|
Endo cath bile duct s&i
|
$128.80 |
$128.80 |
$128.80 |
$525.00
|
|
Endo cath panc duct s&i
|
$128.24 |
$128.24 |
$128.24 |
$634.40
|
|
Endoluminal bx biliary tree
|
$3,052.00 |
$3,052.00 |
$3,052.00 |
$2,354.40
|
|
Endoluminl ivus oct c 1st
|
$3,691.52 |
$3,691.52 |
$3,691.52 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$267.12 |
$267.12 |
$267.12 |
$2,466.77
|
|
Endoscopy swallow (fees) vid
|
$278.32 |
$278.32 |
$278.32 |
$457.50
|
|
Endovasc tempory vessel occl
|
$10,363.36 |
$10,363.36 |
$10,363.36 |
$11,634.84
|
|
Endovasc visc aorta 2 graft
|
$7,758.24 |
$7,758.24 |
$7,758.24 |
$13,442.62
|
|
Endovas iliac a device addon
|
$775.60 |
$775.60 |
$775.60 |
$1,940.87
|
|
Endovenous laser vein addon 36479
|
$2,755.76 |
$2,755.76 |
$2,755.76 |
$2,424.21
|
|
Enzyme histochemistry
|
$82.88 |
$82.88 |
$82.88 |
$506.35
|
|
Ep & ablate supravent arrhyt
|
$14,771.68 |
$14,771.68 |
$14,771.68 |
$30,975.00
|
|
Ep & ablate ventric tachy
|
$18,018.56 |
$18,018.56 |
$18,018.56 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$2,154.21
|
|
Epidrm agrft t/a/l 1st 100
|
$3,414.32 |
$3,414.32 |
$3,414.32 |
$2,710.80
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$11.73 |
$11.73 |
$11.73 |
$336.66
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$11.29 |
$11.29 |
$11.29 |
$379.58
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$11.01 |
$11.01 |
$11.01 |
$178.29
|
|
Epstein barr early antigen antibody
|
$22.96 |
$22.96 |
$22.96 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$23.52 |
$23.52 |
$23.52 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$63.84 |
$63.84 |
$63.84 |
$112.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$10.95 |
$10.95 |
$10.95 |
$62.40
|
|
Ercp biliary & pancreas
|
$274.40 |
$274.40 |
$274.40 |
$885.80
|
|
ER Visit (level 1, minor)
|
$110.88 |
$110.88 |
$110.88 |
$270.00
|
|
ER Visit (level 2)
|
$318.08 |
$318.08 |
$318.08 |
$469.39
|
|
ER Visit (level 3)
|
$568.96 |
$568.96 |
$568.96 |
$821.52
|
|
ER Visit (level 4)
|
$997.92 |
$997.92 |
$997.92 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,761.76 |
$1,761.76 |
$1,761.76 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$53.76 |
$53.76 |
$53.76 |
$195.33
|
|
Esophageal recording
|
$8,682.80 |
$8,682.80 |
$8,682.80 |
$1,674.16
|
|
Esophagus motility study
|
$1,077.44 |
$1,077.44 |
$1,077.44 |
$1,257.17
|
|
Esoph imped function test
|
$260.40 |
$260.40 |
$260.40 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$541.52 |
$541.52 |
$541.52 |
$1,089.15
|
|
Establish access to aorta
|
$1,720.32 |
$1,720.32 |
$1,720.32 |
$1,560.95
|
|
Established Patient Office Visit (level 1)
|
$25.76 |
$25.76 |
$25.76 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$32.48 |
$32.48 |
$32.48 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$45.36 |
$45.36 |
$45.36 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$73.92 |
$73.92 |
$73.92 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$117.60 |
$117.60 |
$117.60 |
$270.09
|
|
Estradiol total
|
$89.60 |
$89.60 |
$89.60 |
$142.20
|
|
Estrogens total-sendout
|
$25.20 |
$25.20 |
$25.20 |
$111.00
|
|
Etanercept injection
|
$134.92 |
$134.92 |
$134.92 |
$1,080.88
|
|
Ethylene glycol -sendout
|
$11.97 |
$11.97 |
$11.97 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.56 |
$2.56 |
$2.56 |
$20.35
|
|
Euglobulin lysis
|
$13.28 |
$13.28 |
$13.28 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$170.80 |
$170.80 |
$170.80 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$108.64 |
$108.64 |
$108.64 |
$219.60
|
|
Evaluation heart device
|
$5,121.76 |
$5,121.76 |
$5,121.76 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$148.40 |
$148.40 |
$148.40 |
$347.75
|
|
Evasc prlng admn rx agnt 1st
|
