|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$8,042.45 |
$8,042.45 |
$8,042.45 |
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$11,648.65 |
$11,648.65 |
$11,648.65 |
|
|
Emb without cervical dilation 58100
|
$139.50 |
$265.85 |
$5,977.30 |
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$269.10 |
$310.05 |
$577.85 |
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$512.85 |
$537.55 |
$962.65 |
|
|
Emg cranial nerve bilateral
|
$410.80 |
$410.80 |
$529.10 |
|
|
Emg needle test 1-extremity
|
$254.15 |
$256.10 |
$761.15 |
|
|
Emg needle test 4-extremities
|
$483.60 |
$593.45 |
$1,063.40 |
|
|
Emg thor paraspinal without t1/t2
|
$174.20 |
$187.85 |
$248.95 |
|
|
Encephalitis, california igg/igm
|
$28.60 |
$49.40 |
$56.55 |
|
|
Encephalitis, st louis igg/igm
|
$28.60 |
$45.50 |
$57.20 |
|
|
Encephalitis, western equine igg/igm
|
$28.60 |
$46.80 |
$55.25 |
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$12,433.09 |
$12,433.09 |
$12,433.09 |
|
|
Endo cath bile duct s&i
|
$873.60 |
$873.60 |
$873.60 |
|
|
Endo cath panc duct s&i
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
|
|
Endocervical curettage 57505
|
$9,055.03 |
$9,055.03 |
$9,055.03 |
|
|
Endo cholangiopancreatograph
|
$9,975.39 |
$9,975.39 |
$10,830.82 |
|
|
Endo cholangiopancreatograph
|
$9,855.82 |
$9,855.82 |
$9,975.39 |
|
|
Endo defect closure gi tract
|
$9,433.45 |
$9,433.45 |
$9,433.45 |
|
|
Endoluminal bx biliary tree
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
|
|
Endoluminl ivus oct c 1st
|
$6,337.50 |
$6,337.50 |
$6,337.50 |
|
|
Endoluminl ivus oct c ea
|
$5,365.10 |
$5,365.10 |
$5,365.10 |
|
|
Endome abla/them without hystero guide 58353
|
$2,985.75 |
$2,985.75 |
$11,746.28 |
|
|
Endoscopic injection/implant
|
$10,846.30 |
$10,846.30 |
$16,325.92 |
|
|
Endoscopic pancreatoscopy
|
$10,039.79 |
$10,039.79 |
$13,904.44 |
|
|
Endoscopic Ultrasound exam esoph
|
$2,551.77 |
$2,551.77 |
$2,551.77 |
|
|
Endoscopy bowel pouch/biop
|
$5,673.73 |
$5,673.73 |
$5,673.73 |
|
|
Endoscopy maxillary sinus
|
$20,444.78 |
$20,444.78 |
$20,444.78 |
|
|
Endoscopy of bowel pouch 44385
|
$3,147.18 |
$3,147.18 |
$3,147.18 |
|
|
Endoscopy swallow (fees) vid
|
$261.95 |
$333.45 |
$529.75 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$8,899.21 |
$8,899.21 |
$8,899.21 |
|
|
Endovasc rpr a-biiliac endogft 34705
|
$21,763.95 |
$21,763.95 |
$21,763.95 |
|
|
Endovasc tempory vessel occl
|
$44,816.20 |
$44,816.20 |
$44,816.20 |
|
|
Endovas iliac a device addon
|
$15,340.00 |
$15,340.00 |
$15,340.00 |
|
|
Endovenous rf abl vein addl
|
$10,834.71 |
$10,834.71 |
$10,834.71 |
|
|
Endoven ther chem adhes 1st 36482
|
$15,795.22 |
$15,795.22 |
$15,795.22 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$6,854.74 |
$9,182.70 |
$11,017.03 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$33.55 |
$58.34 |
$193.89 |
|
|
Enterectomy small intestine addl 44121
|
$650.00 |
$650.00 |
$650.00 |
|
|
Enterectomy small intestine single 44120
|
$2,442.05 |
$2,442.05 |
$2,442.05 |
|
|
Enteroenterostomy fusion 44130
|
$2,150.85 |
$2,150.85 |
$2,150.85 |
|
|
Enterorrhaphy 1perforation 44602
|
$2,466.75 |
$2,466.75 |
$2,466.75 |
|
|
Enzyme histochemistry
|
$193.70 |
$193.70 |
$10,057.35 |
|
|
Ep & ablate supravent arrhyt
|
$21,464.30 |
$21,464.30 |
$32,340.75 |
|
|
Ep & ablate ventric tachy
|
$23,442.25 |
$23,442.25 |
$24,991.20 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,934.07 |
$2,752.15 |
$4,337.77 |
|
|
Epidural lysis on single day 62264
|
$2,159.95 |
$2,159.95 |
$2,159.95 |
|
|
Ep induct arrhy by elect pacing
|
$5,245.50 |
$5,245.50 |
$5,245.50 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$45.64 |
$45.64 |
$49.07 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$7.44 |
