|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$6,600.30 |
$6,600.30 |
$6,600.30 |
$4,331.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$753.20 |
$753.20 |
$753.20 |
$1,049.59
|
|
Eeg during surgery
|
$355.95 |
$355.95 |
$355.95 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$561.40 |
$561.40 |
$561.40 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$705.95 |
$705.95 |
$705.95 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$537.60 |
$537.60 |
$537.60 |
$936.00
|
|
Eeg recording awake and asleep
|
$705.95 |
$705.95 |
$705.95 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$432.60 |
$432.60 |
$432.60 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$322.70 |
$322.70 |
$322.70 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,294.30 |
$1,294.30 |
$1,294.30 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$971.25 |
$971.25 |
$971.25 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$333.90 |
$333.90 |
$333.90 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$648.55 |
$648.55 |
$648.55 |
$1,251.52
|
|
Egd remove foreign body
|
$508.20 |
$508.20 |
$508.20 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,019.55 |
$1,019.55 |
$1,019.55 |
$2,664.75
|
|
Egfr gene com variants
|
$139.65 |
$139.65 |
$139.65 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$179.90 |
$179.90 |
$179.90 |
$619.45
|
|
Electrd sq emblem s-icd
|
$7,764.83 |
$7,764.83 |
$7,764.83 |
$9,864.20
|
|
Electrical stimulation/unattended 97014
|
$80.85 |
$80.85 |
$80.85 |
$81.75
|
|
Electric stim/w chemodenervation 95873
|
$203.35 |
$203.35 |
$203.35 |
$128.40
|
|
Electroconvulsive therapy 90870
|
$2,552.20 |
$2,552.20 |
$2,552.20 |
$1,180.80
|
|
Electrolyte panel
|
$131.60 |
$131.60 |
$131.60 |
$86.33
|
|
Embolization s&i
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,002.35 |
$9,002.35 |
$9,002.35 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$8,821.40 |
$8,821.40 |
$8,821.40 |
$15,038.25
|
|
Emb without cervical dilation 58100
|
$242.20 |
$242.20 |
$242.20 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$408.10 |
$408.10 |
$408.10 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$497.35 |
$497.35 |
$497.35 |
$487.20
|
|
Emg needle test 1-extremity
|
$324.10 |
$324.10 |
$324.10 |
$342.24
|
|
Emg needle test 4-extremities
|
$570.50 |
$570.50 |
$570.50 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$121.10 |
$121.10 |
$121.10 |
$309.83
|
|
Endoscopy swallow (fees) vid
|
$201.25 |
$201.25 |
$201.25 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,872.59
|
|
Endovasc visc aorta 2 graft
|
$9,122.40 |
$9,122.40 |
$9,122.40 |
$13,279.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$116.08 |
$116.08 |
$116.08 |
$109.71
|
|
Enzyme histochemistry
|
$479.85 |
$479.85 |
$479.85 |
$460.32
|
|
Epidural/lumbar/sacral/ea add level64484
|
$754.60 |
$754.60 |
$754.60 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$587.98 |
$587.98 |
$587.98 |
$210.01
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,135.25 |
$4,135.25 |
$4,135.25 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$340.13 |
$340.13 |
$340.13 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,048.72 |
$1,048.72 |
$1,048.72 |
$850.81
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,970.98 |
$1,970.98 |
$1,970.98 |
$319.29
|
|
Ercp biliary & pancreas
|
$656.25 |
$656.25 |
$656.25 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$92.48 |
$92.48 |
$92.48 |
$262.60
|
|
ER Visit (level 1, minor)
|
$245.00 |
$245.00 |
$245.00 |
$276.70
|
|
ER Visit (level 2)
|
$352.10 |
$352.10 |
$352.10 |
$487.50
|
|
ER Visit (level 3)
|
$569.45 |
$569.45 |
$569.45 |
$850.50
|
|
ER Visit (level 4)
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,809.85 |
$1,809.85 |
$1,809.85 |
$2,007.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$216.63 |
$216.63 |
$216.63 |
$248.39
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$205.03 |
$205.03 |
$205.03 |
$424.52
|
|
Esophageal dilat s&i
|
$2,395.75 |
$2,395.75 |
$2,395.75 |
$525.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$508.20 |
$508.20 |
$508.20 |
$1,109.47
|
|
Esophagoscopy flex remove fb
|
$1,019.55 |
$1,019.55 |
$1,019.55 |
$2,109.53
|
|
Esoph egd dilation <30 mm
|
$1,019.55 |
$1,019.55 |
$1,019.55 |
$2,656.80
|
|
Estradiol total
|
$103.60 |
$103.60 |
$103.60 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$55.79 |
$55.79 |
$55.79 |
$80.09
|
|
Etonogestrel implant system
|
$1,976.81 |
$1,976.81 |
$1,976.81 |
$2,081.30
|
|
Evaluation of speech fluency 92521
|
$292.95 |
$292.95 |
$292.95 |
$347.75
|
|
Evasc prlng admn rx agnt 1st
|
$7,889.70 |
$7,889.70 |
$7,889.70 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$6,039.60 |
$6,039.60 |
$6,039.60 |
$3,484.88
|
|
Event monitor
|
$44.45 |
$44.45 |
$44.45 |
$242.12
|
|
Evoked potentials upper limbs
|
$1,226.75 |
$1,226.75 |
$1,226.75 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,130.15 |
$1,130.15 |
$1,130.15 |
$829.44
|
|
Exam plvc w/anes othr thn lcl
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,649.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$1,917.33
|
|
Exc bartholins gland/cyst
|
$1,992.55 |
$1,992.55 |
$1,992.55 |
$3,744.41
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$537.95 |
$537.95 |
$537.95 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$472.85 |
$472.85 |
$472.85 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$472.85 |
$472.85 |
$472.85 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$438.20 |
$438.20 |
$438.20 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,800.75 |
$1,800.75 |
$1,800.75 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$242.20 |
$242.20 |
$242.20 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$537.95 |
$537.95 |
$537.95 |
$1,301.30
|
|
Exchange biliary drg cath
|
$3,647.00 |
$3,647.00 |
$3,647.00 |
$4,176.15
|
|
Exchange drainage catheter
|
$5,992.00 |
$5,992.00 |
$5,992.00 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,699.25 |
$1,699.25 |
$1,699.25 |
$3,097.16
|
|
Excise/repair mouth lesion
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$472.85 |
$472.85 |
$472.85 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$537.95 |
$537.95 |
$537.95 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,916.96
|
|
Excision of gum lesion 41825
|
$1,699.95 |
$1,699.95 |
$1,699.95 |
$3,920.70
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$472.85 |
$472.85 |
$472.85 |
$973.71
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$2,377.90 |
$2,377.90 |
$2,377.90 |
$3,752.25
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,473.60
|
|
Exc tendon sheath or cap lesion 26160
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$896.00 |
$896.00 |
$896.00 |
$2,491.20
|
|
Exc vagina lesion 57135
|
$2,202.20 |
$2,202.20 |
$2,202.20 |
$4,107.36
|
|
Exercise tst brncspsm w/ecg
|
$784.00 |
$784.00 |
$784.00 |
$337.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,943.68 |
$2,943.68 |
$2,943.68 |
$4,101.67
|
|
Exploration of knee joint
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,850.53
|