|
Endoscopy of bowel pouch 44385
|
$2,396.80 |
$2,396.80 |
$2,396.80 |
|
|
Endoscopy swallow (fees) vid
|
$424.00 |
$513.60 |
$572.80 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,821.60 |
$1,821.60 |
$3,655.20 |
|
|
Endo, single, pulmonary
|
$1,537.20 |
$1,537.20 |
$1,581.12 |
|
|
Endovasc prosth delayed 33886
|
$2,074.40 |
$2,074.40 |
$5,300.00 |
|
|
Endovasc rpr a-biiliac endogft 34705
|
$17,818.40 |
$17,818.40 |
$18,985.60 |
|
|
Endovasc tempory vessel occl
|
$13,764.00 |
$13,764.00 |
$16,716.80 |
|
|
Endovasc visc aorta 1 graft
|
$10,824.00 |
$10,824.00 |
$20,491.20 |
|
|
Endovasc visc aorta 2 graft
|
$12,824.80 |
$12,824.80 |
$23,565.60 |
|
|
Endovasc visc aorta 3 graft
|
$14,713.60 |
$14,713.60 |
$27,100.80 |
|
|
Endovasc visc aorta 4 graft
|
$6,289.60 |
$6,289.60 |
$16,717.60 |
|
|
Endovas iliac a device addon
|
$1,735.20 |
$1,735.20 |
$7,224.80 |
|
|
Endovenous laser vein addon 36479
|
$2,948.80 |
$2,948.80 |
$4,515.20 |
|
|
Endovenous mchnchem 1st vein
|
$6,428.80 |
$6,428.80 |
$6,428.80 |
|
|
Endovenous mchnchem add-on
|
$4,748.00 |
$4,748.00 |
$4,748.00 |
|
|
Endovenous rf abl vein addl
|
$2,768.80 |
$2,768.80 |
$4,447.20 |
|
|
Endoven ther chem adhes 1st 36482
|
$8,690.40 |
$8,690.40 |
$8,692.00 |
|
|
Endoven ther chem adhes sbsq 36483
|
$4,103.20 |
$4,103.20 |
$4,585.60 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$3,645.00 |
$3,645.00 |
$3,645.00 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$32.64 |
$71.21 |
$716.71 |
|
|
Enzyme histochemistry
|
$276.80 |
$276.80 |
$1,214.40 |
|
|
Eo, adj lock joint prefab ot
|
$95.81 |
$95.81 |
$290.84 |
|
|
Eo elas w/metal jnts pre ots
|
$305.64 |
$305.64 |
$305.64 |
|
|
Ep & ablate supravent arrhyt
|
$32,051.20 |
$32,051.20 |
$34,416.80 |
|
|
Ep & ablate ventric tachy
|
$31,070.40 |
$31,070.40 |
$37,468.80 |
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$24,369.54 |
$24,369.54 |
$24,369.54 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,036.80 |
$1,036.80 |
$1,279.20 |
|
|
Epidural lysis mult sessions
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
|
|
Epidural lysis on single day 62264
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
|
|
Ep induct arrhy by elect pacing
|
$4,409.60 |
$4,409.60 |
$4,409.60 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$30.56 |
$31.72 |
$33.67 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$7.43 |
$26.30 |
$222.32 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$185.62 |
$185.62 |
$645.20 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$25.96 |
$27.93 |
$31.30 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$114.46 |
$114.46 |
$195.52 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,607.20 |
$1,607.20 |
$2,523.20 |
|
|
Epoetin alfa, 100 units esrd
|
$432.00 |
$432.00 |
$432.00 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$273.60 |
$343.53 |
$532.80 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$176.79 |
$176.79 |
$864.00 |
|
|
Epoetin beta esrd use
|
$1,174.01 |
$1,174.01 |
$1,471.87 |
|
|
Epoetin beta non esrd
|
$1,174.01 |
$1,174.01 |
$1,471.87 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$102.84 |
$102.84 |
$143.84 |
|
|
Epstein barr nuclear antigen antibody
|
$88.80 |
$88.80 |
$88.80 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$96.00 |
$96.00 |
$96.00 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$203.59 |
$203.59 |
$1,441.51 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,295.00 |
$2,295.00 |
$2,403.96 |
|
|
Ercp biliary & pancreas
|
$928.00 |
$928.00 |
$1,487.20 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$6,902.40 |
$6,902.40 |
$6,902.40 |
|
|
