|
ER Visit (level 2)
|
$211.13 |
$211.13 |
$211.13 |
$464.00
|
|
ER Visit (level 3)
|
$375.36 |
$375.36 |
$375.36 |
$814.50
|
|
ER Visit (level 4)
|
$573.75 |
$573.75 |
$573.75 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$818.88 |
$818.88 |
$818.88 |
$1,877.40
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$27.82 |
$27.82 |
$27.82 |
$223.99
|
|
Escharotomy ea addl incision
|
$112.18 |
$112.18 |
$112.18 |
$203.20
|
|
Esd endoscopy or colonoscopy
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$4,440.75
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$0.57 |
$0.57 |
$0.57 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$0.29 |
$0.29 |
$0.29 |
$516.71
|
|
Esophageal dilat s&i
|
$41.22 |
$41.22 |
$41.22 |
$556.20
|
|
Esophageal lengthening add on code 43338
|
$158.98 |
$158.98 |
$158.98 |
$6,837.60
|
|
Esophageal motility
|
$549.70 |
$549.70 |
$549.70 |
$655.45
|
|
Esophageal recording
|
$1,674.16 |
$1,674.16 |
$1,674.16 |
$1,985.34
|
|
Esophageal recording
|
$1,674.16 |
$1,674.16 |
$1,674.16 |
$2,187.60
|
|
Esophag muc integ w/eso egd
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$4,214.73
|
|
Esophagomyotomy abdominal 43330
|
$1,894.22 |
$1,894.22 |
$1,894.22 |
$3,271.20
|
|
Esophagomyotomy thoracic 43331
|
$1,931.96 |
$1,931.96 |
$1,931.96 |
$3,267.20
|
|
Esophagoplasty congenital
|
$4,104.71 |
$4,104.71 |
$4,104.71 |
$4,104.71
|
|
Esophagosc dilate balloon 30
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$3,484.00
|
|
Esophagoscop stent placement
|
$8,347.72 |
$8,347.72 |
$8,347.72 |
$6,505.71
|
|
Esophagoscop ultrasound exam
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$4,502.13
|
|
Esophagoscopy lesion removal
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$5,301.42 |
$5,301.42 |
$5,301.42 |
$4,502.13
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,638.57
|
|
Esophagoscp rig trnso biopsy
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$3,484.00
|
|
Esophagoscp rig trnso inject
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$3,484.00
|
|
Esophagoscp rig trnso rem fb
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,785.75
|
|
Esophagotomy thrc rmvl fb
|
$1,888.88 |
$1,888.88 |
$1,888.88 |
$3,173.60
|
|
Esophagus endoscopy/ligation
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,392.00
|
|
Esophagus motility study
|
$513.11 |
$513.11 |
$513.11 |
$1,274.00
|
|
Esoph balloon distension tst
|
$513.11 |
$513.11 |
$513.11 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,221.83
|
|
Esoph fundoplasty lap 43327
|
$1,190.06 |
$1,190.06 |
$1,190.06 |
$2,010.40
|
|
Esoph fundoplasty thor 43328
|
$1,606.62 |
$1,606.62 |
$1,606.62 |
$2,748.00
|
|
Esophgl motil w/stim/perfus
|
$24.91 |
$24.91 |
$24.91 |
$1,392.95
|
|
Esoph imped function test
|
$296.91 |
$296.91 |
$296.91 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$513.11 |
$513.11 |
$513.11 |
$1,121.40
|
|
Esoph optical endomicroscopy
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,590.33
|
|
Esphg dstl 2/3 w/laps moblj 43287
|
$5,002.17 |
$5,002.17 |
$5,002.17 |
$7,128.80
|
|
Esphg thrsc moblj
|
$5,263.73 |
$5,263.73 |
$5,263.73 |
$7,526.40
|
|