$14,061.60 |
$14,061.60 |
$14,061.60 |
$4,420.65
|
|
Evasc prlng admn rx agnt add
|
$14,061.60 |
$14,061.60 |
$14,061.60 |
$3,060.00
|
|
Event monitor
|
$99.68 |
$99.68 |
$99.68 |
$228.60
|
|
Evoked auditory tst complete
|
$90.16 |
$90.16 |
$90.16 |
$374.62
|
|
Evoked oa emissions ltd
|
$77.28 |
$77.28 |
$77.28 |
$234.32
|
|
Evoked potentials upper limbs
|
$336.00 |
$336.00 |
$336.00 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$470.96 |
$470.96 |
$470.96 |
$852.80
|
|
Exc benign tal 0.5 < cm 11400
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$805.70
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,223.04 |
$1,223.04 |
$1,223.04 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,277.52 |
$2,277.52 |
$2,277.52 |
$1,228.50
|
|
Exchange biliary drg cath
|
$6,364.40 |
$6,364.40 |
$6,364.40 |
$4,143.00
|
|
Exchange drainage catheter
|
$3,421.04 |
$3,421.04 |
$3,421.04 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$5,427.52 |
$5,427.52 |
$5,427.52 |
$2,752.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,282.96 |
$1,282.96 |
$1,282.96 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,119.76 |
$3,119.76 |
$3,119.76 |
$2,925.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,700.16 |
$1,700.16 |
$1,700.16 |
$2,941.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,101.12 |
$2,101.12 |
$2,101.12 |
$3,449.40
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$1,889.60
|
|
Exploration retroperitoneal area 49010
|
$1,350.72 |
$1,350.72 |
$1,350.72 |
$2,276.00
|
|
Explore chest vessels 35820
|
$2,556.96 |
$2,556.96 |
$2,556.96 |
$4,912.80
|
|
Explore parathyroid glands
|
$5,826.24 |
$5,826.24 |
$5,826.24 |
$6,547.81
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.24 |
$16.24 |
$16.24 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$548.80 |
$548.80 |
$548.80 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$52.08 |
$52.08 |
$52.08 |
$102.50
|
|
Extrnl counterpulse, per tx
|
$177.52 |
$177.52 |
$177.52 |
$142.80
|
|
F-18 fdg pet diag
|
$1,015.84 |
$1,015.84 |
$1,015.84 |
$750.58
|
|
F-18 fluciclovine per mci
|
$276.64 |
$276.64 |
$276.64 |
$7,624.40
|
|
F-18 sodium fluoride
|
$1,015.84 |
$1,015.84 |
$1,015.84 |
$532.20
|
|
Facial bones <3
|
$42.00 |
$42.00 |
$42.00 |
$216.45
|
|
Factor ix
|
$31.36 |
$31.36 |
$31.36 |
$139.75
|
|
Factor ix recombinant nos
|
$0.92 |
$0.92 |
$0.92 |
$1.88
|
|
Factor viii
|
$39.76 |
$39.76 |
$39.76 |
$152.50
|
|
Factor viii
|
$2.22 |
$2.22 |
$2.22 |
$1.35
|
|
Factor viii recombinant nos
|
$1.20 |
$1.20 |
$1.20 |
$3.30
|
|
Fancc gene
|
$47.04 |
$47.04 |
$47.04 |
$158.10
|
|
Fat/lipids feces qualitative
|
$19.04 |
$19.04 |
$19.04 |
$43.66
|
|
Fatty acids nonesterified
|
$22.40 |
$22.40 |
$22.40 |
$64.28
|
|
#fecal-sodium
|
$19.04 |
$19.04 |
$19.04 |
$40.30
|
|
Fem/popl revasc w/stent
|
$21,960.96 |
$21,960.96 |
$21,960.96 |
$21,553.12
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$0.65 |
$0.65 |
$0.65 |
$2,131.58
|
|
Ferritin
|
$45.92 |
$45.92 |
$45.92 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.65 |
$1.65 |
$1.65 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$139.44 |
$139.44 |
$139.44 |
$525.33
|
|
Fetal chrom aneuploidy gsa panel
|
$948.08 |
$948.08 |
$948.08 |
$1,231.20
|
|
Fetal cord puncture prenatal
|
$411.04 |
$411.04 |
$411.04 |
$626.34
|
|
Fetal fibronectin
|
$138.32 |
$138.32 |
$138.32 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$43.68 |
$43.68 |
$43.68 |
$59.85
|
|
Fetal hemoglobin rosette
|
$16.24 |
$16.24 |
$16.24 |
$48.35
|
|
Fetal non stress test
|
$273.28 |
$273.28 |
$273.28 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$40.32 |
$40.32 |
$40.32 |
$87.60
|
|
Fibrin degradation products
|
$90.72 |
$90.72 |
$90.72 |
$56.16
|
