|
Established Patient Office Visit (level 5)
|
$196.20 |
$196.20 |
$196.20 |
$290.68
|
|
Estradiol total
|
$204.00 |
$204.00 |
$204.00 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$232.83 |
$232.83 |
$232.83 |
$57.35
|
|
Estrogens total-sendout
|
$301.20 |
$301.20 |
$301.20 |
$97.50
|
|
Etanercept injection
|
$2,473.03 |
$2,473.03 |
$2,473.03 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$904.93 |
$904.93 |
$904.93 |
$824.88
|
|
Ethmoidectomy extranasal total 31205
|
$1,714.80 |
$1,714.80 |
$1,714.80 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$44.40 |
$44.40 |
$44.40 |
$86.04
|
|
Etonogestrel implant system
|
$2,163.77 |
$2,163.77 |
$2,163.77 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$234.83 |
$234.83 |
$234.83 |
$235.20
|
|
Etoposide 50 mg cap
|
$95.81 |
$95.81 |
$95.81 |
$135.02
|
|
Euflexxa inj per dose
|
$651.16 |
$651.16 |
$651.16 |
$510.68
|
|
Evacuate mole of uterus
|
$971.40 |
$971.40 |
$971.40 |
$3,762.53
|
|
Eval aud rehab status/first hr 92626
|
$117.00 |
$117.00 |
$117.00 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$225.60 |
$225.60 |
$225.60 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$235.20 |
$235.20 |
$235.20 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$225.60 |
$225.60 |
$225.60 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$217.20 |
$217.20 |
$217.20 |
$318.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$1,716.60 |
$1,716.60 |
$1,716.60 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,812.20 |
$2,812.20 |
$2,812.20 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$3,469.80 |
$3,469.80 |
$3,469.80 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$676.80 |
$676.80 |
$676.80 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,095.80 |
$2,095.80 |
$2,095.80 |
$5,741.00
|
|
Event monitor
|
$217.80 |
$217.80 |
$217.80 |
$231.00
|
|
Evoked oa emissions ltd
|
$95.40 |
$95.40 |
$95.40 |
$244.00
|
|
Evoked potentials upper limbs
|
$228.00 |
$228.00 |
$228.00 |
$908.54
|
|
Exam of vagina w/scope 57420
|
$175.80 |
$175.80 |
$175.80 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$237.00 |
$237.00 |
$237.00 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,321.80 |
$1,321.80 |
$1,321.80 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$720.60 |
$720.60 |
$720.60 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$1,267.80 |
$1,267.80 |
$1,267.80 |
$3,386.84
|
|
Exc abd tum 5 cm or less 49203
|
$2,262.60 |
$2,262.60 |
$2,262.60 |
$8,134.51
|
|
Exc abd tum over 10 cm 49205
|
$825.60 |
$825.60 |
$825.60 |
$825.60
|
|
Exc arm/elbo les sc >=3cm 24071
|
$775.20 |
$775.20 |
$775.20 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$926.40 |
$926.40 |
$926.40 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$891.60 |
$891.60 |
$891.60 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$579.60 |
$579.60 |
$579.60 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$532.80 |
$532.80 |
$532.80 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$733.20 |
$733.20 |
$733.20 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$439.20 |
$439.20 |
$439.20 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$231.00 |
$231.00 |
$231.00 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$252.60 |
$252.60 |
$252.60 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$355.80 |
$355.80 |
$355.80 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$425.40 |
$425.40 |
$425.40 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$297.60 |
$297.60 |
$297.60 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$381.00 |
$381.00 |
$381.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$625.80 |
$625.80 |
$625.80 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$280.20 |
$280.20 |
$280.20 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$359.40 |
$359.40 |
$359.40 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$905.40 |
$905.40 |
$905.40 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$3,356.80
|
|
Exc cervix repair bowel 57556
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$5,841.60
|
|
Exc cervix/repair pelvis 57545
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,525.80
|
|
Exc cervix/repair vagina 57555
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$5,468.70
|
|
Exc chest wall tumor w/ribs 21601
|
$1,777.20 |
$1,777.20 |
$1,777.20 |
$3,386.84
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,413.00 |
$1,413.00 |
$1,413.00 |
$3,839.54
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$966.60 |
$966.60 |
$966.60 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$915.00 |
$915.00 |
$915.00 |
$3,839.54
|
|
Exc/destruct open intra-abd tumors cysts or endometriomas
|
$2,930.40 |
$2,930.40 |
$2,930.40 |
$2,930.40
|
|
Exc excessive skin thigh
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$4,540.80
|
|
Exc ext ear/partial/simple repair 69110
|
$887.40 |
$887.40 |
$887.40 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$2,206.43
|
|
Exc face tum deep 2cm/> 21014
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$451.80 |
$451.80 |
$451.80 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$609.00 |
$609.00 |
$609.00 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$747.00 |
$747.00 |
$747.00 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$813.00 |
$813.00 |
$813.00 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$982.80 |
$982.80 |
$982.80 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$4,247.20
|
|
Exc hand les sc < 1.5 cm
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$1,908.09
|
|
Exc hand tum deep < 1.5 cm 26116
|
$773.40 |
$773.40 |
$773.40 |
$2,391.84
|
|
Exchange blood transfusion newborn 36450
|
$298.20 |
$298.20 |
$298.20 |
$566.55
|
|
Exc hidradenitis ing simpl 11462
|
$693.60 |
$693.60 |
$693.60 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$849.00 |
$849.00 |
$849.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$765.00 |
$765.00 |
$765.00 |
$3,399.24
|
|
Exc hip/pelv tum deep < 5 cm
|
$1,622.40 |
$1,622.40 |
$1,622.40 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,040.60 |
$2,040.60 |
$2,040.60 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$964.20 |
$964.20 |
$964.20 |
$3,386.84
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$3,486.52
|
|
Exc intracard tumor/resect/bypass 33120
|
$4,030.20 |
$4,030.20 |
$4,030.20 |
$5,114.40
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$3,145.20 |
$3,145.20 |
$3,145.20 |
$4,017.60
|
|
Excise anal ext tag/papilla
|
$383.40 |
$383.40 |
$383.40 |
$2,272.02
|
|
Excise inferior turbinate
|
$738.00 |
$738.00 |
$738.00 |
$3,819.23
|
|
Excise intestine lesion(s) 44110
|
$1,600.80 |
$1,600.80 |
$1,600.80 |
$1,600.80
|
|
Excise intrspinl lesion lmbr
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$6,311.00
|
|
Excise lip or cheek fold
|
$591.60 |
$591.60 |
$591.60 |
$1,855.10
|
|
Excise oral mucosa for graft 40818
|
$688.80 |
$688.80 |
$688.80 |
$904.80
|
|
Excise parotid gland/lesion
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$2,358.00 |
$2,358.00 |
$2,358.00 |
$6,839.00
|
|
Excise pharynx lesion
|
$448.80 |
$448.80 |
$448.80 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$552.00 |
$552.00 |
$552.00 |
$1,915.20
|
|
Excise sublingual gland
|
$888.60 |
$888.60 |
$888.60 |
$5,678.40
|
|
Excise submaxillary gland
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$828.60 |
$828.60 |
$828.60 |
$3,322.80
|
