|
Endovenous mchnchem add-on
|
$2,009.50 |
$2,009.50 |
$2,009.50 |
|
|
Endovenous rf abl vein addl
|
$1,848.50 |
$3,226.73 |
$3,226.73 |
|
|
Energy storing foot
|
$456.44 |
$456.44 |
$456.44 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$8,452.00 |
$8,452.00 |
$8,452.00 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$122.58 |
$163.60 |
$238.67 |
|
|
Entamoeba histolytica ag eia - sendout
|
$92.50 |
$92.50 |
$179.00 |
|
|
Enzyme histochemistry
|
$106.95 |
$106.95 |
$499.00 |
|
|
Eo, adj lock joint prefab ot
|
$240.50 |
$240.50 |
$240.50 |
|
|
Ep & ablate supravent arrhyt
|
$16,649.50 |
$45,708.73 |
$45,708.73 |
|
|
Ep & ablate ventric tachy
|
$19,206.00 |
$38,061.98 |
$38,061.98 |
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$48,471.50 |
$48,471.50 |
$48,471.50 |
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
|
|
Epidrm a-grft f/n/hf/g addl
|
$2,253.50 |
$2,253.50 |
$2,253.50 |
|
|
Epidrm agrft t/a/l 1st 100
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
|
|
Epidrm autogrft t/a/l add-on
|
$2,253.50 |
$2,253.50 |
$2,253.50 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$535.00 |
$1,674.70 |
$1,674.70 |
|
|
Epidural lysis mult sessions
|
$1,816.00 |
$1,816.00 |
$1,816.00 |
|
|
Ep induct arrhy by elect pacing
|
$2,437.50 |
$2,437.50 |
$2,437.50 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$28.95 |
$28.95 |
$28.95 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$286.05 |
$286.05 |
$286.05 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$562.50 |
$562.50 |
$562.50 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$229.18 |
$229.18 |
$229.18 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$549.93 |
$549.93 |
$549.93 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,602.35 |
$1,602.35 |
$3,503.00 |
|
|
Epoetin alfa, 100 units esrd
|
$992.43 |
$992.43 |
$992.43 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$392.78 |
$392.78 |
$717.84 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$967.12 |
$967.12 |
$1,579.72 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$132.50 |
$132.50 |
$132.50 |
|
|
Epstein barr early antigen antibody
|
$43.00 |
$109.33 |
$131.04 |
|
|
Epstein barr nuclear antigen antibody
|
$84.00 |
$105.68 |
$131.04 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$76.50 |
$160.30 |
$160.30 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$196.93 |
$243.50 |
$393.98 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,788.80 |
$3,788.80 |
$9,174.42 |
|
|
Ercp biliary & pancreas
|
$880.45 |
$880.45 |
$3,246.00 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,845.00 |
$2,845.00 |
$9,773.93 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$127.03 |
$310.00 |
$310.00 |
|
|
ER Visit (level 1, minor)
|
$178.33 |
$178.33 |
$428.00 |
|
|
ER Visit (level 2)
|
$168.00 |
$328.58 |
$717.00 |
|
|
ER Visit (level 3)
|
$438.00 |
$1,519.05 |
$1,519.05 |
|
|
ER Visit (level 4)
|
$809.50 |
$1,590.63 |
$2,017.00 |
|
|
ER Visit (level 5, high severity)
|
$1,682.03 |
$1,682.03 |
$3,262.00 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$161.68 |
$171.98 |
$171.98 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$236.88 |
$236.88 |
$456.39 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$334.95 |
$368.75 |
$368.75 |
|
|
Esophageal dilat s&i
|
$696.50 |
$696.50 |
$696.50 |
|
|
Esophageal motility
|
$655.45 |
$655.45 |
$655.45 |
|
|
Esophagoscopy flex remove fb
|
$1,150.50 |
$2,109.53 |
$2,109.53 |
|
|
Esophagus motility study
|
$343.00 |
$1,465.25 |
$1,465.25 |
|
|
Esoph imped function test
|
$597.03 |
$597.03 |
$597.03 |
|
|
