|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,304.00 |
$5,304.00 |
$5,304.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$539.53 |
$539.53 |
$539.53 |
$228.12
|
|
ER Visit (level 1, minor)
|
$217.60 |
$217.60 |
$217.60 |
$246.24
|
|
ER Visit (level 2)
|
$382.50 |
$382.50 |
$382.50 |
$452.20
|
|
ER Visit (level 3)
|
$637.50 |
$637.50 |
$637.50 |
$770.04
|
|
ER Visit (level 4)
|
$999.60 |
$999.60 |
$999.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$1,828.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$312.92 |
$312.92 |
$312.92 |
$222.16
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$371.45 |
$371.45 |
$371.45 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$310.25 |
$310.25 |
$310.25 |
$528.36
|
|
Esophagosc dilate balloon 30
|
$453.90 |
$453.90 |
$453.90 |
$2,229.50
|
|
Esophagosc flex trnsn biopsy
|
$512.55 |
$512.55 |
$512.55 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$555.90 |
$555.90 |
$555.90 |
$3,470.00
|
|
Esophagoscop ultrasound exam
|
$377.40 |
$377.40 |
$377.40 |
$2,580.50
|
|
Esophagoscopy balloon <30mm
|
$2,267.80 |
$2,267.80 |
$2,267.80 |
$2,361.00
|
|
Esophagoscopy control bleed
|
$1,484.95 |
$1,484.95 |
$1,484.95 |
$2,638.57
|
|
Esophagoscopy flex biopsy
|
$891.65 |
$891.65 |
$891.65 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,484.95 |
$1,484.95 |
$1,484.95 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$463.25 |
$463.25 |
$463.25 |
$1,872.00
|
|
Esophagoscopy flex remove fb
|
$970.70 |
$970.70 |
$970.70 |
$2,099.70
|
|
Esophagoscopy lesion removal
|
$1,021.70 |
$1,021.70 |
$1,021.70 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$3,090.60 |
$3,090.60 |
$3,090.60 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$432.65 |
$432.65 |
$432.65 |
$4,583.00
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$362.95 |
$362.95 |
$362.95 |
$2,660.00
|
|
Esophagoscopy snare les remv
|
$1,042.95 |
$1,042.95 |
$1,042.95 |
$2,638.57
|
|
Esophagoscopy w/us needle bx
|
$473.45 |
$473.45 |
$473.45 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$460.70 |
$460.70 |
$460.70 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$396.95 |
$396.95 |
$396.95 |
$2,638.57
|
|
Esophagoscp rig trnso inject
|
$397.80 |
$397.80 |
$397.80 |
$2,638.57
|
|
Esophagoscp rig trnso rem fb
|
$449.65 |
$449.65 |
$449.65 |
$2,785.75
|
|
Esophagus endoscopy/ligation
|
$333.20 |
$333.20 |
$333.20 |
$2,392.00
|
|
Esophagus motility study
|
$2,000.90 |
$2,000.90 |
$2,000.90 |
$1,300.00
|
|
Esoph egd dilation <30 mm
|
$2,736.15 |
$2,736.15 |
$2,736.15 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$948.60 |
$948.60 |
$948.60 |
$2,221.83
|
|
Esoph optical endomicroscopy
|
$743.75 |
$743.75 |
$743.75 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$319.60 |
$319.60 |
$319.60 |
$2,580.50
|
|
Esoph scope w/submucous inj
|
$635.80 |
$635.80 |
$635.80 |
$2,580.50
|
|
Established Patient Office Visit (level 1)
|
$86.70 |
$86.70 |
$86.70 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$134.30 |
$134.30 |
$134.30 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$366.35 |
$366.35 |
$366.35 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$402.90 |
$402.90 |
$402.90 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$434.35 |
$434.35 |
$434.35 |
$280.33
|
|
Estradiol total
|
$220.15 |
$220.15 |
$220.15 |
$151.20
|
|
Estradiol valerate 10 mg inj
|
$727.14 |
$727.14 |
$727.14 |
$57.35
|
|
Estrogens total-sendout
|
$215.05 |
$215.05 |
$215.05 |
$96.63
|
|
Ethylene glycol -sendout
|
$319.60 |
$319.60 |
$319.60 |
$86.04
|
|
Etoposide 20 mg/ml intravenous solution
|
$662.15 |
$662.15 |
$662.15 |
$235.20
|
|
Etoposide 50 mg cap
|
$4,684.93 |
$4,684.93 |
$4,684.93 |
$135.02
|
|
Euflexxa inj per dose
|
$453.50 |
$453.50 |
$453.50 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$306.00 |
$306.00 |
$306.00 |
$350.50
|
|
Evaluation of speech fluency 92521
