|
Established Patient Office Visit (level 4)
|
$109.52 |
$168.09 |
$1,093.37 |
|
|
Established Patient Office Visit (level 5)
|
$159.00 |
$193.83 |
$1,209.25 |
|
|
Estradiol total
|
$33.45 |
$277.29 |
$1,065.80 |
|
|
Estradiol valerate 10 mg inj
|
$50.51 |
$59.20 |
$59.20 |
|
|
Estrogens total-sendout
|
$25.16 |
$176.67 |
$192.00 |
|
|
Etanercept injection
|
$4,229.61 |
$4,229.61 |
$4,229.61 |
|
|
Ethanolamine oleate 100 mg
|
$1,587.29 |
$1,587.29 |
$1,587.29 |
|
|
Ethmoidectomy extranasal total 31205
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Ethylene glycol -sendout
|
$17.76 |
$196.56 |
$633.20 |
|
|
Etonogestrel implant system
|
$2,429.26 |
$2,700.66 |
$2,700.66 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$72.69 |
$72.69 |
$715.47 |
|
|
Etoposide 50 mg cap
|
$363.52 |
$363.52 |
$408.17 |
|
|
Euflexxa inj per dose
|
$1,514.64 |
$2,420.51 |
$2,802.25 |
|
|
Eval aud rehab status/first hr 92626
|
$349.00 |
$349.00 |
$349.00 |
|
|
Eval/fit voice prosthesis iii, st
|
$245.31 |
$245.31 |
$652.84 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$249.21 |
$249.21 |
$624.00 |
|
|
Evaluation heart device
|
$6,372.21 |
$6,372.21 |
$6,372.21 |
|
|
Evaluation of speech fluency 92521
|
$93.54 |
$244.14 |
$607.63 |
|
|
Evaluation psychiatric diagnostic
|
$536.25 |
$536.25 |
$1,944.45 |
|
|
Evasc prlng admn rx agnt 1st
|
$619.53 |
$31,035.03 |
$31,035.03 |
|
|
Evasc prlng admn rx agnt add
|
$298.96 |
$19,183.71 |
$19,183.71 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$1,902.40 |
$4,919.00 |
$4,919.00 |
|
|
Evasc rpr a-ao ndgft 34701
|
$2,492.88 |
$2,492.88 |
$29,880.00 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$3,034.60 |
$4,577.00 |
$4,577.00 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$1,997.12 |
$10,874.00 |
$10,874.00 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$1,664.12 |
$4,919.00 |
$4,919.00 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,664.71 |
$2,511.99 |
$5,893.00 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$1,664.71 |
$5,893.00 |
$5,893.00 |
|
|
Evasc rpr ilio-iliac ndgft
|
$387.76 |
$2,976.00 |
$2,976.00 |
|
|
Evasc rpr ilio-iliac rpt
|
$1,901.80 |
$2,976.00 |
$2,976.00 |
|
|
Evasc st rpr thrc/aa acrs br
|
$5,893.00 |
$11,524.11 |
$11,524.11 |
|
|
Evasc st rpr thrc/aa x crsg
|
$11,524.11 |
$11,524.11 |
$11,524.11 |
|
|
Event monitor
|
$63.18 |
$99.00 |
$543.39 |
|
|
Evoked auditory tst complete
|
$514.80 |
$514.80 |
$1,091.00 |
|
|
Evoked oa emissions ltd
|
$340.47 |
$340.47 |
$860.00 |
|
|
Evoked potentials auditory screening automated analysis
|
$234.00 |
$234.00 |
$1,163.06 |
|
|
Evoked potentials upper limbs
|
$1,438.00 |
$2,475.72 |
$2,475.72 |
|
|
Evoked potential visual not glaucoma
|
$1,438.00 |
$1,584.57 |
$1,584.57 |
|
|
Evok oa screening qual
|
$484.77 |
$484.77 |
$484.77 |
|
|
Ewhfo w/joint(s) cf
|
$735.05 |
$735.05 |
$735.05 |
|
|
Ewho w/joint(s) cf
|
$830.31 |
$830.31 |
$830.31 |
|
|
Exam of vagina w/scope 57420
|
$370.89 |
$370.89 |
$4,862.00 |
|
|
Exam pelvic add-on
|
$27.69 |
$27.69 |
$304.00 |
|
|
Exam plvc w/anes othr thn lcl
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Exc abd les sc 3 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
|
|
Exc abdl tum deep < 5 cm
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Exc abdl tum deep 5 cm/>
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$2,634.84 |
$2,634.84 |
$13,791.00 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,473.42 |
$1,473.42 |
