|
ER Visit (level 5, high severity)
|
$2,140.30 |
$2,140.30 |
$2,140.30 |
$1,871.60
|
|
Esophageal dilat s&i
|
$101.98 |
$101.98 |
$101.98 |
$551.20
|
|
Esophagoscop stent placement
|
$10,488.25 |
$10,488.25 |
$10,488.25 |
$6,375.00
|
|
Esophagoscopy flex biopsy
|
$3,605.15 |
$3,605.15 |
$3,605.15 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,195.76 |
$2,195.76 |
$2,195.76 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$4,441.33 |
$4,441.33 |
$4,441.33 |
$2,089.60
|
|
Esoph egd dilation <30 mm
|
$3,520.58 |
$3,520.58 |
$3,520.58 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$4,441.33 |
$4,441.33 |
$4,441.33 |
$2,221.83
|
|
Esphg dstl 2/3 w/laps moblj 43287
|
$18,282.03 |
$18,282.03 |
$18,282.03 |
$7,128.80
|
|
Esphg thrsc moblj
|
$11,411.70 |
$11,411.70 |
$11,411.70 |
$7,526.40
|
|
Essure 58565
|
$11,325.89 |
$11,325.89 |
$11,325.89 |
$5,841.60
|
|
Establish access to aorta
|
$779.58 |
$779.58 |
$779.58 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$210.10 |
$210.10 |
$210.10 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$256.59 |
$256.59 |
$256.59 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$297.19 |
$297.19 |
$297.19 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$369.35 |
$369.35 |
$369.35 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$487.32 |
$487.32 |
$487.32 |
$290.68
|
|
Estradiol total
|
$101.09 |
$101.09 |
$101.09 |
$152.10
|
|
Estrogens total-sendout
|
$78.51 |
$78.51 |
$78.51 |
$97.50
|
|
Ethylene glycol -sendout
|
$53.93 |
$53.93 |
$53.93 |
$86.04
|
|
Etonogestrel implant system
|
$2,565.91 |
$2,565.91 |
$2,565.91 |
$2,081.30
|
|
Euflexxa inj per dose
|
$262.02 |
$262.02 |
$262.02 |
$510.68
|
|
Euglobulin lysis
|
$30.43 |
$30.43 |
$30.43 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$393.56 |
$393.56 |
$393.56 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$210.54 |
$210.54 |
$210.54 |
$213.15
|
|
Evaluation heart device
|
$819.22 |
$819.22 |
$819.22 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$422.25 |
$422.25 |
$422.25 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$424.36 |
$424.36 |
$424.36 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$2,121.96 |
$2,121.96 |
$2,121.96 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$901.12 |
$901.12 |
$901.12 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$16,014.10 |
$16,014.10 |
$16,014.10 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$12,051.32 |
$12,051.32 |
$12,051.32 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$10,013.41 |
$10,013.41 |
$10,013.41 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$7,922.00
|
|
Event monitor
|
$135.56 |
$135.56 |
$135.56 |
$231.00
|
|
Evoked auditory tst complete
|
$643.99 |
$643.99 |
$643.99 |
$357.41
|
|
Evoked oa emissions ltd
|
$870.76 |
$870.76 |
$870.76 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$183.22 |
$183.22 |
$183.22 |
$261.30
|
|
Evoked potentials upper limbs
|
$870.76 |
$870.76 |
$870.76 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$482.35 |
$482.35 |
$482.35 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$2,313.95 |
$2,313.95 |
$2,313.95 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,652.64 |
$1,652.64 |
$1,652.64 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$718.54 |
$718.54 |
$718.54 |
$486.03
|
|
Exam pelvic add-on
|
$46.85 |
$46.85 |
$46.85 |
$46.85
|
|
Exc back les sbq <3 cm 21930
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,711.00
|
|
Exc bartholins gland/cyst
|
$6,164.57 |
$6,164.57 |
$6,164.57 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,314.67
|
|
Exc ext ear/partial/simple repair 69110
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,339.00
|
|
Exc face tum deep 2cm/> 21014
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,421.60
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$3,484.00
|
|
Exchange biliary drg cath
|
$8,417.52 |
$8,417.52 |
$8,417.52 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$1,049.07 |
$1,049.07 |
$1,049.07 |
$566.55
|
|
Exchange drainage catheter
|
$4,441.33 |
$4,441.33 |
$4,441.33 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,958.80
|
|
Exc hidradenitis peri/umb comp 11471
|
$7,746.22 |
$7,746.22 |
$7,746.22 |
$3,386.84
|
|
Excimer lsr psriasis<250sqcm
|
$413.72 |
$413.72 |
$413.72 |
$347.88
|
|
Excise anal ext tag/papilla
|
$3,186.98 |
$3,186.98 |
$3,186.98 |
$2,272.02
|
|
Excise lip or cheek fold
|
$2,785.18 |
$2,785.18 |
$2,785.18 |
$1,855.10
|
|
Excise mandible lesion
|
$5,695.22 |
$5,695.22 |
$5,695.22 |
$3,592.74
|
|
Excise max/zygoma b9 tumor
|
$11,200.30 |
$11,200.30 |
$11,200.30 |
$6,588.00
|
|
Excise/repair mouth lesion
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$1,915.20
|
|
Excise sublingual gland
|
$14,043.05 |
$14,043.05 |
$14,043.05 |
$5,678.40
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,865.00
|
|
Excision breast lesion
|
$9,100.68 |
$9,100.68 |
$9,100.68 |
$4,064.45
|
|
Excision floor mouth lesion 41116
|
$6,004.78 |
$6,004.78 |
$6,004.78 |
$3,892.91
|
|
Excision graft abdomen
|
$11,729.85 |
$11,729.85 |
$11,729.85 |
$4,638.40
|
|
Excision graft extremity
|
$5,765.71 |
$5,765.71 |
$5,765.71 |
$4,881.00
|
|
Excision gum each quadrant
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,560.40
|
|
Excision lesion mouth roof
|
$6,419.65 |
$6,419.65 |
$6,419.65 |
$3,837.72
|
|
Excision of gum flap
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$2,000.80
|
|
Excision of gum lesion
|
$3,762.02 |
$3,762.02 |
$3,762.02 |
$1,944.80
|
|
Excision of gum lesion
|
$14,043.05 |
$14,043.05 |
$14,043.05 |
$7,000.36
|
|
Excision of gum lesion
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,560.40
|
|
Excision of gum lesion
|
$14,043.05 |
$14,043.05 |
$14,043.05 |
$6,547.81
|
|
Excision of gum lesion
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$3,710.62
|
|
Excision of gum lesion 41825
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,007.22
|
|
Excision of mouth lesion complex 40816
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,627.00
|
|
Excision of neck cyst confined 42810
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$4,560.40
|
|
Excision of tongue lesion
|
$4,858.50 |
$4,858.50 |
$4,858.50 |
$3,837.72
|