|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$194.15 |
$194.15 |
$194.15 |
$219.60
|
|
Evaluation heart device
|
$1,494.90 |
$1,494.90 |
$1,494.90 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$222.75 |
$222.75 |
$500.51 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$259.05 |
$259.05 |
$259.05 |
$320.00
|
|
Evasc prlng admn rx agnt 1st
|
$4,450.05 |
$4,450.05 |
$5,059.34 |
$4,462.80
|
|
Evasc prlng admn rx agnt add
|
$4,050.75 |
$4,050.75 |
$5,059.34 |
$3,484.88
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,814.35 |
$2,814.35 |
$2,814.35 |
$4,537.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,970.65 |
$1,970.65 |
$1,970.65 |
$7,465.20
|
|
Evasc rpr ilio-iliac ndgft
|
$3,484.25 |
$3,484.25 |
$3,484.25 |
$8,412.85
|
|
Evasc st rpr thrc/aa acrs br
|
$880.00 |
$880.00 |
$880.00 |
$5,510.00
|
|
Evasc st rpr thrc/aa x crsg
|
$880.00 |
$880.00 |
$12,121.47 |
$11,524.11
|
|
Event monitor
|
$173.80 |
$173.80 |
$173.80 |
$242.12
|
|
Evoked auditory tst complete
|
$64.02 |
$64.02 |
$526.96 |
$368.50
|
|
Evoked oa emissions ltd
|
$551.98 |
$551.98 |
$551.98 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$368.04 |
$368.04 |
$368.04 |
$283.62
|
|
Evoked potentials upper limbs
|
$1,331.33 |
$1,331.33 |
$1,760.55 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$891.60 |
$891.60 |
$1,676.40 |
$829.44
|
|
Evok oa screening qual
|
$129.42 |
$129.42 |
$129.42 |
$120.90
|
|
Exc arm/elbo les sc <3cm 24075
|
$434.02 |
$434.02 |
$434.02 |
$1,917.33
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,753.46 |
$2,753.46 |
$2,753.46 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$3,211.78 |
$3,211.78 |
$3,211.78 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$1,108.80 |
$1,108.80 |
$1,601.60 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,162.70 |
$1,162.70 |
$1,330.62 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,355.75 |
$1,355.75 |
$2,202.20 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,453.10 |
$1,453.10 |
$2,385.96 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,188.55 |
$1,188.55 |
$1,927.64 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$164.34 |
$164.34 |
$2,385.96 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,753.46 |
$2,753.46 |
$2,753.46 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$125.53 |
$125.53 |
$1,556.56 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$158.40 |
$158.40 |
$2,048.48 |
$1,301.30
|
|
Exc ext ear/partial/simple repair 69110
|
$5,047.18 |
$5,047.18 |
$8,156.50 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,122.55 |
$1,122.55 |
$1,122.55 |
$1,061.40
|
|
Exc forearm les sc 3 cm/>
|
$312.73 |
$312.73 |
$312.73 |
$2,078.40
|
|
Exc hand tum deep < 1.5 cm 26116
|
$3,410.55 |
$3,410.55 |
$3,410.55 |
$2,271.01
|
|
Exchange biliary drg cath
|
$3,092.38 |
$3,092.38 |
$4,792.70 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,263.69 |
$2,263.69 |
$2,738.45 |
$2,256.80
|
|
Exchange lens prosthesis
|
$6,577.45 |
$6,577.45 |
$6,577.45 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$2,724.15 |
$2,724.15 |
$5,812.40 |
$3,097.16
|
|
Excise lip or cheek fold
|
$3,372.66 |
$3,372.66 |
$3,372.66 |
$1,752.89
|
|
Excise/repair mouth lesion
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$2,133.48
|
|
Excision aural polyp
|
$1,157.58 |
$1,157.58 |
$1,157.58 |
$1,752.89
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,258.95 |
$1,258.95 |
$2,019.16 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,019.16 |
$2,019.16 |
$3,522.75 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,188.55 |
$1,188.55 |
$1,884.74 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,549.35 |
$1,549.35 |
$2,375.23 |
$2,916.96
|
|
Excision lesion mouth roof
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,600.75
|
|
Excision nasal polyp(s) simple 30110
|
$1,291.29 |
$1,291.29 |
$1,291.29 |
$1,639.57
|
|
Excision of penis lesion(s) 54060
|
$4,496.64 |
$4,496.64 |
$4,496.64 |
$2,371.50
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,401.25
|
|
Exc malig feenl 1.1-2 11642
|
$184.96 |
$184.96 |
$184.96 |
$1,113.60
|
|
