|
Established Patient Office Visit (level 1)
|
$471.60 |
$471.60 |
$471.60 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$276.48 |
$276.48 |
$276.48 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$324.72 |
$324.72 |
$324.72 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$505.44 |
$505.44 |
$505.44 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$588.24 |
$588.24 |
$588.24 |
$287.10
|
|
Estradiol total
|
$74.88 |
$74.88 |
$74.88 |
$149.43
|
|
Estrogens total-sendout
|
$213.12 |
$213.12 |
$213.12 |
$96.63
|
|
Ethylene glycol -sendout
|
$192.24 |
$192.24 |
$192.24 |
$85.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$5.92 |
$5.92 |
$5.92 |
$235.20
|
|
Euglobulin lysis
|
$136.08 |
$136.08 |
$136.08 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$293.76 |
$293.76 |
$293.76 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$230.40 |
$230.40 |
$230.40 |
$211.12
|
|
Evaluation of speech fluency 92521
|
$797.04 |
$797.04 |
$797.04 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$375.12 |
$375.12 |
$375.12 |
$315.00
|
|
Evasc prlng admn rx agnt 1st
|
$15,707.52 |
$15,707.52 |
$15,707.52 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$15,707.52 |
$15,707.52 |
$15,707.52 |
$2,765.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$5,266.08 |
$5,266.08 |
$5,266.08 |
$6,824.35
|
|
Evasc rpr a-ao ndgft 34701
|
$12,067.92 |
$12,067.92 |
$12,067.92 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$19,488.24 |
$19,488.24 |
$19,488.24 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$33,894.00 |
$33,894.00 |
$33,894.00 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,886.48 |
$2,886.48 |
$2,886.48 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$22,070.16 |
$22,070.16 |
$22,070.16 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$32,438.88 |
$32,438.88 |
$32,438.88 |
$5,902.40
|
|
Event monitor
|
$370.08 |
$370.08 |
$370.08 |
$237.60
|
|
Evoked potentials auditory screening automated analysis
|
$298.80 |
$298.80 |
$298.80 |
$259.20
|
|
Evoked potentials upper limbs
|
$1,355.04 |
$1,355.04 |
$1,355.04 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,349.28 |
$1,349.28 |
$1,349.28 |
$812.40
|
|
Evok oa screening qual
|
$150.48 |
$150.48 |
$150.48 |
$109.13
|
|
Exam plvc w/anes othr thn lcl
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,762.53
|
|
Exc benign tal 0.5 < cm 11400
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$923.06
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$4,332.24 |
$4,332.24 |
$4,332.24 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,209.68 |
$2,209.68 |
$2,209.68 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$1,244.03
|
|
Exchange biliary drg cath
|
$8,209.44 |
$8,209.44 |
$8,209.44 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$1,114.56 |
$1,114.56 |
$1,114.56 |
$566.55
|
|
Exchange drainage catheter
|
$4,549.68 |
$4,549.68 |
$4,549.68 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$3,847.68 |
$3,847.68 |
$3,847.68 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,848.96 |
$1,848.96 |
$1,848.96 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$5,186.88 |
$5,186.88 |
$5,186.88 |
$2,641.65
|
|
Excision lesion mouth roof
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$3,837.72
|
|
Excision of tonsil tags
|
$7,004.88 |
$7,004.88 |
$7,004.88 |
$4,350.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$2,896.56 |
$2,896.56 |
$2,896.56 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$3,470.40 |
$3,470.40 |
$3,470.40 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,949.90
|
|
Exercise w/hemodynamic meas
|
$149.76 |
$149.76 |
$149.76 |
$901.60
|
|
Exome sequence analysis
|
$7,594.56 |
$7,594.56 |
$7,594.56 |
$5,258.00
|
|
