|
Ercp bil/panc duct; each stent plcmt 43274
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$3,955.50
|
|
Ercp remove forgn body duct 43275
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,720.00
|
|
Ercp sphincter pressure meas
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,178.16
|
|
Ercp stent exchange w/dilate
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$5,718.03
|
|
Ercp w/specimen collection
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,277.25
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$104.58 |
$104.58 |
$104.58 |
$296.58
|
|
ER Visit (level 1, minor)
|
$97.46 |
$97.46 |
$97.46 |
$270.00
|
|
ER Visit (level 2)
|
$175.28 |
$175.28 |
$175.28 |
$469.39
|
|
ER Visit (level 3)
|
$306.48 |
$306.48 |
$306.48 |
$821.52
|
|
ER Visit (level 4)
|
$471.32 |
$471.32 |
$471.32 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$678.62 |
$678.62 |
$678.62 |
$1,900.20
|
|
Esd endoscopy or colonoscopy
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,440.75
|
|
Esophageal motility
|
$444.77 |
$444.77 |
$444.77 |
$552.00
|
|
Esophageal recording
|
$1,343.72 |
$1,343.72 |
$1,343.72 |
$1,429.67
|
|
Esophageal recording
|
$1,343.72 |
$1,343.72 |
$1,343.72 |
$1,674.16
|
|
Esophag muc integ w/eso egd
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,211.08
|
|
Esophagosc dilate balloon 30
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,099.70
|
|
Esophagosc flex trnsn biopsy
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,654.38
|
|
Esophagoscop mucosal resect
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,234.01
|
|
Esophagoscop stent placement
|
$6,588.93 |
$6,588.93 |
$6,588.93 |
$6,594.64
|
|
Esophagoscop ultrasound exam
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Esophagoscopy balloon <30mm
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,099.70
|
|
Esophagoscopy flex biopsy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,099.70
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,048.28
|
|
Esophagoscopy flex dx brush
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,654.38
|
|
Esophagoscopy flex remove fb
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Esophagoscopy lesion ablate
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,192.80
|
|
Esophagoscopy lesion removal
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Esophagoscopy retro balloon
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Esophagoscopy rigid balloon
|
$4,211.08 |
$4,211.08 |
$4,211.08 |
$4,383.93
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,099.70
|
|
Esophagoscopy rigid trnso 43180
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,465.11
|
|
Esophagoscopy snare les remv
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Esophagoscopy w/us needle bx
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,200.46
|
|
Esophagoscp guide wire dilat 43196
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,073.18
|
|
Esophagoscp rig trnso biopsy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,073.18
|
|
Esophagoscp rig trnso inject
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,073.18
|
|
Esophagoscp rig trnso rem fb
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,178.16
|
|
Esophagus endoscopy/ligation
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Esophagus motility study
|
$587.30 |
$587.30 |
$587.30 |
$1,257.17
|
|
Esoph balloon distension tst
|
$587.30 |
$587.30 |
$587.30 |
$780.00
|
|
Esoph egd dilation <30 mm
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,178.16
|
|
Esoph imped function test
|
$344.68 |
$344.68 |
$344.68 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$587.30 |
$587.30 |
$587.30 |
$1,089.15
|
|
Esoph optical endomicroscopy
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,073.18
|
|
Esoph scope w/sclerosis inj
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$1,968.00
|
|
Esoph scope w/submucous inj
|
$2,099.70 |
$2,099.70 |
$2,099.70 |
$2,101.52
|
|
Essure 58565
|
$5,463.96 |
$5,463.96 |
$5,463.96 |
$5,463.96
|
|
Estradiol total
|
$27.94 |
$27.94 |
$27.94 |
$142.20
|
|
Estrogens total-sendout
|
$21.70 |
$21.70 |
$21.70 |
$111.00
|
|
Etanercept injection
|
$1,080.88 |
$1,080.88 |
$1,080.88 |
$1,080.88
|
|
Ethanolamine oleate 100 mg
|
$519.52 |
$519.52 |
$519.52 |
$1,597.69
|
|
Ethmoidectomy extranasal total 31205
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,615.13
|
|
Ethylene glycol -sendout
|
$14.90 |
$14.90 |
$14.90 |
$81.25
|
|
Euflexxa inj per dose
|
$114.48 |
$114.48 |
$114.48 |
$752.40
|
|
Euglobulin lysis
|
$8.41 |
$8.41 |
$8.41 |
$37.70
|
|
Evacuate mole of uterus
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$3,427.35
|
|
Eval aud rehab status/first hr 92626
|
$173.18 |
$173.18 |
$173.18 |
$266.00
|
|
Eval/fit voice prosthesis iii, st
|
$155.22 |
$155.22 |
$155.22 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$98.11 |
$98.11 |
$98.11 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$170.83 |
$170.83 |
$170.83 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$177.84 |
$177.84 |
$177.84 |
$325.65
|
|
Event monitor
|
$41.27 |
$41.27 |
$41.27 |
$228.60
|
|
Evoked auditory tst complete
|
$344.68 |
$344.68 |
$344.68 |
$374.62
|
|
Evoked oa emissions ltd
|
$344.68 |
$344.68 |
$344.68 |
$234.32
|
|
Evoked potentials upper limbs
|
$344.68 |
$344.68 |
$344.68 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$344.68 |
$344.68 |
$344.68 |
$852.80
|
|
Exam of vagina w/scope 57420
|
$336.70 |
$336.70 |
$336.70 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$2,498.48
|
|
Ex arm/elbow tum deep < 5 cm
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,167.89
|
|
Ex arm/elbow tum deep 5 cm/>
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,370.52
|
|
Exc abd les sc 3 cm/>
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,167.89
|
|
Exc abdl tum deep < 5 cm
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,127.88
|
|
Exc abdl tum deep 5 cm/>
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,167.89
|
|
Exc arm/elbo les sc >=3cm 24071
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,167.89
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,908.09
|
|
Exc aurl glomus tum trnscanl
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,553.49
|
|
Exc aurl glomus tum trnsmstd
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,969.40
|
|
Exc back les sbq <3 cm 21930
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$2,271.01
|
|
Exc back tum deep 5 cm/>
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,127.88
|
|
Exc bartholins gland/cyst
|
$3,519.29 |
$3,519.29 |
$3,519.29 |
$2,476.30
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,874.89
|
|
Exc benign feenlm >4.0cm 11446
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,127.88
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,908.09
|
|
Exc benign tal 0.5 < cm 11400
|
$778.78 |
$778.78 |
$778.78 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$778.78 |
$778.78 |
$778.78 |
$828.59
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$778.78 |
$778.78 |
$778.78 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,908.09
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$778.78 |
$778.78 |
$778.78 |
$1,224.75
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,967.25
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,335.67
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$442.22 |
$442.22 |
$442.22 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$778.78 |
$778.78 |
$778.78 |
$1,228.50
|
|
Exc breast duct fistula 19112
|
$4,238.48 |
$4,238.48 |
$4,238.48 |
$3,847.45
|