|
Epidrm autogrft t/a/l add-on
|
$850.59 |
$850.59 |
$1,038.13 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$463.20 |
$964.35 |
$1,000.48 |
|
|
Epidural lysis mult sessions
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
|
|
Epidural lysis on single day 62264
|
$1,053.53 |
$1,053.53 |
$2,349.42 |
|
|
Epiglottidectomy
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Epilepsy gen seq alys panel
|
$2,448.56 |
$2,448.56 |
$6,792.83 |
|
|
Ep induct arrhy by elect pacing
|
$1,436.59 |
$1,436.59 |
$3,085.18 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$0.62 |
$0.62 |
$0.76 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$436.00 |
$436.00 |
$436.00 |
|
|
Epiphysl arrst dstl rds&ulna
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Epiphysl arrst dstl rds/ulna
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$4.35 |
$4.35 |
$54.60 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,557.60 |
$3,762.53 |
$7,892.00 |
|
|
Epoetin alfa, 100 units esrd
|
$2.95 |
$2.95 |
$3.63 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$7.62 |
$7.62 |
$1,282.77 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$7.53 |
$7.53 |
$224.06 |
|
|
Epoetin beta non esrd
|
$1.16 |
$1.16 |
$1.16 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$103.95 |
$103.95 |
$103.95 |
|
|
Epstein barr early antigen antibody
|
$8.00 |
$13.12 |
$69.08 |
|
|
Epstein barr nuclear antigen antibody
|
$8.00 |
$15.29 |
$69.08 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$18.14 |
$18.14 |
$316.00 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$6.32 |
$6.32 |
$171.20 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$18.69 |
$18.69 |
$6,397.41 |
|
|
Ercp biliary & pancreas
|
$338.10 |
$577.24 |
$2,108.00 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$4,680.60 |
$7,044.32 |
$10,488.25 |
|
|
Ercp ea duct/ampulla dilate
|
$4,502.13 |
$4,502.13 |
$8,057.87 |
|
|
Ercp lesion ablate w/dilate 43278
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
|
|
Ercp lithotripsy calculi
|
$7,044.32 |
$7,044.32 |
$10,488.25 |
|
|
Ercp remove duct calculi 43264
|
$1,827.60 |
$4,502.13 |
$8,057.87 |
|
|
Ercp remove forgn body duct 43275
|
$2,244.82 |
$2,244.82 |
$8,057.87 |
|
|
Ercp sphincter pressure meas
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Ercp stent exchange w/dilate
|
$7,044.32 |
$7,044.32 |
$10,488.25 |
|
|
Ercp w/specimen collection
|
$4,502.13 |
$4,502.13 |
$8,057.87 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$135.79 |
$135.79 |
$2,467.50 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$10.78 |
$86.88 |
$321.60 |
|
|
ER Visit (level 1, minor)
|
$104.19 |
$104.19 |
$2,059.00 |
|
|
ER Visit (level 2)
|
$187.40 |
$187.40 |
$2,113.00 |
|
|
ER Visit (level 3)
|
$327.66 |
$327.66 |
$2,599.00 |
|
|
ER Visit (level 4)
|
$415.20 |
$503.90 |
$9,394.00 |
|
|
ER Visit (level 5, high severity)
|
$725.52 |
$725.52 |
$9,678.00 |
|
|
Erwinaze injection
|
$16,436.46 |
$16,436.46 |
$16,436.46 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$187.85 |
$187.85 |
$228.00 |
|
|
Escharotomy ea addl incision
|
$647.00 |
$647.00 |
$647.00 |
|
|
Esd endoscopy or colonoscopy
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$3.34 |
$3.34 |
$3.34 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2.21 |
$2.21 |
$11.20 |
|
|
Esophageal dilat s&i
|
$101.98 |
$237.33 |
$1,079.00 |
|
|
Esophageal motility
|
$475.51 |
$475.51 |
$2,091.00 |
|
|
Esophageal recording
|
$1,436.59 |
$1,436.59 |
$1,436.59 |
|
|
Esophageal recording
|
$1,436.59 |
$1,436.59 |
$1,436.59 |
|
|
Esophag muc integ w/eso egd
