|
Etoposide 20 mg/ml intravenous solution
|
$230.36 |
$230.36 |
$263.35 |
|
|
Etoposide 50 mg cap
|
$151.13 |
$151.13 |
$151.13 |
|
|
Euflexxa inj per dose
|
$194.83 |
$194.83 |
$194.83 |
|
|
Eval aud funcj ea addl 15
|
$68.00 |
$68.00 |
$85.60 |
|
|
Eval aud rehab status/first hr 92626
|
$267.20 |
$300.80 |
$316.00 |
|
|
Eval/fit voice prosthesis iii, st
|
$455.20 |
$455.20 |
$556.00 |
|
|
Evaluation heart device
|
$1,671.20 |
$1,671.20 |
$1,671.20 |
|
|
Evaluation of speech fluency 92521
|
$336.00 |
$361.60 |
$388.80 |
|
|
Evaluation psychiatric diagnostic
|
$426.40 |
$426.40 |
$426.40 |
|
|
Evasc prlng admn rx agnt 1st
|
$3,056.80 |
$3,056.80 |
$5,438.40 |
|
|
Evasc prlng admn rx agnt add
|
$2,734.40 |
$2,734.40 |
$2,765.60 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$22,356.80 |
$22,356.80 |
$25,407.20 |
|
|
Evasc rpr a-ao ndgft 34701
|
$13,777.60 |
$13,777.60 |
$16,127.20 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$17,221.60 |
$17,221.60 |
$20,557.60 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$22,272.00 |
$22,272.00 |
$23,963.20 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$22,356.80 |
$22,356.80 |
$25,407.20 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$15,727.20 |
$15,727.20 |
$17,427.20 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$20,248.00 |
$20,248.00 |
$21,784.80 |
|
|
Evasc rpr ilio-iliac ndgft
|
$15,179.20 |
$15,179.20 |
$16,291.20 |
|
|
Evasc rpr ilio-iliac rpt
|
$19,543.20 |
$19,543.20 |
$21,071.20 |
|
|
Evoked auditory tst complete
|
$329.60 |
$329.60 |
$348.80 |
|
|
Evoked oa emissions ltd
|
$236.00 |
$236.00 |
$384.00 |
|
|
Evoked potentials auditory screening automated analysis
|
$282.40 |
$282.40 |
$312.00 |
|
|
Evoked potentials upper limbs
|
$410.40 |
$410.40 |
$795.20 |
|
|
Evoked potential visual not glaucoma
|
$607.20 |
$607.20 |
$804.00 |
|
|
Evok oa screening qual
|
$149.60 |
$149.60 |
$160.00 |
|
|
Ewhfo w/joint(s) cf
|
$1,081.57 |
$1,081.57 |
$1,081.57 |
|
|
Exam of vagina w/scope 57420
|
$684.80 |
$684.80 |
$684.80 |
|
|
Exam plvc w/anes othr thn lcl
|
$3,476.00 |
$3,476.00 |
$4,144.80 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,769.60 |
$2,769.60 |
$2,769.60 |
|
|
Exc benign tal 0.5 < cm 11400
|
$763.20 |
$763.20 |
$1,085.60 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$902.40 |
$902.40 |
$2,203.20 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,552.00 |
$2,552.00 |
$2,769.60 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,557.60 |
$3,557.60 |
$3,557.60 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$702.40 |
$702.40 |
$702.40 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,597.60 |
$1,597.60 |
$1,597.60 |
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$3,612.80 |
$3,612.80 |
$3,612.80 |
|
|
Exc forearm les sc 3 cm/>
|
$2,360.00 |
$2,360.00 |
$3,281.60 |
|
|
Exc forearm tum deep < 3 cm
|
$3,642.40 |
$3,642.40 |
$3,642.40 |
|
|
Exc forearm tum deep 3 cm/>
|
$3,943.20 |
$3,943.20 |
$3,943.20 |
|
|
Exc hand les sc < 1.5 cm
|
$2,290.40 |
$2,290.40 |
$3,545.60 |
|
|
Exc hand tum deep 1.5 cm/>
|
$4,551.20 |
$4,551.20 |
$4,551.20 |
|
|
Exc hand tum deep < 1.5 cm 26116
|
$2,441.60 |
$2,441.60 |
$2,441.60 |
|
|
Exchange biliary drg cath
|
$5,243.20 |
$5,243.20 |
$5,614.40 |
|
|
Exchange drainage catheter
|
$2,823.20 |
$2,823.20 |
$3,089.60 |
|
|
Exchange nephrostomy cath
|
$3,080.00 |
$3,080.00 |
$4,772.80 |
|
|
Excise anal ext tag/papilla
|
$3,686.40 |
$3,686.40 |
$3,686.40 |
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,111.20 |
$2,111.20 |
$2,611.20 |
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$960.00 |
