|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$311.02 |
$311.02 |
$311.02 |
$227.20
|
|
ER Visit (level 1, minor)
|
$125.44 |
$125.44 |
$125.44 |
$252.35
|
|
ER Visit (level 2)
|
$220.50 |
$220.50 |
$220.50 |
$463.00
|
|
ER Visit (level 3)
|
$367.50 |
$367.50 |
$367.50 |
$793.20
|
|
ER Visit (level 4)
|
$576.24 |
$576.24 |
$576.24 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$815.36 |
$815.36 |
$815.36 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$180.39 |
$180.39 |
$180.39 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$214.13 |
$214.13 |
$214.13 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$178.85 |
$178.85 |
$178.85 |
$521.65
|
|
Esophagosc dilate balloon 30
|
$261.66 |
$261.66 |
$261.66 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$295.47 |
$295.47 |
$295.47 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$320.46 |
$320.46 |
$320.46 |
$3,484.00
|
|
Esophagoscop ultrasound exam
|
$217.56 |
$217.56 |
$217.56 |
$2,580.50
|
|
Esophagoscopy balloon <30mm
|
$1,307.32 |
$1,307.32 |
$1,307.32 |
$2,361.00
|
|
Esophagoscopy control bleed
|
$856.03 |
$856.03 |
$856.03 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$514.01 |
$514.01 |
$514.01 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$856.03 |
$856.03 |
$856.03 |
$1,259.70
|
|
Esophagoscopy flex dx brush
|
$267.05 |
$267.05 |
$267.05 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$559.58 |
$559.58 |
$559.58 |
$2,065.80
|
|
Esophagoscopy lesion removal
|
$588.98 |
$588.98 |
$588.98 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$1,781.64 |
$1,781.64 |
$1,781.64 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$249.41 |
$249.41 |
$249.41 |
$4,627.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$209.23 |
$209.23 |
$209.23 |
$2,660.00
|
|
Esophagoscopy snare les remv
|
$601.23 |
$601.23 |
$601.23 |
$2,680.50
|
|
Esophagoscopy w/us needle bx
|
$272.93 |
$272.93 |
$272.93 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$265.58 |
$265.58 |
$265.58 |
$2,638.57
|
|
Esophagoscp rig trnso biopsy
|
$228.83 |
$228.83 |
$228.83 |
$3,484.00
|
|
Esophagoscp rig trnso inject
|
$229.32 |
$229.32 |
$229.32 |
$3,484.00
|
|
Esophagoscp rig trnso rem fb
|
$259.21 |
$259.21 |
$259.21 |
$2,785.75
|
|
Esophagus endoscopy/ligation
|
$192.08 |
$192.08 |
$192.08 |
$2,392.00
|
|
Esophagus motility study
|
$1,153.46 |
$1,153.46 |
$1,153.46 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$1,577.31 |
$1,577.31 |
$1,577.31 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$546.84 |
$546.84 |
$546.84 |
$2,221.83
|
|
Esoph optical endomicroscopy
|
$428.75 |
$428.75 |
$428.75 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$184.24 |
$184.24 |
$184.24 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$366.52 |
$366.52 |
$366.52 |
$2,580.50
|
|
Established Patient Office Visit (level 1)
|
$49.98 |
$49.98 |
$49.98 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$77.42 |
$77.42 |
$77.42 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$211.19 |
$211.19 |
$211.19 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$232.26 |
$232.26 |
$232.26 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$250.39 |
$250.39 |
$250.39 |
$287.10
|
|
Estradiol total
|
$126.91 |
$126.91 |
$126.91 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$419.18 |
$419.18 |
$419.18 |
$57.35
|
|
Estrogens total-sendout
|
$123.97 |
$123.97 |
$123.97 |
$96.63
|
|
Ethylene glycol -sendout
|
$184.24 |
$184.24 |
$184.24 |
$85.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$381.71 |
$381.71 |
$381.71 |
$235.20
|
|
Etoposide 50 mg cap
|
$2,700.73 |
$2,700.73 |
$2,700.73 |
$135.02
|
|
Euflexxa inj per dose
|
$261.43 |
$261.43 |
$261.43 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$176.40 |
$176.40 |
$176.40 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$1,091.23 |
$1,091.23 |
$1,091.23 |
$307.75
|
|
Evasc repair of iliac artery; endograft 34718
|
$9,873.01 |
$9,873.01 |
$9,873.01 |
$6,824.35
|
|
Evasc rpr a-iliac ndgft 34717
|
