|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,241.60 |
$5,241.60 |
$5,241.60 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$533.18 |
$533.18 |
$533.18 |
$222.98
|
|
ER Visit (level 1, minor)
|
$215.04 |
$215.04 |
$215.04 |
$246.24
|
|
ER Visit (level 2)
|
$378.00 |
$378.00 |
$378.00 |
$452.20
|
|
ER Visit (level 3)
|
$630.00 |
$630.00 |
$630.00 |
$770.04
|
|
ER Visit (level 4)
|
$987.84 |
$987.84 |
$987.84 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,397.76 |
$1,397.76 |
$1,397.76 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$309.23 |
$309.23 |
$309.23 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$367.08 |
$367.08 |
$367.08 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$306.60 |
$306.60 |
$306.60 |
$553.88
|
|
Esophagosc dilate balloon 30
|
$448.56 |
$448.56 |
$448.56 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$506.52 |
$506.52 |
$506.52 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$549.36 |
$549.36 |
$549.36 |
$3,484.00
|
|
Esophagoscop ultrasound exam
|
$372.96 |
$372.96 |
$372.96 |
$2,638.57
|
|
Esophagoscopy balloon <30mm
|
$2,241.12 |
$2,241.12 |
$2,241.12 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$1,467.48 |
$1,467.48 |
$1,467.48 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$881.16 |
$881.16 |
$881.16 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,467.48 |
$1,467.48 |
$1,467.48 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$457.80 |
$457.80 |
$457.80 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$959.28 |
$959.28 |
$959.28 |
$2,099.70
|
|
Esophagoscopy lesion removal
|
$1,009.68 |
$1,009.68 |
$1,009.68 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$3,054.24 |
$3,054.24 |
$3,054.24 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$427.56 |
$427.56 |
$427.56 |
$5,096.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$358.68 |
$358.68 |
$358.68 |
$2,660.00
|
|
Esophagoscopy snare les remv
|
$1,030.68 |
$1,030.68 |
$1,030.68 |
$2,638.57
|
|
Esophagoscopy w/us needle bx
|
$467.88 |
$467.88 |
$467.88 |
$2,638.57
|
|
Esophagoscp guide wire dilat 43196
|
$455.28 |
$455.28 |
$455.28 |
$2,638.57
|
|
Esophagoscp rig trnso biopsy
|
$392.28 |
$392.28 |
$392.28 |
$2,638.57
|
|
Esophagoscp rig trnso inject
|
$393.12 |
$393.12 |
$393.12 |
$2,638.57
|
|
Esophagoscp rig trnso rem fb
|
$444.36 |
$444.36 |
$444.36 |
$3,484.00
|
|
Esophagus endoscopy/ligation
|
$329.28 |
$329.28 |
$329.28 |
$2,392.00
|
|
Esophagus motility study
|
$1,977.36 |
$1,977.36 |
$1,977.36 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$2,703.96 |
$2,703.96 |
$2,703.96 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$937.44 |
$937.44 |
$937.44 |
$2,221.83
|
|
Esoph optical endomicroscopy
|
$735.00 |
$735.00 |
$735.00 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$315.84 |
$315.84 |
$315.84 |
$2,580.50
|
|
Esoph scope w/submucous inj
|
$628.32 |
$628.32 |
$628.32 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$85.68 |
$85.68 |
$85.68 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$132.72 |
$132.72 |
$132.72 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$362.04 |
$362.04 |
$362.04 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$398.16 |
$398.16 |
$398.16 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$429.24 |
$429.24 |
$429.24 |
$280.33
|
|
Estradiol total
|
$217.56 |
$217.56 |
$217.56 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$718.58 |
$718.58 |
$718.58 |
$57.35
|
|
Estrogens total-sendout
|
$212.52 |
$212.52 |
$212.52 |
$96.20
|
|
Ethylene glycol -sendout
|
$315.84 |
$315.84 |
$315.84 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$654.36 |
$654.36 |
$654.36 |
$235.20
|
|
Etoposide 50 mg cap
|
$4,629.82 |
$4,629.82 |
$4,629.82 |
$135.02
|
|
Euflexxa inj per dose
|
$448.16 |
$448.16 |
$448.16 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$302.40 |
$302.40 |
$302.40 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$1,870.68 |
$1,870.68 |
$1,870.68 |
$311.50
|
|
Evasc repair of iliac artery; endograft 34718
|
$16,925.16 |
$16,925.16 |
$16,925.16 |
$6,925.05
|
|
Evasc rpr a-iliac ndgft 34717
|
$16,649.64 |
$16,649.64 |
$16,649.64 |
$4,846.34
|
|
Event monitor
|
$407.40 |
$407.40 |
$407.40 |
$242.65
|
|
Exam of vagina w/scope 57420
|
$342.72 |
$342.72 |
$342.72 |
$486.03
|
|
Exc abd les sc 3 cm/>
|
$1,811.88 |
$1,811.88 |
$1,811.88 |
$3,796.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$861.00 |
$861.00 |
$861.00 |
$2,413.45
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$2,911.44 |
$2,911.44 |
$2,911.44 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,853.88 |
$1,853.88 |
$1,853.88 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$463.68 |
$463.68 |
$463.68 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,270.52 |
$2,270.52 |
$2,270.52 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,279.32 |
$1,279.32 |
$1,279.32 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,820.72 |
$2,820.72 |
$2,820.72 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$579.60 |
$579.60 |
$579.60 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$1,247.50
|
|
Exc coccygl pr ulc flap clsr
|
$1,841.28 |
$1,841.28 |
$1,841.28 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$1,466.64 |
$1,466.64 |
$1,466.64 |
$2,682.40
|
|
Exc ext ear/partial/simple repair 69110
|
$1,278.48 |
$1,278.48 |
$1,278.48 |
$3,127.88
|
|
Exc face tum deep < 2 cm
|
$1,753.08 |
$1,753.08 |
$1,753.08 |
$1,917.33
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$566.16 |
$566.16 |
$566.16 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,132.32 |
$1,132.32 |
$1,132.32 |
$2,101.45
|
|
Exc ischial pr ulc prim sutr
|
$1,606.08 |
$1,606.08 |
$1,606.08 |
$3,386.84
|
|
Exc isch pr ulc skn flp clsr
|
$2,157.12 |
$2,157.12 |
$2,157.12 |
$4,332.25
|
|
Excise pharynx lesion
|
$2,577.12 |
$2,577.12 |
$2,577.12 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,715.28 |
$1,715.28 |
$1,715.28 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,580.88 |
$1,580.88 |
$1,580.88 |
$2,623.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$563.64 |
$563.64 |
$563.64 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,232.28 |
$1,232.28 |
$1,232.28 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,155.44 |
$2,155.44 |
$2,155.44 |
$2,865.00
|
|
Excision nasal polyp(s) simple 30110
|
$1,605.24 |
$1,605.24 |
$1,605.24 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$751.80 |
$751.80 |
$751.80 |
$3,786.00
|
|
Excision tongue lesion without closure 41110
|
$1,605.24 |
$1,605.24 |
$1,605.24 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$2,349.48 |
$2,349.48 |
$2,349.48 |
$3,650.40
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,570.80 |
$1,570.80 |
$1,570.80 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$566.16 |
$566.16 |
$566.16 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$1,132.32 |
$1,132.32 |
$1,132.32 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$2,460.36 |
$2,460.36 |
$2,460.36 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$514.92 |
$514.92 |
$514.92 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$514.92 |
$514.92 |
$514.92 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$517.44 |
$517.44 |
$517.44 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$514.92 |
$514.92 |
$514.92 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,131.50
|