|
Emg 2 ext w-w/o paraspinal area 95861
|
$643.80 |
$643.80 |
$643.80 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$724.80 |
$724.80 |
$724.80 |
$464.00
|
|
Emg cranial nerve bilateral
|
$615.60 |
$615.60 |
$615.60 |
$500.49
|
|
Emg needle test 1-extremity
|
$643.80 |
$643.80 |
$643.80 |
$334.34
|
|
Emg needle test 4-extremities
|
$765.00 |
$765.00 |
$765.00 |
$547.00
|
|
Encephalitis, california igg/igm
|
$58.80 |
$58.80 |
$58.80 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$58.80 |
$58.80 |
$58.80 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$58.80 |
$58.80 |
$58.80 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$6,148.20 |
$6,148.20 |
$6,148.20 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,516.00 |
$6,516.00 |
$6,516.00 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$815.40 |
$815.40 |
$815.40 |
$694.06
|
|
Endo cath panc duct s&i
|
$884.40 |
$884.40 |
$884.40 |
$672.43
|
|
Endoluminal bx biliary tree
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$3,112.20 |
$3,112.20 |
$3,112.20 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$2,202.60 |
$2,202.60 |
$2,202.60 |
$2,203.49
|
|
Endovasc rpr a-biiliac endogft 34705
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$9,055.68
|
|
Endovenous laser vein addon 36479
|
$3,800.40 |
$3,800.40 |
$3,800.40 |
$2,603.36
|
|
Endovenous rf abl vein addl
|
$3,741.00 |
$3,741.00 |
$3,741.00 |
$3,226.73
|
|
Endoven ther chem adhes 1st 36482
|
$8,485.80 |
$8,485.80 |
$8,485.80 |
$5,988.54
|
|
Endoven ther chem adhes sbsq 36483
|
$3,820.80 |
$3,820.80 |
$3,820.80 |
$3,130.60
|
|
Enzyme histochemistry
|
$546.00 |
$546.00 |
$546.00 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$19,884.60 |
$19,884.60 |
$19,884.60 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$23,015.40 |
$23,015.40 |
$23,015.40 |
$28,199.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$2,968.80 |
$2,968.80 |
$2,968.80 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$5,637.60 |
$5,637.60 |
$5,637.60 |
$2,202.48
|
|
Ep induct arrhy by elect pacing
|
$2,116.20 |
$2,116.20 |
$2,116.20 |
$2,635.75
|
|
Epstein barr early antigen antibody
|
$127.20 |
$127.20 |
$127.20 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$127.20 |
$127.20 |
$127.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$103.20 |
$103.20 |
$103.20 |
$91.00
|
|
Ercp biliary & pancreas
|
$815.40 |
$815.40 |
$815.40 |
$967.04
|
|
ER Visit (level 1, minor)
|
$183.00 |
$183.00 |
$183.00 |
$246.24
|
|
ER Visit (level 2)
|
$379.80 |
$379.80 |
$379.80 |
$452.20
|
|
ER Visit (level 3)
|
$648.00 |
$648.00 |
$648.00 |
$770.04
|
|
ER Visit (level 4)
|
$1,026.60 |
$1,026.60 |
$1,026.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
$1,820.02
|
|
Esophageal dilat s&i
|
$793.80 |
$793.80 |
$793.80 |
$581.10
|
|
Esophageal recording
|
$2,116.20 |
$2,116.20 |
$2,116.20 |
$2,112.54
|
|
Esophageal recording
|
$2,116.20 |
$2,116.20 |
$2,116.20 |
$2,187.60
|
|
Established Patient Office Visit (level 1)
|
$82.80 |
$82.80 |
$82.80 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$120.60 |
$120.60 |
$120.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$177.00 |
$177.00 |
$177.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$267.00 |
$267.00 |
$267.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$377.40 |
$377.40 |
$377.40 |
$280.33
|
|
Estradiol total
|
$372.60 |
$372.60 |
$372.60 |
$146.50
|
|
Ethylene glycol -sendout
|
$300.00 |
$300.00 |
$300.00 |
$89.40
|
|
Euglobulin lysis
|
$276.00 |
$276.00 |
$276.00 |
$56.70
|
|
Eval aud rehab status/first hr 92626
|
$280.20 |
$280.20 |
$280.20 |
$285.60
|
|
Eval/fit voice prosthesis iii, st
|
$393.60 |
$393.60 |
$393.60 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$212.40 |
$212.40 |
$212.40 |
$219.60
|
|
Evaluation heart device
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$362.40 |
$362.40 |
$362.40 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$315.00 |
$315.00 |
$315.00 |
$312.00
|
|
Evasc prlng admn rx agnt 1st
|
$15,786.00 |
$15,786.00 |
$15,786.00 |
$3,822.00
|
|
Evasc rpr a-ao ndgft 34701
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$8,611.20 |
$8,611.20 |
$8,611.20 |
$8,996.13
|
|
Event monitor
|
$190.80 |
$190.80 |
$190.80 |
$242.65
|
|
Evoked auditory tst complete
|
$394.80 |
$394.80 |
$394.80 |
$344.68
|
|
Evoked oa emissions ltd
|
$255.60 |
$255.60 |
$255.60 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$391.80 |
$391.80 |
$391.80 |
$249.71
|
|
Evoked potentials upper limbs
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,529.40 |
$1,529.40 |
$1,529.40 |
$814.61
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$481.20 |
$481.20 |
$481.20 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$452.40 |
$452.40 |
$452.40 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$452.40 |
$452.40 |
$452.40 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$973.20 |
$973.20 |
$973.20 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$452.40 |
$452.40 |
$452.40 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$452.40 |
$452.40 |
$452.40 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$452.40 |
$452.40 |
$452.40 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,101.45
|
|
Exchange biliary drg cath
|
$2,437.80 |
$2,437.80 |
$2,437.80 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$327.00 |
$327.00 |
$327.00 |
$554.45
|
|
Exchange drainage catheter
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$2,958.80
|
|
Excise anal ext tag/papilla
|
$2,272.80 |
$2,272.80 |
$2,272.80 |
$1,710.00
|
|
Excise lip or cheek fold
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$1,855.10
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$452.40 |
$452.40 |
$452.40 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,333.60 |
$3,333.60 |
$3,333.60 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$461.40 |
$461.40 |
$461.40 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$3,786.00
|
|
Excision of gum flap
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,944.80
|
|
Exc malig feenl <0.5cm 11640
|
$452.40 |
$452.40 |
$452.40 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$452.40 |
$452.40 |
$452.40 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$452.40 |
$452.40 |
$452.40 |
$973.20
|
