|
Epidrm a-grft face/nck/hf/g 15115
|
$168.98 |
$168.98 |
$168.98 |
$2,536.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$27.44 |
$27.44 |
$27.44 |
$1,170.60
|
|
Epidural lysis on single day 62264
|
$58.94 |
$58.94 |
$58.94 |
$2,414.16
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$20.63 |
$20.63 |
$20.63 |
$36.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$24.41 |
$24.41 |
$24.41 |
$25.61
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$2.24 |
$2.24 |
$2.24 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$15.24 |
$15.24 |
$15.24 |
$31.80
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$33.88 |
$33.88 |
$33.88 |
$3,762.53
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1.54 |
$1.54 |
$1.54 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$0.92 |
$0.92 |
$0.92 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$1.07 |
$1.07 |
$1.07 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$1.27 |
$1.27 |
$1.27 |
$85.15
|
|
Ercp biliary & pancreas
|
$332.92 |
$332.92 |
$332.92 |
$951.20
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$108.43 |
$108.43 |
$108.43 |
$5,110.00
|
|
Ercp ea duct/ampulla dilate
|
$88.83 |
$88.83 |
$88.83 |
$4,157.89
|
|
Ercp lesion ablate w/dilate 43278
|
$101.50 |
$101.50 |
$101.50 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$101.43 |
$101.43 |
$101.43 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$85.54 |
$85.54 |
$85.54 |
$4,038.50
|
|
Ercp remove forgn body duct 43275
|
$88.34 |
$88.34 |
$88.34 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$84.00 |
$84.00 |
$84.00 |
$3,016.30
|
|
Ercp stent exchange w/dilate
|
$112.84 |
$112.84 |
$112.84 |
$5,467.20
|
|
Ercp w/specimen collection
|
$75.81 |
$75.81 |
$75.81 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$72.66 |
$72.66 |
$72.66 |
$227.20
|
|
ER Visit (level 1, minor)
|
$78.82 |
$78.82 |
$78.82 |
$252.35
|
|
ER Visit (level 2)
|
$152.04 |
$152.04 |
$152.04 |
$463.00
|
|
ER Visit (level 3)
|
$263.55 |
$263.55 |
$263.55 |
$793.20
|
|
ER Visit (level 4)
|
$439.95 |
$439.95 |
$439.95 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$625.73 |
$625.73 |
$625.73 |
$1,844.80
|
|
Escharotomy ea addl incision
|
$19.04 |
$19.04 |
$19.04 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$201.89 |
$201.89 |
$201.89 |
$521.65
|
|
Esophageal dilat s&i
|
$7.35 |
$7.35 |
$7.35 |
$550.00
|
|
Esophageal motility
|
$9.10 |
$9.10 |
$9.10 |
$655.45
|
|
Esophagosc dilate balloon 30
|
$45.99 |
$45.99 |
$45.99 |
$2,244.82
|
|
Esophagoscop stent placement
|
$44.17 |
$44.17 |
$44.17 |
$6,588.93
|
|
Esophagoscop ultrasound exam
|
$36.96 |
$36.96 |
$36.96 |
$2,580.50
|
|
Esophagoscopy balloon <30mm
|
$28.14 |
$28.14 |
$28.14 |
$2,361.00
|
|
Esophagoscopy control bleed
|
$39.06 |
$39.06 |
$39.06 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$24.50 |
$24.50 |
$24.50 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$20.93 |
$20.93 |
$20.93 |
$1,259.70
|
|
Esophagoscopy flex dx brush
|
$19.32 |
$19.32 |
$19.32 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$33.39 |
$33.39 |
$33.39 |
$2,065.80
|
|
Esophagoscopy lesion ablate
|
$46.34 |
$46.34 |
$46.34 |
$4,350.00
|
|
Esophagoscopy retro balloon
|
$60.83 |
$60.83 |
$60.83 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$44.52 |
$44.52 |
$44.52 |
$4,627.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$37.52 |
$37.52 |
$37.52 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$132.02 |
$132.02 |
$132.02 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$37.94 |
$37.94 |
$37.94 |
$2,680.50
|
|
Esophagoscopy w/us needle bx
|
$46.83 |
$46.83 |
$46.83 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$40.81 |
$40.81 |
$40.81 |
$3,484.00
|
|
Esophagoscp rig trnso rem fb
|
$45.71 |
