|
Established Patient Office Visit (level 4)
|
$192.00 |
$192.00 |
$192.00 |
$239.94
|
|
Established Patient Office Visit (level 5)
|
$265.60 |
$265.60 |
$265.60 |
$291.00
|
|
Estim aid bone healg invasiv
|
$430.40 |
$430.40 |
$430.40 |
$2,620.80
|
|
Estradiol total
|
$70.40 |
$70.40 |
$70.40 |
$152.64
|
|
Estradiol valerate 10 mg inj
|
$24.00 |
$24.00 |
$24.00 |
$57.35
|
|
Estrogens total-sendout
|
$55.20 |
$55.20 |
$55.20 |
$97.60
|
|
Etanercept injection
|
$740.80 |
$740.80 |
$740.80 |
$3,172.86
|
|
Eth estr and eton monthly
|
$132.00 |
$132.00 |
$132.00 |
$266.45
|
|
Ethmoidectomy extranasal total 31205
|
$4,593.60 |
$4,593.60 |
$4,593.60 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$37.60 |
$37.60 |
$37.60 |
$86.00
|
|
Etonogestrel implant system
|
$1,463.43 |
$1,463.43 |
$1,463.43 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$70.93 |
$70.93 |
$70.93 |
$235.20
|
|
Euflexxa inj per dose
|
$260.00 |
$260.00 |
$260.00 |
$510.68
|
|
Euglobulin lysis
|
$33.57 |
$33.57 |
$33.57 |
$63.84
|
|
Evacuate mole of uterus
|
$1,229.60 |
$1,229.60 |
$1,229.60 |
$3,762.53
|
|
Eval aud funcj ea addl 15
|
$48.00 |
$48.00 |
$48.00 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$201.60 |
$201.60 |
$201.60 |
$316.00
|
|
Eval/fit voice prosthesis iii, st
|
$393.03 |
$393.03 |
$393.03 |
$360.00
|
|
Evaluation cervical mucus
|
$26.40 |
$26.40 |
$26.40 |
$14.32
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$291.41 |
$291.41 |
$291.41 |
$212.46
|
|
Evaluation heart device
|
$1,937.96 |
$1,937.96 |
$1,937.96 |
$2,147.00
|
|
Evaluation of speech fluency 92521
|
$285.31 |
$285.31 |
$285.31 |
$305.50
|
|
Evaluation psychiatric diagnostic
|
$361.00 |
$361.00 |
$361.00 |
$318.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$21,681.16 |
$21,681.16 |
$21,681.16 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$11,494.77 |
$11,494.77 |
$11,494.77 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$11,045.47 |
$11,045.47 |
$11,045.47 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$10,495.24 |
$10,495.24 |
$10,495.24 |
$8,535.75
|
|
Evasc rpr a-iliac ndgft 34717
|
$7,769.12 |
$7,769.12 |
$7,769.12 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$11,245.38 |
$11,245.38 |
$11,245.38 |
$5,689.05
|
|
Evasc rpr a-unilac ndgft rpt
|
$10,495.24 |
$10,495.24 |
$10,495.24 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$13,993.64 |
$13,993.64 |
$13,993.64 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$10,620.41 |
$10,620.41 |
$10,620.41 |
$7,480.00
|
|
Event monitor
|
$257.16 |
$257.16 |
$257.16 |
$231.00
|
|
Evoked auditory tst complete
|
$110.40 |
$110.40 |
$110.40 |
$354.40
|
|
Evoked oa emissions ltd
|
$131.99 |
$131.99 |
$131.99 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$328.16 |
$328.16 |
$328.16 |
$261.30
|
|
Evoked potentials upper limbs
|
$1,046.14 |
$1,046.14 |
$1,046.14 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,025.76 |
$1,025.76 |
$1,025.76 |
$819.00
|
|
Evok oa screening qual
|
$220.29 |
$220.29 |
$220.29 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$310.40 |
$310.40 |
$310.40 |
$470.00
|
|
Exam pelvic add-on
|
$41.60 |
$41.60 |
$41.60 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$264.80 |
$264.80 |
$264.80 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$2,668.80 |
$2,668.80 |
$2,668.80 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$3,412.80 |
$3,412.80 |
$3,412.80 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$3,986.00
|
|
Exc abdl tum deep < 5 cm
|
$1,378.40 |
$1,378.40 |
$1,378.40 |
$3,696.00
|
|
Exc abdl tum deep 5 cm/>
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$1,987.20 |
$1,987.20 |
$1,987.20 |
$4,350.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,532.80 |
