 |
$95.04
|
|
Ercp biliary & pancreas
|
$283.69 |
$283.69 |
$283.69 |
$943.50
|
|
ER Visit (level 1, minor)
|
$189.38 |
$189.38 |
$189.38 |
$276.70
|
|
ER Visit (level 2)
|
$262.09 |
$262.09 |
$262.09 |
$487.50
|
|
ER Visit (level 3)
|
$451.46 |
$451.46 |
$451.46 |
$850.50
|
|
ER Visit (level 4)
|
$560.52 |
$560.52 |
$560.52 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$728.03 |
$728.03 |
$728.03 |
$2,007.00
|
|
Esophageal dilat s&i
|
$196.76 |
$196.76 |
$196.76 |
$525.00
|
|
Esophagus motility study
|
$418.42 |
$418.42 |
$418.42 |
$1,289.20
|
|
Establish access to aorta
|
$143.88 |
$143.88 |
$143.88 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$61.78 |
$61.78 |
$61.78 |
$121.00
|
|
Estradiol total
|
$96.86 |
$96.86 |
$96.86 |
$153.00
|
|
Estrogens total-sendout
|
$71.44 |
$71.44 |
$71.44 |
$89.25
|
|
Evaluation heart device
|
$702.61 |
$702.61 |
$702.61 |
$2,368.17
|
|
Evasc prlng admn rx agnt 1st
|
$1,657.90 |
$1,657.90 |
$1,657.90 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$1,376.24 |
$1,376.24 |
$1,376.24 |
$3,484.88
|
|
Evasc rpr a-ao ndgft 34701
|
$1,171.36 |
$1,171.36 |
$1,171.36 |
$6,020.00
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,301.51 |
$1,301.51 |
$1,301.51 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$1,447.93 |
$1,447.93 |
$1,447.93 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,447.93 |
$1,447.93 |
$1,447.93 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$1,447.93 |
$1,447.93 |
$1,447.93 |
$9,282.60
|
|
Evasc rpr ilio-iliac ndgft
|
$1,362.26 |
$1,362.26 |
$1,362.26 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$1,362.26 |
$1,362.26 |
$1,362.26 |
$9,122.40
|
|
Evoked auditory tst complete
|
$120.75 |
$120.75 |
$120.75 |
$368.50
|
|
Evoked potentials upper limbs
|
$186.59 |
$186.59 |
$186.59 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$227.51 |
$227.51 |
$227.51 |
$829.44
|
|
Exc benign tal 0.5 < cm 11400
|
$294.62 |
$294.62 |
$294.62 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$344.70 |
$344.70 |
$344.70 |
$914.34
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$373.93 |
$373.93 |
$373.93 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$806.33 |
$806.33 |
$806.33 |
$1,301.30
|
|
Exchange biliary drg cath
|
$2,001.83 |
$2,001.83 |
$2,001.83 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,178.73 |
$1,178.73 |
$1,178.73 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$941.82 |
$941.82 |
$941.82 |
$3,097.16
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,025.96 |
$1,025.96 |
$1,025.96 |
$1,981.25
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$675.67 |
$675.67 |
$675.67 |
$1,246.00
|
|
Exc thrombosed hemorrhoid 46320
|
$622.54 |
$622.54 |
$622.54 |
$2,491.20
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,520.12 |
$1,520.12 |
$1,520.12 |
$2,524.20
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,955.82 |
$1,955.82 |
$1,955.82 |
$4,101.67
|
|
Explore/drain eye socket
|
$1,212.79 |
$1,212.79 |
$1,212.79 |
$3,786.00
|
|
Explore limb vessels 35860
|
$1,880.32 |
$1,880.32 |
$1,880.32 |
$3,965.00
|
|
Explore penetrating wnd/extremity 20103
|
$297.16 |
$297.16 |
$297.16 |
$1,917.33
|
|
Explore wound abdomen 20102
|
$1,485.55 |
$1,485.55 |
$1,485.55 |
$2,837.09
|
|
Explore woundchest 20101
|
$1,131.45 |
$1,131.45 |
$1,131.45 |
$2,179.44
|
|
Explore wound neck 20100
|
$479.43 |
$479.43 |
$479.43 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,624.60 |
$1,624.60 |
$1,624.60 |
$3,559.50
|
|
External chromosome analysis 20-25 cells
|
$172.86 |
$172.86 |
$172.86 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$115.41 |
$115.41 |
$115.41 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$76.01 |
$76.01 |
$76.01 |
$102.78
|
|
F-18 fdg pet diag
|
$659.91 |
$659.91 |
$659.91 |
$602.25
|
|
Facial bones <3
|
$53.13 |
$53.13 |
$53.13 |
$248.60
|
|
Factor ix
|
$63.05 |
$63.05 |
$63.05 |
$131.30
|
|
Factor viii
|
$54.66 |
$54.66 |
$54.66 |
$144.30
|
|
Fallopian tube recnl
|
$1,592.82 |
$1,592.82 |
$1,592.82 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.45 |
$8.45 |
$8.45 |
$24.21
|
|
Fat/lipids feces qualitative
|
$16.78 |
$16.78 |
$16.78 |
$34.56
|
|
#fecal-sodium
|
$16.27 |
$16.27 |
$16.27 |
$37.50
|
|
Fem/popl revasc w/stent
|
$5,831.35 |
$5,831.35 |
$5,831.35 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$52.27 |
$52.27 |
$52.27 |
$118.20
|
|
Ferritin
|
$43.47 |
$43.47 |
$43.47 |
$103.68
|
|
Fetal fibronectin
|
$212.77 |
$212.77 |
$212.77 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$25.42 |
$25.42 |
$25.42 |
$88.80
|
|
Fetal hemoglobin rosette
|
$19.58 |
$19.58 |
$19.58 |
$76.70
|
|
Fibrin degradation d dimer quantitative
|
$44.74 |
$44.74 |
$44.74 |
$112.80
|
|
Fibrin degradation products
|
$28.98 |
$28.98 |
$28.98 |
$62.40
|
|
Fibrin degrade semiquant
|
$23.65 |
$23.65 |
$23.65 |
$92.00
|
|
Fibrinogen activity
|
$31.02 |
$31.02 |
$31.02 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$17.04 |
$17.04 |
$17.04 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$21.36 |
$21.36 |
$21.36 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$3,502.88 |
$3,502.88 |
$3,502.88 |
$6,878.20
|
|
Filter vena cava fem denali
|
$1,398.10 |
$1,398.10 |
$1,398.10 |
$3,519.51
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$449.18 |
$449.18 |
$449.18 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$224.72 |
$224.72 |
$224.72 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$224.72 |
$224.72 |
$224.72 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$238.19 |
$238.19 |
$238.19 |
$547.53
|
|
Fix g/colon tube w/device
|
$392.74 |
$392.74 |
$392.74 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,521.39 |
$1,521.39 |
$1,521.39 |
$3,981.06
|
|
Flecainide (tambocor)-sendout
|
$19.32 |
$19.32 |
$19.32 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$145.92 |
$145.92 |
$145.92 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$642.88 |
$642.88 |
$642.88 |
$1,284.13
|
