|
Epidrm agrft t/a/l 1st 100
|
$542.88 |
$542.88 |
$542.88 |
|
|
Epidrm autogrft t/a/l add-on
|
$271.34 |
$271.34 |
$271.34 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$343.11 |
$346.92 |
$1,344.80 |
|
|
Epidural lysis on single day 62264
|
$2,069.66 |
$2,069.66 |
$2,069.66 |
|
|
Ep induct arrhy by elect pacing
|
$7,996.08 |
$7,996.08 |
$7,996.08 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$32.67 |
$58.84 |
$68.67 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$26.08 |
$50.60 |
$70.60 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$47.82 |
$1,006.82 |
$1,174.62 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$25.14 |
$61.17 |
$97.12 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$197.34 |
$197.34 |
$730.23 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,660.00 |
$1,720.49 |
$1,744.80 |
|
|
Epoetin alfa, 100 units esrd
|
$248.79 |
$248.79 |
$339.96 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$220.00 |
$729.90 |
$851.55 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$481.42 |
$676.61 |
$1,210.50 |
|
|
Epoetin beta esrd use
|
$580.00 |
$860.00 |
$983.20 |
|
|
Epoetin beta non esrd
|
$580.00 |
$860.00 |
$983.20 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$64.55 |
$127.45 |
$127.45 |
|
|
Epstein barr early antigen antibody
|
$48.10 |
$56.11 |
$60.59 |
|
|
Epstein barr nuclear antigen antibody
|
$40.71 |
$44.59 |
$171.20 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$41.38 |
$45.31 |
$162.40 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$87.91 |
$193.58 |
$1,147.88 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,688.18 |
$3,067.02 |
$3,578.19 |
|
|
Ercp biliary & pancreas
|
$228.48 |
$228.48 |
$1,493.60 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$5,224.00 |
$5,224.00 |
$5,224.00 |
|
|
Ercp remove duct calculi 43264
|
$4,232.80 |
$4,232.80 |
$4,232.80 |
|
|
Ercp stent exchange w/dilate
|
$5,467.20 |
$5,467.20 |
$5,467.20 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,220.36 |
$2,403.36 |
$2,803.92 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$69.62 |
$194.61 |
$270.80 |
|
|
ER Visit (level 1, minor)
|
$91.25 |
$230.40 |
$323.20 |
|
|
ER Visit (level 2)
|
$172.90 |
$372.00 |
$504.80 |
|
|
ER Visit (level 3)
|
$331.63 |
$569.60 |
$888.00 |
|
|
ER Visit (level 4)
|
$616.70 |
$880.00 |
$1,411.20 |
|
|
ER Visit (level 5, high severity)
|
$913.25 |
$1,270.40 |
$2,052.80 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$103.77 |
$142.49 |
$149.20 |
|
|
Escharotomy ea addl incision
|
$328.00 |
$328.00 |
$328.00 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$191.21 |
$191.21 |
$191.21 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$39.99 |
$310.02 |
$380.51 |
|
|
Esophageal dilat s&i
|
$287.95 |
$289.69 |
$875.20 |
|
|
Esophageal motility
|
$259.15 |
$422.63 |
$422.63 |
|
|
Esophageal recording
|
$1,371.94 |
$1,785.95 |
$1,785.95 |
|
|
Esophageal recording
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
|
|
Esophagoscopy flex remove fb
|
$3,508.80 |
$3,508.80 |
$3,508.80 |
|
|
Esophagoscopy retro balloon
|
$3,092.93 |
$3,092.93 |
$3,092.93 |
|
|
Esophagus motility study
|
$417.60 |
$794.92 |
$794.92 |
|
|
Esoph egd dilation <30 mm
|
$2,695.20 |
$2,695.20 |
$2,695.20 |
|
|
Esoph imped function test
|
$888.22 |
$888.22 |
$888.22 |
|
|
Esoph imped funct test > 1hr
|
$755.27 |
$755.27 |
$755.27 |
|
|
Establish access to aorta
|
$2,899.20 |
$2,899.20 |
$2,899.20 |
|
|
Establish access to artery
|
$1,485.94 |
$1,485.94 |
$1,485.94 |
|
|
Established Patient Office Visit (level 1)
|
$38.47 |
