|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,396.89
|
|
Emb/throm/pop-tib-pero art/leg inc 34203
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,396.89
|
|
Emb without cervical dilation 58100
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$397.66
|
|
Encephalitis, california igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$14.51 |
$14.51 |
$14.51 |
$50.35
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,522.00
|
|
Endocerv curettage w/scope 57456
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$515.50
|
|
Endocervical curettage 57505
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,030.40
|
|
Endo cholangiopancreatograph
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,450.00
|
|
Endoluminal bx biliary tree
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$985.46 |
$985.46 |
$985.46 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$365.77 |
$365.77 |
$365.77 |
$2,294.50
|
|
Endome abla/them without hystero guide 58353
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,350.00
|
|
Endometrial cryoablation w/us 58356
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,441.87
|
|
Endoscopic injection/implant
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,081.37
|
|
Endoscopic Ultrasound exam esoph
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,896.00
|
|
Endoscopy ligate perf veins 37500
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,478.21
|
|
Endoscopy maxillary sinus
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,419.00
|
|
Endoscopy of bowel pouch 44385
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,500.75
|
|
Endoscopy of ureter
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,817.53
|
|
Endoscopy of ureter
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,986.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,872.59
|
|
Endovasc tempory vessel occl
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$11,055.01
|
|
Endovenous mchnchem 1st vein
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,134.35
|
|
Endoven ther chem adhes 1st 36482
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,459.57
|
|
Entamoeba histolytica ag eia - sendout
|
$13.18 |
$13.18 |
$13.18 |
$66.60
|
|
Enzyme cell activity ra
|
$48.43 |
$48.43 |
$48.43 |
$197.60
|
|
Enzyme histochemistry
|
$220.58 |
$220.58 |
$220.58 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$8,358.66 |
$8,358.66 |
$8,358.66 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$9,108.54 |
$9,108.54 |
$9,108.54 |
$30,975.00
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,478.85
|
|
Epidrm agrft t/a/l 1st 100
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,856.87
|
|
Epidural lysis mult sessions
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,514.40
|
|
Epidural lysis on single day 62264
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,420.73
|
|
Epiglottidectomy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$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
|
$1,081.70 |
$1,081.70 |
$1,081.70 |
$2,753.40
|
|
Epiphysl arrst dstl rds&ulna
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,821.05
|
|
Epiphysl arrst dstl rds/ulna
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,839.54
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$3,636.60
|
|
Epstein barr early antigen antibody
|
$14.43 |
$14.43 |
$14.43 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$16.82 |
$16.82 |
$16.82 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$19.95 |
$19.95 |
$19.95 |
$96.00
|
|
Ercp biliary & pancreas
|
$339.11 |
$339.11 |
$339.11 |
$922.35
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,211.08
|
|
Ercp lesion ablate w/dilate 43278
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,378.40
|
|
Ercp remove duct calculi 43264
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,214.73
|
|
Ercp remove forgn body duct 43275
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Ercp stent exchange w/dilate
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,718.03
|
|
Ercp w/specimen collection
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,440.54
|
|
ER Visit (level 1, minor)
|
$219.13 |
$219.13 |
$219.13 |
$271.88
|
|
ER Visit (level 2)
|
$318.90 |
$318.90 |
$318.90 |
$481.37
|
|
ER Visit (level 3)
|
$483.46 |
$483.46 |
$483.46 |
$850.50
|
|
ER Visit (level 4)
|
$652.60 |
$652.60 |
$652.60 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$950.68 |
$950.68 |
$950.68 |
$1,930.40
|
|
Esophageal dilat s&i
|
$156.01 |
$156.01 |
$156.01 |
$525.00
|
|
Esophagosc dilate balloon 30
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,234.01
|
|
Esophagosc flex trnsn biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,739.25
|
|
Esophagoscop mucosal resect
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,806.70
|
|
Esophagoscop stent placement
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,505.71
|
|
Esophagoscop ultrasound exam
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,440.80
|
|
Esophagoscopy balloon <30mm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy flex biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy/flex/diagnostic 43200
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,109.47
|
|
Esophagoscopy flex dx brush
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$1,785.00
|
|
Esophagoscopy flex remove fb
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,109.53
|
|
Esophagoscopy lesion ablate
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,211.08
|
|
Esophagoscopy lesion removal
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy retro balloon
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy rigid balloon
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$4,502.13
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy rigid trnso 43180
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$6,311.00
|
|
Esophagoscopy snare les remv
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscopy w/us needle bx
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscp rig trnso biopsy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscp rig trnso inject
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagoscp rig trnso rem fb
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagus endoscopy/ligation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esophagus motility study
|
$760.71 |
$760.71 |
$760.71 |
$1,274.00
|
|
Esoph balloon distension tst
|
$472.63 |
$472.63 |
$472.63 |
$780.00
|
|
Esoph egd dilation <30 mm
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$47.28 |
$47.28 |
$47.28 |
$1,075.06
|
|
Esoph imped function test
|
$531.99 |
$531.99 |
$531.99 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$569.28 |
$569.28 |
$569.28 |
$986.40
|
|
Esoph optical endomicroscopy
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Esoph scope w/sclerosis inj
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,101.52
|
|
Esoph scope w/submucous inj
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$2,244.82
|
|
Essure 58565
|
$4,881.00 |
$4,881.00 |
$4,881.00 |
$5,463.96
|
|
Established Patient Office Visit (level 1)
|
$63.53 |
$63.53 |
$63.53 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$96.85 |
$96.85 |
$96.85 |
$138.60
|