$960.00 |
$1,219.20 |
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,211.20 |
$2,211.20 |
$3,545.60 |
|
|
Excision of gum flap
|
$1,522.40 |
$1,522.40 |
$1,522.40 |
|
|
Exc malig feenl 3.1-4.0 11644
|
$3,280.80 |
$3,280.80 |
$3,280.80 |
|
|
Exc malig snhfg 0.5cm or less 11620
|
$3,373.60 |
$3,373.60 |
$3,373.60 |
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,441.60 |
$1,441.60 |
$1,441.60 |
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$878.40 |
$878.40 |
$878.40 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,041.60 |
$3,041.60 |
$4,139.20 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,208.80 |
$2,208.80 |
$3,281.60 |
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
|
|
Exc tendon sheath or cap lesion 26160
|
$2,508.00 |
$2,508.00 |
$2,868.80 |
|
|
Exc thrombosed hemorrhoid 46320
|
$1,924.00 |
$1,924.00 |
$3,059.20 |
|
|
Exercise tst brncspsm w/ecg
|
$370.40 |
$370.40 |
$559.20 |
|
|
Exercise tst brncspsm wo ecg
|
$500.80 |
$500.80 |
$500.80 |
|
|
Exercise w/hemodynamic meas
|
$477.60 |
$477.60 |
$477.60 |
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,634.40 |
$3,634.40 |
$4,625.60 |
|
|
Expl lap celiotomy w/wo bx 49000
|
$4,859.20 |
$4,859.20 |
$6,907.20 |
|
|
Exploration of foot joint
|
$3,708.80 |
$3,708.80 |
$3,708.80 |
|
|
Exploration of toe joint
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
|
|
Explore limb vessels 35860
|
$4,551.20 |
$4,551.20 |
$5,514.40 |
|
|
Explore penetrating wnd/extremity 20103
|
$2,091.20 |
$2,091.20 |
$2,400.00 |
|
|
Explore/repair chest 32110
|
$7,167.20 |
$7,167.20 |
$7,167.20 |
|
|
Explore/treat finger joint
|
$4,232.00 |
$4,232.00 |
$5,372.00 |
|
|
Explore/treat finger joint
|
$2,195.20 |
$2,195.20 |
$3,239.20 |
|
|
Explore wound abdomen 20102
|
$2,860.00 |
$2,860.00 |
$2,926.40 |
|
|
Explore woundchest 20101
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
|
|
Explore wound neck 20100
|
$2,792.80 |
$2,792.80 |
$2,792.80 |
|
|
Expose art endoprosth iliac 34820
|
$2,055.20 |
$2,055.20 |
$4,730.40 |
|
|
Expose endoprosth brachial 34834
|
$10,801.60 |
$10,801.60 |
$10,801.60 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,328.80 |
$2,328.80 |
$2,398.40 |
|
|
Ext ecg>48hr<7d scan a/r
|
$221.60 |
$221.60 |
$394.40 |
|
|
Ext ecg>7d<15d scan a/r
|
$331.20 |
$331.20 |
$413.60 |
|
|
Extended culture of oocytes
|
$424.00 |
$424.00 |
$424.00 |
|
|
External newborn metabolic screening panel
|
$235.20 |
$235.20 |
$235.20 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$336.80 |
$336.80 |
$336.80 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$120.00 |
$120.00 |
$120.00 |
|
|
Extrnl counterpulse, per tx
|
$396.00 |
$396.00 |
$396.00 |
|
|
Eye Socket (Orbit) X-ray
|
$267.20 |
$459.20 |
$500.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,053.60 |
$2,324.00 |
$2,584.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,847.20 |
$2,100.00 |
$2,140.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,560.80 |
$1,929.60 |
$2,128.00 |
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$1,219.20 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$9,759.12 |
$9,759.12 |
$9,759.12 |
|
|
F-18 fluciclovine per mci
|
$548.80 |
$548.80 |
$548.80 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,626.40 |
$3,656.00 |
$3,974.40 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,340.80 |
$2,616.00 |
$2,872.80 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$185.60 |
$250.40 |
$328.00 |
|
|
Facial Bones X-ray (complete)
|
$218.40 |
$412.80 |
$442.40 |
|
|
Factor ix
|
$94.40 |
$94.40 |
$94.40 |
|
|
Factor ix complex
|
$16.80 |
$16.80 |
$16.80 |
|
