|
Etonogestrel implant system
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.44 |
$1.44 |
$1.44 |
$235.20
|
|
Etoposide 50 mg cap
|
$119.77 |
$119.77 |
$119.77 |
$135.02
|
|
Euflexxa inj per dose
|
$145.54 |
$145.54 |
$145.54 |
$510.68
|
|
Euglobulin lysis
|
$11.61 |
$11.61 |
$11.61 |
$63.84
|
|
Evacuate mole of uterus
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,762.53
|
|
Eval aud funcj ea addl 15
|
$43.95 |
$43.95 |
$43.95 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$176.93 |
$176.93 |
$176.93 |
$316.00
|
|
Eval/fit voice prosthesis iii, st
|
$166.11 |
$166.11 |
$166.11 |
$360.00
|
|
Evaluation cervical mucus
|
$14.32 |
$14.32 |
$14.32 |
$14.32
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$135.39 |
$135.39 |
$135.39 |
$212.46
|
|
Evaluation heart device
|
$255.24 |
$255.24 |
$255.24 |
$2,147.00
|
|
Evaluation of speech fluency 92521
|
$181.41 |
$181.41 |
$181.41 |
$305.50
|
|
Evaluation psychiatric diagnostic
|
$244.07 |
$244.07 |
$244.07 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$818.74 |
$818.74 |
$818.74 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$350.23 |
$350.23 |
$350.23 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$1,715.12 |
$1,715.12 |
$1,715.12 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$1,715.46 |
$1,715.46 |
$1,715.46 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,522.90 |
$2,522.90 |
$2,522.90 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$3,170.08 |
$3,170.08 |
$3,170.08 |
$8,535.75
|
|
Evasc rpr a-iliac ndgft 34717
|
$616.03 |
$616.03 |
$616.03 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,905.84 |
$1,905.84 |
$1,905.84 |
$5,689.05
|
|
Evasc rpr a-unilac ndgft rpt
|
$3,133.92 |
$3,133.92 |
$3,133.92 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$1,614.83 |
$1,614.83 |
$1,614.83 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$2,556.92 |
$2,556.92 |
$2,556.92 |
$7,480.00
|
|
Evasc st rpr thrc/aa acrs br
|
$1,299.66 |
$1,299.66 |
$1,299.66 |
$5,225.35
|
|
Evasc st rpr thrc/aa x crsg
|
$1,034.48 |
$1,034.48 |
$1,034.48 |
$11,524.11
|
|
Event monitor
|
$51.32 |
$51.32 |
$51.32 |
$231.00
|
|
Evoked auditory tst complete
|
$513.11 |
$513.11 |
$513.11 |
$354.40
|
|
Evoked oa emissions ltd
|
$296.91 |
$296.91 |
$296.91 |
$244.00
|
|
Evoked potentials upper limbs
|
$296.91 |
$296.91 |
$296.91 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$296.91 |
$296.91 |
$296.91 |
$819.00
|
|
Ewhfo w/joint(s) cf
|
$2,095.78 |
$2,095.78 |
$2,095.78 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$419.01 |
$419.01 |
$419.01 |
$470.00
|
|
Exam pelvic add-on
|
$23.13 |
$23.13 |
$23.13 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,412.80
|
|
Exc 1st&/crv rib w/sympth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Exc abd les sc 3 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,986.00
|
|
Exc abdl tum deep < 5 cm
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,696.00
|
|
Exc abdl tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$4,350.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,532.80
|
|
Exc aurl glomus tum extended
|
$3,202.99 |
$3,202.99 |
$3,202.99 |
$3,202.99
|
|
Exc aurl glomus tum trnscanl
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,790.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,315.50
|
|
Exc benign feenlm >4.0cm 11446
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$973.71 |
$973.71 |
$973.71 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$973.71 |
$973.71 |
$973.71 |
$972.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$973.71 |
$973.71 |
$973.71 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,068.80
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$973.71 |
$973.71 |
$973.71 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$558.97 |
$558.97 |
$558.97 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$973.71 |
$973.71 |
$973.71 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$1,855.76 |
$1,855.76 |
$1,855.76 |
$3,356.80
|
|
Exc cervix repair bowel 57556
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,813.46
|
|
Exc cervix/repair pelvis 57545
|
$1,083.05 |
$1,083.05 |
$1,083.05 |
$1,083.05
|
|
Exc cervix/repair vagina 57555
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
$5,463.96
|
|
Exc chest wall tumor w/ribs 21601
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$4,279.20
|
|
Exc coa rpr l subcl art/prst
|
$1,832.76 |
$1,832.76 |
$1,832.76 |
$1,832.76
|
|
Exc coa w/direct anastomosis
|
$1,785.98 |
$1,785.98 |
$1,785.98 |
$1,785.98
|
|
Exc coccygl pr ulc flap clsr
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,311.38
|
|
Exc coccygl pr ulc prim sutr
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Exc/crtg b1 cst/b9 tum rds
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Exc/crtg b1 cst/tum hum algr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Exc/crtg b1 cst/tum rds algr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Exc excessive skin buttock
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc excessive skin hip
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,994.09
|
|
Exc excessive skin leg
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$4,321.60
|
|
Exc excessive skin thigh
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,201.16
|
|
Exc face tum deep 2cm/> 21014
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$973.71 |
$973.71 |
$973.71 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$4,094.05
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,271.01
|
|
Exc forearm tum deep 3 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,898.50
|