|
Endoscopy of bowel pouch 44385
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,606.85
|
|
Endoscopy of ureter
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,817.53
|
|
Endoscopy of ureter
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,986.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,872.59
|
|
Endovasc tempory vessel occl
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$11,261.25
|
|
Endovenous mchnchem 1st vein
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,134.35
|
|
Endoven ther chem adhes 1st 36482
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$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
|
$224.40 |
$224.40 |
$224.40 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$8,503.12 |
$8,503.12 |
$8,503.12 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$9,265.96 |
$9,265.96 |
$9,265.96 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,478.85
|
|
Epidrm agrft t/a/l 1st 100
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,856.87
|
|
Epidural lysis mult sessions
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,514.40
|
|
Epidural lysis on single day 62264
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,420.73
|
|
Epiglottidectomy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Epilepsy gen seq alys panel
|
$2,693.42 |
$2,693.42 |
$2,693.42 |
$2,448.56
|
|
Ep induct arrhy by elect pacing
|
$1,100.39 |
$1,100.39 |
$1,100.39 |
$2,753.40
|
|
Epiphysl arrst dstl rds&ulna
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,821.05
|
|
Epiphysl arrst dstl rds/ulna
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$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
|
$344.97 |
$344.97 |
$344.97 |
$943.50
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,211.08
|
|
Ercp lesion ablate w/dilate 43278
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,378.40
|
|
Ercp remove duct calculi 43264
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,214.73
|
|
Ercp remove forgn body duct 43275
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Ercp stent exchange w/dilate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,718.03
|
|
Ercp w/specimen collection
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,440.54
|
|
ER Visit (level 1, minor)
|
$222.91 |
$222.91 |
$222.91 |
$276.70
|
|
ER Visit (level 2)
|
$324.41 |
$324.41 |
$324.41 |
$487.50
|
|
ER Visit (level 3)
|
$491.81 |
$491.81 |
$491.81 |
$850.50
|
|
ER Visit (level 4)
|
$663.88 |
$663.88 |
$663.88 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$967.11 |
$967.11 |
$967.11 |
$2,007.00
|
|
Esophagosc dilate balloon 30
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,234.01
|
|
Esophagosc flex trnsn biopsy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,739.25
|
|
Esophagoscop mucosal resect
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,806.70
|
|
Esophagoscop stent placement
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,505.71
|
|
Esophagoscop ultrasound exam
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,440.80
|
|
Esophagoscopy balloon <30mm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy flex biopsy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy/flex/diagnostic 43200
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,109.47
|
|
Esophagoscopy flex dx brush
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,785.00
|
|
Esophagoscopy flex remove fb
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,109.53
|
|
Esophagoscopy lesion ablate
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,211.08
|
|
Esophagoscopy lesion removal
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy retro balloon
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy rigid balloon
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,502.13
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy rigid trnso 43180
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,311.00
|
|
Esophagoscopy snare les remv
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscopy w/us needle bx
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscp rig trnso inject
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagoscp rig trnso rem fb
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esophagus endoscopy/ligation
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,293.85
|
|
Esophagus motility study
|
$773.85 |
$773.85 |
$773.85 |
$1,289.20
|
|
Esoph balloon distension tst
|
$480.80 |
$480.80 |
$480.80 |
$780.00
|
|
Esoph egd dilation <30 mm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$48.10 |
$48.10 |
$48.10 |
$1,075.06
|
|
Esoph imped function test
|
$541.19 |
$541.19 |
$541.19 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$579.12 |
$579.12 |
$579.12 |
$986.40
|
|
Esoph optical endomicroscopy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Esoph scope w/sclerosis inj
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,234.01
|
|
Esoph scope w/submucous inj
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,244.82
|
|
Essure 58565
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,463.96
|
|
Established Patient Office Visit (level 1)
|
$64.62 |
$64.62 |
$64.62 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$98.53 |
$98.53 |
$98.53 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$108.70 |
$108.70 |
$108.70 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$119.51 |
$119.51 |
$119.51 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$140.91 |
$140.91 |
$140.91 |
$287.10
|
|
Estradiol total
|
$30.73 |
$30.73 |
$30.73 |
$153.00
|
|
Estrogens total-sendout
|
$23.87 |
$23.87 |
$23.87 |
$89.25
|
|
Ethmoidectomy extranasal total 31205
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,837.72
|
|
Ethylene glycol -sendout
|
$16.39 |
$16.39 |
$16.39 |
$75.00
|
|
Euglobulin lysis
|
$9.25 |
$9.25 |
$9.25 |
$39.75
|
|
Evacuate mole of uterus
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,522.35
|
|
Eval aud rehab status/first hr 92626
|
$205.54 |
$205.54 |
$205.54 |
$253.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$107.92 |
$107.92 |
$107.92 |
$219.60
|
|
Evaluation heart device
|
$675.74 |
$675.74 |
$675.74 |
$2,368.17
|
|
Evaluation psychiatric diagnostic
|
$182.65 |
$182.65 |
$182.65 |
$320.00
|
|
Evoked auditory tst complete
|
$183.08 |
$183.08 |
$183.08 |
$368.50
|
|
Evoked oa emissions ltd
|
$150.44 |
$150.44 |
$150.44 |
$273.00
|
|
Evoked potentials auditory screening automated analysis
|
$89.42 |
$89.42 |
$89.42 |
$283.62
|
|
Evoked potentials upper limbs
|
$365.10 |
$365.10 |
$365.10 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$313.61 |
$313.61 |
$313.61 |
$829.44
|
|
Exam of vagina w/scope 57420
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$535.00
|
|
Exam plvc w/anes othr thn lcl
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,649.80
|
|
Ex arm/elbow tum deep < 5 cm
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,386.84
|
