|
Esophagus endoscopy/ligation
|
$9,060.39 |
$9,060.39 |
$9,060.39 |
$2,392.00
|
|
Esophagus motility study
|
$900.90 |
$900.90 |
$900.90 |
$1,257.17
|
|
Esoph balloon distension tst
|
$2,510.90 |
$2,510.90 |
$2,510.90 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$13,446.98 |
$13,446.98 |
$13,446.98 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$43,003.88 |
$43,003.88 |
$43,003.88 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$1,563.10 |
$1,563.10 |
$1,563.10 |
$1,392.95
|
|
Esoph imped function test
|
$1,635.90 |
$1,635.90 |
$1,635.90 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$2,175.60 |
$2,175.60 |
$2,175.60 |
$1,089.15
|
|
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
|
$11,463.45 |
$11,463.45 |
$11,463.45 |
$2,580.50
|
|
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)
|
$158.90 |
$158.90 |
$158.90 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$196.00 |
$196.00 |
$196.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$291.20 |
$291.20 |
$291.20 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$398.30 |
$398.30 |
$398.30 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$609.00 |
$609.00 |
$609.00 |
$287.10
|
|
Estradiol total
|
$333.20 |
$333.20 |
$333.20 |
$149.43
|
|
Estrogens total-sendout
|
$440.30 |
$440.30 |
$440.30 |
$96.63
|
|
Ethanolamine oleate 100 mg
|
$3,997.70 |
$3,997.70 |
$3,997.70 |
$875.55
|
|
Ethylene glycol -sendout
|
$460.60 |
$460.60 |
$460.60 |
$85.00
|
|
Etonogestrel implant system
|
$7,690.02 |
$7,690.02 |
$7,690.02 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$1,351.52 |
$1,351.52 |
$1,351.52 |
$235.20
|
|
Etoposide 50 mg cap
|
$1,422.92 |
$1,422.92 |
$1,422.92 |
$135.02
|
|
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 rehab status/first hr 92626
|
$524.30 |
$524.30 |
$524.30 |
$300.80
|
|
Eval/fit voice prosthesis iii, st
|
$739.20 |
$739.20 |
$739.20 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$310.10 |
$310.10 |
$310.10 |
$211.12
|
|
Evaluation of speech fluency 92521
|
$252.00 |
$252.00 |
$252.00 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$1,059.80 |
$1,059.80 |
$1,059.80 |
$315.00
|
|
Evasc prlng admn rx agnt 1st
|
$26,681.20 |
$26,681.20 |
$26,681.20 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$26,681.20 |
$26,681.20 |
$26,681.20 |
$2,765.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$3,234.70 |
$3,234.70 |
$3,234.70 |
$6,824.35
|
|
Evasc rpr a-biiliac ndgft rptr
|
$6,091.40 |
$6,091.40 |
$6,091.40 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$3,234.70 |
$3,234.70 |
$3,234.70 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,795.00 |
$4,795.00 |
$4,795.00 |
$5,608.35
|
|
Evasc rpr ilio-iliac ndgft
|
$4,404.40 |
$4,404.40 |
$4,404.40 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$10,782.10 |
$10,782.10 |
$10,782.10 |
$8,996.13
|
|
Evasc st rpr thrc/aa x crsg
|
$17,607.10 |
$17,607.10 |
$17,607.10 |
$11,524.11
|
|
Event monitor
|
$606.20 |
$606.20 |
$606.20 |
$237.60
|
|
Evoked oa emissions ltd
|
$343.00 |
$343.00 |
$343.00 |
$244.00
|
|
Evoked potentials upper limbs
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$812.40
|
|
Exam of vagina w/scope 57420
|
$10,835.95 |
$10,835.95 |
$10,835.95 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$17,192.27 |
$17,192.27 |
$17,192.27 |
$3,762.53
|
|
Exc abd les sc 3 cm/>
|
$7,265.30 |
$7,265.30 |
$7,265.30 |
$3,786.00
|
|
Exc abd tum 5 cm or less 49203
|
$72,664.02 |
$72,664.02 |
$72,664.02 |
$8,134.51
|
|
Exc arm/elbo les sc >=3cm 24071
|
$5,856.90 |
$5,856.90 |
$5,856.90 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$5,827.50 |
$5,827.50 |
$5,827.50 |
$2,532.80
|
|
Exc aurl glomus tum trnsmstd
|
$79,529.44 |
$79,529.44 |
$79,529.44 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$6,570.20 |
$6,570.20 |