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
|
|
Esophagosc dilate balloon 30
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagosc flex trnsn biopsy
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
|
|
Esophagoscop mucosal resect
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscop stent placement
|
$7,044.32 |
$7,044.32 |
$10,532.46 |
|
|
Esophagoscop ultrasound exam
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy balloon <30mm
|
$979.80 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy control bleed
|
$979.80 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy flex biopsy
|
$979.80 |
$2,244.82 |
$3,605.15 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$979.80 |
$1,109.47 |
$2,357.31 |
|
|
Esophagoscopy flex dx brush
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
|
|
Esophagoscopy flex remove fb
|
$979.80 |
$2,244.82 |
$4,768.12 |
|
|
Esophagoscopy lesion ablate
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
|
|
Esophagoscopy lesion removal
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy retro balloon
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy rigid balloon
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy rigid trnso 43180
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Esophagoscopy snare les remv
|
$979.80 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscopy w/us needle bx
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscp guide wire dilat 43196
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscp rig trnso biopsy
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscp rig trnso inject
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagoscp rig trnso rem fb
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esophagus endoscopy/ligation
|
$979.80 |
$2,244.82 |
$2,244.82 |
|
|
Esophagus motility study
|
$420.00 |
$627.89 |
$2,521.00 |
|
|
Esoph balloon distension tst
|
$627.89 |
$627.89 |
$627.89 |
|
|
Esoph egd dilation <30 mm
|
$979.80 |
$2,244.82 |
$4,346.13 |
|
|
Esoph endoscopy dilation
|
$979.80 |
$2,244.82 |
$4,441.33 |
|
|
Esoph imped function test
|
$253.80 |
$368.50 |
$1,084.00 |
|
|
Esoph imped funct test > 1hr
|
$627.89 |
$627.89 |
$712.20 |
|
|
Esoph optical endomicroscopy
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esoph scope w/sclerosis inj
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esoph scope w/submucous inj
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
|
|
Esphg dstl 2/3 w/laps moblj 43287
|
$18,282.03 |
$18,282.03 |
$22,500.96 |
|
|
Esphg thrsc moblj
|
$11,411.70 |
$11,411.70 |
$14,045.17 |
|
|
Essure 58565
|
$5,841.60 |
$5,841.60 |
$11,325.89 |
|
|
Establish access to aorta
|
$779.58 |
$779.58 |
$2,729.00 |
|
|
Established Patient Office Visit (level 1)
|
$67.20 |
$210.10 |
$1,014.00 |
|
|
Established Patient Office Visit (level 2)
|
$97.80 |
$256.59 |
$1,014.00 |
|
|
Established Patient Office Visit (level 3)
|
$156.00 |
$297.19 |
$1,014.00 |
|
|
Established Patient Office Visit (level 4)
|
$129.60 |
$369.35 |
$1,014.00 |
|
|
Established Patient Office Visit (level 5)
|
$165.60 |
$487.32 |
$1,014.00 |
|
|
Estradiol total
|
$27.94 |
$27.94 |
$551.00 |
|
|
Estradiol valerate 10 mg inj
|
$203.60 |
$203.60 |
$203.60 |
|
|
Estrogens total-sendout
|
$20.00 |
$21.70 |
$208.05 |
|
|
Etanercept injection
|
$790.78 |
$790.78 |
$6,504.16 |
|
|
Ethanolamine oleate 100 mg
|
$491.68 |
$491.68 |
$786.05 |
|
|
Eth estr and eton monthly
|
$532.21 |
$532.21 |
$532.21 |
|
|
Ethmoidectomy extranasal total 31205
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|