|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$304.68 |
$304.68 |
$304.68 |
$228.12
|
|
ER Visit (level 1, minor)
|
$122.88 |
$122.88 |
$122.88 |
$246.24
|
|
ER Visit (level 2)
|
$216.00 |
$216.00 |
$216.00 |
$452.20
|
|
ER Visit (level 3)
|
$360.00 |
$360.00 |
$360.00 |
$770.04
|
|
ER Visit (level 4)
|
$564.48 |
$564.48 |
$564.48 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$798.72 |
$798.72 |
$798.72 |
$1,828.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$176.71 |
$176.71 |
$176.71 |
$222.16
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$209.76 |
$209.76 |
$209.76 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$175.20 |
$175.20 |
$175.20 |
$528.36
|
|
Esophagosc dilate balloon 30
|
$256.32 |
$256.32 |
$256.32 |
$2,229.50
|
|
Esophagosc flex trnsn biopsy
|
$289.44 |
$289.44 |
$289.44 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$313.92 |
$313.92 |
$313.92 |
$3,484.00
|
|
Esophagoscop ultrasound exam
|
$213.12 |
$213.12 |
$213.12 |
$2,580.50
|
|
Esophagoscopy balloon <30mm
|
$1,280.64 |
$1,280.64 |
$1,280.64 |
$2,361.00
|
|
Esophagoscopy control bleed
|
$838.56 |
$838.56 |
$838.56 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$503.52 |
$503.52 |
$503.52 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$838.56 |
$838.56 |
$838.56 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$261.60 |
$261.60 |
$261.60 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$548.16 |
$548.16 |
$548.16 |
$2,099.70
|
|
Esophagoscopy lesion removal
|
$576.96 |
$576.96 |
$576.96 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$1,745.28 |
$1,745.28 |
$1,745.28 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$244.32 |
$244.32 |
$244.32 |
$4,583.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$204.96 |
$204.96 |
$204.96 |
$2,660.00
|
|
Esophagoscopy snare les remv
|
$588.96 |
$588.96 |
$588.96 |
$2,680.50
|
|
Esophagoscopy w/us needle bx
|
$267.36 |
$267.36 |
$267.36 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$260.16 |
$260.16 |
$260.16 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$224.16 |
$224.16 |
$224.16 |
$2,638.57
|
|
Esophagoscp rig trnso inject
|
$224.64 |
$224.64 |
$224.64 |
$2,638.57
|
|
Esophagoscp rig trnso rem fb
|
$253.92 |
$253.92 |
$253.92 |
$3,070.50
|
|
Esophagus endoscopy/ligation
|
$188.16 |
$188.16 |
$188.16 |
$2,392.00
|
|
Esophagus motility study
|
$1,129.92 |
$1,129.92 |
$1,129.92 |
$1,300.00
|
|
Esoph egd dilation <30 mm
|
$1,545.12 |
$1,545.12 |
$1,545.12 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$535.68 |
$535.68 |
$535.68 |
$2,221.83
|
|
Esoph optical endomicroscopy
|
$420.00 |
$420.00 |
$420.00 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$180.48 |
$180.48 |
$180.48 |
$2,293.85
|
|
Esoph scope w/submucous inj
|
$359.04 |
$359.04 |
$359.04 |
$2,580.50
|
|
Established Patient Office Visit (level 1)
|
$48.96 |
$48.96 |
$48.96 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$75.84 |
$75.84 |
$75.84 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$206.88 |
$206.88 |
$206.88 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$227.52 |
$227.52 |
$227.52 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$245.28 |
$245.28 |
$245.28 |
$280.50
|
|
Estradiol total
|
$124.32 |
$124.32 |
$124.32 |
$151.20
|
|
Estradiol valerate 10 mg inj
|
$410.62 |
$410.62 |
$410.62 |
$57.35
|
|
Estrogens total-sendout
|
$121.44 |
$121.44 |
$121.44 |
$96.63
|
|
Ethylene glycol -sendout
|
$180.48 |
$180.48 |
$180.48 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$373.92 |
$373.92 |
$373.92 |
$235.20
|
|
Etoposide 50 mg cap
|
$2,645.61 |
$2,645.61 |
$2,645.61 |
$135.02
|
|
Euflexxa inj per dose
|
$256.09 |
$256.09 |
$256.09 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$172.80 |
$172.80 |
$172.80 |
$350.50
|
|
Evaluation of speech fluency 92521
|
$1,068.96 |
$1,068.96 |
$1,068.96 |
$311.50
|
|
Evasc repair of iliac artery; endograft 34718
|
$9,671.52 |
