|
Embolization s&i
|
$1,330.35 |
$1,330.35 |
$1,560.23 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$2,873.18 |
$2,873.18 |
$3,369.66 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$6,427.60 |
$6,427.60 |
$7,538.27 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$9,722.54 |
$9,722.54 |
$11,402.57 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$2,873.18 |
$2,873.18 |
$3,369.66 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$1,167.82 |
$1,167.82 |
$1,167.82 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$231.67 |
$231.67 |
$488.44 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$123.32 |
$123.32 |
$144.63 |
$436.64
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$153.85 |
$153.85 |
$180.43 |
$512.85
|
|
Emg cranial nerve bilateral
|
$159.07 |
$159.07 |
$186.55 |
$518.00
|
|
Emg needle test 1-extremity
|
$125.73 |
$125.73 |
$147.45 |
$340.80
|
|
Emg needle test 4-extremities
|
$200.04 |
$200.04 |
$234.60 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$77.53 |
$77.53 |
$90.92 |
$309.83
|
|
Encephalitis, california igg/igm
|
$35.75 |
$35.75 |
$41.93 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$35.75 |
$35.75 |
$44.83 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$35.75 |
$35.75 |
$41.93 |
$50.35
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$2,547.83 |
$2,547.83 |
$2,621.11 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,234.92 |
$2,234.92 |
$2,988.08 |
$5,522.00
|
|
Endo cath bile duct s&i
|
$247.84 |
$247.84 |
$290.66 |
$545.37
|
|
Endo cath panc duct s&i
|
$527.81 |
$527.81 |
$619.01 |
$637.65
|
|
Endocervical curettage 57505
|
$859.19 |
$859.19 |
$1,077.24 |
$1,030.40
|
|
Endoluminl ivus oct c 1st
|
$1,363.29 |
$1,363.29 |
$1,598.86 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$845.53 |
$845.53 |
$991.63 |
$2,294.50
|
|
Endoscopy swallow (fees) vid
|
$338.62 |
$338.62 |
$397.13 |
$420.00
|
|
Endovas iliac a device addon
|
$379.70 |
$379.70 |
$379.70 |
$1,764.36
|
|
Endovenous laser vein addon 36479
|
$2,458.25 |
$2,458.25 |
$2,883.03 |
$2,511.80
|
|
Endoven ther chem adhes 1st 36482
|
$1,114.59 |
$1,114.59 |
$1,114.59 |
$6,459.57
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$10,247.51 |
$10,247.51 |
$12,848.29 |
$9,103.57
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$54.22 |
$54.22 |
$67.97 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$35.75 |
$35.75 |
$41.93 |
$66.60
|
|
Enzyme histochemistry
|
$313.71 |
$313.71 |
$367.92 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$8,249.61 |
$8,249.61 |
$8,249.61 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$9,074.48 |
$9,074.48 |
$9,074.48 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$432.61 |
$432.61 |
$3,047.91 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$616.65 |
$616.65 |
$616.65 |
$614.72
|
|
Epidrm agrft t/a/l 1st 100
|
$3,200.07 |
$3,200.07 |
$3,200.07 |
$2,856.87
|
|
Epidrm autogrft t/a/l add-on
|
$616.65 |
$616.65 |
$616.65 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$529.01 |
$529.01 |
$663.27 |
$1,204.45
|
|
Ep induct arrhy by elect pacing
|
$2,543.38 |
$2,543.38 |
$2,543.38 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$253.77 |
$253.77 |
$318.17 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$520.36 |
$520.36 |
$652.43 |
$41.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$538.15 |
$538.15 |
$674.73 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$899.90 |
$899.90 |
$1,128.30 |
$726.28
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$89.86 |
$89.86 |
$112.66 |
$135.20
|
|
Epstein barr early antigen antibody
|
$67.49 |
$67.49 |
$79.15 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$33.34 |
$33.34 |
$39.10 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$40.17 |
$40.17 |
$47.11 |
$96.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$100.70 |
$100.70 |
$126.25 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,550.05 |
$2,550.05 |