$9,712.29 |
$9,712.29 |
$9,712.29 |
$4,846.34
|
|
Event monitor
|
$237.65 |
$237.65 |
$237.65 |
$237.60
|
|
Exam of vagina w/scope 57420
|
$199.92 |
$199.92 |
$199.92 |
$486.03
|
|
Exc abd les sc 3 cm/>
|
$1,056.93 |
$1,056.93 |
$1,056.93 |
$3,786.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$502.25 |
$502.25 |
$502.25 |
$2,532.80
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$698.74 |
$698.74 |
$698.74 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$1,698.34 |
$1,698.34 |
$1,698.34 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,081.43 |
$1,081.43 |
$1,081.43 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$270.48 |
$270.48 |
$270.48 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,324.47 |
$1,324.47 |
$1,324.47 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$698.74 |
$698.74 |
$698.74 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$698.74 |
$698.74 |
$698.74 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$746.27 |
$746.27 |
$746.27 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,051.05 |
$1,051.05 |
$1,051.05 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$1,645.42 |
$1,645.42 |
$1,645.42 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$338.10 |
$338.10 |
$338.10 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$639.45 |
$639.45 |
$639.45 |
$1,244.03
|
|
Exc coccygl pr ulc flap clsr
|
$1,074.08 |
$1,074.08 |
$1,074.08 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$855.54 |
$855.54 |
$855.54 |
$2,682.40
|
|
Exc ext ear/partial/simple repair 69110
|
$745.78 |
$745.78 |
$745.78 |
$3,170.00
|
|
Exc face tum deep < 2 cm
|
$1,022.63 |
$1,022.63 |
$1,022.63 |
$1,917.33
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$330.26 |
$330.26 |
$330.26 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$660.52 |
$660.52 |
$660.52 |
$2,101.45
|
|
Exc ischial pr ulc prim sutr
|
$936.88 |
$936.88 |
$936.88 |
$3,386.84
|
|
Exc isch pr ulc skn flp clsr
|
$1,258.32 |
$1,258.32 |
$1,258.32 |
$4,332.25
|
|
Excise pharynx lesion
|
$1,503.32 |
$1,503.32 |
$1,503.32 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,000.58 |
$1,000.58 |
$1,000.58 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$922.18 |
$922.18 |
$922.18 |
$3,307.66
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$328.79 |
$328.79 |
$328.79 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$761.46 |
$761.46 |
$761.46 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$718.83 |
$718.83 |
$718.83 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,257.34 |
$1,257.34 |
$1,257.34 |
$2,641.65
|
|
Excision nasal polyp(s) simple 30110
|
$936.39 |
$936.39 |
$936.39 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$438.55 |
$438.55 |
$438.55 |
$3,823.00
|
|
Excision tongue lesion without closure 41110
|
$936.39 |
$936.39 |
$936.39 |
$3,819.23
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,370.53 |
$1,370.53 |
$1,370.53 |
$3,986.00
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$916.30 |
$916.30 |
$916.30 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$330.26 |
$330.26 |
$330.26 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$660.52 |
$660.52 |
$660.52 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,220.10 |
$1,220.10 |
$1,220.10 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,435.21 |
$1,435.21 |
$1,435.21 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$607.60 |
$607.60 |
$607.60 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$300.37 |
$300.37 |
$300.37 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$607.60 |
$607.60 |
$607.60 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$300.37 |
$300.37 |
$300.37 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$301.84 |
$301.84 |
$301.84 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$300.37 |
$300.37 |
$300.37 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$607.60 |
$607.60 |
$607.60 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$607.60 |
$607.60 |
$607.60 |
$1,294.80
|