|
Epidural lysis on single day 62264
|
$159.98 |
$159.98 |
$159.98 |
$2,414.16
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$21.22 |
$21.22 |
$21.22 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$24.90 |
$24.90 |
$24.90 |
$25.61
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$12.38 |
$12.38 |
$12.38 |
$31.80
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$91.96 |
$91.96 |
$91.96 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$2.03 |
$2.03 |
$2.03 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$2.03 |
$2.03 |
$2.03 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$3.01 |
$3.01 |
$3.01 |
$89.60
|
|
Ercp biliary & pancreas
|
$485.26 |
$485.26 |
$485.26 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$294.31 |
$294.31 |
$294.31 |
$4,680.60
|
|
Ercp ea duct/ampulla dilate
|
$241.11 |
$241.11 |
$241.11 |
$4,056.65
|
|
Ercp lesion ablate w/dilate 43278
|
$275.50 |
$275.50 |
$275.50 |
$4,214.73
|
|
Ercp lithotripsy calculi
|
$275.31 |
$275.31 |
$275.31 |
$4,026.40
|
|
Ercp remove duct calculi 43264
|
$232.18 |
$232.18 |
$232.18 |
$3,955.50
|
|
Ercp remove forgn body duct 43275
|
$239.78 |
$239.78 |
$239.78 |
$2,724.48
|
|
Ercp sphincter pressure meas
|
$228.00 |
$228.00 |
$228.00 |
$2,771.25
|
|
Ercp stent exchange w/dilate
|
$306.28 |
$306.28 |
$306.28 |
$4,881.00
|
|
Ercp w/specimen collection
|
$205.77 |
$205.77 |
$205.77 |
$4,480.44
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$52.71 |
$52.71 |
$52.71 |
$228.96
|
|
ER Visit (level 1, minor)
|
$188.86 |
$188.86 |
$188.86 |
$246.54
|
|
ER Visit (level 2)
|
$341.24 |
$341.24 |
$341.24 |
$452.20
|
|
ER Visit (level 3)
|
$605.15 |
$605.15 |
$605.15 |
$770.04
|
|
ER Visit (level 4)
|
$888.82 |
$888.82 |
$888.82 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,280.60 |
$1,280.60 |
$1,280.60 |
$1,828.80
|
|
Escharotomy ea addl incision
|
$51.68 |
$51.68 |
$51.68 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$107.32 |
$107.32 |
$107.32 |
$528.36
|
|
Esophageal dilat s&i
|
$366.32 |
$366.32 |
$366.32 |
$581.10
|
|
Esophageal motility
|
$24.70 |
$24.70 |
$24.70 |
$655.45
|
|
Esophagosc dilate balloon 30
|
$124.83 |
$124.83 |
$124.83 |
$2,229.50
|
|
Esophagoscop stent placement
|
$119.89 |
$119.89 |
$119.89 |
$6,588.93
|
|
Esophagoscop ultrasound exam
|
$100.32 |
$100.32 |
$100.32 |
$2,580.50
|
|
Esophagoscopy balloon <30mm
|
$76.38 |
$76.38 |
$76.38 |
$2,361.00
|
|
Esophagoscopy control bleed
|
$106.02 |
$106.02 |
$106.02 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$66.50 |
$66.50 |
$66.50 |
$2,101.52
|
|
Esophagoscopy/flex/diagnostic 43200
|
$56.81 |
$56.81 |
$56.81 |
$1,263.27
|
|
Esophagoscopy flex dx brush
|
$52.44 |
$52.44 |
$52.44 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$90.63 |
$90.63 |
$90.63 |
$2,086.80
|
|
Esophagoscopy lesion ablate
|
$125.78 |
$125.78 |
$125.78 |
$4,214.73
|
|
Esophagoscopy retro balloon
|
$165.11 |
$165.11 |
$165.11 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$120.84 |
$120.84 |
$120.84 |
$4,583.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$101.84 |
$101.84 |
$101.84 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$358.34 |
$358.34 |
$358.34 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$102.98 |
$102.98 |
$102.98 |
$2,638.57
|
|
Esophagoscopy w/us needle bx
|
$127.11 |
$127.11 |
$127.11 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$110.77 |
$110.77 |
$110.77 |
$2,638.57
|
|
Esophagoscp rig trnso rem fb
|
$124.07 |
$124.07 |
$124.07 |
$2,785.75
|
|
Esophagus motility study
|
$604.96 |
$604.96 |
$604.96 |
$1,300.00
|
|
Esoph egd dilation <30 mm
|
$98.61 |
$98.61 |
$98.61 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$83.79 |
$83.79 |
$83.79 |
$2,221.83
|
|
Esoph imped function test
|
$468.16 |
$468.16 |
$468.16 |
$597.03
|
|
Esoph scope w/submucous inj