$3,197.24 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$739.89 |
$739.89 |
$867.74 |
$922.35
|
|
Ercp ea duct/ampulla dilate
|
$3,275.26 |
$3,275.26 |
$4,106.51 |
$4,211.08
|
|
Ercp w/specimen collection
|
$3,149.13 |
$3,149.13 |
$3,693.30 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,500.17 |
$3,500.17 |
$4,388.49 |
$2,528.17
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$204.92 |
$204.92 |
$256.93 |
$364.08
|
|
ER Visit (level 1, minor)
|
$221.73 |
$221.73 |
$260.04 |
$271.88
|
|
ER Visit (level 2)
|
$360.31 |
$360.31 |
$422.57 |
$481.37
|
|
ER Visit (level 3)
|
$590.87 |
$590.87 |
$692.97 |
$850.50
|
|
ER Visit (level 4)
|
$923.05 |
$923.05 |
$1,082.55 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$1,154.02 |
$1,154.02 |
$1,353.43 |
$1,930.40
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$132.02 |
$132.02 |
$165.52 |
$232.84
|
|
Esophageal dilat s&i
|
$212.49 |
$212.49 |
$249.21 |
$525.00
|
|
Esophagoscopy retro balloon
|
$1,732.43 |
$1,732.43 |
$2,031.79 |
$2,244.82
|
|
Esophagoscopy rigid balloon
|
$3,275.26 |
$3,275.26 |
$4,106.51 |
$4,502.13
|
|
Esophagus motility study
|
$520.58 |
$520.58 |
$610.53 |
$1,274.00
|
|
Esoph balloon distension tst
|
$520.58 |
$520.58 |
$610.53 |
$780.00
|
|
Esoph endoscopy dilation
|
$1,732.43 |
$1,732.43 |
$2,031.79 |
$2,221.83
|
|
Esoph imped function test
|
$282.38 |
$282.38 |
$331.18 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$520.58 |
$520.58 |
$610.53 |
$986.40
|
|
Established Patient Office Visit (level 1)
|
$93.19 |
$93.19 |
$116.84 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$115.29 |
$115.29 |
$135.21 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$136.17 |
$136.17 |
$159.70 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$114.08 |
$114.08 |
$266.17 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$189.19 |
$189.19 |
$221.89 |
$280.50
|
|
Estradiol total
|
$149.43 |
$149.43 |
$175.25 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$35.30 |
$35.30 |
$44.26 |
$51.40
|
|
Estrogens total-sendout
|
$35.75 |
$35.75 |
$44.83 |
$89.25
|
|
Ethylene glycol -sendout
|
$20.49 |
$20.49 |
$24.03 |
$78.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$335.20 |
$335.20 |
$420.27 |
$213.17
|
|
Etoposide 50 mg cap
|
$554.00 |
$554.00 |
$694.61 |
$196.27
|
|
Euglobulin lysis
|
$94.00 |
$94.00 |
$117.85 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$189.19 |
$189.19 |
$221.89 |
$375.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$119.30 |
$119.30 |
$149.58 |
$219.60
|
|
Evaluation heart device
|
$2,264.97 |
$2,264.97 |
$2,264.97 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$183.97 |
$183.97 |
$225.63 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$301.26 |
$301.26 |
$353.32 |
$324.00
|
|
Evasc prlng admn rx agnt 1st
|
$312.91 |
$312.91 |
$366.98 |
$4,420.65
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,636.66 |
$2,636.66 |
$2,636.66 |
$7,204.75
|
|
Evasc rpr ilio-iliac ndgft
|
$616.17 |
$616.17 |
$722.65 |
$8,412.85
|
|
Event monitor
|
$89.98 |
$89.98 |
$117.35 |
$242.12
|
|
Evoked oa emissions ltd
|
$283.19 |
$283.19 |
$283.19 |
$240.07
|
|
Evoked potentials auditory screening automated analysis
|
$190.40 |
$190.40 |
$223.30 |
$283.62
|
|
Evoked potentials upper limbs
|
$359.50 |
$359.50 |
$421.62 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$399.27 |
$399.27 |
$468.26 |
$844.00
|
|
Exam of vagina w/scope 57420
|
$283.59 |
$283.59 |
$332.59 |
$535.00
|
|
Exam plvc w/anes othr thn lcl
|
$2,739.43 |
$2,739.43 |
$2,739.43 |
$3,116.85
|
|
Exc benign tal 0.5 < cm 11400
|
$599.71 |
$599.71 |
$703.33 |
$828.59
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$599.71 |
$599.71 |
$703.33 |
$836.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$731.05 |
$731.05 |
$857.38 |
$1,971.10
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$503.71 |
$503.71 |
$590.74 |
$779.35
|
|
Exc hand les sc < 1.5 cm
|
$1,011.82 |
$1,011.82 |
$1,186.66 |
$1,897.50
|