$135.20 |
$241.60 |
|
|
Established Patient Office Visit (level 2)
|
$47.77 |
$126.40 |
$251.20 |
|
|
Established Patient Office Visit (level 3)
|
$59.30 |
$171.94 |
$453.60 |
|
|
Established Patient Office Visit (level 4)
|
$70.78 |
$205.25 |
$680.80 |
|
|
Established Patient Office Visit (level 5)
|
$85.01 |
$232.99 |
$1,059.20 |
|
|
Estradiol total
|
$128.00 |
$210.50 |
$282.40 |
|
|
Estradiol valerate 10 mg inj
|
$33.24 |
$33.24 |
$33.24 |
|
|
Estrogens total-sendout
|
$52.80 |
$52.80 |
$52.80 |
|
|
Etanercept injection
|
$4,600.94 |
$4,600.94 |
$4,600.94 |
|
|
Ethylene glycol -sendout
|
$125.38 |
$133.92 |
$200.00 |
|
|
Etonogestrel implant system
|
$730.22 |
$1,054.64 |
$1,839.43 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$170.17 |
$232.51 |
$445.24 |
|
|
Etoposide 50 mg cap
|
$176.57 |
$176.57 |
$176.57 |
|
|
Euflexxa inj per dose
|
$174.49 |
$203.58 |
$373.95 |
|
|
Eval aud funcj ea addl 15
|
$97.60 |
$131.38 |
$152.69 |
|
|
Eval aud rehab status/first hr 92626
|
$373.60 |
$373.60 |
$373.60 |
|
|
Eval/fit voice prosthesis iii, st
|
$192.92 |
$240.35 |
$470.40 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$80.86 |
$88.51 |
$361.60 |
|
|
Evaluation heart device
|
$4,035.84 |
$4,035.84 |
$4,035.84 |
|
|
Evaluation of speech fluency 92521
|
$192.92 |
$240.35 |
$400.80 |
|
|
Evaluation psychiatric diagnostic
|
$228.96 |
$337.01 |
$430.40 |
|
|
Evasc prlng admn rx agnt 1st
|
$13,998.71 |
$13,998.71 |
$20,798.21 |
|
|
Evasc prlng admn rx agnt add
|
$6,999.27 |
$6,999.27 |
$10,399.15 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$5,109.94 |
$5,109.94 |
$5,109.94 |
|
|
Evasc rpr a-ao ndgft 34701
|
$6,491.18 |
$6,491.18 |
$14,881.60 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$4,288.18 |
$4,288.18 |
$19,524.80 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,313.09 |
$4,313.09 |
$25,252.00 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$11,304.96 |
$11,304.96 |
$25,625.60 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$6,491.18 |
$6,491.18 |
$17,829.60 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$6,432.34 |
$6,432.34 |
$22,957.60 |
|
|
Evasc rpr ilio-iliac ndgft
|
$11,304.96 |
$11,304.96 |
$16,714.40 |
|
|
Evasc rpr ilio-iliac rpt
|
$11,304.96 |
$11,304.96 |
$22,156.80 |
|
|
Evasc st rpr thrc/aa acrs br
|
$13,973.57 |
$13,973.57 |
$13,973.57 |
|
|
Evasc st rpr thrc/aa x crsg
|
$13,973.57 |
$13,973.57 |
$13,973.57 |
|
|
Event monitor
|
$109.63 |
$152.38 |
$409.60 |
|
|
Evoked auditory tst complete
|
$221.87 |
$410.42 |
$410.42 |
|
|
Evoked oa emissions ltd
|
$151.20 |
$279.31 |
$299.04 |
|
|
Evoked potentials auditory screening automated analysis
|
$81.76 |
$151.31 |
$362.40 |
|
|
Evoked potentials upper limbs
|
$231.46 |
$862.34 |
$1,141.60 |
|
|
Evoked potential visual not glaucoma
|
$222.00 |
$222.00 |
$964.80 |
|
|
Evok oa screening qual
|
$153.83 |
$299.04 |
$299.04 |
|
|
Ewhfo w/joint(s) cf
|
$1,261.12 |
$2,226.38 |
$2,597.45 |
|
|
Ewho w/joint(s) cf
|
$1,127.90 |
$1,284.14 |
$1,498.17 |
|
|
Exam of vagina w/scope 57420
|
$889.60 |
$889.60 |
$889.60 |
|
|
Exam plvc w/anes othr thn lcl
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$4,426.40 |
$4,426.40 |
$4,426.40 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$5,580.80 |
$5,580.80 |
$5,580.80 |
|
|
Exc abd les sc 3 cm/>
|
$4,389.60 |
$4,389.60 |
$5,467.20 |
|
|
Exc abdl tum deep < 5 cm
|
$4,772.00 |
$4,772.00 |
$4,772.00 |
|
|
Exc abdl tum deep 5 cm/>
|
$5,405.60 |
$5,405.60 |
$5,405.60 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$4,114.40 |
$4,114.40 |
$5,296.80 |
|
