|
Esoph egd dilation <30 mm
|
$9,458.54 |
$9,458.54 |
$9,458.54 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$2,495.50 |
$2,495.50 |
$2,495.50 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$1,563.10 |
$1,563.10 |
$1,563.10 |
$1,392.95
|
|
Esoph imped function test
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,694.70 |
$1,694.70 |
$1,694.70 |
$1,121.40
|
|
Esoph optical endomicroscopy
|
$6,174.00 |
$6,174.00 |
$6,174.00 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$1,985.20 |
$1,985.20 |
$1,985.20 |
$2,590.33
|
|
Establish access to aorta
|
$405.00 |
$405.00 |
$405.00 |
$1,273.00
|
|
Establish brain cavity shunt
|
$78,388.19 |
$78,388.19 |
$78,388.19 |
$2,464.00
|
|
Establish brain cavity shunt
|
$6,550.60 |
$6,550.60 |
$6,550.60 |
$2,338.40
|
|
Established Patient Office Visit (level 1)
|
$82.50 |
$90.00 |
$158.90 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$120.00 |
$120.00 |
$196.00 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$147.50 |
$147.50 |
$291.20 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$177.50 |
$177.50 |
$398.30 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$207.50 |
$207.50 |
$609.00 |
$290.68
|
|
Estradiol total
|
$80.00 |
$80.00 |
$505.40 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$59.15 |
$59.15 |
$59.15 |
$57.35
|
|
Estrogens total-sendout
|
$440.30 |
$440.30 |
$440.30 |
$97.50
|
|
Etanercept injection
|
$8,338.05 |
$8,338.05 |
$8,338.05 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$1,956.50 |
$1,956.50 |
$1,956.50 |
$824.88
|
|
Ethmoidectomy extranasal total 31205
|
$52,831.73 |
$52,831.73 |
$52,831.73 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$38.61 |
$85.00 |
$127.40 |
$86.04
|
|
Etonogestrel implant system
|
$2,833.00 |
$2,833.00 |
$7,690.02 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$214.81 |
$214.81 |
$489.30 |
$235.20
|
|
Etoposide 50 mg cap
|
$468.12 |
$468.12 |
$468.12 |
$135.02
|
|
Euflexxa inj per dose
|
$483.87 |
$483.87 |
$483.87 |
$510.68
|
|
Euglobulin lysis
|
$86.80 |
$86.80 |
$86.80 |
$63.84
|
|
Evacuate mole of uterus
|
$16,754.59 |
$16,754.59 |
$16,754.59 |
$3,762.53
|
|
Eval aud funcj ea addl 15
|
$49.83 |
$49.83 |
$49.83 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$212.52 |
$212.52 |
$524.30 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$189.42 |
$500.00 |
$739.20 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$55.11 |
$202.30 |
$305.00 |
$213.15
|
|
Evaluation heart device
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$113.52 |
$252.00 |
$350.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$175.56 |
$267.50 |
$343.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$4,100.00 |
$4,100.00 |
$26,681.20 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$4,100.00 |
$4,100.00 |
$26,681.20 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$135,564.05 |
$135,564.05 |
$135,564.05 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$4,160.00 |
$4,160.00 |
$6,020.00 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$3,690.00 |
$3,690.00 |
$6,020.00 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,120.00 |
$4,795.00 |
$6,995.00 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,795.00 |
$4,795.00 |
$4,795.00 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,005.00 |
$4,795.00 |
$6,020.00 |
$5,741.00
|
|
Evasc rpr ilio-iliac ndgft
|
$4,795.00 |
$5,710.00 |
$6,020.00 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$10,782.10 |
$10,782.10 |
$10,782.10 |
$7,922.00
|
|
Evasc st rpr thrc/aa x crsg
|
$17,607.10 |
$17,607.10 |
$17,607.10 |
$11,524.11
|
|
Event monitor
|
$87.78 |
$87.78 |
$368.90 |
$231.00
|
|
Evoked auditory tst complete
|
$107.58 |
$107.58 |
$107.58 |
$357.41
|
|
Evoked oa emissions ltd
|
$101.64 |
$197.50 |
$343.00 |
$244.00
|
|
Evoked potentials upper limbs
|
$330.99 |
$795.00 |
$987.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$207.24 |
$497.50 |
$672.00 |
$814.61
|
|
Exam of vagina w/scope 57420
|
$407.50 |
$407.50 |
