|
Egd esophagogastrc fndoplsty
|
$629.60 |
$629.60 |
$629.60 |
$8,726.25
|
|
Egd guide wire insertion
|
$631.20 |
$631.20 |
$631.20 |
$2,476.20
|
|
Egd/insert intraluminal tube/cath 43241
|
$207.20 |
$207.20 |
$207.20 |
$2,244.82
|
|
Egd remove foreign body
|
$583.20 |
$583.20 |
$583.20 |
$1,656.60
|
|
Egd remove lesion snare
|
$760.00 |
$760.00 |
$760.00 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$693.60 |
$693.60 |
$693.60 |
$2,476.20
|
|
Egfr gene com variants
|
$1,009.60 |
$1,009.60 |
$1,009.60 |
$657.00
|
|
EKG (Electrocardiogram)
|
$21.60 |
$21.60 |
$21.60 |
$128.80
|
|
EKG interpret & report preve g0405
|
$12.00 |
$12.00 |
$12.00 |
$1.93
|
|
EKG tracing for initial prev
|
$127.20 |
$127.20 |
$127.20 |
$73.14
|
|
Electrical stimulation/unattended 97014
|
$50.40 |
$50.40 |
$50.40 |
$82.20
|
|
Electrolyte panel
|
$51.20 |
$51.20 |
$51.20 |
$88.78
|
|
Electronic analysis with brain program first 15 min 95983
|
$73.60 |
$73.60 |
$73.60 |
$154.00
|
|
Electron microscopy diagnostic
|
$1,847.20 |
$1,847.20 |
$1,847.20 |
$1,006.20
|
|
Emb w/colposcopy 58110
|
$73.60 |
$73.60 |
$73.60 |
$290.55
|
|
Emb without cervical dilation 58100
|
$269.60 |
$269.60 |
$269.60 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$229.60 |
$229.60 |
$229.60 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$312.00 |
$312.00 |
$312.00 |
$515.00
|
|
Emg needle test 1-extremity
|
$164.80 |
$164.80 |
$164.80 |
$362.25
|
|
Emg needle test 4-extremities
|
$329.60 |
$329.60 |
$329.60 |
$579.04
|
|
Encephalitis, western equine igg/igm
|
$55.20 |
$55.20 |
$55.20 |
$50.70
|
|
Endocerv curettage w/scope 57456
|
$225.60 |
$225.60 |
$225.60 |
$515.50
|
|
Endocervical curettage 57505
|
$234.40 |
$234.40 |
$234.40 |
$1,025.44
|
|
Endome abla/them without hystero guide 58353
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$4,317.40
|
|
Endoscopy of ureter
|
$568.00 |
$568.00 |
$568.00 |
$3,786.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$369.60 |
$369.60 |
$369.60 |
$2,872.59
|
|
Endovenous mchnchem 1st vein
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$5,134.35
|
|
Endovenous mchnchem add-on
|
$389.60 |
$389.60 |
$389.60 |
$2,203.63
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$5,534.00 |
$5,534.00 |
$5,534.00 |
$7,865.99
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$189.94 |
$189.94 |
$189.94 |
$109.71
|
|
Enterectomy small intestine single 44120
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$3,002.40
|
|
Enteroenterostomy fusion 44130
|
$1,942.40 |
$1,942.40 |
$1,942.40 |
$3,229.60
|
|
Enterostomy/cecostomy tube open 44300
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$2,065.60
|
|
Enzyme histochemistry
|
$133.60 |
$133.60 |
$133.60 |
$456.30
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$68.43 |
$68.43 |
$68.43 |
$441.60
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,353.60 |
$4,353.60 |
$4,353.60 |
$3,615.39
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$986.70 |
$986.70 |
$986.70 |
$809.08
|
|
Epoetin beta non esrd
|
$1,599.67 |
$1,599.67 |
$1,599.67 |
$1.41
|
|
Epstein barr early antigen antibody
|
$32.80 |
$32.80 |
$32.80 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$53.60 |
$53.60 |
$53.60 |
$83.85
|
|
Epstein barr viral capsid antigen antibody igm
|
$104.80 |
$104.80 |
$104.80 |
$96.20
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,851.89 |
$1,851.89 |
$1,851.89 |
$3,504.35
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$293.48 |
$293.48 |
$293.48 |
$364.08
|
|
ER Visit (level 1, minor)
|
$160.80 |
$160.80 |
$160.80 |
$274.95
|
|
ER Visit (level 2)
|
$356.80 |
$356.80 |
$356.80 |
$481.37
|
|
ER Visit (level 3)
|
$513.60 |
$513.60 |
$513.60 |
$850.50
|
|
ER Visit (level 4)
|
$787.20 |
$787.20 |
$787.20 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$1,182.40 |
$1,182.40 |
$1,182.40 |
$1,957.38
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$357.19 |
