|
Epidrm autogrft t/a/l add-on
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$665.00 |
$665.00 |
$665.00 |
$1,141.80
|
|
Ep induct arrhy by elect pacing
|
$1,329.86 |
$1,329.86 |
$4,633.50 |
$2,635.75
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$0.52 |
$0.52 |
$0.56 |
$248.81
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,984.50 |
$1,984.50 |
$1,984.50 |
$3,762.53
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$256.25 |
$256.25 |
$278.53 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$26.94 |
$26.94 |
$29.28 |
$129.30
|
|
Epstein barr early antigen antibody
|
$20.24 |
$20.24 |
$88.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$11.04 |
$11.04 |
$88.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$11.04 |
$11.04 |
$89.00 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$840.81 |
$840.81 |
$913.92 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$844.50 |
$844.50 |
$844.50 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$287.04 |
$287.04 |
$312.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$58.40 |
$58.40 |
$63.48 |
$222.98
|
|
ER Visit (level 1, minor)
|
$171.50 |
$171.50 |
$171.50 |
$246.24
|
|
ER Visit (level 2)
|
$268.00 |
$268.00 |
$268.00 |
$452.20
|
|
ER Visit (level 3)
|
$471.50 |
$471.50 |
$471.50 |
$770.04
|
|
ER Visit (level 4)
|
$632.00 |
$632.00 |
$632.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,071.50 |
$1,071.50 |
$1,071.50 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$33.87 |
$33.87 |
$36.82 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$0.21 |
$0.21 |
$0.22 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$0.76 |
$0.76 |
$0.83 |
$553.88
|
|
Esophageal dilat s&i
|
$243.00 |
$243.00 |
$243.00 |
$581.10
|
|
Esophagus motility study
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$1,289.20
|
|
Esoph imped function test
|
$752.50 |
$752.50 |
$752.50 |
$597.03
|
|
Establish access to aorta
|
$276.00 |
$276.00 |
$352.50 |
$1,280.06
|
|
Established Patient Office Visit (level 1)
|
$39.10 |
$39.10 |
$138.00 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$71.76 |
$71.76 |
$174.00 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$116.38 |
$116.38 |
$191.50 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$171.12 |
$171.12 |
$203.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$232.30 |
$232.30 |
$275.50 |
$280.33
|
|
Estradiol total
|
$44.16 |
$44.16 |
$157.50 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$15.75 |
$15.75 |
$17.11 |
$57.35
|
|
Ethylene glycol -sendout
|
$53.00 |
$53.00 |
$53.00 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$71.67 |
$71.67 |
$77.90 |
$235.20
|
|
Etoposide 50 mg cap
|
$31.70 |
$31.70 |
$34.45 |
$135.02
|
|
Euflexxa inj per dose
|
$24.55 |
$24.55 |
$26.68 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$200.50 |
$200.50 |
$200.50 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$344.00 |
$344.00 |
$344.00 |
$219.60
|
|
Evaluation heart device
|
$892.50 |
$892.50 |
$948.52 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$97.98 |
$97.98 |
$101.00 |
$311.50
|
|
Evasc repair of iliac artery; endograft 34718
|
$9,320.00 |
$9,320.00 |
$11,477.92 |
$6,925.05
|
|
Evasc rpr a-ao ndgft 34701
|
$1,771.92 |
$1,771.92 |
$1,771.92 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$999.12 |
$999.12 |
$999.12 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$7,939.14 |
$7,939.14 |
$9,320.00 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,544.26 |
$2,544.26 |
$2,544.26 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,544.26 |
$2,544.26 |
$2,544.26 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$650.00 |
$650.00 |
$999.12 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$664.70 |
$664.70 |
$780.00 |
$8,996.13
|
|
Event monitor
|
$288.50 |
$288.50 |
$288.50 |
$242.65
|
|
Evoked auditory tst complete
|
$182.62 |
$182.62 |
$225.00 |
$344.68
|
|
Evoked oa emissions ltd
|
$182.62 |
$182.62 |
$225.00 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$242.00 |
$242.00 |
$242.00 |
$249.71
|
|
Evoked potential visual not glaucoma
|
$835.50 |
$835.50 |
$835.50 |
$814.61
|
|
Evok oa screening qual
|
$99.36 |
$99.36 |
$108.00 |
$109.13
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$1,958.00 |
$1,958.00 |
$1,958.00 |
$3,386.84
|
|
Exc benign tal 0.5 < cm 11400
|
$414.92 |
$414.92 |
$496.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$719.00 |
$719.00 |
$719.00 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$734.50 |
$734.50 |
$734.50 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$810.00 |
$810.00 |
$810.00 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$232.30 |
$232.30 |
$252.50 |
$765.50
|
|
Exchange biliary drg cath
|
$1,905.50 |
$1,905.50 |
$1,905.50 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$253.46 |
$253.46 |
$265.00 |
$554.45
|
|
Exchange drainage catheter
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$1,981.00 |
$1,981.00 |
$1,981.00 |
$2,958.80
|
|
Excise lip or cheek fold
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$1,855.10
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$547.00 |
$547.00 |
$547.00 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$511.00 |
$511.00 |
$511.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$414.92 |
$414.92 |
$496.00 |
$1,012.86
|
|
Excision nasal polyp(s) simple 30110
|
$850.50 |
$850.50 |
$850.50 |
$1,752.89
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$633.50 |
$633.50 |
$633.50 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$195.50 |
$195.50 |
$195.50 |
$1,131.50
|
|
Exc prtl bn phlnx toe
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$3,752.25
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,743.50 |
$1,743.50 |
$1,743.50 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$5,050.50 |
$5,050.50 |
$5,050.50 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$279.22 |
$279.22 |
$279.22 |
$318.50
|
|
Exercise tst brncspsm wo ecg
|
$67.00 |
$67.00 |
$67.00 |
$114.50
|
|
Exercise w/hemodynamic meas
|
$79.00 |
$79.00 |
$1,504.66 |
$901.60
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,272.86 |
$2,272.86 |
$2,470.50 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,716.88 |
$2,716.88 |
$2,953.13 |
$4,048.38
|
|
Expose art endoprosth iliac 34820
|
$472.00 |
$472.00 |
$2,493.66 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$2,369.00 |
$2,369.00 |
$2,369.00 |
$1,560.90
|
|
Ext ecg>48hr<7d scan a/r
|
$100.00 |
$100.00 |
$100.00 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$122.50 |
$122.50 |
$122.50 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$386.40 |
$386.40 |
$420.00 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$43.24 |
$43.24 |
$43.24 |
$61.10
|
|
External recharg sys intern
|
$2,525.40 |
$2,525.40 |
$2,745.00 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$655.00 |
$655.00 |
$655.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$46.50 |
$46.50 |
$46.92 |
$108.60
|
|
F-18 fdg pet diag
|
$281.98 |
$281.98 |
$392.00 |
$551.72
|
|
F-18 sodium fluoride
|
$151.00 |
$151.00 |
$151.00 |
$392.60
|
|
Fabrication & fitting
|
$101.02 |
$101.02 |
$109.80 |
$182.27
|
|
Facial bones <3
|
$83.50 |
$83.50 |
$83.50 |
$252.60
|
|
Facility svs dental rehab
|
$1,643.50 |
$1,643.50 |
$1,643.50 |
$4,558.89
|
|
Factor ix
|
$145.36 |
$145.36 |
$164.00 |
$156.13
|
|
Factor ix complex
|
$0.53 |
$0.53 |
$0.57 |
$5.91
|
