|
Epstein barr nuclear antigen antibody
|
$156.00 |
$156.00 |
$156.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$184.00 |
$184.00 |
$184.00 |
$85.50
|
|
ER Visit (level 1, minor)
|
$332.00 |
$332.00 |
$332.00 |
$252.60
|
|
ER Visit (level 2)
|
$851.00 |
$851.00 |
$851.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$812.18
|
|
ER Visit (level 4)
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,977.00 |
$2,977.00 |
$2,977.00 |
$1,871.60
|
|
Esophageal dilat s&i
|
$469.00 |
$469.00 |
$469.00 |
$551.20
|
|
Esoph egd dilation <30 mm
|
$1,828.67 |
$1,828.67 |
$1,828.67 |
$2,656.80
|
|
Establish access to aorta
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,273.00
|
|
Established Patient Office Visit (level 3)
|
$114.33 |
$114.33 |
$114.33 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$231.00 |
$231.00 |
$231.00 |
$239.25
|
|
Estradiol total
|
$111.00 |
$111.00 |
$111.00 |
$152.10
|
|
Ethylene glycol -sendout
|
$54.00 |
$54.00 |
$54.00 |
$86.04
|
|
Eval aud rehab status/first hr 92626
|
$266.00 |
$266.00 |
$266.00 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$814.00 |
$814.00 |
$814.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$263.00 |
$263.00 |
$263.00 |
$213.15
|
|
Evaluation heart device
|
$2,927.00 |
$2,927.00 |
$2,927.00 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$202.00 |
$202.00 |
$202.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$281.00 |
$281.00 |
$281.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$2,555.00 |
$2,555.00 |
$2,555.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$2,226.00 |
$2,226.00 |
$2,226.00 |
$2,803.24
|
|
Evasc st rpr thrc/aa x crsg
|
$45,640.00 |
$45,640.00 |
$45,640.00 |
$11,524.11
|
|
Event monitor
|
$218.00 |
$218.00 |
$218.00 |
$231.00
|
|
Evoked oa emissions ltd
|
$314.00 |
$314.00 |
$314.00 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$405.00 |
$405.00 |
$405.00 |
$261.30
|
|
Evoked potentials upper limbs
|
$733.00 |
$733.00 |
$733.00 |
$908.54
|
|
Exam of vagina w/scope 57420
|
$630.00 |
$630.00 |
$630.00 |
$486.03
|
|
Exc benign feenlm >4.0cm 11446
|
$2,807.00 |
$2,807.00 |
$2,807.00 |
$3,386.84
|
|
Exc benign tal 0.5 < cm 11400
|
$966.00 |
$966.00 |
$966.00 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$739.00 |
$739.00 |
$739.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$956.00 |
$956.00 |
$956.00 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,766.00 |
$1,766.00 |
$1,766.00 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$9,379.00 |
$9,379.00 |
$9,379.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,314.67
|
|
Exc ext ear/partial/simple repair 69110
|
$16,374.00 |
$16,374.00 |
$16,374.00 |
$3,339.00
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$940.00 |
$940.00 |
$940.00 |
$999.50
|
|
Exchange biliary drg cath
|
$5,018.00 |
$5,018.00 |
$5,018.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$4,780.00 |
$4,780.00 |
$4,780.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$5,708.00 |
$5,708.00 |
$5,708.00 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$765.00 |
$765.00 |
$765.00 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,682.00 |
$1,682.00 |
$1,682.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$2,865.00
|
|
Excl laa open any method 33267
|
$21,020.00 |
$21,020.00 |
$21,020.00 |
$2,592.00
|
|
Exc malig feenl <0.5cm 11640
|
$817.00 |
$817.00 |
$817.00 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$1,082.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$817.00 |
$817.00 |
$817.00 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$1,954.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$817.00 |
$817.00 |
$817.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$833.00 |
$833.00 |
$833.00 |
$1,294.80
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$2,171.00
|
|
Exc thrombosed hemorrhoid 46320
|
$5,073.00 |
$5,073.00 |
$5,073.00 |
$2,175.36
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$2,054.40
|
|
Exercise w/hemodynamic meas
|
$971.00 |
$971.00 |
$971.00 |
$901.60
|
|
Explore penetrating wnd/extremity 20103
|
$3,937.00 |
$3,937.00 |
$3,937.00 |
$1,788.80
|
|
Explore/treat finger joint
|
$12,032.00 |
$12,032.00 |
$12,032.00 |
$3,839.54
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
$2,896.40
|
|
External chromosome analysis 20-25 cells
|
$999.00 |
$999.00 |
$999.00 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$712.00 |
$712.00 |
$712.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$56.00 |
$56.00 |
$56.00 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$371.00 |
$371.00 |
$371.00 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$485.00 |
$485.00 |
$485.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,786.00 |
$1,786.00 |
$1,786.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$323.12 |
$323.12 |
$323.12 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$215.00 |
$215.00 |
$215.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$489.00 |
$489.00 |
$489.00 |
$381.75
|
|
Factor ix
|
$91.00 |
$91.00 |
$91.00 |
$162.50
|
|
Factor viii
|
$84.00 |
$84.00 |
$84.00 |
$148.00
|
|
Fem/popl revasc w/stent
|
$34,236.52 |
$34,236.52 |
$34,236.52 |
$16,129.60
|
|
Fern test
|
$32.00 |
$32.00 |
$32.00 |
$37.03
|
|
Ferritin
|
$54.00 |
$54.00 |
$54.00 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$808.00 |
$808.00 |
$808.00 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$306.00 |
$306.00 |
$306.00 |
$477.50
|
|
Fetal fibronectin
|
$266.00 |
$266.00 |
$266.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$36.00 |
$36.00 |
$36.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$95.00 |
$95.00 |
$95.00 |
$67.20
|
|
Fetal non stress test
|
$320.00 |
$320.00 |
$320.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$148.00 |
$148.00 |
$148.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$47.00 |
$47.00 |
$47.00 |
$120.64
|
|
Fibrin degradation products
|
$28.00 |
$28.00 |
$28.00 |
$75.02
|
|
Fibrinogen activity
|
$47.00 |
$47.00 |
$47.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$32.00 |
$32.00 |
$32.00 |
$61.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$497.00 |
$497.00 |
$497.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$607.00 |
$607.00 |
$607.00 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$101.00 |
$101.00 |
$101.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$413.00 |
$413.00 |
$413.00 |
$540.80
|
|
Flow cytometry marker each additional
|
$102.00 |
$102.00 |
$102.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$363.00 |
$363.00 |
$363.00 |
$285.00
|
|
Flt3 gene
|
$552.00 |
$552.00 |
$552.00 |
$366.29
|
|
Flt3 gene analysis
|
$277.00 |
$277.00 |
$277.00 |
$216.00
|
