|
Establish brain cavity shunt
|
$643.28 |
$643.28 |
$643.28 |
$2,464.00
|
|
Establish brain cavity shunt
|
$999.90 |
$999.90 |
$999.90 |
$2,674.30
|
|
Establish brain cavity shunt
|
$584.10 |
$584.10 |
$584.10 |
$1,446.87
|
|
Establish brain cavity shunt
|
$621.28 |
$621.28 |
$621.28 |
$2,316.00
|
|
Establish brain cavity shunt
|
$861.08 |
$861.08 |
$861.08 |
$2,104.22
|
|
Establish brain cavity shunt
|
$608.52 |
$608.52 |
$608.52 |
$2,338.40
|
|
Established Patient Office Visit (level 1)
|
$263.64 |
$263.64 |
$263.64 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$329.94 |
$329.94 |
$329.94 |
$141.60
|
|
Established Patient Office Visit (level 3)
|
$396.24 |
$396.24 |
$396.24 |
$189.00
|
|
Established Patient Office Visit (level 4)
|
$461.76 |
$461.76 |
$461.76 |
$239.94
|
|
Established Patient Office Visit (level 5)
|
$528.06 |
$528.06 |
$528.06 |
$301.50
|
|
Estim aid bone healg invasiv
|
$110.22 |
$110.22 |
$110.22 |
$2,620.80
|
|
Estradiol total
|
$146.64 |
$146.64 |
$146.64 |
$153.00
|
|
Estrogens total-sendout
|
$113.88 |
$113.88 |
$113.88 |
$97.60
|
|
Ethmoidectomy extranasal total 31205
|
$570.46 |
$570.46 |
$570.46 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$78.78 |
$78.78 |
$78.78 |
$85.80
|
|
Euglobulin lysis
|
$5.72 |
$5.72 |
$5.72 |
$63.84
|
|
Evacuate mole of uterus
|
$328.90 |
$328.90 |
$328.90 |
$3,762.53
|
|
Eval aud funcj ea addl 15
|
$10.78 |
$10.78 |
$10.78 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$45.76 |
$45.76 |
$45.76 |
$316.00
|
|
Evaluation cervical mucus
|
$7.04 |
$7.04 |
$7.04 |
$14.32
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$64.68 |
$64.68 |
$64.68 |
$212.40
|
|
Evaluation heart device
|
$106.04 |
$106.04 |
$106.04 |
$2,147.00
|
|
Evaluation psychiatric diagnostic
|
$92.40 |
$92.40 |
$92.40 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$361.46 |
$361.46 |
$361.46 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$154.22 |
$154.22 |
$154.22 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$7,615.92 |
$7,615.92 |
$7,615.92 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$748.00 |
$748.00 |
$748.00 |
$5,518.58
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,086.58 |
$1,086.58 |
$1,086.58 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$1,377.20 |
$1,377.20 |
$1,377.20 |
$8,535.75
|
|
Evasc rpr a-iliac ndgft 34717
|
$7,615.92 |
$7,615.92 |
$7,615.92 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$829.18 |
$829.18 |
$829.18 |
$5,689.05
|
|
Evasc rpr a-unilac ndgft rpt
|
$1,378.96 |
$1,378.96 |
$1,378.96 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$702.90 |
$702.90 |
$702.90 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$7,480.00
|
|
Evasc st rpr thrc/aa acrs br
|
$592.46 |
$592.46 |
$592.46 |
$5,225.35
|
|
Evasc st rpr thrc/aa x crsg
|
$471.24 |
$471.24 |
$471.24 |
$11,524.11
|
|
Event monitor
|
$87.36 |
$87.36 |
$87.36 |
$231.00
|
|
Evoked auditory tst complete
|
$17.60 |
$17.60 |
$17.60 |
$354.40
|
|
Evoked oa emissions ltd
|
$11.22 |
$11.22 |
$11.22 |
$244.00
|
|
Evoked potentials upper limbs
|
$16.72 |
$16.72 |
$16.72 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$11.22 |
$11.22 |
$11.22 |
$819.00
|
|
Evok oa screening qual
|
$5.50 |
$5.50 |
$5.50 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$55.66 |
$55.66 |
$55.66 |
$470.00
|
|
Exam plvc w/anes othr thn lcl
|
$65.34 |
$65.34 |
$65.34 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$342.10 |
$342.10 |
$342.10 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$432.30 |
$432.30 |
$432.30 |
$3,412.80
|
|
Exc 1st&/crv rib w/sympth
|
$440.00 |
$440.00 |
$440.00 |
$7,413.38
|
|
Exc abd les sc 3 cm/>
|
$274.56 |
$274.56 |
$274.56 |
$3,986.00
|
|
Exc abdl tum deep < 5 cm
|
$353.10 |
$353.10 |
$353.10 |
$3,696.00
|
|
Exc abdl tum deep 5 cm/>
|
$414.92 |
$414.92 |
$414.92 |
$3,386.84
|
|
Exc abd tum 5 cm or less 49203
|
$749.76 |
