|
Epilepsy gen seq alys panel
|
$2,448.56 |
$2,693.42 |
$2,693.42 |
|
|
Ep induct arrhy by elect pacing
|
$1,081.70 |
$1,343.72 |
$2,800.71 |
|
|
Epiphysl arrst dstl rds&ulna
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Epiphysl arrst dstl rds/ulna
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$7.57 |
$7.57 |
$7.62 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$7.53 |
$7.68 |
$7.68 |
|
|
Epoetin beta non esrd
|
$1.16 |
$1.41 |
$1.41 |
|
|
Epstein barr early antigen antibody
|
$13.12 |
$14.43 |
$64.00 |
|
|
Epstein barr nuclear antigen antibody
|
$15.29 |
$16.82 |
$18.50 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$18.14 |
$19.95 |
$22.00 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$18.69 |
$19.85 |
$19.85 |
|
|
Ercp biliary & pancreas
|
$261.22 |
$347.25 |
$472.78 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Ercp ea duct/ampulla dilate
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Ercp lesion ablate w/dilate 43278
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Ercp lithotripsy calculi
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Ercp remove duct calculi 43264
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Ercp remove forgn body duct 43275
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Ercp sphincter pressure meas
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Ercp stent exchange w/dilate
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Ercp w/specimen collection
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$104.58 |
$104.58 |
$135.79 |
|
|
ER Visit (level 1, minor)
|
$96.23 |
$149.96 |
$250.06 |
|
|
ER Visit (level 2)
|
$173.07 |
$258.14 |
$458.80 |
|
|
ER Visit (level 3)
|
$302.61 |
$397.94 |
$640.96 |
|
|
ER Visit (level 4)
|
$405.70 |
$515.46 |
$736.63 |
|
|
ER Visit (level 5, high severity)
|
$660.09 |
$722.02 |
$1,102.33 |
|
|
Esd endoscopy or colonoscopy
|
$4,157.89 |
$4,211.08 |
$4,480.44 |
|
|
Esophageal dilat s&i
|
$113.90 |
$144.72 |
$156.01 |
|
|
Esophageal motility
|
$323.59 |
$444.77 |
$473.22 |
|
|
Esophageal recording
|
$1,326.75 |
$1,343.72 |
$1,429.67 |
|
|
Esophageal recording
|
$1,326.75 |
$1,343.72 |
$1,429.67 |
|
|
Esophag muc integ w/eso egd
|
$4,157.89 |
$4,211.08 |
$4,480.44 |
|
|
Esophagosc dilate balloon 30
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagosc flex trnsn biopsy
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscop mucosal resect
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscop stent placement
|
$3,786.00 |
$6,311.00 |
$7,010.39 |
|
|
Esophagoscop ultrasound exam
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy balloon <30mm
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy control bleed
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy flex biopsy
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy flex dx brush
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy flex remove fb
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy lesion ablate
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Esophagoscopy lesion removal
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy retro balloon
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy rigid balloon
|
$3,786.00 |
$4,480.44 |
$6,839.00 |
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy rigid trnso 43180
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Esophagoscopy snare les remv
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscopy w/us needle bx
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscp guide wire dilat 43196
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscp rig trnso biopsy
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscp rig trnso inject
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagoscp rig trnso rem fb
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagus endoscopy/ligation
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophagus motility study
|
$302.11 |
$587.81 |
$778.97 |
|
|
Esoph balloon distension tst
|
$198.14 |
$482.29 |
$624.87 |
|
|
Esoph egd dilation <30 mm
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esoph endoscopy dilation
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esophgl motil w/stim/perfus
|
$27.59 |
$47.28 |
$222.17 |
|
|
Esoph imped function test
|
$104.49 |
$340.32 |
$544.76 |
|
|
Esoph imped funct test > 1hr
|
$156.73 |
$579.12 |
$624.87 |
|
|
Esoph optical endomicroscopy
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esoph scope w/sclerosis inj
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Esoph scope w/submucous inj
|
$2,073.18 |
$3,986.00 |
$6,839.00 |
|
|
Essure 58565
|
$3,786.00 |
$5,463.96 |
$6,839.00 |
|
|
Establish access to artery
|
$5,419.00 |
$5,419.00 |
$5,419.00 |
|
|
Established Patient Office Visit (level 1)
|
$39.34 |
$63.37 |
$108.00 |
|
|
Established Patient Office Visit (level 2)
|
$59.98 |
$96.62 |
$159.00 |
|
|
Established Patient Office Visit (level 3)
|
$66.17 |
$106.60 |
$224.00 |
|
|
Established Patient Office Visit (level 4)
|
$72.75 |
$117.19 |
$304.50 |
|
|
Established Patient Office Visit (level 5)
|
$85.78 |
$138.18 |
$385.00 |
|
|
Estradiol total
|
$27.94 |
$30.73 |
$146.50 |
|
|
Estrogens total-sendout
|
$21.70 |
$23.87 |
$24.40 |
|
|
Etanercept injection
|
$790.78 |
$1,080.88 |
$1,080.88 |
|
|
Ethanolamine oleate 100 mg
|
$491.68 |
$519.52 |
$519.52 |
|
|
Ethmoidectomy extranasal total 31205
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Ethylene glycol -sendout
|
$14.90 |
$16.39 |
$16.39 |
|
|
Euflexxa inj per dose
|
$114.48 |
$114.48 |
$121.31 |
|
|
Euglobulin lysis
|
$8.41 |
$9.25 |
$9.25 |
|
|
Evacuate mole of uterus
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Eval aud funcj ea addl 15
|
$13.85 |
$45.40 |
$46.49 |
|
|
Eval aud rehab status/first hr 92626
|
$78.41 |
$173.33 |
$206.90 |
|
|
Eval/fit voice prosthesis iii, st
|
$155.22 |
$155.22 |
$155.22 |
|
|
Evaluation cervical mucus
|
$10.38 |
$11.42 |
$11.42 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$98.11 |
$107.92 |
$107.92 |
|
|
Evaluation heart device
|
$340.43 |
$524.89 |
$680.21 |
|
|
Evaluation of speech fluency 92521
|
$170.83 |
$170.83 |
$445.50 |
|
|
Evaluation psychiatric diagnostic
|
$117.90 |
$177.99 |
$402.50 |
|
|
Evasc prlng admn rx agnt 1st
|
$4,881.00 |
$5,419.00 |
$6,311.00 |
|
|
Evasc prlng admn rx agnt add
|
$4,881.00 |
$5,419.00 |
$6,311.00 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$6,311.00 |
$6,311.00 |
$6,311.00 |
|
|
Evasc rpr a-ao ndgft 34701
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$5,110.00 |
$5,110.00 |
$6,311.00 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$5,741.00 |
$5,741.00 |
$6,311.00 |
|