|
Esoph scope w/submucous inj
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$2,580.50
|
|
Establish access to aorta
|
$2,610.40 |
$2,610.40 |
$2,610.40 |
$1,191.04
|
|
Establish access to artery
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,145.65
|
|
Estradiol total
|
$166.40 |
$166.40 |
$166.40 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$30.76 |
$30.76 |
$30.76 |
$57.35
|
|
Estrogens total-sendout
|
$167.44 |
$167.44 |
$167.44 |
$96.63
|
|
Etanercept injection
|
$3,311.32 |
$3,311.32 |
$3,311.32 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$645.80 |
$645.80 |
$645.80 |
$875.55
|
|
Eth estr and eton monthly
|
$266.45 |
$266.45 |
$266.45 |
$266.45
|
|
Ethylene glycol -sendout
|
$114.92 |
$114.92 |
$114.92 |
$85.00
|
|
Etonogestrel implant system
|
$2,071.74 |
$2,071.74 |
$2,071.74 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$299.77 |
$299.77 |
$299.77 |
$235.20
|
|
Etoposide 50 mg cap
|
$143.03 |
$143.03 |
$143.03 |
$135.02
|
|
Euflexxa inj per dose
|
$587.68 |
$587.68 |
$587.68 |
$510.68
|
|
Euglobulin lysis
|
$84.76 |
$84.76 |
$84.76 |
$63.84
|
|
Eval aud rehab status/first hr 92626
|
$332.80 |
$332.80 |
$332.80 |
$300.80
|
|
Eval/fit voice prosthesis iii, st
|
$440.96 |
$440.96 |
$440.96 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$342.16 |
$342.16 |
$342.16 |
$211.12
|
|
Evaluation heart device
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$342.68 |
$342.68 |
$342.68 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$318.24 |
$318.24 |
$318.24 |
$315.00
|
|
Evasc prlng admn rx agnt 1st
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$655.20 |
$655.20 |
$655.20 |
$2,765.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$5,564.00 |
$5,564.00 |
$5,564.00 |
$6,824.35
|
|
Evasc rpr a-ao ndgft 34701
|
$3,229.20 |
$3,229.20 |
$3,229.20 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,154.80 |
$4,154.80 |
$4,154.80 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$613.60 |
$613.60 |
$613.60 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$3,229.20 |
$3,229.20 |
$3,229.20 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$4,154.80 |
$4,154.80 |
$4,154.80 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$3,229.20 |
$3,229.20 |
$3,229.20 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$3,385.20 |
$3,385.20 |
$3,385.20 |
$8,996.13
|
|
Evasc st rpr thrc/aa acrs br
|
$4,638.40 |
$4,638.40 |
$4,638.40 |
$5,062.50
|
|
Evasc st rpr thrc/aa x crsg
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$11,524.11
|
|
Event monitor
|
$312.00 |
$312.00 |
$312.00 |
$237.60
|
|
Evoked potentials upper limbs
|
$1,007.24 |
$1,007.24 |
$1,007.24 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$898.04 |
$898.04 |
$898.04 |
$812.40
|
|
Exam of vagina w/scope 57420
|
$904.80 |
$904.80 |
$904.80 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$3,386.84
|
|
Exc abd les sc 3 cm/>
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$2,818.40 |
$2,818.40 |
$2,818.40 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$3,686.80 |
$3,686.80 |
$3,686.80 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,501.20 |
$2,501.20 |
$2,501.20 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,681.60 |
$3,681.60 |
$3,681.60 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,490.80 |
$2,490.80 |
$2,490.80 |
$1,244.03
|
|
Exc chest wall tumor w/ribs 21601
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$3,386.84
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$3,073.20 |
$3,073.20 |
$3,073.20 |
$3,594.44
|
|
Exc ext ear/partial/simple repair 69110
|
$4,082.00 |
$4,082.00 |
$4,082.00 |
$3,170.00
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$3,484.00 |
$3,484.00 |
$3,484.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$3,650.40 |
$3,650.40 |
$3,650.40 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$733.20 |
$733.20 |
$733.20 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$863.20 |
$863.20 |
$863.20 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$832.00 |
$832.00 |
$832.00 |
$2,271.01
|
|
Exchange biliary drg cath
|
$4,716.40 |
$4,716.40 |
$4,716.40 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$566.55
|
|
Exchange drainage catheter
|
$2,594.80 |
$2,594.80 |
$2,594.80 |
$2,191.20
|
|
Exchange lens prosthesis
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,958.80 |
$2,958.80 |
$2,958.80 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$4,154.80 |
$4,154.80 |
$4,154.80 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$3,386.84
|
|
Excimer lsr psriasis 250-500
|
$372.84 |
$372.84 |
$372.84 |
$372.84
|
|
Excimer lsr psriasis<250sqcm
|
$347.88 |
$347.88 |
$347.88 |
$347.88
|
|
Excimer lsr psriasis>500sqcm
|
$400.40 |
$400.40 |
$400.40 |
$472.79
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$4,394.00 |
$4,394.00 |
$4,394.00 |
$3,398.50
|
|
Excise anal ext tag/papilla
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$2,172.09
|
|
Excise inferior turbinate
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,589.62
|
|
Excise lip or cheek fold
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$1,855.10
|
|
Excise lwr jaw cyst w/repair
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$6,219.35
|
|
Excise mandible lesion
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$3,589.62
|
|
Excise pharynx lesion
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$3,307.66
|
|
Excision aural polyp
|
$3,062.80 |
$3,062.80 |
$3,062.80 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,506.40 |
$2,506.40 |
$2,506.40 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,043.60 |
$2,043.60 |
$2,043.60 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,641.65
|
|
Excision breast lesion
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$4,042.99
|
|
Excision floor mouth lesion 41116
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$3,892.91
|
|
Excision graft extremity
|
$5,486.00 |
$5,486.00 |
$5,486.00 |
$4,881.00
|
|
Excision gum each quadrant
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,560.40
|
|
Excision lesion mouth roof
|
$4,290.00 |
$4,290.00 |
$4,290.00 |
$3,837.72
|
|
Excision nasal polyp(s) simple 30110
|
$2,454.40 |
$2,454.40 |
$2,454.40 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$3,823.00
|
