|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,501.46 |
$2,501.46 |
$2,501.46 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$129.30 |
$129.30 |
$129.30 |
$129.30
|
|
Epstein barr early antigen antibody
|
$18.20 |
$18.20 |
$18.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$20.15 |
$20.15 |
$20.15 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$35.75 |
$35.75 |
$35.75 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$36.62 |
$36.62 |
$36.62 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,539.76 |
$4,539.76 |
$4,539.76 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$922.35 |
$922.35 |
$922.35 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$3,552.00
|
|
Ercp stent exchange w/dilate
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$5,718.03
|
|
Ercp w/specimen collection
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,199.60 |
$2,199.60 |
$2,199.60 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$93.60 |
$93.60 |
$93.60 |
$232.12
|
|
ER Visit (level 1, minor)
|
$494.00 |
$494.00 |
$494.00 |
$252.60
|
|
ER Visit (level 2)
|
$887.90 |
$887.90 |
$887.90 |
$463.00
|
|
ER Visit (level 3)
|
$1,552.85 |
$1,552.85 |
$1,552.85 |
$812.18
|
|
ER Visit (level 4)
|
$2,387.45 |
$2,387.45 |
$2,387.45 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$3,437.20 |
$3,437.20 |
$3,437.20 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$468.00 |
$468.00 |
$468.00 |
$223.99
|
|
Escharotomy ea addl incision
|
$429.00 |
$429.00 |
$429.00 |
$203.20
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1.11 |
$1.11 |
$1.11 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.80 |
$11.80 |
$11.80 |
$516.71
|
|
Esophageal dilat s&i
|
$863.85 |
$863.85 |
$863.85 |
$551.20
|
|
Esophageal lengthening add on code 43338
|
$574.60 |
$574.60 |
$574.60 |
$6,837.60
|
|
Esophageal motility
|
$2,445.30 |
$2,445.30 |
$2,445.30 |
$655.45
|
|
Esophageal recording
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$1,985.34
|
|
Esophageal recording
|
$6,026.15 |
$6,026.15 |
$6,026.15 |
$2,187.60
|
|
Esophagomyotomy abdominal 43330
|
$5,769.40 |
$5,769.40 |
$5,769.40 |
$3,271.20
|
|
Esophagomyotomy thoracic 43331
|
$5,995.60 |
$5,995.60 |
$5,995.60 |
$3,267.20
|
|
Esophagoplasty congenital
|
$12,597.00 |
$12,597.00 |
$12,597.00 |
$4,104.71
|
|
Esophagosc dilate balloon 30
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$473.20 |
$473.20 |
$473.20 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$3,484.00
|
|
Esophagoscop stent placement
|
$22,248.85 |
$22,248.85 |
$22,248.85 |
$6,375.00
|
|
Esophagoscop ultrasound exam
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$751.40 |
$751.40 |
$751.40 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$14,219.40 |
$14,219.40 |
$14,219.40 |
$4,502.13
|
|
Esophagoscopy lesion removal
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$798.20 |
$798.20 |
$798.20 |
$4,502.13
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$647.40 |
$647.40 |
$647.40 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$860.60 |
$860.60 |
$860.60 |
$2,638.57
|
|
Esophagoscp rig trnso biopsy
|
$725.40 |
$725.40 |
$725.40 |
$3,484.00
|
|
Esophagoscp rig trnso inject
|
$725.40 |
$725.40 |
