|
Epidural/lumbar/sacral/ea add level64484
|
$1,711.50 |
$1,711.50 |
$1,711.50 |
$1,182.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$831.94 |
$831.94 |
$831.94 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$424.18 |
$424.18 |
$424.18 |
$31.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$46.16 |
$46.16 |
$46.16 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$161.59 |
$161.59 |
$161.59 |
$256.27
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,952.75 |
$2,952.75 |
$2,952.75 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$336.66 |
$336.66 |
$336.66 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$379.58 |
$379.58 |
$379.58 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$208.65 |
$208.65 |
$208.65 |
$129.30
|
|
Epstein barr early antigen antibody
|
$105.00 |
$105.00 |
$105.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$124.50 |
$124.50 |
$124.50 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$106.50 |
$106.50 |
$106.50 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$924.38 |
$924.38 |
$924.38 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$7,173.42 |
$7,173.42 |
$7,173.42 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$975.00 |
$975.00 |
$975.00 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$4,640.25 |
$4,640.25 |
$4,640.25 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$9,178.50 |
$9,178.50 |
$9,178.50 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$3,084.00 |
$3,084.00 |
$3,084.00 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$2,906.25 |
$2,906.25 |
$2,906.25 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$2,771.25 |
$2,771.25 |
$2,771.25 |
$3,552.00
|
|
Ercp stent exchange w/dilate
|
$3,507.75 |
$3,507.75 |
$3,507.75 |
$5,718.03
|
|
Ercp w/specimen collection
|
$3,335.25 |
$3,335.25 |
$3,335.25 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$5,213.48 |
$5,213.48 |
$5,213.48 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$107.31 |
$107.31 |
$107.31 |
$232.12
|
|
ER Visit (level 1, minor)
|
$126.00 |
$126.00 |
$126.00 |
$252.60
|
|
ER Visit (level 2)
|
$216.75 |
$216.75 |
$216.75 |
$463.00
|
|
ER Visit (level 3)
|
$362.25 |
$362.25 |
$362.25 |
$812.18
|
|
ER Visit (level 4)
|
$567.00 |
$567.00 |
$567.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$890.25 |
$890.25 |
$890.25 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$209.75 |
$209.75 |
$209.75 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$240.34 |
$240.34 |
$240.34 |
$516.71
|
|
Esophageal dilat s&i
|
$798.00 |
$798.00 |
$798.00 |
$551.20
|
|
Esophagosc dilate balloon 30
|
$1,638.75 |
$1,638.75 |
$1,638.75 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$1,739.25 |
$1,739.25 |
$1,739.25 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$3,484.00
|
|
Esophagoscop stent placement
|
$5,814.75 |
$5,814.75 |
$5,814.75 |
$6,375.00
|
|
Esophagoscop ultrasound exam
|
$3,069.75 |
$3,069.75 |
$3,069.75 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$2,598.75 |
$2,598.75 |
$2,598.75 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$2,598.75 |
$2,598.75 |
$2,598.75 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$1,968.75 |
$1,968.75 |
$1,968.75 |
$2,132.00
|
|
Esophagoscopy flex dx brush
|
$1,239.75 |
$1,239.75 |
$1,239.75 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$231.75 |
$231.75 |
$231.75 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$4,502.13
|
|
Esophagoscopy lesion removal
|
$2,946.75 |
$2,946.75 |
$2,946.75 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$1,638.75 |
$1,638.75 |
$1,638.75 |
$2,994.40
|
|
Esophagoscopy snare les remv
|
$2,680.50 |
$2,680.50 |
$2,680.50 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$3,261.75 |
$3,261.75 |
$3,261.75 |
$2,244.82
|
|
Esophagus endoscopy/ligation
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$2,392.00
|
|
Esophagus motility study
|
$817.50 |
$817.50 |
$817.50 |
$1,257.17
|
|
Esoph balloon distension tst
|
$519.00 |
$519.00 |
$519.00 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$1,914.75 |
$1,914.75 |
$1,914.75 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$1,838.25 |
$1,838.25 |
$1,838.25 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$872.25 |
$872.25 |
$872.25 |
$1,392.95
|
|
Esoph imped function test
|
$1,190.25 |
$1,190.25 |
$1,190.25 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$817.50 |
$817.50 |
$817.50 |
$1,121.40
|
|
Esoph scope w/sclerosis inj
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$2,550.00 |
$2,550.00 |
$2,550.00 |
$2,590.33
|
|
Establish access to aorta
|
$969.75 |
$969.75 |
$969.75 |
$1,273.00
|
|
Establish access to artery
|
$1,155.75 |
$1,155.75 |
$1,155.75 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$108.00 |
$108.00 |
$108.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$168.75 |
$168.75 |
$168.75 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$210.75 |
$210.75 |
$210.75 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$231.75 |
$231.75 |
$231.75 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$247.50 |
$247.50 |
$247.50 |
$290.68
|
|
Estradiol total
|
$162.00 |
$162.00 |
$162.00 |
$152.10
|
|
Etanercept injection
|
$7,314.47 |
$7,314.47 |
$7,314.47 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$1,622.73 |
$1,622.73 |
$1,622.73 |
$824.88
|
|
Ethylene glycol -sendout
|
$63.75 |
$63.75 |
$63.75 |
$86.04
|
|
Etonogestrel implant system
|
$4,715.65 |
$4,715.65 |
$4,715.65 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$213.17 |
$213.17 |
$213.17 |
$235.20
|
|
Etoposide 50 mg cap
|
$5,934.05 |
$5,934.05 |
$5,934.05 |
$135.02
|
|
Euflexxa inj per dose
|
$1,186.77 |
$1,186.77 |
$1,186.77 |
$510.68
|
|
Evacuate mole of uterus
|
$5,835.00 |
$5,835.00 |
$5,835.00 |
$3,762.53
|
|
Eval/fit voice prosthesis iii, st
|
$431.25 |
$431.25 |
$431.25 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$83.25 |
$83.25 |
$83.25 |
$213.15
|
|
Evaluation heart device
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$274.50 |
$274.50 |
$274.50 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$1,467.75 |
$1,467.75 |
$1,467.75 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$187.50 |
$187.50 |
$187.50 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$14,656.50 |
$14,656.50 |
$14,656.50 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$8,535.75 |
$8,535.75 |
$8,535.75 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$14,656.50 |
$14,656.50 |
$14,656.50 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$6,066.00 |
$6,066.00 |
$6,066.00 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$7,922.00
|
|
Event monitor
|
$279.00 |
$279.00 |
$279.00 |
$231.00
|
|
Evoked oa emissions ltd
|
$63.00 |
$63.00 |
$63.00 |
$244.00
|
|
Evoked potentials upper limbs
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,685.25 |
$1,685.25 |
$1,685.25 |
$814.61
|
|
Exam of vagina w/scope 57420
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,910.75 |
$2,910.75 |
$2,910.75 |
$2,443.20
|
|
Exc benign tal 0.5 < cm 11400
|
$1,488.00 |
$1,488.00 |
$1,488.00 |
$832.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$522.00 |
$522.00 |
$522.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,901.00 |
$2,901.00 |
$2,901.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$779.35
|