Esphg tot w/laps moblj
|
$4,464.40 |
$4,464.40 |
$4,464.40 |
$6,423.20
|
|
Esphg tot w/thrcm
|
$4,863.84 |
$4,863.84 |
$4,863.84 |
$4,863.84
|
|
Esrd home pt serv p mo 12-19
|
$722.97 |
$722.97 |
$722.97 |
$1,016.00
|
|
Esrd home pt serv p mo 20+
|
$434.09 |
$434.09 |
$434.09 |
$540.80
|
|
Esrd home pt serv p mo 2-11
|
$748.37 |
$748.37 |
$748.37 |
$1,064.00
|
|
Esrd home pt serv p mo <2yrs
|
$878.43 |
$878.43 |
$878.43 |
$1,216.80
|
|
Esrd serv 1 visit p mo 20+
|
$299.52 |
$299.52 |
$299.52 |
$409.60
|
|
Esrd serv 1 visit p mo <2yrs
|
$43.95 |
$43.95 |
$43.95 |
$928.80
|
|
Esrd serv 1 vst p mo 12-19
|
$474.42 |
$474.42 |
$474.42 |
$660.80
|
|
Esrd serv 2-3 vsts p mo <2yr
|
$43.95 |
$43.95 |
$43.95 |
$1,284.00
|
|
Esrd serv 4 visits p mo <2yr
|
$1,663.48 |
$1,663.48 |
$1,663.48 |
$2,130.40
|
|
Esrd serv 4 vsts p mo 2-11
|
$1,454.73 |
$1,454.73 |
$1,454.73 |
$1,838.40
|
|
Esrd srv 1 visit p mo 2-11
|
$512.73 |
$512.73 |
$512.73 |
$711.20
|
|
Esrd srv 2-3 vsts p mo 12-19
|
$726.97 |
$726.97 |
$726.97 |
$977.60
|
|
Esrd srv 2-3 vsts p mo 20+
|
$434.53 |
$434.53 |
$434.53 |
$540.80
|
|
Esrd srv 2-3 vsts p mo 2-11
|
$754.93 |
$754.93 |
$754.93 |
$1,023.20
|
|
Esrd srv 4 visits p mo 20+
|
$521.61 |
$521.61 |
$521.61 |
$652.00
|
|
Esrd srv 4 vsts p mo 12-19
|
$1,118.81 |
$1,118.81 |
$1,118.81 |
$1,440.00
|
|
Esrd svc pr day pt 12-19
|
$43.95 |
$43.95 |
$43.95 |
$34.40
|
|
Esrd svc pr day pt <2
|
$43.95 |
$43.95 |
$43.95 |
$40.80
|
|
Esrd svc pr day pt 20+
|
$43.95 |
$43.95 |
$43.95 |
$53.76
|
|
Esrd svc pr day pt 2-11
|
$43.95 |
$43.95 |
$43.95 |
$36.00
|
|
Essure 58565
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,841.60
|
|
Establish access to aorta
|
$158.27 |
$158.27 |
$158.27 |
$1,273.00
|
|
Establish access to artery
|
$206.37 |
$206.37 |
$206.37 |
$1,145.65
|
|
Establish brain cavity shunt
|
$1,553.47 |
$1,553.47 |
$1,553.47 |
$2,464.00
|
|
Establish brain cavity shunt
|
$2,438.49 |
$2,438.49 |
$2,438.49 |
$2,674.30
|
|
Establish brain cavity shunt
|
$1,446.87 |
$1,446.87 |
$1,446.87 |
$1,446.87
|
|
Establish brain cavity shunt
|
$1,555.76 |
$1,555.76 |
$1,555.76 |
$2,316.00
|
|
Establish brain cavity shunt
|
$2,104.22 |
$2,104.22 |
$2,104.22 |
$2,104.22
|
|
Establish brain cavity shunt
|
$1,490.23 |
$1,490.23 |
$1,490.23 |
$2,338.40
|
|
Established Patient Office Visit (level 1)
|
$10.85 |
$10.85 |
$10.85 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$44.49 |
$44.49 |
$44.49 |
$141.60
|
|
Established Patient Office Visit (level 3)
|
$81.60 |
$81.60 |
$81.60 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$120.28 |
$120.28 |
$120.28 |
$239.94
|
|
Established Patient Office Visit (level 5)
|
$178.74 |
$178.74 |
$178.74 |
$291.00
|
|
Estim aid bone healg invasiv
|
$253.64 |
$253.64 |
$253.64 |
$2,620.80
|
|
Estradiol total
|
$38.56 |
$38.56 |
$38.56 |
$152.64
|
|
Estradiol valerate 10 mg inj
|
$10.28 |
$10.28 |
$10.28 |
$57.35
|
|
Estrogens total-sendout
|
$29.95 |
$29.95 |
$29.95 |
$97.60
|
|
Ethanolamine oleate 100 mg
|
$713.57 |
$713.57 |
$713.57 |
$824.88
|
|
Ethmoidectomy extranasal total 31205
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$20.56 |
$20.56 |
$20.56 |
$86.00
|