$5,810.00 |
|
|
Exc back les sbq <3 cm 21930
|
$1,597.52 |
$5,810.00 |
$5,810.00 |
|
|
Exc back tum deep 5 cm/>
|
$336.18 |
$336.18 |
$16,385.00 |
|
|
Exc bartholins gland/cyst
|
$8,221.00 |
$8,221.00 |
$8,221.00 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$202.80 |
$202.80 |
$4,678.00 |
|
|
Exc benign feenlm >4.0cm 11446
|
$1,462.24 |
$2,683.98 |
$8,059.00 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,334.37 |
$2,244.06 |
$10,795.00 |
|
|
Exc benign tal 0.5 < cm 11400
|
$624.78 |
$624.78 |
$4,862.00 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$577.59 |
$577.59 |
$4,609.00 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$925.47 |
$925.47 |
$4,862.00 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$99.84 |
$99.84 |
$4,484.00 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,051.40 |
$4,006.47 |
$4,862.00 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,184.60 |
$5,688.15 |
$5,688.15 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,462.24 |
$3,335.67 |
$5,507.00 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$721.95 |
$1,955.46 |
$4,862.00 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,052.28 |
$1,228.50 |
$4,862.00 |
|
|
Exc chest wall tumor w/ribs 21601
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$5,518.00 |
$5,518.00 |
$5,518.00 |
|
|
Exc/crtg b1 cst/b9 tum rds
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$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 |
|
|
Exc excessive skin leg
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Exc excessive skin thigh
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Exc excsv skin forearm/hand
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
Exc excsv submental fat pad
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Exc ext ear/partial/simple repair 69110
|
$7,473.00 |
$7,473.00 |
$7,473.00 |
|
|
Exc face tum deep < 2 cm
|
$1,586.13 |
$1,586.13 |
$5,810.00 |
|
|
Exc face tum deep 2cm/> 21014
|
$495.69 |
$495.69 |
$5,810.00 |
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,051.40 |
$4,609.00 |
$4,609.00 |
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,051.40 |
$1,064.70 |
$4,862.00 |
|
|
Exc foot/toe tum dep 1.5cm/>
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Exc forearm les sc 3 cm/>
|
$1,586.13 |
$1,586.13 |
$13,791.00 |
|
|
Exc forearm tum deep < 3 cm
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Exc forearm tum deep 3 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
|
|
Exc hand les sc < 1.5 cm
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Exc hand tum deep 1.5 cm/>
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
|
|
Exc hand tum deep < 1.5 cm 26116
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Exchange biliary drg cath
|
$2,664.89 |
$2,916.42 |
$11,361.00 |
|
|
Exchange drainage catheter
|
$288.60 |
$1,325.61 |
$20,348.51 |
|
|
Exchange lens prosthesis
|
$8,860.00 |
$8,860.00 |
$8,860.00 |
|
|
Exchange nephrostomy cath
|
$752.73 |
$4,387.11 |
$14,589.68 |
|
|
Exc hidradenitis ing simpl 11462
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Exc hidradenitis peri/umb int 11470
|
$3,399.24 |
$3,399.24 |
$5,507.00 |
|
|
Exc hip/pelv tum deep 5 cm/>
|
$13,654.00 |
$13,654.00 |
$13,654.00 |
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Excise anal ext tag/papilla
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
|
|
Excise foot tendon sheath
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
|
