|
Ercp biliary & pancreas
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$967.04
|
|
ER Visit (level 1, minor)
|
$210.60 |
$210.60 |
$210.60 |
$246.24
|
|
ER Visit (level 2)
|
$437.40 |
$437.40 |
$437.40 |
$452.20
|
|
ER Visit (level 3)
|
$745.20 |
$745.20 |
$745.20 |
$770.04
|
|
ER Visit (level 4)
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,963.20 |
$1,963.20 |
$1,963.20 |
$1,828.80
|
|
Esophageal dilat s&i
|
$502.80 |
$502.80 |
$502.80 |
$581.10
|
|
Esophageal motility
|
$1,563.60 |
$1,563.60 |
$1,563.60 |
$655.45
|
|
Esophageal recording
|
$5,367.60 |
$5,367.60 |
$5,367.60 |
$2,112.54
|
|
Esophageal recording
|
$5,367.60 |
$5,367.60 |
$5,367.60 |
$2,363.40
|
|
Esophagosc flex trnsn biopsy
|
$3,275.40 |
$3,275.40 |
$3,275.40 |
$1,768.00
|
|
Esophagoscopy balloon <30mm
|
$2,111.40 |
$2,111.40 |
$2,111.40 |
$2,361.00
|
|
Esophagoscopy flex biopsy
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$3,303.00 |
$3,303.00 |
$3,303.00 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$3,275.40 |
$3,275.40 |
$3,275.40 |
$1,872.00
|
|
Esophagus motility study
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$1,300.00
|
|
Esoph endoscopy dilation
|
$4,086.60 |
$4,086.60 |
$4,086.60 |
$2,221.83
|
|
Esoph imped funct test > 1hr
|
$1,666.20 |
$1,666.20 |
$1,666.20 |
$1,121.40
|
|
Establish access to aorta
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,280.06
|
|
Establish access to artery
|
$537.60 |
$537.60 |
$537.60 |
$1,250.00
|
|
Establish brain cavity shunt
|
$3,327.00 |
$3,327.00 |
$3,327.00 |
$2,870.05
|
|
Established Patient Office Visit (level 1)
|
$98.40 |
$98.40 |
$98.40 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$141.60 |
$141.60 |
$141.60 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$238.20 |
$238.20 |
$238.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$360.00 |
$360.00 |
$360.00 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$640.80 |
$640.80 |
$640.80 |
$280.33
|
|
Estradiol total
|
$239.40 |
$239.40 |
$239.40 |
$151.20
|
|
Ethylene glycol -sendout
|
$195.60 |
$195.60 |
$195.60 |
$86.04
|
|
Euglobulin lysis
|
$272.40 |
$272.40 |
$272.40 |
$59.15
|
|
Eval aud funcj ea addl 15
|
$178.20 |
$178.20 |
$178.20 |
$82.08
|
|
Eval aud rehab status/first hr 92626
|
$280.20 |
$280.20 |
$705.00 |
$293.69
|
|
Eval/fit voice prosthesis iii, st
|
$393.60 |
$393.60 |
$393.60 |
$350.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$137.40 |
$137.40 |
$137.40 |
$211.52
|
|
Evaluation heart device
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$362.40 |
$362.40 |
$362.40 |
$315.36
|
|
Evaluation psychiatric diagnostic
|
$391.80 |
$391.80 |
$391.80 |
$313.30
|
|
Evasc prlng admn rx agnt 1st
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$7,174.80 |
$7,174.80 |
$7,174.80 |
$6,824.35
|
|
Evasc rpr a-ao ndgft 34701
|
$16,398.00 |
$16,398.00 |
$16,398.00 |
$5,284.62
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$16,398.00 |
$16,398.00 |
$16,398.00 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$23,570.40 |
$23,570.40 |
$23,570.40 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$7,174.80 |
$7,174.80 |
$7,174.80 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$11,249.40 |
$11,249.40 |
$11,249.40 |
$5,689.05
|
|
Evasc rpr a-unilac ndgft rpt
|
$15,843.00 |
$15,843.00 |
$15,843.00 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$13,252.80 |
$13,252.80 |
$13,252.80 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$13,252.80 |
$13,252.80 |
$13,252.80 |
$8,996.13
|
|
Evasc st rpr thrc/aa acrs br
|
$37,703.40 |
$37,703.40 |
$37,703.40 |
$5,062.50
|
|
Evasc st rpr thrc/aa x crsg
|
$32,048.40 |
$32,048.40 |
$32,048.40 |
$11,524.11
|
|
Event monitor
|
$225.00 |
$225.00 |
$225.00 |
$237.65
|
|
Evoked auditory tst complete
|
$636.60 |
$636.60 |