Exome sequence analysis
|
$13,147.92 |
$13,147.92 |
$13,147.92 |
$12,000.00
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,536.00 |
$4,536.00 |
$4,536.00 |
$4,136.83
|
|
Expl lap celiotomy w/wo bx 49000
|
$4,494.96 |
$4,494.96 |
$4,494.96 |
$2,232.75
|
|
Exploration of chest 39010
|
$37,173.60 |
$37,173.60 |
$37,173.60 |
$1,920.00
|
|
Explore/drain eye socket
|
$5,469.12 |
$5,469.12 |
$5,469.12 |
$2,794.40
|
|
Explore/irrigate tear ducts
|
$872.64 |
$872.64 |
$872.64 |
$545.30
|
|
Explore neck vessels 35800
|
$1,692.72 |
$1,692.72 |
$1,692.72 |
$1,772.80
|
|
Explore penetrating wnd/extremity 20103
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,788.80
|
|
Explore/treat finger joint
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$3,594.44
|
|
Explore wound abdomen 20102
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,699.50
|
|
Explore woundchest 20101
|
$9,069.84 |
$9,069.84 |
$9,069.84 |
$2,195.00
|
|
Explore wound neck 20100
|
$1,573.92 |
$1,573.92 |
$1,573.92 |
$1,185.00
|
|
Expose endoprosth brachial 34834
|
$7,219.44 |
$7,219.44 |
$7,219.44 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$5,243.76 |
$5,243.76 |
$5,243.76 |
$3,623.43
|
|
External cannula declotting
|
$3,948.48 |
$3,948.48 |
$3,948.48 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$406.08 |
$406.08 |
$406.08 |
$403.00
|
|
External newborn metabolic screening panel
|
$138.24 |
$138.24 |
$138.24 |
$108.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$108.72 |
$108.72 |
$108.72 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$372.96 |
$372.96 |
$372.96 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$69.84 |
$69.84 |
$69.84 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$583.92 |
$583.92 |
$583.92 |
$431.60
|
|
Facial bones <3
|
$357.84 |
$357.84 |
$357.84 |
$252.60
|
|
Factor ix
|
$100.08 |
$100.08 |
$100.08 |
$154.50
|
|
Factor ix recombinant nos
|
$4.51 |
$4.51 |
$4.51 |
$4.65
|
|
Factor viii
|
$120.24 |
$120.24 |
$120.24 |
$144.82
|
|
Factor viii
|
$0.01 |
$0.01 |
$0.01 |
$4.85
|
|
Factor viii recombinant nos
|
$5.08 |
$5.08 |
$5.08 |
$5.40
|
|
Family therapy without pt 50min 90846
|
$387.36 |
$387.36 |
$387.36 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$411.12 |
$411.12 |
$411.12 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.54 |
$0.54 |
$0.54 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$80.00 |
$80.00 |
$80.00 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$46.08 |
$46.08 |
$46.08 |
$36.00
|
|
Fatty acids nonesterified
|
$138.24 |
$138.24 |
$138.24 |
$64.28
|
|
#fecal-sodium
|
$56.88 |
$56.88 |
$56.88 |
$37.50
|
|
Fees w/laryngeal sense test
|
$871.92 |
$871.92 |
$871.92 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$27.36 |
$27.36 |
$27.36 |
$61.00
|
|
Femoral endovas graft add-on 34813
|
$50,148.00 |
$50,148.00 |
$50,148.00 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$37,715.04 |
$37,715.04 |
$37,715.04 |
$16,782.48
|
|
Feno poc
|
$84.96 |
$84.96 |
$84.96 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$43.20 |
$43.20 |
$43.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$8.83 |
$8.83 |
$8.83 |
$2,590.25
|
|
Ferritin
|
$146.88 |
$146.88 |
$146.88 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.60 |
$4.60 |
$4.60 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$858.96 |
$858.96 |
$858.96 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,755.36 |
$1,755.36 |
$1,755.36 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$1,584.72 |
$1,584.72 |
$1,584.72 |
$475.50
|
|
Fetal cord puncture prenatal
|
$1,139.76 |
$1,139.76 |
$1,139.76 |
$648.90
|
|
Fetal fibronectin
|
$462.24 |
$462.24 |
$462.24 |
$387.60
|
|
Fetal fluid drainage w/us
|
$1,643.04 |
$1,643.04 |
$1,643.04 |
$612.00
|
