|
ER Visit (level 2)
|
$598.40 |
$598.40 |
$598.40 |
$487.50
|
|
ER Visit (level 3)
|
$939.40 |
$939.40 |
$939.40 |
$850.50
|
|
ER Visit (level 4)
|
$1,451.45 |
$1,451.45 |
$1,451.45 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,707.20 |
$1,707.20 |
$1,707.20 |
$2,007.00
|
|
Esophagoscopy flex remove fb
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$2,109.53
|
|
Esophagus motility study
|
$880.55 |
$880.55 |
$880.55 |
$1,289.20
|
|
Esoph imped function test
|
$355.30 |
$355.30 |
$355.30 |
$597.03
|
|
Established Patient Office Visit (level 1)
|
$129.80 |
$129.80 |
$129.80 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$119.90 |
$119.90 |
$119.90 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$137.50 |
$137.50 |
$137.50 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$161.70 |
$161.70 |
$161.70 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$212.30 |
$212.30 |
$212.30 |
$287.10
|
|
Estradiol total
|
$56.10 |
$56.10 |
$56.10 |
$153.00
|
|
Estrogens total-sendout
|
$399.30 |
$399.30 |
$399.30 |
$89.25
|
|
Ethylene glycol -sendout
|
$167.75 |
$167.75 |
$167.75 |
$75.00
|
|
Eval/fit voice prosthesis iii, st
|
$350.90 |
$350.90 |
$350.90 |
$370.41
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$234.30 |
$234.30 |
$234.30 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$416.90 |
$416.90 |
$416.90 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$293.70 |
$293.70 |
$293.70 |
$320.00
|
|
Evasc rpr a-ao ndgft 34701
|
$8,385.30 |
$8,385.30 |
$8,385.30 |
$6,020.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$9,220.75 |
$9,220.75 |
$9,220.75 |
$7,465.20
|
|
Evasc rpr ilio-iliac ndgft
|
$18,205.00 |
$18,205.00 |
$18,205.00 |
$8,412.85
|
|
Event monitor
|
$779.35 |
$779.35 |
$779.35 |
$242.12
|
|
Evoked potentials auditory screening automated analysis
|
$383.35 |
$383.35 |
$383.35 |
$283.62
|
|
Evoked potentials upper limbs
|
$691.90 |
$691.90 |
$691.90 |
$908.54
|
|
Exc benign tal 0.5 < cm 11400
|
$674.30 |
$674.30 |
$674.30 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$653.40 |
$653.40 |
$653.40 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$1,045.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,521.30 |
$1,521.30 |
$1,521.30 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$849.75 |
$849.75 |
$849.75 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,113.20 |
$1,113.20 |
$1,113.20 |
$1,301.30
|
|
Exc ext ear/partial/simple repair 69110
|
$2,627.90 |
$2,627.90 |
$2,627.90 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$878.90 |
$878.90 |
$878.90 |
$1,061.40
|
|
Exchange biliary drg cath
|
$4,407.70 |
$4,407.70 |
$4,407.70 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,122.45 |
$2,122.45 |
$2,122.45 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,244.65 |
$1,244.65 |
$1,244.65 |
$3,097.16
|
|
Excise anal ext tag/papilla
|
$1,104.40 |
$1,104.40 |
$1,104.40 |
$1,395.28
|
|
Excise lip or cheek fold
|
$2,079.00 |
$2,079.00 |
$2,079.00 |
$1,752.89
|
|
Excise/repair mouth lesion
|
$2,447.50 |
$2,447.50 |
$2,447.50 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$760.65 |
$760.65 |
$760.65 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,147.85 |
$1,147.85 |
$1,147.85 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,984.95 |
$1,984.95 |
$1,984.95 |
$2,916.96
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,515.25 |
$1,515.25 |
$1,515.25 |
$1,917.33
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$1,246.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,627.90 |
$2,627.90 |
$2,627.90 |
$3,588.30
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,816.10 |
$1,816.10 |
$1,816.10 |
$2,171.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$2,050.95 |
$2,050.95 |
$2,050.95 |
$2,271.01
|
|
Exc thrombosed hemorrhoid 46320
|
