|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$2,287.35 |
$2,287.35 |
$2,287.35 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,207.45 |
$4,207.45 |
$4,207.45 |
$1,049.59
|
|
Eeg monitoring/function test
|
$1,334.45 |
$1,334.45 |
$1,334.45 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,759.55 |
$1,759.55 |
$1,759.55 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,287.35 |
$2,287.35 |
$2,287.35 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$2,287.35 |
$2,287.35 |
$2,287.35 |
$936.00
|
|
Eeg recording awake and asleep
|
$2,287.35 |
$2,287.35 |
$2,287.35 |
$1,030.27
|
|
E equine encephalitis igg
|
$118.30 |
$118.30 |
$118.30 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$2,244.82
|
|
Egd control bleeding any
|
$3,478.15 |
$3,478.15 |
$3,478.15 |
$2,553.75
|
|
Egd dilate stricture
|
$3,455.40 |
$3,455.40 |
$3,455.40 |
$2,638.57
|
|
Egd endo mucosal resection
|
$3,391.05 |
$3,391.05 |
$3,391.05 |
$2,433.60
|
|
Egd endoscopic stent place
|
$3,510.00 |
$3,510.00 |
$3,510.00 |
$4,379.25
|
|
Egd esophagogastrc fndoplsty
|
$7,361.25 |
$7,361.25 |
$7,361.25 |
$9,562.50
|
|
Egd guide wire insertion
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,250.00
|
|
Egd injection varices
|
$3,285.10 |
$3,285.10 |
$3,285.10 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$3,237.00 |
$3,237.00 |
$3,237.00 |
$2,244.82
|
|
Egd lesion ablation
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$2,805.40
|
|
Egd remove foreign body
|
$4,184.05 |
$4,184.05 |
$4,184.05 |
$1,588.55
|
|
Egd remove lesion snare
|
$3,483.35 |
$3,483.35 |
$3,483.35 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$3,048.50 |
$3,048.50 |
$3,048.50 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$3,981.25 |
$3,981.25 |
$3,981.25 |
$2,527.97
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,142.75 |
$3,142.75 |
$3,142.75 |
$2,638.57
|
|
Egd Ultrasound fine needle bx/aspir
|
$3,907.15 |
$3,907.15 |
$3,907.15 |
$2,664.75
|
|
Egd Ultrasound transmural injxn/mark
|
$3,333.85 |
$3,333.85 |
$3,333.85 |
$2,638.57
|
|
Egd varices ligation
|
$3,756.35 |
$3,756.35 |
$3,756.35 |
$2,576.75
|
|
Egd w/transmural drain cyst
|
$4,907.50 |
$4,907.50 |
$4,907.50 |
$4,379.25
|
|
Egfr gene com variants
|
$1,544.40 |
$1,544.40 |
$1,544.40 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$42.25 |
$42.25 |
$42.25 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$949.00 |
$949.00 |
$949.00 |
$619.45
|
|
Elec stim unattend for press
|
$83.20 |
$83.20 |
$83.20 |
$45.63
|
|
Electroconvulsive therapy 90870
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$1,180.80
|
|
Electrocorticography durng sx
|
$3,827.85 |
$3,827.85 |
$3,827.85 |
$1,660.52
|
|
Electrode stimulation brain
|
$1,918.15 |
$1,918.15 |
$1,918.15 |
$1,180.80
|
|
Electrolyte panel
|
$39.65 |
$39.65 |
$39.65 |
$86.33
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$59.15 |
$59.15 |
$59.15 |
$121.23
|
|
Electronic analysis with brain program first 15 min 95983
|
$88.40 |
$88.40 |
$88.40 |
$144.70
|
|
Electron microscopy diagnostic
|
$1,090.70 |
$1,090.70 |
$1,090.70 |
$966.69
|
|
Electrophys map 3d add-on
|
$5,218.85 |
$5,218.85 |
$5,218.85 |
$6,534.00
|
|
Embo or occlude vascular hemorrhage s&i
|
$9,022.00 |
$9,022.00 |
$9,022.00 |
$15,027.40
|
|
Embo or occlude vascular venous s&i
|
$9,022.00 |
$9,022.00 |
$9,022.00 |
$15,038.25
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$4,470.70 |
$4,470.70 |
$4,470.70 |
$6,962.27
|
|
Emb without cervical dilation 58100
|
$358.15 |
$358.15 |
$358.15 |
$397.66
|
|
Emg cranial nerve bilateral
|
$1,277.90 |
$1,277.90 |
$1,277.90 |
$518.00
|
|
Encephalitis, california igg/igm
|
$53.30 |
$53.30 |
$53.30 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$53.30 |
$53.30 |
$53.30 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$137.80 |
$137.80 |
$137.80 |
$50.70
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$9,890.40 |
$9,890.40 |
$9,890.40 |
$5,160.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$5,275.40 |
$5,275.40 |
$5,275.40 |
$5,515.40
|
|
Endo cholangiopancreatograph
|
$7,195.50 |
$7,195.50 |
