|
Established Patient Office Visit (level 3)
|
$78.75 |
$242.45 |
$1,479.40 |
|
|
Established Patient Office Visit (level 4)
|
$96.75 |
$163.80 |
$635.70 |
|
|
Established Patient Office Visit (level 5)
|
$131.25 |
$229.45 |
$538.85 |
|
|
Estradiol total
|
$49.50 |
$192.40 |
$322.40 |
|
|
Estradiol valerate 10 mg inj
|
$50.32 |
$56.54 |
$749.84 |
|
|
Estrogens total-sendout
|
$48.75 |
$107.90 |
$160.55 |
|
|
Ethanolamine oleate 100 mg
|
$1,597.69 |
$1,597.69 |
$1,597.69 |
|
|
Ethylene glycol -sendout
|
$65.00 |
$107.90 |
$148.85 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$35.75 |
$35.75 |
$232.08 |
|
|
Etoposide 50 mg cap
|
$196.27 |
$196.27 |
$196.27 |
|
|
Evacuate mole of uterus
|
$8,395.81 |
$8,395.81 |
$8,395.81 |
|
|
Eval aud rehab status/first hr 92626
|
$188.50 |
$188.50 |
$188.50 |
|
|
Eval/fit voice prosthesis iii, st
|
$198.25 |
$232.70 |
$297.70 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$166.40 |
$187.20 |
$289.90 |
|
|
Evaluation of speech fluency 92521
|
$186.55 |
$377.65 |
$448.50 |
|
|
Evaluation psychiatric diagnostic
|
$165.75 |
$165.75 |
$325.65 |
|
|
Evasc prlng admn rx agnt 1st
|
$2,202.85 |
$2,202.85 |
$2,202.85 |
|
|
Evasc prlng admn rx agnt add
|
$1,168.05 |
$1,168.05 |
$1,168.05 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$12,771.85 |
$12,771.85 |
$12,771.85 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$22,425.00 |
$22,425.00 |
$22,425.00 |
|
|
Evasc rpr ilio-iliac ndgft
|
$19,438.25 |
$19,438.25 |
$19,438.25 |
|
|
Event monitor
|
$33.75 |
$328.25 |
$560.95 |
|
|
Evoked auditory tst complete
|
$319.15 |
$319.15 |
$319.15 |
|
|
Evoked oa emissions ltd
|
$176.15 |
$202.80 |
$297.70 |
|
|
Evoked potentials auditory screening automated analysis
|
$234.65 |
$234.65 |
$245.70 |
|
|
Evoked potentials upper limbs
|
$874.90 |
$874.90 |
$1,327.30 |
|
|
Evoked potential visual not glaucoma
|
$759.85 |
$873.60 |
$1,525.55 |
|
|
Evok oa screening qual
|
$134.55 |
$134.55 |
$134.55 |
|
|
Exam of vagina w/scope 57420
|
$8,577.89 |
$8,577.89 |
$8,577.89 |
|
|
Exam pelvic add-on
|
$26.25 |
$26.25 |
$26.25 |
|
|
Exam plvc w/anes othr thn lcl
|
$230.25 |
$325.00 |
$4,539.55 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,539.85 |
$1,539.85 |
$1,539.85 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,629.55 |
$1,629.55 |
$1,629.55 |
|
|
Exc abd les sc 3 cm/>
|
$962.00 |
$962.00 |
$1,049.75 |
|
|
Exc abdl tum deep 5 cm/>
|
$1,377.35 |
$1,377.35 |
$1,377.35 |
|
|
Exc abd tum 5 cm or less 49203
|
$8,134.51 |
$8,134.51 |
$8,134.51 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$918.45 |
$918.45 |
$1,110.85 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,282.45 |
$1,282.45 |
$1,300.65 |
|
|
Exc aurl glomus tum trnsmstd
|
$14,864.43 |
$14,864.43 |
$14,864.43 |
|
|
Exc back les sbq <3 cm 21930
|
$835.25 |
$835.25 |
$978.25 |
|
|
Exc back tum deep 5 cm/>
|
$1,844.70 |
$1,844.70 |
$1,879.80 |
|
|
Exc bartholins gland/cyst
|
$9,859.32 |
$9,859.32 |
$9,859.32 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$346.50 |
$346.50 |
$689.65 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$534.30 |
$534.30 |
$612.95 |
|
|
Exc benign tal 0.5 < cm 11400
|
$66.95 |
$206.05 |
$308.10 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$83.20 |
$127.50 |
$343.20 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$114.40 |
$349.70 |
$518.70 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$533.00 |
$533.00 |
$533.00 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$87.10 |
$298.35 |
$3,634.80 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$236.25 |
$467.35 |
$1,457.95 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$339.00 |
$601.25 |