|
$67.07 |
$67.07 |
$67.07 |
$2,580.50
|
|
Essure 58565
|
$298.11 |
$298.11 |
$298.11 |
$5,841.60
|
|
Established Patient Office Visit (level 1)
|
$72.58 |
$72.58 |
$72.58 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$13.11 |
$13.11 |
$13.11 |
$135.20
|
|
Established Patient Office Visit (level 3)
|
$24.51 |
$24.51 |
$24.51 |
$178.20
|
|
Established Patient Office Visit (level 4)
|
$36.10 |
$36.10 |
$36.10 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$53.58 |
$53.58 |
$53.58 |
$275.50
|
|
Estradiol total
|
$93.86 |
$93.86 |
$93.86 |
$151.80
|
|
Ethylene glycol -sendout
|
$2.52 |
$2.52 |
$2.52 |
$90.74
|
|
Evacuate mole of uterus
|
$346.75 |
$346.75 |
$346.75 |
$3,762.53
|
|
Eval/fit voice prosthesis iii, st
|
$148.01 |
$148.01 |
$148.01 |
$350.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$251.18 |
$251.18 |
$251.18 |
$212.40
|
|
Evaluation heart device
|
$654.55 |
$654.55 |
$654.55 |
$2,416.20
|
|
Evaluation of speech fluency 92521
|
$142.88 |
$142.88 |
$142.88 |
$310.20
|
|
Evaluation psychiatric diagnostic
|
$68.78 |
$68.78 |
$68.78 |
$313.30
|
|
Evasc rpr a-unilac ndgft 34703
|
$825.55 |
$825.55 |
$825.55 |
$5,689.05
|
|
Evasc rpr ilio-iliac ndgft
|
$701.86 |
$701.86 |
$701.86 |
$7,150.44
|
|
Event monitor
|
$107.35 |
$107.35 |
$107.35 |
$242.12
|
|
Evoked oa emissions ltd
|
$76.76 |
$76.76 |
$76.76 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$29.64 |
$29.64 |
$29.64 |
$259.60
|
|
Evoked potentials upper limbs
|
$140.79 |
$140.79 |
$140.79 |
$908.54
|
|
Evok oa screening qual
|
$29.64 |
$29.64 |
$29.64 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$57.95 |
$57.95 |
$57.95 |
$419.01
|
|
Exam pelvic add-on
|
$10.83 |
$10.83 |
$10.83 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$68.78 |
$68.78 |
$68.78 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$364.80 |
$364.80 |
$364.80 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$455.05 |
$455.05 |
$455.05 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$287.85 |
$287.85 |
$287.85 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$370.69 |
$370.69 |
$370.69 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$432.82 |
$432.82 |
$432.82 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$267.71 |
$267.71 |
$267.71 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$221.35 |
$221.35 |
$221.35 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$242.06 |
$242.06 |
$242.06 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$478.99 |
$478.99 |
$478.99 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$205.01 |
$205.01 |
$205.01 |
$3,769.92
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$151.05 |
$151.05 |
$151.05 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$210.90 |
$210.90 |
$210.90 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$121.41 |
$121.41 |
$121.41 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$57.38 |
$57.38 |
$57.38 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$73.53 |
$73.53 |
$73.53 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$99.37 |
$99.37 |
$99.37 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$120.46 |
$120.46 |
$120.46 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$73.53 |
$73.53 |
$73.53 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$106.40 |
$106.40 |
$106.40 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$177.84 |
$177.84 |
$177.84 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$71.44 |
$71.44 |
$71.44 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$101.08 |
$101.08 |
$101.08 |
$1,244.03
|
|
Exc breast duct fistula 19112
|
$215.46 |
$215.46 |
$215.46 |
$4,238.48
|
|
Exc chest wall tumor w/ribs 21601
|
$730.17 |
$730.17 |
$730.17 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$530.48 |
$530.48 |
$530.48 |
$4,332.25
|