$10,835.95 |
$486.03
|
|
Exam pelvic add-on
|
$50.00 |
$50.00 |
$50.00 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$12,131.33 |
$12,131.33 |
$12,131.33 |
$3,816.40
|
|
Exc abd les sc 3 cm/>
|
$7,265.30 |
$7,265.30 |
$7,265.30 |
$3,994.09
|
|
Exc arm/elbo les sc >=3cm 24071
|
$5,856.90 |
$5,856.90 |
$5,856.90 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$5,827.50 |
$5,827.50 |
$5,827.50 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$39,292.40 |
$39,292.40 |
$39,292.40 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$6,570.20 |
$6,570.20 |
$6,570.20 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$5,334.70 |
$5,334.70 |
$5,334.70 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$28,744.48 |
$28,744.48 |
$28,744.48 |
$3,902.88
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$5,852.00 |
$5,852.00 |
$5,852.00 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$2,388.40 |
$2,388.40 |
$2,388.40 |
$832.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$3,463.60 |
$3,463.60 |
$3,463.60 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$4,048.80 |
$4,048.80 |
$4,048.80 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$6,308.40 |
$6,308.40 |
$6,308.40 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,552.20 |
$2,552.20 |
$2,552.20 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,314.67
|
|
Exc carotid body tumor without exc art 60600
|
$115,792.05 |
$115,792.05 |
$115,792.05 |
$3,356.80
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$950.00 |
$950.00 |
$950.00 |
$999.50
|
|
Exc forearm les sc 3 cm/>
|
$7,167.30 |
$7,167.30 |
$7,167.30 |
$3,628.50
|
|
Exchange biliary drg cath
|
$2,820.00 |
$2,940.00 |
$11,136.10 |
$3,856.84
|
|
Exchange drainage catheter
|
$1,650.00 |
$1,950.00 |
$8,048.33 |
$2,220.54
|
|
Exchange lens prosthesis
|
$25,457.52 |
$25,457.52 |
$25,457.52 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$1,720.00 |
$1,990.00 |
$11,636.69 |
$2,958.80
|
|
Exc intracard tumor/resect/bypass 33120
|
$53,358.68 |
$53,358.68 |
$53,358.68 |
$5,114.40
|
|
Excise anal ext tag/papilla
|
$1,710.00 |
$1,710.00 |
$8,975.97 |
$2,272.02
|
|
Excise inferior turbinate
|
$41,368.47 |
$41,368.47 |
$41,368.47 |
$3,819.23
|
|
Excise intrspinl lesion lmbr
|
$53,003.59 |
$53,003.59 |
$53,003.59 |
$6,311.00
|
|
Excise lesion testis
|
$16,033.04 |
$16,033.04 |
$16,033.04 |
$4,081.37
|
|
Excise oral mucosa for graft 40818
|
$59,306.41 |
$59,306.41 |
$59,306.41 |
$904.80
|
|
Excise parotid gland/lesion
|
$36,161.44 |
$36,161.44 |
$36,161.44 |
$6,831.82
|
|
Excise parotid gland/lesion
|
$56,571.70 |
$56,571.70 |
$56,571.70 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$104,861.08 |
$104,861.08 |
$104,861.08 |
$6,839.00
|
|
Excise parotid gland/lesion
|
$90,224.97 |
$90,224.97 |
$90,224.97 |
$6,839.00
|
|
Excise pharynx lesion
|
$12,318.69 |
$12,318.69 |
$12,318.69 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$9,589.59 |
$9,589.59 |
$9,589.59 |
$1,915.20
|
|
Excise sacral spine tumor
|
$43,020.95 |
$43,020.95 |
$43,020.95 |
$5,464.80
|
|
Excise sublingual gland
|
$13,244.58 |
$13,244.58 |
$13,244.58 |
$5,678.40
|
|
Excise submaxillary gland
|
$31,603.00 |
$31,603.00 |
$31,603.00 |
$6,465.11
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$5,503.40 |
$5,503.40 |
$5,503.40 |
$3,322.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,813.30 |
$2,813.30 |
$2,813.30 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,959.20 |
$3,959.20 |
$3,959.20 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$5,797.40 |
$5,797.40 |
$5,797.40 |
$2,865.00
|
|
Excision floor mouth lesion 41116
|
$21,263.79 |
$21,263.79 |
$21,263.79 |
$3,892.91
|
|
Excision graft extremity
|
$129,011.77 |
$129,011.77 |
$129,011.77 |
$4,881.00
|
|
Excision gum each quadrant
|
$35,876.53 |
$35,876.53 |
$35,876.53 |
$4,560.40
|
|
Excision lesion mouth roof
|
$78,473.10 |
$78,473.10 |
$78,473.10 |
$6,465.11
|
|
Excision nasal polyp(s) simple 30110
|
$57,714.71 |
$57,714.71 |
$57,714.71 |
$1,752.89
|
