|
Egd/insert intraluminal tube/cath 43241
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,244.82
|
|
Egd lesion ablation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,805.40
|
|
Egd optical endomicroscopy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,234.01
|
|
Egd remove foreign body
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,588.55
|
|
Egd remove lesion snare
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,638.57
|
|
Egd varices ligation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,576.75
|
|
Egd w/thrml txmnt gerd
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,379.25
|
|
Egfr gene com variants
|
$357.04 |
$357.04 |
$357.04 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$38.60 |
$38.60 |
$38.60 |
$105.00
|
|
Elbow arthroscopy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,953.01
|
|
Elbow arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Elbow arthroscopy/surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Elec analys infus pump w/reprog 62368
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$535.43
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$576.81
|
|
Electroejaculation
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,030.40
|
|
Electrolyte panel
|
$7.71 |
$7.71 |
$7.71 |
$86.33
|
|
Electron microscopy diagnostic
|
$173.57 |
$173.57 |
$173.57 |
$966.69
|
|
Embedded ip cath exit-site 49436
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,244.82
|
|
Embolization s&i
|
$505.95 |
$505.95 |
$505.95 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$15,038.25
|
|
Embryo transfer intrauterine
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$998.79
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,962.27
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$397.66
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$125.87 |
$125.87 |
$125.87 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$117.18 |
$117.18 |
$117.18 |
$487.20
|
|
Emg needle test 1-extremity
|
$60.80 |
$60.80 |
$60.80 |
$342.24
|
|
Emg needle test 4-extremities
|
$140.62 |
$140.62 |
$140.62 |
$570.50
|
|
Encephalitis, california igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$164.06 |
$164.06 |
$164.06 |
$612.37
|
|
Endocerv curettage w/scope 57456
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$515.50
|
|
Endocervical curettage 57505
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,030.40
|
|
Endo cholangiopancreatograph
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,450.00
|
|
Endoluminal bx biliary tree
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$1,256.29 |
$1,256.29 |
$1,256.29 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$514.64 |
$514.64 |
$514.64 |
$2,367.97
|
|
Endome abla/them without hystero guide 58353
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,317.40
|
|
Endometrial cryoablation w/us 58356
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,441.87
|
|
Endoscopic injection/implant
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,081.37
|
|
Endoscopic Ultrasound exam esoph
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,896.00
|
|
Endoscopy ligate perf veins 37500
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,478.21
|
|
Endoscopy maxillary sinus
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,419.00
|
|
Endoscopy of bowel pouch 44385
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,606.85
|
|
Endoscopy of ureter
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,817.53
|
|
Endoscopy of ureter
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,986.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,872.59
|
|
Endovasc rpr a-biiliac endogft 34705
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$11,261.25
|
|
Endovenous mchnchem 1st vein
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,134.35
|
|
Endoven ther chem adhes 1st 36482
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,459.57
|
|
Entamoeba histolytica ag eia - sendout
|
$13.18 |
$13.18 |
$13.18 |
$66.47
|
|
Enzyme cell activity ra
|
$48.43 |
$48.43 |
$48.43 |
$197.60
|
|
Enzyme histochemistry
|
$173.57 |
$173.57 |
$173.57 |
$460.32
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,478.85
|
|
Epidrm agrft t/a/l 1st 100
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,856.87
|
|
Epidural lysis mult sessions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,514.40
|
|
Epidural lysis on single day 62264
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,420.73
|
|
Epiglottidectomy
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,339.00
|
|
Epilepsy gen seq alys panel
|
$2,693.42 |
$2,693.42 |
$2,693.42 |
$2,448.56
|
|
Epiphysl arrst dstl rds&ulna
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,821.05
|
|
Epiphysl arrst dstl rds/ulna
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$14.43 |
$14.43 |
$14.43 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$16.82 |
$16.82 |
$16.82 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$19.95 |
$19.95 |
$19.95 |
$95.04
|
|
Ercp biliary & pancreas
|
$331.89 |
$331.89 |
$331.89 |
$943.50
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,211.08
|
|
Ercp lesion ablate w/dilate 43278
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,378.40
|
|
Ercp remove duct calculi 43264
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,214.73
|
|
Ercp remove forgn body duct 43275
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,244.82
|
|
Ercp stent exchange w/dilate
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,718.03
|
|
Ercp w/specimen collection
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,440.54
|
|
ER Visit (level 1, minor)
|
$149.96 |
$149.96 |
$149.96 |
$276.70
|
|
ER Visit (level 2)
|
$258.14 |
$258.14 |
$258.14 |
$487.50
|
|
ER Visit (level 3)
|
$397.94 |
$397.94 |
$397.94 |
$850.50
|
|
ER Visit (level 4)
|
$515.46 |
$515.46 |
$515.46 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$681.00 |
$681.00 |
$681.00 |
$2,007.00
|
|
Esophageal dilat s&i
|
$144.72 |
$144.72 |
$144.72 |
$525.00
|