$45.71 |
$45.71 |
$2,785.75
|
|
Esophagus motility study
|
$414.33 |
$414.33 |
$414.33 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$218.96 |
$218.96 |
$218.96 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$30.87 |
$30.87 |
$30.87 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$114.94 |
$114.94 |
$114.94 |
$1,392.95
|
|
Esoph imped function test
|
$191.10 |
$191.10 |
$191.10 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$292.18 |
$292.18 |
$292.18 |
$1,089.15
|
|
Esoph scope w/submucous inj
|
$24.71 |
$24.71 |
$24.71 |
$2,580.50
|
|
Essure 58565
|
$599.20 |
$599.20 |
$599.20 |
$5,841.60
|
|
Establish access to aorta
|
$367.29 |
$367.29 |
$367.29 |
$1,191.04
|
|
Establish access to artery
|
$1,624.28 |
$1,624.28 |
$1,624.28 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$102.41 |
$102.41 |
$102.41 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$35.63 |
$35.63 |
$35.63 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$38.85 |
$38.85 |
$38.85 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$49.35 |
$49.35 |
$49.35 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$61.39 |
$61.39 |
$61.39 |
$287.10
|
|
Estradiol total
|
$25.62 |
$25.62 |
$25.62 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$2.38 |
$2.38 |
$2.38 |
$57.35
|
|
Estrogens total-sendout
|
$1.52 |
$1.52 |
$1.52 |
$96.63
|
|
Ethylene glycol -sendout
|
$1.04 |
$1.04 |
$1.04 |
$85.00
|
|
Etonogestrel implant system
|
$163.66 |
$163.66 |
$163.66 |
$2,071.74
|
|
Euflexxa inj per dose
|
$26.32 |
$26.32 |
$26.32 |
$510.68
|
|
Evacuate mole of uterus
|
$127.75 |
$127.75 |
$127.75 |
$3,762.53
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$40.67 |
$40.67 |
$40.67 |
$211.12
|
|
Evaluation heart device
|
$42.14 |
$42.14 |
$42.14 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$89.53 |
$89.53 |
$89.53 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$29.89 |
$29.89 |
$29.89 |
$315.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$304.15 |
$304.15 |
$304.15 |
$5,608.35
|
|
Evasc rpr ilio-iliac ndgft
|
$258.58 |
$258.58 |
$258.58 |
$7,150.44
|
|
Event monitor
|
$6.65 |
$6.65 |
$6.65 |
$237.60
|
|
Evoked auditory tst complete
|
$6.79 |
$6.79 |
$6.79 |
$344.98
|
|
Evoked oa emissions ltd
|
$41.93 |
$41.93 |
$41.93 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$22.61 |
$22.61 |
$22.61 |
$259.20
|
|
Evok oa screening qual
|
$22.61 |
$22.61 |
$22.61 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$32.62 |
$32.62 |
$32.62 |
$486.03
|
|
Exam pelvic add-on
|
$3.99 |
$3.99 |
$3.99 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$25.34 |
$25.34 |
$25.34 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$330.40 |
$330.40 |
$330.40 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$330.40 |
$330.40 |
$330.40 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$330.40 |
$330.40 |
$330.40 |
$3,786.00
|
|
Exc abdl tum deep < 5 cm
|
$330.40 |
$330.40 |
$330.40 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$159.46 |
$159.46 |
$159.46 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$330.40 |
$330.40 |
$330.40 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$187.04 |
$187.04 |
$187.04 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$187.04 |
$187.04 |
$187.04 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$330.40 |
$330.40 |
$330.40 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$75.53 |
$75.53 |
$75.53 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$70.21 |
$70.21 |
$70.21 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$94.92 |
$94.92 |
$94.92 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$187.04 |
$187.04 |
$187.04 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$68.25 |
$68.25 |
$68.25 |
$827.40
|