Exc malig feenl 3.1-4.0 11644
|
$244.50 |
$244.50 |
$244.50 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$257.89 |
$257.89 |
$257.89 |
$3,386.84
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,707.42 |
$1,707.42 |
$1,707.42 |
$1,273.80
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,745.32 |
$1,745.32 |
$1,745.32 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,521.80 |
$2,521.80 |
$2,521.80 |
$1,917.33
|
|
Exc malig tal 0.6-1.0cm 11601
|
$184.54 |
$184.54 |
$184.54 |
$828.59
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$198.40 |
$198.40 |
$198.40 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$224.14 |
$224.14 |
$224.14 |
$1,246.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$249.88 |
$249.88 |
$249.88 |
$1,322.10
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,673.67 |
$3,673.67 |
$6,526.30 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$3,773.00 |
$3,773.00 |
$3,773.00 |
$3,752.25
|
|
Exc skn hdrdnt ax complex
|
$320.36 |
$320.36 |
$320.36 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,853.28 |
$1,853.28 |
$1,853.28 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$159.87 |
$159.87 |
$2,689.83 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$209.37 |
$209.37 |
$3,492.06 |
$3,370.52
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,271.01
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$285.82 |
$285.82 |
$285.82 |
$3,370.52
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$380.95 |
$380.95 |
$380.95 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$237.38 |
$237.38 |
$811.80 |
$337.50
|
|
Exercise tst brncspsm wo ecg
|
$99.38 |
$99.38 |
$99.38 |
$139.50
|
|
Exome sequence analysis
|
$9,628.85 |
$9,628.85 |
$9,628.85 |
$5,258.00
|
|
Ex palate/uvula lesion without closure 42104
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,728.50
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,841.87 |
$3,841.87 |
$3,841.87 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$667.38 |
$667.38 |
$2,829.32 |
$3,473.04
|
|
Expl lap celiotomy w/wo bx 49000
|
$4,671.70 |
$4,671.70 |
$4,671.70 |
$2,232.75
|
|
Exploration of knee joint
|
$13,560.80 |
$13,560.80 |
$13,560.80 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$333.85 |
$333.85 |
$333.85 |
$436.44
|
|
Explore limb vessels 35860
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$3,965.00
|
|
Explore penetrating wnd/extremity 20103
|
$1,734.59 |
$1,734.59 |
$2,712.05 |
$1,917.33
|
|
Explore/repair chest 32110
|
$9,699.25 |
$9,699.25 |
$9,699.25 |
$3,668.70
|
|
Explore/treat finger joint
|
$12,552.10 |
$12,552.10 |
$12,552.10 |
$3,839.54
|
|
Explore/treat finger joint
|
$2,518.45 |
$2,518.45 |
$2,518.45 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$3,293.95 |
$3,293.95 |
$3,293.95 |
$2,837.09
|
|
Explore woundchest 20101
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$2,179.44
|
|
Explore wound neck 20100
|
$891.55 |
$891.55 |
$891.55 |
$1,185.00
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$656.70 |
$656.70 |
$656.70 |
$1,851.20
|
|
Expose endoprosth brachial 34834
|
$1,560.90 |
$1,560.90 |
$1,560.90 |
$1,807.40
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,559.70 |
$2,559.70 |
$2,559.70 |
$3,559.50
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,622.20 |
$4,622.20 |
$4,622.20 |
$2,271.01
|
|
Extended visual field xm
|
$40.92 |
$40.92 |
$40.92 |
$162.75
|
|
External cannula declotting
|
$1,279.62 |
$1,279.62 |
$1,279.62 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$367.40 |
$367.40 |
$947.65 |
$389.35
|
|
External ocular photography
|
$29.70 |
$29.70 |
$101.00 |
$51.36
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$47.85 |
$47.85 |
$47.85 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$372.35 |
$372.35 |
$624.25 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$142.45 |
$142.45 |
$151.25 |
$102.78
|
|
Extraction erupted tooth/exr
|
$1,556.02 |
$1,556.02 |
$2,349.05 |
$1,966.80
|
|
F-18 fdg pet diag
|
$89.02 |
$89.02 |
$1,076.50 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,038.12 |
$3,038.12 |
$3,038.12 |
$4,960.80
|