|
Embo or occlude vascular arterial s&i
|
$10,545.00 |
$11,830.50 |
$11,889.00 |
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,545.00 |
$11,806.80 |
$11,889.00 |
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$11,830.50 |
$16,999.80 |
$18,759.60 |
|
|
Embo or occlude vascular venous s&i
|
$9,915.60 |
$11,830.50 |
$11,889.00 |
|
|
Emb without cervical dilation 58100
|
$62.12 |
$62.12 |
$62.12 |
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$304.20 |
$1,344.60 |
$1,872.24 |
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$459.60 |
$1,680.00 |
$2,608.96 |
|
|
Emg cranial nerve bilateral
|
$447.60 |
$633.60 |
$633.60 |
|
|
Emg needle test 1-extremity
|
$153.00 |
$1,007.40 |
$1,831.34 |
|
|
Emg needle test 4-extremities
|
$610.80 |
$879.60 |
$1,690.20 |
|
|
Emg thor paraspinal without t1/t2
|
$141.60 |
$300.60 |
$826.55 |
|
|
Encephalitis, california igg/igm
|
$96.60 |
$105.50 |
$166.66 |
|
|
Encephalitis, st louis igg/igm
|
$90.50 |
$92.00 |
$166.66 |
|
|
Encephalitis, western equine igg/igm
|
$90.50 |
$92.00 |
$166.66 |
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,603.40 |
$7,951.80 |
$8,628.60 |
|
|
Endo cath bile duct s&i
|
$258.00 |
$260.50 |
$2,279.42 |
|
|
Endo cath panc duct s&i
|
$258.00 |
$258.00 |
$895.04 |
|
|
Endocervical curettage 57505
|
$62.48 |
$62.48 |
$62.48 |
|
|
Endoluminal bx biliary tree
|
$1,873.20 |
$1,873.20 |
$1,873.20 |
|
|
Endoluminal bx urtr rnl plvs
|
$1,817.40 |
$1,873.20 |
$1,873.20 |
|
|
Endoluminl ivus oct c 1st
|
$975.50 |
$4,647.60 |
$5,154.92 |
|
|
Endoluminl ivus oct c ea
|
$870.50 |
$4,282.08 |
$4,838.40 |
|
|
Endoscopy swallow (fees) vid
|
$223.00 |
$234.00 |
$1,198.04 |
|
|
Endovasc rpr a-biiliac endogft 34705
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Endovasc tempory vessel occl
|
$7,031.40 |
$7,031.40 |
$8,856.00 |
|
|
Endovenous laser vein addon 36479
|
$3,369.60 |
$5,965.80 |
$6,472.20 |
|
|
Endovenous mchnchem 1st vein
|
$7,716.60 |
$7,951.80 |
$7,951.80 |
|
|
Endovenous mchnchem add-on
|
$5,790.00 |
$5,965.80 |
$5,965.80 |
|
|
Endoven ther chem adhes 1st 36482
|
$8,939.40 |
$8,939.40 |
$8,939.40 |
|
|
Endoven ther chem adhes sbsq 36483
|
$6,954.60 |
$6,954.60 |
$6,954.60 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$234.90 |
$10,559.75 |
$10,559.75 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$43.20 |
$203.03 |
$1,009.81 |
|
|
Entamoeba histolytica ag eia - sendout
|
$88.20 |
$118.80 |
$185.40 |
|
|
Enzyme cell activity ra
|
$211.80 |
$291.60 |
$1,942.66 |
|
|
Enzyme histochemistry
|
$272.40 |
$348.00 |
$502.00 |
|
|
Eo elas w/metal jnts pre ots
|
$20.40 |
$21.60 |
$28.80 |
|
|
Ep & ablate supravent arrhyt
|
$23,668.00 |
$39,549.60 |
$137,597.24 |
|
|
Ep & ablate ventric tachy
|
$37,217.00 |
$45,855.60 |
$102,688.28 |
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$574.02 |
$39,626.90 |
$39,626.90 |
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$1,789.20 |
$3,895.20 |
$4,771.80 |
|
|
Epidrm agrft t/a/l 1st 100
|
$1,768.20 |
$4,566.60 |
$7,865.40 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
|
|
Ep induct arrhy by elect pacing
|
$4,866.60 |
$5,956.80 |
$12,635.96 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$11.75 |
$11.75 |
$11.75 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$31.76 |
$31.76 |
$31.76 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$1,649.80 |
$1,649.80 |
$1,649.80 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$9.60 |
$9.60 |
$9.60 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$192.59 |
$195.23 |
$4,847.57 |
|
|
Epoetin alfa, 100 units esrd
