|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,137.02 |
$1,137.02 |
$1,137.02 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$79.21 |
$79.21 |
$79.21 |
$222.98
|
|
ER Visit (level 1, minor)
|
$164.16 |
$164.16 |
$164.16 |
$246.24
|
|
ER Visit (level 2)
|
$275.20 |
$275.20 |
$275.20 |
$452.20
|
|
ER Visit (level 3)
|
$6,999.68 |
$6,999.68 |
$6,999.68 |
$770.04
|
|
ER Visit (level 4)
|
$7,305.60 |
$7,305.60 |
$7,305.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$7,713.28 |
$7,713.28 |
$7,713.28 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$12.16 |
$12.16 |
$12.16 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$116.29 |
$116.29 |
$116.29 |
$553.88
|
|
Esophageal dilat s&i
|
$328.96 |
$328.96 |
$328.96 |
$581.10
|
|
Esophagoscopy balloon <30mm
|
$93.44 |
$93.44 |
$93.44 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$81.92 |
$81.92 |
$81.92 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$110.72 |
$110.72 |
$110.72 |
$2,099.70
|
|
Esophagus endoscopy/ligation
|
$110.40 |
$110.40 |
$110.40 |
$2,392.00
|
|
Esophagus motility study
|
$51.20 |
$51.20 |
$51.20 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$120.96 |
$120.96 |
$120.96 |
$2,656.80
|
|
Esoph fundoplasty lap 43327
|
$526.08 |
$526.08 |
$526.08 |
$3,148.00
|
|
Esoph imped function test
|
$38.40 |
$38.40 |
$38.40 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$44.16 |
$44.16 |
$44.16 |
$1,089.15
|
|
Esphg tot w/thrcm
|
$1,232.96 |
$1,232.96 |
$1,232.96 |
$4,863.84
|
|
Established Patient Office Visit (level 1)
|
$71.36 |
$71.36 |
$71.36 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$26.24 |
$26.24 |
$26.24 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$41.92 |
$41.92 |
$41.92 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$61.76 |
$61.76 |
$61.76 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$91.84 |
$91.84 |
$91.84 |
$280.33
|
|
Estradiol total
|
$127.36 |
$127.36 |
$127.36 |
$146.50
|
|
Estrogens total-sendout
|
$30.72 |
$30.72 |
$30.72 |
$96.20
|
|
Ethylene glycol -sendout
|
$44.48 |
$44.48 |
$44.48 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.85 |
$1.85 |
$1.85 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$169.60 |
$169.60 |
$169.60 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$78.72 |
$78.72 |
$78.72 |
$219.60
|
|
Evaluation heart device
|
$508.80 |
$508.80 |
$508.80 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$81.28 |
$81.28 |
$81.28 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$116.80 |
$116.80 |
$116.80 |
$312.00
|
|
Evasc rpr a-ao ndgft 34701
|
$906.24 |
$906.24 |
$906.24 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,346.24 |
$1,346.24 |
$1,346.24 |
$4,670.40
|
|
Evoked oa emissions ltd
|
$120.96 |
$120.96 |
$120.96 |
$234.32
|
|
Evoked potentials upper limbs
|
$292.48 |
$292.48 |
$292.48 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$213.12 |
$213.12 |
$213.12 |
$814.61
|
|
Evok oa screening qual
|
$67.84 |
$67.84 |
$67.84 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$60.16 |
$60.16 |
$60.16 |
$486.03
|
|
Exam pelvic add-on
|
$17.60 |
$17.60 |
$17.60 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$84.80 |
$84.80 |
$84.80 |
$3,762.53
|
|
Exc abd les sc 3 cm/>
|
$352.96 |
$352.96 |
$352.96 |
$3,796.00
|
|
Exc arm/elbo les sc >=3cm 24071
|
$328.64 |
$328.64 |
$328.64 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$272.00 |
$272.00 |
$272.00 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$296.96 |
$296.96 |
$296.96 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$587.20 |
$587.20 |
$587.20 |
$3,805.88
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$148.80 |
$148.80 |
$148.80 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$288.00 |
$288.00 |
$288.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$288.00 |
$288.00 |
