|
Esoph imped function test
|
$2,414.00 |
$2,414.00 |
$2,414.00 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$2,414.00 |
$2,414.00 |
$2,414.00 |
$1,121.40
|
|
Esoph scope w/submucous inj
|
$2,742.00 |
$2,742.00 |
$2,742.00 |
$2,590.33
|
|
Esrd serv 1 visit p mo 20+
|
$862.00 |
$862.00 |
$862.00 |
$409.60
|
|
Esrd srv 2-3 vsts p mo 20+
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$540.80
|
|
Establish access to aorta
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$114.00 |
$114.00 |
$114.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$361.00 |
$361.00 |
$361.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$399.00 |
$399.00 |
$399.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$626.00 |
$626.00 |
$626.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$900.00 |
$900.00 |
$900.00 |
$290.68
|
|
Estradiol total
|
$307.00 |
$307.00 |
$307.00 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$59.20 |
$59.20 |
$59.20 |
$57.35
|
|
Estrogens total-sendout
|
$192.00 |
$192.00 |
$192.00 |
$97.50
|
|
Ethmoidectomy extranasal total 31205
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$166.00 |
$166.00 |
$166.00 |
$86.04
|
|
Etonogestrel implant system
|
$2,700.66 |
$2,700.66 |
$2,700.66 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$72.69 |
$72.69 |
$72.69 |
$235.20
|
|
Eval aud rehab status/first hr 92626
|
$349.00 |
$349.00 |
$349.00 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$533.00 |
$533.00 |
$533.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$624.00 |
$624.00 |
$624.00 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$242.00 |
$242.00 |
$242.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$628.00 |
$628.00 |
$628.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$22,908.00 |
$22,908.00 |
$22,908.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$11,454.00 |
$11,454.00 |
$11,454.00 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$4,919.00 |
$4,919.00 |
$4,919.00 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$29,880.00 |
$29,880.00 |
$29,880.00 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$4,577.00 |
$4,577.00 |
$4,577.00 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$10,874.00 |
$10,874.00 |
$10,874.00 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,919.00 |
$4,919.00 |
$4,919.00 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,893.00 |
$5,893.00 |
$5,893.00 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$5,893.00 |
$5,893.00 |
$5,893.00 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$7,922.00
|
|
Evasc st rpr thrc/aa acrs br
|
$5,893.00 |
$5,893.00 |
$5,893.00 |
$5,225.35
|
|
Event monitor
|
$99.00 |
$99.00 |
$99.00 |
$231.00
|
|
Evoked auditory tst complete
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$357.41
|
|
Evoked oa emissions ltd
|
$860.00 |
$860.00 |
$860.00 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$335.00 |
$335.00 |
$335.00 |
$261.30
|
|
Evoked potentials upper limbs
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$814.61
|
|
Exam of vagina w/scope 57420
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$486.03
|
|
Exam pelvic add-on
|
$80.00 |
$80.00 |
$80.00 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$8,221.00 |
$8,221.00 |
$8,221.00 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$4,678.00 |
$4,678.00 |
$4,678.00 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$8,059.00 |
$8,059.00 |
$8,059.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$10,795.00 |
$10,795.00 |
$10,795.00 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$4,484.00 |
$4,484.00 |
$4,484.00 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$5,575.00 |
$5,575.00 |
$5,575.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,314.67
|
|
Exc chest wall tumor w/ribs 21601
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,386.84
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$5,518.00 |
$5,518.00 |
$5,518.00 |
$3,839.54
|
|
Exc/crtg b1 cst/b9 tum rds
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,617.60
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,839.54
|
|
Exc excessive skin leg
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$4,321.60
|
|
Exc excessive skin thigh
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$7,473.00 |
$7,473.00 |
$7,473.00 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$1,908.09
|
|
Exc hand tum deep 1.5 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$2,391.84
|
|
Exc hand tum deep < 1.5 cm 26116
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,391.84
|
|
Exchange biliary drg cath
|
$6,310.00 |
$6,310.00 |
$6,310.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$3,501.00 |
$3,501.00 |
$3,501.00 |
$2,220.54
|
|
Exchange lens prosthesis
|
$8,860.00 |
$8,860.00 |
$8,860.00 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$8,893.00 |
$8,893.00 |
$8,893.00 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,399.24
|
|
Exc hip/pelv tum deep 5 cm/>
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,272.02
|
|
Excise foot tendon sheath
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,839.54
|
