|
Establish brain cavity shunt
|
$2,438.49 |
$2,438.49 |
$2,438.49 |
|
|
Establish brain cavity shunt
|
$1,446.87 |
$1,446.87 |
$1,446.87 |
|
|
Establish brain cavity shunt
|
$1,555.76 |
$1,555.76 |
$1,555.76 |
|
|
Establish brain cavity shunt
|
$2,104.22 |
$2,104.22 |
$2,104.22 |
|
|
Establish brain cavity shunt
|
$1,490.23 |
$1,490.23 |
$1,490.23 |
|
|
Established Patient Office Visit (level 1)
|
$10.85 |
$25.76 |
$110.40 |
|
|
Established Patient Office Visit (level 2)
|
$32.48 |
$44.49 |
$118.40 |
|
|
Established Patient Office Visit (level 3)
|
$45.36 |
$114.33 |
$199.20 |
|
|
Established Patient Office Visit (level 4)
|
$73.92 |
$180.48 |
$301.60 |
|
|
Established Patient Office Visit (level 5)
|
$117.60 |
$178.74 |
$427.20 |
|
|
Estim aid bone healg invasiv
|
$253.64 |
$253.64 |
$253.64 |
|
|
Estradiol total
|
$29.14 |
$111.00 |
$292.80 |
|
|
Estradiol valerate 10 mg inj
|
$10.28 |
$10.28 |
$10.28 |
|
|
Estrogens total-sendout
|
$15.75 |
$27.44 |
$37.13 |
|
|
Etanercept injection
|
$134.92 |
$134.92 |
$134.92 |
|
|
Ethanolamine oleate 100 mg
|
$713.57 |
$713.57 |
$713.57 |
|
|
Ethmoidectomy extranasal total 31205
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Ethylene glycol -sendout
|
$11.97 |
$54.00 |
$290.40 |
|
|
Etonogestrel implant system
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.15 |
$1.44 |
$2.92 |
|
|
Etoposide 50 mg cap
|
$119.77 |
$119.77 |
$119.77 |
|
|
Euflexxa inj per dose
|
$145.54 |
$145.54 |
$145.54 |
|
|
Euglobulin lysis
|
$11.61 |
$11.61 |
$365.60 |
|
|
Evacuate mole of uterus
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Eval aud funcj ea addl 15
|
$19.21 |
$19.21 |
$43.95 |
|
|
Eval aud rehab status/first hr 92626
|
$176.93 |
$253.00 |
$266.00 |
|
|
Eval/fit voice prosthesis iii, st
|
$164.03 |
$461.00 |
$814.00 |
|
|
Evaluation cervical mucus
|
$14.32 |
$14.32 |
$14.32 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$60.16 |
$195.00 |
$263.00 |
|
|
Evaluation heart device
|
$255.24 |
$2,927.00 |
$5,121.76 |
|
|
Evaluation of speech fluency 92521
|
$145.60 |
$202.00 |
$563.00 |
|
|
Evaluation psychiatric diagnostic
|
$161.68 |
$281.00 |
$512.00 |
|
|
Evasc prlng admn rx agnt 1st
|
$818.74 |
$2,555.00 |
$14,061.60 |
|
|
Evasc prlng admn rx agnt add
|
$350.23 |
$2,226.00 |
$14,061.60 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$1,715.12 |
$1,715.12 |
$1,715.12 |
|
|
Evasc rpr a-ao ndgft 34701
|
$1,192.80 |
$1,715.46 |
$1,715.46 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,522.90 |
$2,522.90 |
$2,522.90 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$3,170.08 |
$3,170.08 |
$9,850.00 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$616.03 |
$616.03 |
$616.03 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,905.84 |
$1,905.84 |
$1,905.84 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$3,133.92 |
$3,133.92 |
$3,133.92 |
|
|
Evasc rpr ilio-iliac ndgft
|
$1,614.83 |
$1,614.83 |
$4,412.24 |
|
|
Evasc rpr ilio-iliac rpt
|
$2,556.92 |
$2,556.92 |
$7,101.36 |
|
|
Evasc st rpr thrc/aa acrs br
|
$1,299.66 |
$1,299.66 |
$1,299.66 |
|
|
Evasc st rpr thrc/aa x crsg
|
$1,034.48 |
$41,076.00 |
$45,640.00 |
|
|
Event monitor
|
$51.32 |
$218.00 |
$549.00 |
|
|
Evoked auditory tst complete
|
$90.16 |
$513.11 |
$513.11 |
|
|
Evoked oa emissions ltd
|
$77.28 |
$314.00 |
$1,010.00 |
|
|
Evoked potentials auditory screening automated analysis
|
$37.00 |
$385.00 |
$405.00 |
|
|
Evoked potentials upper limbs
|
$296.91 |
$733.00 |
$1,091.20 |
|
|