$288.00 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$304.00 |
$304.00 |
$304.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$122.56 |
$122.56 |
$122.56 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$288.00 |
$288.00 |
$288.00 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$768.00 |
$768.00 |
$768.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$216.96 |
$216.96 |
$216.96 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$227.20 |
$227.20 |
$227.20 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$400.32 |
$400.32 |
$400.32 |
$1,247.50
|
|
Exc ext ear/partial/simple repair 69110
|
$348.80 |
$348.80 |
$348.80 |
$3,127.88
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$304.00 |
$304.00 |
$304.00 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$640.00 |
$640.00 |
$640.00 |
$2,101.45
|
|
Exc forearm les sc 3 cm/>
|
$345.92 |
$345.92 |
$345.92 |
$3,628.50
|
|
Exc forearm tum deep 3 cm/>
|
$440.96 |
$440.96 |
$440.96 |
$3,994.09
|
|
Exc hand tum deep 1.5 cm/>
|
$454.40 |
$454.40 |
$454.40 |
$2,271.01
|
|
Exchange biliary drg cath
|
$3,383.36 |
$3,383.36 |
$3,383.36 |
$3,909.56
|
|
Exchange drainage catheter
|
$1,085.44 |
$1,085.44 |
$1,085.44 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$2,196.16 |
$2,196.16 |
$2,196.16 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$207.04 |
$207.04 |
$207.04 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$199.04 |
$199.04 |
$199.04 |
$3,386.84
|
|
Exc intracard tumor/resect/bypass 33120
|
$737.92 |
$737.92 |
$737.92 |
$5,114.40
|
|
Excise parotid gland/lesion
|
$507.84 |
$507.84 |
$507.84 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$853.44 |
$853.44 |
$853.44 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$952.96 |
$952.96 |
$952.96 |
$6,839.00
|
|
Excise pharynx lesion
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$578.88 |
$578.88 |
$578.88 |
$1,903.93
|
|
Excise sublingual gland
|
$231.36 |
$231.36 |
$231.36 |
$5,678.40
|
|
Excise submaxillary gland
|
$359.04 |
$359.04 |
$359.04 |
$6,547.81
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$110.72 |
$110.72 |
$110.72 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$640.00 |
$640.00 |
$640.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$288.00 |
$288.00 |
$288.00 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$201.60 |
$201.60 |
$201.60 |
$2,865.00
|
|
Excision breast lesion
|
$369.28 |
$369.28 |
$369.28 |
$3,749.85
|
|
Excision nasal polyp(s) simple 30110
|
$842.88 |
$842.88 |
$842.88 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$120.32 |
$120.32 |
$120.32 |
$3,786.00
|
|
Excision of esophagus lesion
|
$364.48 |
$364.48 |
$364.48 |
$3,908.80
|
|
Excision of lesion of mesentery 44820
|
$660.80 |
$660.80 |
$660.80 |
$1,621.80
|
|
Excision of meckels diverticulum 44800
|
$608.00 |
$608.00 |
$608.00 |
$1,373.40
|
|
Excision of penis lesion(s) 54060
|
$108.16 |
$108.16 |
$108.16 |
$2,479.33
|
|
Excision of salivary cyst
|
$290.24 |
$290.24 |
$290.24 |
$4,558.89
|
|
Excision of umbilicus 49250
|
$472.96 |
$472.96 |
$472.96 |
$3,906.18
|
|
Excision olecranon bursa
|
$261.12 |
$261.12 |
$261.12 |
$2,889.60
|
|
Excision tongue lesion without closure 41110
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$376.64 |
$376.64 |
$376.64 |
$3,650.40
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,591.37
|
|
Excl laa opn oth px any meth 33268
|
$94.40 |
$94.40 |
$94.40 |
$324.00
|
|
Exc malig feenl <0.5cm 11640
|
$288.00 |
$288.00 |
$288.00 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$400.32 |
$400.32 |
$400.32 |
$1,082.00
|
|
Exc malig snhfg 0.5cm or less 11620
|
$640.00 |
$640.00 |
$640.00 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$288.00 |
$288.00 |
$288.00 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$640.00 |
$640.00 |
$640.00 |
$1,917.33
|