$7,195.50 |
$4,330.80
|
|
Endo cholangiopancreatograph
|
$6,020.30 |
$6,020.30 |
$6,020.30 |
$4,450.00
|
|
Endoluminal bx biliary tree
|
$5,830.50 |
$5,830.50 |
$5,830.50 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$1,015.95 |
$1,015.95 |
$1,015.95 |
$2,172.53
|
|
Endoscopic pancreatoscopy
|
$4,026.10 |
$4,026.10 |
$4,026.10 |
$2,363.00
|
|
Endoscopic Ultrasound exam esoph
|
$3,890.90 |
$3,890.90 |
$3,890.90 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$2,438.15 |
$2,438.15 |
$2,438.15 |
$1,896.00
|
|
Endoscopy of bowel pouch 44385
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$1,606.85
|
|
Endoscopy swallow (fees) vid
|
$315.90 |
$315.90 |
$315.90 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$2,872.59
|
|
Endovasc prosth delayed 33886
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$2,191.65
|
|
Endovasc rpr a-biiliac endogft 34705
|
$14,901.90 |
$14,901.90 |
$14,901.90 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$3,469.70 |
$3,469.70 |
$3,469.70 |
$11,261.25
|
|
Endovenous laser vein addon 36479
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$2,535.97
|
|
Endovenous rf abl vein addl
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$1,660.75 |
$1,660.75 |
$1,660.75 |
$6,459.57
|
|
Endoven ther chem adhes sbsq 36483
|
$1,063.40 |
$1,063.40 |
$1,063.40 |
$3,800.23
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$11,414.06 |
$11,414.06 |
$11,414.06 |
$10,962.88
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$245.73 |
$245.73 |
$245.73 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$173.55 |
$173.55 |
$173.55 |
$66.47
|
|
Enzyme cell activity ra
|
$633.10 |
$633.10 |
$633.10 |
$197.60
|
|
Enzyme histochemistry
|
$482.95 |
$482.95 |
$482.95 |
$460.32
|
|
Epidural/lumbar/sacral/ea add level64484
|
$936.65 |
$936.65 |
$936.65 |
$1,182.00
|
|
Epidural lysis on single day 62264
|
$5,658.25 |
$5,658.25 |
$5,658.25 |
$2,420.73
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$31.78 |
$31.78 |
$31.78 |
$59.36
|
|
Epinephrine 1 mg/ml im kit - adult
|
$22.36 |
$22.36 |
$22.36 |
$25.61
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$929.47 |
$929.47 |
$929.47 |
$450.94
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$54.57 |
$54.57 |
$54.57 |
$46.16
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,212.84 |
$1,212.84 |
$1,212.84 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,851.04 |
$1,851.04 |
$1,851.04 |
$950.55
|
|
Epstein barr early antigen antibody
|
$68.90 |
$68.90 |
$68.90 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$120.90 |
$120.90 |
$120.90 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$83.20 |
$83.20 |
$83.20 |
$95.04
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,313.52 |
$6,313.52 |
$6,313.52 |
$6,313.52
|
|
Ercp biliary & pancreas
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$943.50
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$9,373.65 |
$9,373.65 |
$9,373.65 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$6,919.25 |
$6,919.25 |
$6,919.25 |
$4,211.08
|
|
Ercp lesion ablate w/dilate 43278
|
$7,101.25 |
$7,101.25 |
$7,101.25 |
$5,301.42
|
|
Ercp lithotripsy calculi
|
$9,229.35 |
$9,229.35 |
$9,229.35 |
$5,378.40
|
|
Ercp remove duct calculi 43264
|
$5,930.60 |
$5,930.60 |
$5,930.60 |
$4,214.73
|
|
Ercp remove forgn body duct 43275
|
$7,200.70 |
$7,200.70 |
$7,200.70 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$9,229.35 |
$9,229.35 |
$9,229.35 |
$5,718.03
|
|
Ercp w/specimen collection
|
$6,312.15 |
$6,312.15 |
$6,312.15 |
$4,440.54
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,855.08 |
$3,855.08 |
$3,855.08 |
$3,855.08
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$99.78 |
$99.78 |
$99.78 |
$364.08
|
|
ER Visit (level 1, minor)
|
$390.65 |
$390.65 |
$390.65 |
$276.70
|
|
ER Visit (level 2)
|
$593.45 |
$593.45 |
$593.45 |
$487.50
|
|
ER Visit (level 3)
|
$867.10 |
$867.10 |
$867.10 |
$850.50
|
|
ER Visit (level 4)
|
$1,818.70 |
$1,818.70 |
$1,818.70 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$2,553.85 |
$2,553.85 |
$2,553.85 |
$2,007.00
|