|
$1,892.95 |
$1,892.95 |
$1,892.95 |
$315.36
|
|
Evasc repair of iliac artery; endograft 34718
|
$17,126.65 |
$17,126.65 |
$17,126.65 |
$6,824.35
|
|
Evasc rpr a-iliac ndgft 34717
|
$16,847.85 |
$16,847.85 |
$16,847.85 |
$4,846.34
|
|
Event monitor
|
$412.25 |
$412.25 |
$412.25 |
$237.65
|
|
Exam of vagina w/scope 57420
|
$346.80 |
$346.80 |
$346.80 |
$486.03
|
|
Exc abd les sc 3 cm/>
|
$1,833.45 |
$1,833.45 |
$1,833.45 |
$3,646.94
|
|
Exc arm/elbo les sc <3cm 24075
|
$871.25 |
$871.25 |
$871.25 |
$2,413.45
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,212.10 |
$1,212.10 |
$1,212.10 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$2,946.10 |
$2,946.10 |
$2,946.10 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,875.95 |
$1,875.95 |
$1,875.95 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$469.20 |
$469.20 |
$469.20 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,297.55 |
$2,297.55 |
$2,297.55 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,212.10 |
$1,212.10 |
$1,212.10 |
$1,136.64
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,212.10 |
$1,212.10 |
$1,212.10 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,294.55 |
$1,294.55 |
$1,294.55 |
$1,492.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,823.25 |
$1,823.25 |
$1,823.25 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,854.30 |
$2,854.30 |
$2,854.30 |
$3,455.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$586.50 |
$586.50 |
$586.50 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,109.25 |
$1,109.25 |
$1,109.25 |
$1,248.00
|
|
Exc coccygl pr ulc flap clsr
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$1,484.10 |
$1,484.10 |
$1,484.10 |
$2,682.40
|
|
Exc ext ear/partial/simple repair 69110
|
$1,293.70 |
$1,293.70 |
$1,293.70 |
$3,167.89
|
|
Exc face tum deep < 2 cm
|
$1,773.95 |
$1,773.95 |
$1,773.95 |
$1,917.33
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$572.90 |
$572.90 |
$572.90 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,145.80 |
$1,145.80 |
$1,145.80 |
$2,101.45
|
|
Exc ischial pr ulc prim sutr
|
$1,625.20 |
$1,625.20 |
$1,625.20 |
$3,386.84
|
|
Exc isch pr ulc skn flp clsr
|
$2,182.80 |
$2,182.80 |
$2,182.80 |
$4,332.25
|
|
Excise pharynx lesion
|
$2,607.80 |
$2,607.80 |
$2,607.80 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,735.70 |
$1,735.70 |
$1,735.70 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,599.70 |
$1,599.70 |
$1,599.70 |
$2,701.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$570.35 |
$570.35 |
$570.35 |
$861.70
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,320.90 |
$1,320.90 |
$1,320.90 |
$2,019.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,246.95 |
$1,246.95 |
$1,246.95 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,865.00
|
|
Excision nasal polyp(s) simple 30110
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$760.75 |
$760.75 |
$760.75 |
$3,816.64
|
|
Excision tongue lesion without closure 41110
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$2,377.45 |
$2,377.45 |
$2,377.45 |
$3,650.40
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,589.50 |
$1,589.50 |
$1,589.50 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$572.90 |
$572.90 |
$572.90 |
$1,063.30
|
|
Exc malig feenl 1.1-2 11642
|
$1,145.80 |
$1,145.80 |
$1,145.80 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$2,489.65 |
$2,489.65 |
$2,489.65 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,320.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$521.05 |
$521.05 |
$521.05 |
$1,012.86
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$521.05 |
$521.05 |
$521.05 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$523.60 |
$523.60 |
$523.60 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$521.05 |
$521.05 |
$521.05 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,154.00
|