$9,671.52 |
$9,671.52 |
$6,824.35
|
|
Evasc rpr a-iliac ndgft 34717
|
$9,514.08 |
$9,514.08 |
$9,514.08 |
$4,846.34
|
|
Event monitor
|
$232.80 |
$232.80 |
$232.80 |
$237.65
|
|
Exam of vagina w/scope 57420
|
$195.84 |
$195.84 |
$195.84 |
$486.03
|
|
Exc abd les sc 3 cm/>
|
$1,035.36 |
$1,035.36 |
$1,035.36 |
$3,646.94
|
|
Exc arm/elbo les sc <3cm 24075
|
$492.00 |
$492.00 |
$492.00 |
$2,532.80
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$684.48 |
$684.48 |
$684.48 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$1,663.68 |
$1,663.68 |
$1,663.68 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,059.36 |
$1,059.36 |
$1,059.36 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$264.96 |
$264.96 |
$264.96 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,297.44 |
$1,297.44 |
$1,297.44 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$684.48 |
$684.48 |
$684.48 |
$1,136.64
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$684.48 |
$684.48 |
$684.48 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$731.04 |
$731.04 |
$731.04 |
$1,492.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,611.84 |
$1,611.84 |
$1,611.84 |
$3,455.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$331.20 |
$331.20 |
$331.20 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$626.40 |
$626.40 |
$626.40 |
$1,248.00
|
|
Exc coccygl pr ulc flap clsr
|
$1,052.16 |
$1,052.16 |
$1,052.16 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$838.08 |
$838.08 |
$838.08 |
$2,682.40
|
|
Exc ext ear/partial/simple repair 69110
|
$730.56 |
$730.56 |
$730.56 |
$3,170.64
|
|
Exc face tum deep < 2 cm
|
$1,001.76 |
$1,001.76 |
$1,001.76 |
$1,917.33
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$323.52 |
$323.52 |
$323.52 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$647.04 |
$647.04 |
$647.04 |
$2,101.45
|
|
Exc ischial pr ulc prim sutr
|
$917.76 |
$917.76 |
$917.76 |
$3,386.84
|
|
Exc isch pr ulc skn flp clsr
|
$1,232.64 |
$1,232.64 |
$1,232.64 |
$4,332.25
|
|
Excise pharynx lesion
|
$1,472.64 |
$1,472.64 |
$1,472.64 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$980.16 |
$980.16 |
$980.16 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$903.36 |
$903.36 |
$903.36 |
$2,716.26
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$322.08 |
$322.08 |
$322.08 |
$861.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$745.92 |
$745.92 |
$745.92 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$704.16 |
$704.16 |
$704.16 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,231.68 |
$1,231.68 |
$1,231.68 |
$2,865.00
|
|
Excision nasal polyp(s) simple 30110
|
$917.28 |
$917.28 |
$917.28 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$429.60 |
$429.60 |
$429.60 |
$3,823.00
|
|
Excision tongue lesion without closure 41110
|
$917.28 |
$917.28 |
$917.28 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,342.56 |
$1,342.56 |
$1,342.56 |
$3,650.40
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$897.60 |
$897.60 |
$897.60 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$323.52 |
$323.52 |
$323.52 |
$1,063.30
|
|
Exc malig feenl 1.1-2 11642
|
$647.04 |
$647.04 |
$647.04 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,405.92 |
$1,405.92 |
$1,405.92 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$595.20 |
$595.20 |
$595.20 |
$1,320.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$294.24 |
$294.24 |
$294.24 |
$1,012.86
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$595.20 |
$595.20 |
$595.20 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$294.24 |
$294.24 |
$294.24 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$295.68 |
$295.68 |
$295.68 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$294.24 |
$294.24 |
$294.24 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$595.20 |
$595.20 |
$595.20 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$595.20 |
$595.20 |
$595.20 |
$1,294.80
|