$2,100.45 |
$2,100.45 |
$2,100.45 |
$2,491.20
|
|
Explore penetrating wnd/extremity 20103
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$1,917.33
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$3,559.50
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,515.25 |
$1,515.25 |
$1,515.25 |
$2,286.96
|
|
External chromosome analysis 20-25 cells
|
$1,309.55 |
$1,309.55 |
$1,309.55 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$102.30 |
$102.30 |
$102.30 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$339.35 |
$339.35 |
$339.35 |
$102.78
|
|
F-18 fdg pet diag
|
$1,504.25 |
$1,504.25 |
$1,504.25 |
$602.25
|
|
F-18 sodium fluoride
|
$1,697.85 |
$1,697.85 |
$1,697.85 |
$564.20
|
|
Facial bones <3
|
$422.95 |
$422.95 |
$422.95 |
$248.60
|
|
Factor ix
|
$422.40 |
$422.40 |
$422.40 |
$131.30
|
|
Factor viii
|
$297.00 |
$297.00 |
$297.00 |
$144.30
|
|
Family therapy without pt 50min 90846
|
$290.40 |
$290.40 |
$290.40 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$300.85 |
$300.85 |
$300.85 |
$239.20
|
|
Fat/lipids feces qualitative
|
$79.75 |
$79.75 |
$79.75 |
$34.56
|
|
Fatty acids nonesterified
|
$151.80 |
$151.80 |
$151.80 |
$57.60
|
|
Fecal microbiota prep instil
|
$553.30 |
$553.30 |
$553.30 |
$1,059.00
|
|
#fecal-sodium
|
$191.40 |
$191.40 |
$191.40 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$14.30 |
$14.30 |
$14.30 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$3,515.60 |
$3,515.60 |
$3,515.60 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$18,103.25 |
$18,103.25 |
$18,103.25 |
$18,599.10
|
|
Feno poc
|
$53.90 |
$53.90 |
$53.90 |
$80.25
|
|
Ferritin
|
$167.75 |
$167.75 |
$167.75 |
$103.68
|
|
Fetal chrom aneuploidy gsa panel
|
$1,715.45 |
$1,715.45 |
$1,715.45 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$180.40 |
$180.40 |
$180.40 |
$540.54
|
|
Fetal fibronectin
|
$485.65 |
$485.65 |
$485.65 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$138.60 |
$138.60 |
$138.60 |
$88.80
|
|
Fetal hemoglobin rosette
|
$153.45 |
$153.45 |
$153.45 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$211.75 |
$211.75 |
$211.75 |
$64.28
|
|
Fetal non stress test
|
$453.75 |
$453.75 |
$453.75 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$130.35 |
$130.35 |
$130.35 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$203.50 |
$203.50 |
$203.50 |
$112.80
|
|
Fibrin degradation products
|
$107.25 |
$107.25 |
$107.25 |
$62.40
|
|
Fibrin degrade semiquant
|
$182.60 |
$182.60 |
$182.60 |
$92.00
|
|
Fibrinogen activity
|
$93.50 |
$93.50 |
$93.50 |
$82.38
|
|
Fibrinolytic plasminogen
|
$214.50 |
$214.50 |
$214.50 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$332.20 |
$332.20 |
$332.20 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$3,142.40 |
$3,142.40 |
$3,142.40 |
$6,152.59
|
|
Filter vena cava fem denali
|
$3,590.83 |
$3,590.83 |
$3,590.83 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,054.35 |
$1,054.35 |
$1,054.35 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$327.25 |
$327.25 |
$327.25 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$174.35 |
$174.35 |
$174.35 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$443.30 |
$443.30 |
$443.30 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$476.30 |
$476.30 |
$476.30 |
$547.53
|
|
Fix g/colon tube w/device
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$20.90 |
$20.90 |
$20.90 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$574.20 |
$574.20 |
$574.20 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$565.95 |
$565.95 |
$565.95 |
$208.80
|
|
Flow cytometry marker each additional
|
$235.95 |
$235.95 |
$235.95 |
$103.00
|
|
Flow cytometry one marker technical component
|
$523.60 |
$523.60 |
$523.60 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$151.25 |
$151.25 |
$151.25 |
$194.04
|