$725.40 |
$3,484.00
|
|
Esophagoscp rig trnso rem fb
|
$912.60 |
$912.60 |
$912.60 |
$2,785.75
|
|
Esophagotomy thrc rmvl fb
|
$5,688.80 |
$5,688.80 |
$5,688.80 |
$3,173.60
|
|
Esophagus endoscopy/ligation
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,392.00
|
|
Esophagus motility study
|
$1,983.15 |
$1,983.15 |
$1,983.15 |
$1,257.17
|
|
Esoph balloon distension tst
|
$252.20 |
$252.20 |
$252.20 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,221.83
|
|
Esoph fundoplasty lap 43327
|
$3,471.00 |
$3,471.00 |
$3,471.00 |
$3,148.00
|
|
Esoph fundoplasty thor 43328
|
$5,176.60 |
$5,176.60 |
$5,176.60 |
$2,748.00
|
|
Esophgl motil w/stim/perfus
|
$51.35 |
$51.35 |
$51.35 |
$1,392.95
|
|
Esoph imped function test
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,983.15 |
$1,983.15 |
$1,983.15 |
$1,121.40
|
|
Esoph scope w/sclerosis inj
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$7,090.20 |
$7,090.20 |
$7,090.20 |
$2,590.33
|
|
Esphg dstl 2/3 w/laps moblj 43287
|
$16,380.00 |
$16,380.00 |
$16,380.00 |
$7,128.80
|
|
Esphg thrsc moblj
|
$17,269.20 |
$17,269.20 |
$17,269.20 |
$7,526.40
|
|
Esphg tot w/laps moblj
|
$14,300.00 |
$14,300.00 |
$14,300.00 |
$6,423.20
|
|
Esphg tot w/thrcm
|
$16,120.00 |
$16,120.00 |
$16,120.00 |
$4,863.84
|
|
Esrd home pt serv p mo 12-19
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,016.00
|
|
Esrd home pt serv p mo 20+
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$540.80
|
|
Esrd home pt serv p mo 2-11
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,064.00
|
|
Esrd home pt serv p mo <2yrs
|
$3,143.40 |
$3,143.40 |
$3,143.40 |
$1,216.80
|
|
Esrd serv 1 visit p mo 20+
|
$928.20 |
$928.20 |
$928.20 |
$409.60
|
|
Esrd serv 1 vst p mo 12-19
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$660.80
|
|
Esrd serv 4 visits p mo <2yr
|
$6,219.20 |
$6,219.20 |
$6,219.20 |
$2,130.40
|
|
Esrd serv 4 vsts p mo 2-11
|
$5,423.60 |
$5,423.60 |
$5,423.60 |
$1,838.40
|
|
Esrd srv 1 visit p mo 2-11
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$711.20
|
|
Esrd srv 2-3 vsts p mo 12-19
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$977.60
|
|
Esrd srv 2-3 vsts p mo 20+
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$540.80
|
|
Esrd srv 2-3 vsts p mo 2-11
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$1,023.20
|
|
Esrd srv 4 visits p mo 20+
|
$1,760.20 |
$1,760.20 |
$1,760.20 |
$652.00
|
|
Esrd srv 4 vsts p mo 12-19
|
$4,019.60 |
$4,019.60 |
$4,019.60 |
$1,440.00
|
|
Esrd svc pr day pt 12-19
|
$85.80 |
$85.80 |
$85.80 |
$34.40
|
|
Esrd svc pr day pt <2
|
$91.00 |
$91.00 |
$91.00 |
$40.80
|
|
Esrd svc pr day pt 20+
|
$46.80 |
$46.80 |
$46.80 |
$53.76
|
|
Esrd svc pr day pt 2-11
|
$88.40 |
$88.40 |
$88.40 |
$36.00
|
|
Essure 58565
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$5,841.60
|
|
Establish access to aorta
|
$947.05 |
$947.05 |
$947.05 |
$1,273.00
|
|
Establish access to artery
|
$946.40 |
$946.40 |
$946.40 |
$1,145.65
|
|
Establish brain cavity shunt
|
$4,018.30 |
$4,018.30 |
$4,018.30 |
$2,464.00
|
|
Establish brain cavity shunt
|
$5,870.80 |
$5,870.80 |
$5,870.80 |
$2,870.05
|
|
Establish brain cavity shunt
|
$3,164.20 |
$3,164.20 |
$3,164.20 |
$1,446.87
|