$2,002.65 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$83.85 |
$238.55 |
$334.75 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$118.95 |
$343.20 |
$3,194.75 |
|
|
Exc carotid body tumor without exc art 60600
|
$36,912.78 |
$36,912.78 |
$36,912.78 |
|
|
Exc ext ear/partial/simple repair 69110
|
$23,514.24 |
$23,514.24 |
$23,514.24 |
|
|
Exc face tum deep 2cm/> 21014
|
$1,203.80 |
$1,203.80 |
$1,314.95 |
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$122.85 |
$122.85 |
$536.90 |
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$180.05 |
$180.05 |
$659.75 |
|
|
Exc forearm les sc 3 cm/>
|
$669.50 |
$669.50 |
$669.50 |
|
|
Exc forearm tum deep 3 cm/>
|
$2,035.15 |
$2,035.15 |
$2,035.15 |
|
|
Exchange biliary drg cath
|
$4,100.26 |
$4,100.26 |
$9,006.68 |
|
|
Exchange blood transfusion newborn 36450
|
$554.45 |
$554.45 |
$1,117.35 |
|
|
Exchange drainage catheter
|
$4,687.00 |
$4,687.00 |
$6,718.47 |
|
|
Exchange lens prosthesis
|
$16,042.36 |
$16,042.36 |
$16,042.36 |
|
|
Exchange nephrostomy cath
|
$3,131.93 |
$3,131.93 |
$4,448.72 |
|
|
Exc hidradenitis ing simpl 11462
|
$838.50 |
$838.50 |
$838.50 |
|
|
Exc hidradenitis peri/umb int 11470
|
$224.90 |
$224.90 |
$773.50 |
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,075.45 |
$2,075.45 |
$2,075.45 |
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,265.55 |
$1,265.55 |
$1,303.25 |
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$894.00 |
$894.00 |
$894.00 |
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$2,600.65 |
$2,600.65 |
$2,737.15 |
|
|
Excise anal ext tag/papilla
|
$8,133.46 |
$8,133.46 |
$8,133.46 |
|
|
Excise intrspinl lesion lmbr
|
$17,876.86 |
$17,876.86 |
$32,959.56 |
|
|
Excise lip or cheek fold
|
$890.25 |
$890.25 |
$5,122.13 |
|
|
Excise parotid gland/lesion
|
$20,469.70 |
$20,469.70 |
$20,469.70 |
|
|
Excise parotid gland/lesion
|
$21,469.17 |
$21,469.17 |
$21,469.17 |
|
|
Excise parotid gland/lesion
|
$23,106.00 |
$23,106.00 |
$23,106.00 |
|
|
Excise parotid gland/lesion
|
$32,319.69 |
$32,319.69 |
$32,319.69 |
|
|
Excise pharynx lesion
|
$9,311.20 |
$9,311.20 |
$9,311.20 |
|
|
Excise/repair mouth lesion
|
$8,218.07 |
$8,218.07 |
$8,218.07 |
|
|
Excise sublingual gland
|
$15,834.27 |
$15,834.27 |
$15,834.27 |
|
|
Excise submaxillary gland
|
$15,332.36 |
$15,332.36 |
$15,332.36 |
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$865.15 |
$865.15 |
$865.15 |
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$103.35 |
$315.90 |
$429.00 |
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$107.90 |
$288.60 |
$464.10 |
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$91.65 |
$364.00 |
$722.15 |
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$179.25 |
$694.85 |
$1,457.95 |
|
|
Excision breast lesion
|
$371.15 |
$371.15 |
$371.15 |
|
|
Excision floor mouth lesion 41116
|
$7,512.49 |
$7,512.49 |
$7,512.49 |
|
|
Excision graft extremity
|
$19,106.52 |
$19,106.52 |
$19,106.52 |
|
|
Excision of anal lesion(s)
|
$523.25 |
$8,346.75 |
$20,606.67 |
|
|
Excision of gum lesion
|
$8,588.73 |
$8,588.73 |
$8,588.73 |
|
|
Excision of gum lesion 41825
|
$8,580.06 |
$8,580.06 |
$8,580.06 |
|
|
Excision of lingual tonsil
|
$16,054.62 |
$16,054.62 |
$16,054.62 |
|
|
Excision of mouth lesion complex 40816
|
$7,566.32 |
$7,566.32 |
$7,566.32 |
|
|
Excision of neck cyst
|
$14,120.66 |
$14,120.66 |
$14,120.66 |
|
|
Excision of skull tumor
|
$17,628.55 |
$17,628.55 |
$17,628.55 |
|
|
Excision of tongue lesion
|
$11,201.37 |
$11,201.37 |
$11,201.37 |
|
|
Excision of uvula
|
$20,735.81 |
$20,735.81 |
$20,735.81 |
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,180.40 |
$1,180.40 |
$1,206.40 |
|