$357.19 |
$357.19 |
$562.34
|
|
Esophagosc dilate balloon 30
|
$280.80 |
$280.80 |
$280.80 |
$2,178.16
|
|
Esophagoscopy flex biopsy
|
$549.60 |
$549.60 |
$549.60 |
$2,240.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$936.80 |
$936.80 |
$936.80 |
$1,109.47
|
|
Esophagoscopy flex remove fb
|
$1,275.20 |
$1,275.20 |
$1,275.20 |
$2,101.52
|
|
Esophagoscopy rigid trnso 43180
|
$821.60 |
$821.60 |
$821.60 |
$5,741.00
|
|
Esophagus motility study
|
$321.60 |
$321.60 |
$321.60 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$2,656.80
|
|
Esoph imped function test
|
$299.20 |
$299.20 |
$299.20 |
$597.03
|
|
Esoph scope w/sclerosis inj
|
$200.00 |
$200.00 |
$200.00 |
$2,099.70
|
|
Essure 58565
|
$2,572.80 |
$2,572.80 |
$2,572.80 |
$5,419.00
|
|
Established Patient Office Visit (level 1)
|
$113.60 |
$113.60 |
$113.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$113.60 |
$113.60 |
$113.60 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$150.40 |
$150.40 |
$150.40 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$192.00 |
$192.00 |
$192.00 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$269.60 |
$269.60 |
$269.60 |
$280.50
|
|
Estradiol total
|
$120.80 |
$120.80 |
$120.80 |
$151.20
|
|
Estrogens total-sendout
|
$91.20 |
$91.20 |
$91.20 |
$91.20
|
|
Etonogestrel implant system
|
$2,819.62 |
$2,819.62 |
$2,819.62 |
$2,889.60
|
|
Etoposide 20 mg/ml intravenous solution
|
$612.06 |
$612.06 |
$612.06 |
$213.17
|
|
Euflexxa inj per dose
|
$311.20 |
$311.20 |
$311.20 |
$752.40
|
|
Evacuate mole of uterus
|
$796.80 |
$796.80 |
$796.80 |
$3,522.35
|
|
Eval/fit voice prosthesis iii, st
|
$155.20 |
$155.20 |
$155.20 |
$376.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$145.60 |
$145.60 |
$145.60 |
$222.75
|
|
Evaluation of speech fluency 92521
|
$202.40 |
$202.40 |
$202.40 |
$348.27
|
|
Evaluation psychiatric diagnostic
|
$256.80 |
$256.80 |
$256.80 |
$324.00
|
|
Event monitor
|
$195.20 |
$195.20 |
$195.20 |
$249.60
|
|
Evoked oa emissions ltd
|
$76.80 |
$76.80 |
$76.80 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$189.60 |
$189.60 |
$189.60 |
$283.62
|
|
Evok oa screening qual
|
$14.40 |
$14.40 |
$14.40 |
$120.90
|
|
Exam of vagina w/scope 57420
|
$196.00 |
$196.00 |
$196.00 |
$535.00
|
|
Exam pelvic add-on
|
$32.00 |
$32.00 |
$32.00 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$154.40 |
$154.40 |
$154.40 |
$2,962.14
|
|
Ex arm/elbow tum deep < 5 cm
|
$833.60 |
$833.60 |
$833.60 |
$3,285.96
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$668.00 |
$668.00 |
$668.00 |
$3,370.52
|
|
Exc abdl tum deep < 5 cm
|
$858.40 |
$858.40 |
$858.40 |
$3,285.96
|
|
Exc abdl tum deep 5 cm/>
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$3,285.96
|
|
Exc arm/elbo les sc >=3cm 24071
|
$600.80 |
$600.80 |
$600.80 |
$3,386.84
|
|
Exc arm/elbo les sc <3cm 24075
|
$803.20 |
$803.20 |
$803.20 |
$2,130.00
|
|
Exc back les sbq <3 cm 21930
|
$750.40 |
$750.40 |
$750.40 |
$2,531.25
|
|
Exc back tum deep 5 cm/>
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$3,252.66
|
|
Exc bartholins gland/cyst
|
$470.40 |
$470.40 |
$470.40 |
$2,533.01
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$419.20 |
$419.20 |
$419.20 |
$2,151.20
|
|
Exc benign feenlm >4.0cm 11446
|
$569.60 |
$569.60 |
$569.60 |
$3,340.70
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$347.20 |
$347.20 |
$347.20 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$189.60 |
$189.60 |
$189.60 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$212.80 |
$212.80 |
$212.80 |
$836.00
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$286.40 |
$286.40 |
$286.40 |
$1,006.31
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$336.80 |
$336.80 |
$336.80 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$236.80 |
$236.80 |
$236.80 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$303.20 |
$303.20 |
$303.20 |
$2,019.05
|