|
$26.51 |
$26.51 |
$26.51 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$614.91 |
$1,074.20 |
$1,948.97 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$426.33 |
$1,329.09 |
$5,842.16 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$182.13 |
$219.26 |
$585.74 |
|
|
Epstein barr early antigen antibody
|
$34.50 |
$135.00 |
$225.60 |
|
|
Epstein barr nuclear antigen antibody
|
$25.50 |
$120.60 |
$231.00 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$78.00 |
$179.40 |
$280.80 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$15.59 |
$126.72 |
$5,233.60 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$190.33 |
$3,178.18 |
$4,595.58 |
|
|
Ercp biliary & pancreas
|
$258.00 |
$258.00 |
$2,247.08 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$296.58 |
$1,463.58 |
$3,551.00 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$314.78 |
$364.08 |
$1,238.36 |
|
|
ER Visit (level 1, minor)
|
$78.00 |
$318.60 |
$551.74 |
|
|
ER Visit (level 2)
|
$245.38 |
$525.00 |
$1,096.07 |
|
|
ER Visit (level 3)
|
$462.12 |
$1,047.00 |
$1,620.39 |
|
|
ER Visit (level 4)
|
$853.50 |
$2,072.50 |
$2,568.00 |
|
|
ER Visit (level 5, high severity)
|
$1,239.88 |
$2,920.20 |
$3,211.00 |
|
|
Erwinaze injection
|
$6,423.46 |
$6,423.46 |
$6,847.10 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$128.06 |
$306.45 |
$1,052.96 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$2.51 |
$2.51 |
$2.51 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$45.48 |
$429.78 |
$988.70 |
|
|
Esophageal dilat s&i
|
$258.00 |
$604.50 |
$677.27 |
|
|
Esophageal motility
|
$1,202.54 |
$1,202.54 |
$1,202.54 |
|
|
Esophageal recording
|
$4,800.32 |
$10,986.00 |
$10,986.00 |
|
|
Esophageal recording
|
$4,800.32 |
$10,986.00 |
$10,986.00 |
|
|
Esophagus motility study
|
$1,623.00 |
$2,689.50 |
$3,166.44 |
|
|
Esoph balloon distension tst
|
$5,696.50 |
$5,786.00 |
$5,983.50 |
|
|
Esoph imped function test
|
$408.00 |
$561.60 |
$1,686.00 |
|
|
Esoph imped funct test > 1hr
|
$907.80 |
$1,422.00 |
$2,343.00 |
|
|
Establish access to aorta
|
$832.50 |
$1,969.80 |
$1,969.80 |
|
|
Establish access to artery
|
$433.76 |
$691.00 |
$2,235.00 |
|
|
Established Patient Office Visit (level 1)
|
$139.20 |
$216.00 |
$805.20 |
|
|
Established Patient Office Visit (level 2)
|
$15.75 |
$250.80 |
$885.60 |
|
|
Established Patient Office Visit (level 3)
|
$23.62 |
$318.00 |
$966.60 |
|
|
Established Patient Office Visit (level 4)
|
$34.30 |
$384.60 |
$1,046.40 |
|
|
Established Patient Office Visit (level 5)
|
$47.08 |
$522.60 |
$1,126.80 |
|
|
Estradiol total
|
$117.12 |
$255.00 |
$544.80 |
|
|
Estradiol valerate 10 mg inj
|
$58.24 |
$817.35 |
$817.35 |
|
|
Estrogens total-sendout
|
$66.00 |
$214.20 |
$314.40 |
|
|
Etanercept injection
|
$543.92 |
$1,150.24 |
$12,414.32 |
|
|
Ethanolamine oleate 100 mg
|
$256.53 |
$807.30 |
$5,239.97 |
|
|
Ethylene glycol -sendout
|
$20.50 |
$266.40 |
$409.50 |
|
|
Etonogestrel implant system
|
$825.65 |
$825.65 |
$825.65 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1,694.02 |
|
|
Etoposide 50 mg cap
|
$46.45 |
$89.11 |
$116.41 |
|
|
Euflexxa inj per dose
|
$510.68 |
$510.68 |
$510.68 |
|
|
Euglobulin lysis
|
$105.99 |
$198.60 |
$198.60 |
|
|
Eval aud funcj ea addl 15
|
$42.84 |
$69.60 |
$69.60 |
|
|
Eval aud rehab status/first hr 92626
|
$47.40 |
$285.60 |
$312.00 |
|
|
Eval/fit voice prosthesis iii, st
|
$192.00 |
$359.00 |
$1,073.21 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$125.88 |
$219.60 |
$800.62 |
|
|
Evaluation heart device
|
$2,616.60 |
$4,488.61 |
$6,662.00 |
|