Ercp ea duct/ampulla dilate
|
$4,414.40 |
$4,414.40 |
$4,414.40 |
|
|
Ercp lesion ablate w/dilate 43278
|
$3,823.20 |
$3,823.20 |
$3,823.20 |
|
|
Ercp lithotripsy calculi
|
$6,174.40 |
$6,174.40 |
$6,174.40 |
|
|
Ercp remove duct calculi 43264
|
$5,176.00 |
$5,176.00 |
$5,176.00 |
|
|
Ercp remove forgn body duct 43275
|
$4,916.80 |
$4,916.80 |
$5,100.00 |
|
|
Ercp stent exchange w/dilate
|
$6,960.00 |
$6,960.00 |
$6,960.00 |
|
|
Ercp w/specimen collection
|
$5,290.40 |
$5,290.40 |
$5,290.40 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,546.00 |
$1,546.00 |
$2,255.72 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$125.84 |
$125.84 |
$419.00 |
|
|
ER Visit (level 1, minor)
|
$238.40 |
$238.40 |
$352.00 |
|
|
ER Visit (level 2)
|
$395.20 |
$395.20 |
$503.20 |
|
|
ER Visit (level 3)
|
$565.60 |
$565.60 |
$824.00 |
|
|
ER Visit (level 4)
|
$957.60 |
$957.60 |
$1,360.00 |
|
|
ER Visit (level 5, high severity)
|
$1,411.20 |
$1,411.20 |
$1,973.60 |
|
|
Erwinaze injection
|
$4,510.84 |
$4,510.84 |
$5,106.67 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$128.76 |
$128.76 |
$246.91 |
|
|
Escharotomy ea addl incision
|
$112.80 |
$112.80 |
$408.80 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$252.48 |
$283.40 |
$1,155.36 |
|
|
Esophageal dilat s&i
|
$744.00 |
$744.00 |
$784.80 |
|
|
Esophagosc dilate balloon 30
|
$2,164.00 |
$2,164.00 |
$2,164.00 |
|
|
Esophagoscop mucosal resect
|
$2,164.00 |
$2,164.00 |
$2,164.00 |
|
|
Esophagoscop stent placement
|
$5,316.80 |
$5,316.80 |
$5,316.80 |
|
|
Esophagoscop ultrasound exam
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
|
|
Esophagoscopy balloon <30mm
|
$2,208.80 |
$2,208.80 |
$2,208.80 |
|
|
Esophagoscopy flex biopsy
|
$2,240.00 |
$2,240.00 |
$2,252.00 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
|
|
Esophagoscopy flex remove fb
|
$2,497.60 |
$2,497.60 |
$2,924.80 |
|
|
Esophagoscopy lesion ablate
|
$4,192.80 |
$4,192.80 |
$4,192.80 |
|
|
Esophagoscopy lesion removal
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
|
|
Esophagoscopy retro balloon
|
$2,164.00 |
$2,164.00 |
$2,164.00 |
|
|
Esophagoscopy w/us needle bx
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
|
|
Esophagus endoscopy/ligation
|
$2,379.20 |
$2,379.20 |
$2,379.20 |
|
|
Esophagus motility study
|
$872.80 |
$872.80 |
$1,814.40 |
|
|
Esoph egd dilation <30 mm
|
$2,396.80 |
$2,396.80 |
$3,017.60 |
|
|
Esoph endoscopy dilation
|
$2,103.20 |
$2,103.20 |
$2,103.20 |
|
|
Esophgl motil w/stim/perfus
|
$1,390.40 |
$1,390.40 |
$1,390.40 |
|
|
Esoph imped function test
|
$953.60 |
$953.60 |
$953.60 |
|
|
Esoph imped funct test > 1hr
|
$1,460.00 |
$1,460.00 |
$1,698.40 |
|
|
Esoph scope w/sclerosis inj
|
$1,671.20 |
$1,671.20 |
$1,671.20 |
|
|
Esoph scope w/submucous inj
|
$2,046.40 |
$2,046.40 |
$2,046.40 |
|
|
Establish access to aorta
|
$1,866.40 |
$1,866.40 |
$1,866.40 |
|
|
Establish access to artery
|
$1,302.40 |
$1,302.40 |
$1,302.40 |
|
|
Establish brain cavity shunt
|
$3,333.60 |
$3,333.60 |
$3,333.60 |
|
|
Established Patient Office Visit (level 1)
|
$125.60 |
$125.60 |
$388.00 |
|
|
Established Patient Office Visit (level 2)
|
$167.20 |
$167.20 |
$169.60 |
|
|
Established Patient Office Visit (level 3)
|
$184.80 |
$184.80 |
$193.60 |
|
|
Established Patient Office Visit (level 4)
|
$233.60 |
$233.60 |
$248.80 |
|
|
Established Patient Office Visit (level 5)
|
$301.60 |
$301.60 |
$311.20 |
|
|
Estradiol total
|
$138.40 |
$138.40 |
$138.40 |
|
|
Estradiol valerate 10 mg inj
|
$235.00 |
$235.00 |
$235.00 |
|
|
Ethanolamine oleate 100 mg
|
$824.88 |
$824.88 |
$1,257.65 |
|
|
Etonogestrel implant system
|
$1,830.64 |
$1,830.64 |
$3,050.70 |
|