$749.76 |
$749.76 |
$3,865.50
|
|
Exc abd tum over 10 cm 49205
|
$1,096.70 |
$1,096.70 |
$1,096.70 |
$825.60
|
|
Exc arm/elbo les sc >=3cm 24071
|
$253.44 |
$253.44 |
$253.44 |
$4,350.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$206.36 |
$206.36 |
$206.36 |
$2,532.80
|
|
Exc aurl glomus tum extended
|
$1,550.34 |
$1,550.34 |
$1,550.34 |
$3,202.99
|
|
Exc aurl glomus tum trnscanl
|
$646.36 |
$646.36 |
$646.36 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$968.22 |
$968.22 |
$968.22 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$227.26 |
$227.26 |
$227.26 |
$2,818.40
|
|
Exc back tum deep 5 cm/>
|
$458.48 |
$458.48 |
$458.48 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$193.82 |
$193.82 |
$193.82 |
$3,790.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$140.58 |
$140.58 |
$140.58 |
$2,315.50
|
|
Exc benign feenlm >4.0cm 11446
|
$197.12 |
$197.12 |
$197.12 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$112.64 |
$112.64 |
$112.64 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$51.92 |
$51.92 |
$51.92 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,646.58 |
$1,646.58 |
$1,646.58 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$90.86 |
$90.86 |
$90.86 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$110.88 |
$110.88 |
$110.88 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$67.32 |
$67.32 |
$67.32 |
$1,538.25
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$97.90 |
$97.90 |
$97.90 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$166.98 |
$166.98 |
$166.98 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$65.12 |
$65.12 |
$65.12 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,646.58 |
$1,646.58 |
$1,646.58 |
$1,332.50
|
|
Exc breast duct fistula 19112
|
$201.30 |
$201.30 |
$201.30 |
$4,238.48
|
|
Exc carotid body tumor without exc art 60600
|
$830.94 |
$830.94 |
$830.94 |
$3,356.80
|
|
Exc cervix repair bowel 57556
|
$362.78 |
$362.78 |
$362.78 |
$5,813.46
|
|
Exc cervix/repair pelvis 57545
|
$514.58 |
$514.58 |
$514.58 |
$1,083.05
|
|
Exc cervix/repair vagina 57555
|
$382.14 |
$382.14 |
$382.14 |
$5,463.96
|
|
Exc chest wall tumor w/ribs 21601
|
$705.10 |
$705.10 |
$705.10 |
$3,386.84
|
|
Exc ch wal tum without lymphadec
|
$948.20 |
$948.20 |
$948.20 |
$3,872.00
|
|
Exc ch wal tum w/lymphadec
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$4,279.20
|
|
Exc coa rpr l subcl art/prst
|
$778.14 |
$778.14 |
$778.14 |
$1,832.76
|
|
Exc coa w/direct anastomosis
|
$757.90 |
$757.90 |
$757.90 |
$1,785.98
|
|
Exc coccygl pr ulc flap clsr
|
$493.24 |
$493.24 |
$493.24 |
$4,311.38
|
|
Exc coccygl pr ulc prim sutr
|
$393.58 |
$393.58 |
$393.58 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$504.46 |
$504.46 |
$504.46 |
$3,821.05
|
|
Exc/crtg b1 cst/b9 tum rds
|
$335.50 |
$335.50 |
$335.50 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$461.12 |
$461.12 |
$461.12 |
$7,807.24
|
|
Exc/crtg b1 cst/tum hum algr
|
$535.92 |
$535.92 |
$535.92 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds agrf
|
$390.94 |
$390.94 |
$390.94 |
$3,839.54
|
|
Exc/crtg b1 cst/tum rds algr
|
$408.10 |
$408.10 |
$408.10 |
$7,807.24
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$265.98 |
$265.98 |
$265.98 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$370.92 |
$370.92 |
$370.92 |
$3,839.54
|
|
Exc/destruct open intra-abd tumors cysts or endometriomas
|
$955.90 |
$955.90 |
$955.90 |
$2,790.60
|
|
Exc excessive skin buttock
|
$576.62 |
$576.62 |
$576.62 |
$3,386.84
|
|
Exc excessive skin hip
|
$553.08 |
$553.08 |
$553.08 |
$3,994.09
|
|
Exc excessive skin leg
|
$542.74 |
$542.74 |
$542.74 |
$4,321.60
|
|
Exc excessive skin thigh
|
$574.42 |
$574.42 |
$574.42 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$443.96 |
$443.96 |
$443.96 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$402.38 |
$402.38 |
$402.38 |
$3,386.84
|