$6,570.20 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$5,334.70 |
$5,334.70 |
$5,334.70 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$28,744.48 |
$28,744.48 |
$28,744.48 |
$3,781.65
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$5,852.00 |
$5,852.00 |
$5,852.00 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$2,388.40 |
$2,388.40 |
$2,388.40 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$3,463.60 |
$3,463.60 |
$3,463.60 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$5,030.20 |
$5,030.20 |
$5,030.20 |
$2,121.60
|
|
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 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,244.03
|
|
Exc ext ear/partial/simple repair 69110
|
$12,585.99 |
$12,585.99 |
$12,585.99 |
$3,170.00
|
|
Exc forearm les sc 3 cm/>
|
$7,167.30 |
$7,167.30 |
$7,167.30 |
$3,628.50
|
|
Exchange biliary drg cath
|
$10,825.58 |
$10,825.58 |
$10,825.58 |
$3,797.76
|
|
Exchange drainage catheter
|
$8,249.23 |
$8,249.23 |
$8,249.23 |
$2,191.20
|
|
Exchange lens prosthesis
|
$25,457.52 |
$25,457.52 |
$25,457.52 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$13,361.69 |
$13,361.69 |
$13,361.69 |
$2,958.80
|
|
Excise anal ext tag/papilla
|
$5,469.80 |
$5,469.80 |
$5,469.80 |
$2,172.09
|
|
Excise inferior turbinate
|
$43,067.75 |
$43,067.75 |
$43,067.75 |
$3,589.62
|
|
Excise intrspinl lesion lmbr
|
$48,528.24 |
$48,528.24 |
$48,528.24 |
$6,311.00
|
|
Excise lesion testis
|
$17,459.24 |
$17,459.24 |
$17,459.24 |
$4,081.37
|
|
Excise lip or cheek fold
|
$20,411.59 |
$20,411.59 |
$20,411.59 |
$1,855.10
|
|
Excise parotid gland/lesion
|
$32,541.43 |
$32,541.43 |
$32,541.43 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$39,586.85 |
$39,586.85 |
$39,586.85 |
$7,000.36
|
|
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 |
$1,903.93
|
|
Excise sublingual gland
|
$22,589.69 |
$22,589.69 |
$22,589.69 |
$5,678.40
|
|
Excise submaxillary gland
|
$31,603.00 |
$31,603.00 |
$31,603.00 |
$6,553.49
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$5,503.40 |
$5,503.40 |
$5,503.40 |
$3,307.66
|
|
Excision aural polyp
|
$39,797.92 |
$39,797.92 |
$39,797.92 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,813.30 |
$2,813.30 |
$2,813.30 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,959.20 |
$3,959.20 |
$3,959.20 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$3,036.60 |
$3,036.60 |
$3,036.60 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$5,797.40 |
$5,797.40 |
$5,797.40 |
$2,641.65
|
|
Excision graft extremity
|
$16,016.00 |
$16,016.00 |
$16,016.00 |
$4,881.00
|
|
Excision of anal lesion(s)
|
$18,416.82 |
$18,416.82 |
$18,416.82 |
$3,823.00
|
|
Excision of esophagus lesion
|
$49,511.50 |
$49,511.50 |
$49,511.50 |
$2,511.60
|
|
Excision of meckels diverticulum 44800
|
$40,025.01 |
$40,025.01 |
$40,025.01 |
$1,373.40
|
|
Excision of neck cyst
|
$19,740.28 |
$19,740.28 |
$19,740.28 |
$6,150.92
|
|
Excision of tongue lesion
|
$11,324.84 |
$11,324.84 |
$11,324.84 |
$3,837.72
|
|
Excision of umbilicus 49250
|
$14,586.06 |
$14,586.06 |
$14,586.06 |
$3,906.18
|
|
Excision of uvula
|
$29,996.27 |
$29,996.27 |
$29,996.27 |
$3,811.00
|
|
Excision of vaginal septum 57130
|
$15,117.75 |
$15,117.75 |
$15,117.75 |
$3,762.53
|
|
Excision tongue lesion without closure 41110
|
$13,622.63 |
$13,622.63 |
$13,622.63 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$7,009.10 |
$7,009.10 |
$7,009.10 |
$3,986.00
|
|
Exc les conjunctiva <1 cm
|
$12,892.90 |
$12,892.90 |
$12,892.90 |
$2,760.73
|
|
Exc les conjunctiva adj scl
|
$14,343.36 |
$14,343.36 |
$14,343.36 |
$2,760.73
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$3,039.40 |
$3,039.40 |
$3,039.40 |
$1,064.70
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$3,430.00 |
$3,430.00 |
$3,430.00 |
$1,154.00
|