$7.99 |
$318.53 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$919.76 |
$919.76 |
$919.76 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$8.77 |
$9.98 |
$13.94 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$517.77 |
$517.77 |
$517.77 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,602.60 |
$2,602.60 |
$2,602.60 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$881.50 |
$884.44 |
$1,101.88 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$33.75 |
$2,084.55 |
$2,605.69 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$67.26 |
$67.26 |
$190.38 |
|
|
Epstein barr early antigen antibody
|
$15.60 |
$88.40 |
$118.95 |
|
|
Epstein barr nuclear antigen antibody
|
$70.85 |
$94.90 |
$198.25 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$83.20 |
$118.95 |
$254.25 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$90.67 |
$90.67 |
$1,300.00 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,264.45 |
$4,137.23 |
$5,243.84 |
|
|
Ercp biliary & pancreas
|
$1,325.35 |
$1,325.35 |
$1,337.05 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$13,962.34 |
$13,962.34 |
$13,996.31 |
|
|
Ercp ea duct/ampulla dilate
|
$10,058.76 |
$10,058.76 |
$10,058.76 |
|
|
Ercp lithotripsy calculi
|
$18,665.42 |
$18,665.42 |
$18,665.42 |
|
|
Ercp remove duct calculi 43264
|
$9,975.39 |
$9,975.39 |
$9,981.26 |
|
|
Ercp remove forgn body duct 43275
|
$8,156.97 |
$8,156.97 |
$8,910.04 |
|
|
Ercp stent exchange w/dilate
|
$8,346.31 |
$8,346.31 |
$11,940.23 |
|
|
Ercp w/specimen collection
|
$10,830.01 |
$10,830.01 |
$10,830.01 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,299.05 |
$3,078.07 |
$3,444.67 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$90.67 |
$120.90 |
$586.43 |
|
|
ER Visit (level 1, minor)
|
$24.75 |
$301.60 |
$469.95 |
|
|
ER Visit (level 2)
|
$47.25 |
$514.80 |
$661.05 |
|
|
ER Visit (level 3)
|
$81.00 |
$959.40 |
$1,324.05 |
|
|
ER Visit (level 4)
|
$136.50 |
$1,678.30 |
$2,673.93 |
|
|
ER Visit (level 5, high severity)
|
$198.75 |
$4,175.60 |
$5,663.12 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$597.06 |
$597.06 |
$597.06 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$10.64 |
$420.87 |
$547.14 |
|
|
Esophageal dilat s&i
|
$616.20 |
$616.20 |
$616.20 |
|
|
Esophageal motility
|
$1,542.45 |
$1,542.45 |
$1,542.45 |
|
|
Esophagoscop stent placement
|
$13,460.82 |
$13,460.82 |
$13,460.82 |
|
|
Esophagoscopy balloon <30mm
|
$10,054.25 |
$10,054.25 |
$10,054.25 |
|
|
Esophagoscopy control bleed
|
$3,551.71 |
$3,551.71 |
$3,551.71 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$5,371.13 |
$5,371.13 |
$5,371.13 |
|
|
Esophagoscopy rigid balloon
|
$8,254.42 |
$8,254.42 |
$8,254.42 |
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$11,957.93 |
$11,957.93 |
$11,957.93 |
|
|
Esophagoscopy rigid trnso 43180
|
$4,725.69 |
$4,725.69 |
$12,846.27 |
|
|
Esophagoscp guide wire dilat 43196
|
$10,526.22 |
$10,526.22 |
$10,526.22 |
|
|
Esophagoscp rig trnso biopsy
|
$8,046.49 |
$8,046.49 |
$8,046.49 |
|
|
Esophagoscp rig trnso inject
|
$11,947.28 |
$11,947.28 |
$11,947.28 |
|
|
Esophagoscp rig trnso rem fb
|
$26,942.58 |
$26,942.58 |
$26,942.58 |
|
|
Esophagus motility study
|
$1,329.25 |
$1,329.25 |
$1,632.80 |
|
|
Esoph balloon distension tst
|
$2,344.55 |
$2,344.55 |
$2,654.60 |
|
|
Esoph egd dilation <30 mm
|
$3,005.87 |
$3,393.76 |
$7,716.16 |
|
|
Esoph imped function test
|
$705.25 |
$705.25 |
$705.25 |
|
|
Establish access to aorta
|
$662.35 |
$662.35 |
$662.35 |
|
|
Establish brain cavity shunt
|
$31,960.49 |
$31,960.49 |
$31,960.49 |
|
|
Established Patient Office Visit (level 1)
|
$24.00 |
$102.70 |
$180.05 |
|
|
Established Patient Office Visit (level 2)
|
$59.25 |
$209.95 |
$594.75 |
|