Esoph imped funct test > 1hr
|
$986.40 |
$986.40 |
$986.40 |
|
|
Establish brain cavity shunt
|
$2,870.05 |
$2,870.05 |
$2,870.05 |
|
|
Established Patient Office Visit (level 1)
|
$196.88 |
$196.88 |
$201.00 |
|
|
Established Patient Office Visit (level 2)
|
$252.26 |
$252.26 |
$326.00 |
|
|
Established Patient Office Visit (level 3)
|
$340.20 |
$340.20 |
$343.00 |
|
|
Established Patient Office Visit (level 4)
|
$361.00 |
$361.00 |
$450.92 |
|
|
Established Patient Office Visit (level 5)
|
$374.00 |
$374.00 |
$560.12 |
|
|
Estradiol total
|
$114.00 |
$238.30 |
$405.00 |
|
|
Estradiol valerate 10 mg inj
|
$717.20 |
$717.20 |
$717.20 |
|
|
Estrogens total-sendout
|
$106.50 |
$182.93 |
$182.93 |
|
|
Etanercept injection
|
$5,390.25 |
$5,390.25 |
$5,390.25 |
|
|
Ethanolamine oleate 100 mg
|
$1,164.65 |
$1,164.65 |
$1,164.65 |
|
|
Eth estr and eton monthly
|
$377.85 |
$377.85 |
$377.85 |
|
|
Ethylene glycol -sendout
|
$59.00 |
$140.25 |
$140.25 |
|
|
Etonogestrel implant system
|
$1,318.85 |
$1,318.85 |
$1,318.85 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$131.59 |
$379.38 |
$379.38 |
|
|
Etoposide 50 mg cap
|
$2,785.70 |
$2,785.70 |
$2,785.70 |
|
|
Euflexxa inj per dose
|
$254.25 |
$254.25 |
$831.82 |
|
|
Eval aud funcj ea addl 15
|
$89.50 |
$89.50 |
$89.50 |
|
|
Eval/fit voice prosthesis iii, st
|
$290.40 |
$290.40 |
$500.00 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$46.00 |
$133.85 |
$133.85 |
|
|
Evaluation heart device
|
$830.53 |
$830.53 |
$1,031.00 |
|
|
Evaluation of speech fluency 92521
|
$264.00 |
$376.23 |
$524.37 |
|
|
Evaluation psychiatric diagnostic
|
$171.00 |
$175.28 |
$297.00 |
|
|
Evasc prlng admn rx agnt 1st
|
$1,775.00 |
$8,396.55 |
$8,396.55 |
|
|
Evasc prlng admn rx agnt add
|
$1,775.00 |
$3,484.88 |
$3,484.88 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$2,607.00 |
$23,412.98 |
$23,412.98 |
|
|
Evasc rpr a-ao ndgft 34701
|
$2,607.00 |
$26,387.30 |
$26,387.30 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,607.00 |
$26,877.60 |
$26,877.60 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$2,607.00 |
$26,877.60 |
$26,877.60 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,607.00 |
$23,412.98 |
$23,412.98 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,607.00 |
$26,877.60 |
$26,877.60 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
|
|
Evasc rpr ilio-iliac ndgft
|
$2,607.00 |
$23,412.98 |
$23,412.98 |
|
|
Evasc rpr ilio-iliac rpt
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
|
|
Evasc st rpr thrc/aa acrs br
|
$3,868.75 |
$3,868.75 |
$3,868.75 |
|
|
Evasc st rpr thrc/aa x crsg
|
$3,273.55 |
$3,273.55 |
$3,273.55 |
|
|
Event monitor
|
$171.30 |
$171.30 |
$282.50 |
|
|
Evoked auditory tst complete
|
$178.50 |
$178.53 |
$178.53 |
|
|
Evoked oa emissions ltd
|
$113.80 |
$113.80 |
$526.00 |
|
|
Evoked potentials auditory screening automated analysis
|
$126.43 |
$126.43 |
$1,250.00 |
|
|
Evoked potentials upper limbs
|
$444.00 |
$1,080.58 |
$1,080.58 |
|
|
Evoked potential visual not glaucoma
|
$233.50 |
$1,028.03 |
$1,028.03 |
|
|
Evok oa screening qual
|
$109.13 |
$109.13 |
$109.13 |
|
|
Ewhfo w/joint(s) cf
|
$649.46 |
$649.46 |
$649.46 |
|
|
Ewho w/joint(s) cf
|
$324.50 |
$324.50 |
$438.84 |
|
|
Exam of vagina w/scope 57420
|
$486.03 |
$486.03 |
$486.03 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$3,789.00 |
$3,789.00 |
$3,789.00 |
|
|
Exc abd les sc 3 cm/>
|
$4,175.50 |
$4,175.50 |
$4,175.50 |
|
|
Exc abdl tum deep < 5 cm
|
$3,764.50 |
$3,764.50 |
$3,764.50 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$5,007.00 |
$5,007.00 |
$5,007.00 |
|