$636.60 |
$348.80
|
|
Evoked oa emissions ltd
|
$537.00 |
$537.00 |
$537.00 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$102.60 |
$102.60 |
$102.60 |
$259.20
|
|
Evoked potentials upper limbs
|
$2,845.80 |
$2,845.80 |
$2,845.80 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$819.00
|
|
Exc benign tal 0.5 < cm 11400
|
$435.60 |
$435.60 |
$435.60 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$149.40 |
$149.40 |
$149.40 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$393.00 |
$393.00 |
$393.00 |
$1,136.64
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$393.00 |
$393.00 |
$393.00 |
$1,492.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$364.20 |
$364.20 |
$364.20 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$435.60 |
$435.60 |
$435.60 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,248.00
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$163.20 |
$163.20 |
$163.20 |
$973.71
|
|
Exchange biliary drg cath
|
$5,154.60 |
$5,154.60 |
$5,154.60 |
$3,854.69
|
|
Exchange blood transfusion newborn 36450
|
$250.80 |
$250.80 |
$250.80 |
$566.55
|
|
Exchange drainage catheter
|
$4,479.60 |
$4,479.60 |
$4,479.60 |
$2,219.76
|
|
Exchange nephrostomy cath
|
$18,640.20 |
$18,640.20 |
$18,640.20 |
$2,955.48
|
|
Excise lip or cheek fold
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$1,855.10
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$163.20 |
$163.20 |
$163.20 |
$861.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$443.40 |
$443.40 |
$443.40 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$2,865.00
|
|
Excision of gum flap
|
$2,350.20 |
$2,350.20 |
$2,350.20 |
$1,950.00
|
|
Exc malig feenl <0.5cm 11640
|
$149.40 |
$149.40 |
$149.40 |
$1,063.30
|
|
Exc malig feenl 1.1-2 11642
|
$177.00 |
$177.00 |
$177.00 |
$1,082.00
|
|
Exc malig snhfg 0.5cm or less 11620
|
$149.40 |
$149.40 |
$149.40 |
$1,320.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$393.00 |
$393.00 |
$393.00 |
$1,012.86
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$287.40 |
$287.40 |
$287.40 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$149.40 |
$149.40 |
$149.40 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$163.20 |
$163.20 |
$163.20 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$177.00 |
$177.00 |
$177.00 |
$889.20
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$177.00 |
$177.00 |
$177.00 |
$1,274.00
|
|
Exercise tst brncspsm w/ecg
|
$495.60 |
$495.60 |
$495.60 |
$324.00
|
|
Exercise w/hemodynamic meas
|
$2,650.20 |
$2,650.20 |
$2,650.20 |
$901.60
|
|
Expose art endoprosth iliac 34820
|
$2,115.60 |
$2,115.60 |
$2,115.60 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$2,356.20 |
$2,356.20 |
$2,356.20 |
$1,436.80
|
|
Ext ecg>48hr<7d scan a/r
|
$636.60 |
$636.60 |
$636.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$636.60 |
$636.60 |
$636.60 |
$345.60
|
|
Extended visual field xm
|
$203.40 |
$203.40 |
$203.40 |
$163.00
|
|
External chromosome analysis 20-25 cells
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$394.55
|
|
External ocular photography
|
$171.00 |
$171.00 |
$171.00 |
$96.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$66.00 |
$66.00 |
$137.40 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$2,961.60 |
$2,961.60 |
$2,961.60 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$365.40 |
$365.40 |
$1,010.40 |
$431.40
|
|
Extnd color vision xm
|
$111.60 |
$111.60 |
$111.60 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$440.40 |
$440.40 |
$462.60 |
$109.17
|
|
Facial bones <3
|
$219.60 |
$219.60 |
$659.40 |
$252.60
|
|
Factor ix
|
$501.60 |
$501.60 |
$501.60 |
$147.70
|
|
Factor viii
|
$486.60 |
$486.60 |
$486.60 |
$136.80
|
|
Fallopian tube recnl
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$3,695.00
|