Evoked potential visual not glaucoma
|
$274.40 |
$468.12 |
$1,229.60 |
|
|
Ewhfo w/joint(s) cf
|
$2,095.78 |
$2,095.78 |
$2,095.78 |
|
|
Ewho w/joint(s) cf
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
|
|
Exam of vagina w/scope 57420
|
$419.01 |
$630.00 |
$1,120.00 |
|
|
Exam pelvic add-on
|
$23.13 |
$23.13 |
$23.13 |
|
|
Exam plvc w/anes othr thn lcl
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc 1st&/crv rib w/sympth
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Exc abd les sc 3 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc abdl tum deep < 5 cm
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc abdl tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$1,063.00 |
$3,994.09 |
$3,994.09 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$373.00 |
$2,271.01 |
$2,271.01 |
|
|
Exc aurl glomus tum extended
|
$3,202.99 |
$3,202.99 |
$3,202.99 |
|
|
Exc aurl glomus tum trnscanl
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Exc aurl glomus tum trnsmstd
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Exc back les sbq <3 cm 21930
|
$950.00 |
$2,271.01 |
$2,271.01 |
|
|
Exc back tum deep 5 cm/>
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc bartholins gland/cyst
|
$4,451.18 |
$6,935.00 |
$6,935.00 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,271.01 |
$5,137.00 |
$5,137.00 |
|
|
Exc benign feenlm >4.0cm 11446
|
$2,526.00 |
$2,807.00 |
$3,994.09 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Exc benign tal 0.5 < cm 11400
|
$966.00 |
$973.71 |
$2,525.00 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$117.00 |
$739.00 |
$1,373.00 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$162.00 |
$956.00 |
$2,525.00 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$123.00 |
$1,630.00 |
$5,678.00 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,589.00 |
$2,271.01 |
$5,678.00 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,994.09 |
$8,441.00 |
$9,379.00 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$117.00 |
$1,006.00 |
$1,375.00 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$552.00 |
$1,834.00 |
$2,525.00 |
|
|
Exc breast duct fistula 19112
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
|
|
Exc carotid body tumor without exc art 60600
|
$1,855.76 |
$1,855.76 |
$1,855.76 |
|
|
Exc cervix repair bowel 57556
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Exc cervix/repair pelvis 57545
|
$1,083.05 |
$1,083.05 |
$1,083.05 |
|
|
Exc cervix/repair vagina 57555
|
$6,878.55 |
$6,878.55 |
$6,878.55 |
|
|
Exc chest wall tumor w/ribs 21601
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc ch wal tum without lymphadec
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Exc ch wal tum w/lymphadec
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Exc coa rpr l subcl art/prst
|
$1,832.76 |
$1,832.76 |
$1,832.76 |
|
|
Exc coa w/direct anastomosis
|
$1,785.98 |
$1,785.98 |
$1,785.98 |
|
|
Exc coccygl pr ulc flap clsr
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Exc coccygl pr ulc prim sutr
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Exc/crtg b1 cst/b9 tum rds
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Exc/crtg b1 cst/tum hum agrf
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Exc/crtg b1 cst/tum hum algr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Exc/crtg b1 cst/tum rds agrf
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Exc/crtg b1 cst/tum rds algr
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