$2,532.80 |
$2,532.80 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$5,099.20 |
$5,099.20 |
$5,099.20 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$7,710.40 |
$7,710.40 |
$7,710.40 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$1,807.20 |
$1,807.20 |
$1,807.20 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$3,790.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$696.80 |
$696.80 |
$696.80 |
$2,315.50
|
|
Exc benign feenlm >4.0cm 11446
|
$960.80 |
$960.80 |
$960.80 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$577.60 |
$577.60 |
$577.60 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$307.20 |
$307.20 |
$307.20 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$999.56 |
$999.56 |
$999.56 |
$972.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$468.00 |
$468.00 |
$468.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$556.00 |
$556.00 |
$556.00 |
$2,068.80
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$392.00 |
$392.00 |
$392.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,799.19 |
$1,799.19 |
$1,799.19 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$826.40 |
$826.40 |
$826.40 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$375.20 |
$375.20 |
$375.20 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$479.20 |
$479.20 |
$479.20 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$2,235.20 |
$2,235.20 |
$2,235.20 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$3,356.80 |
$3,356.80 |
$3,356.80 |
$3,356.80
|
|
Exc cervix repair bowel 57556
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
$5,813.46
|
|
Exc cervix/repair vagina 57555
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$5,463.96
|
|
Exc chest wall tumor w/ribs 21601
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$3,872.00 |
$3,872.00 |
$3,872.00 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$4,279.20 |
$4,279.20 |
$4,279.20 |
$4,279.20
|
|
Exc coccygl pr ulc flap clsr
|
$1,952.00 |
$1,952.00 |
$1,952.00 |
$4,311.38
|
|
Exc coccygl pr ulc prim sutr
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$3,821.05
|
|
Exc/crtg b1 cst/b9 tum rds
|
$2,617.60 |
$2,617.60 |
$2,617.60 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$3,625.60 |
$3,625.60 |
$3,625.60 |
$7,807.24
|
|
Exc/crtg b1 cst/tum hum algr
|
$4,235.20 |
$4,235.20 |
$4,235.20 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$3,839.54
|
|
Exc/crtg b1 cst/tum rds algr
|
$3,190.40 |
$3,190.40 |
$3,190.40 |
$7,807.24
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$2,886.40 |
$2,886.40 |
$2,886.40 |
$3,839.54
|
|
Exc excessive skin buttock
|
$2,309.60 |
$2,309.60 |
$2,309.60 |
$3,386.84
|
|
Exc excessive skin hip
|
$4,404.80 |
$4,404.80 |
$4,404.80 |
$3,994.09
|
|
Exc excessive skin leg
|
$4,321.60 |
$4,321.60 |
$4,321.60 |
$4,321.60
|
|
Exc excessive skin thigh
|
$4,540.80 |
$4,540.80 |
$4,540.80 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$2,130.40 |
$2,130.40 |
$2,130.40 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$2,259.20 |
$2,259.20 |
$2,259.20 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$2,201.16
|
|
Exc face tum deep 2cm/> 21014
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$584.80 |
$584.80 |
$584.80 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,787.08 |
$2,787.08 |
$2,787.08 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,985.12 |
$4,985.12 |
$4,985.12 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$2,078.40 |
$2,078.40 |
$2,078.40 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$2,547.20 |
$2,547.20 |
$2,547.20 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$2,628.80 |
$2,628.80 |
$2,628.80 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
$1,898.50
|
