|
Endo ak/hip alignable system
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$1,165.55
|
|
Endo below knee alignable sy
|
$801.25 |
$801.25 |
$801.25 |
$611.88
|
|
Endo bk ultra-light material
|
$1,101.88 |
$1,101.88 |
$1,101.88 |
$1,012.80
|
|
Endo cath bile duct s&i
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$663.62
|
|
Endo cath panc duct s&i
|
$848.40 |
$848.40 |
$848.40 |
$662.81
|
|
Endo cholangiopancreatograph
|
$19,197.44 |
$19,197.44 |
$19,197.44 |
$4,214.73
|
|
Endo knee-shin frct swg & st
|
$1,241.78 |
$1,241.78 |
$1,241.78 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoluminal bx biliary tree
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$2,476.50
|
|
Endoscopic Ultrasound exam esoph
|
$8,184.12 |
$8,184.12 |
$8,184.12 |
$2,565.84
|
|
Endoscopy maxillary sinus
|
$25,536.22 |
$25,536.22 |
$25,536.22 |
$7,307.50
|
|
Endoscopy swallow (fees) vid
|
$419.40 |
$419.40 |
$419.40 |
$402.35
|
|
Endo, single, pulmonary
|
$8,135.08 |
$8,135.08 |
$8,135.08 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,097.21 |
$1,097.21 |
$1,097.21 |
$1,097.21
|
|
Endovenous rf abl vein addl
|
$4,520.40 |
$4,520.40 |
$4,520.40 |
$3,226.73
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$168.18 |
$168.18 |
$168.18 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$25.80 |
$25.80 |
$25.80 |
$56.89
|
|
Entamoeb hist dispr ag ia
|
$164.40 |
$164.40 |
$164.40 |
$72.00
|
|
Enzyme histochemistry
|
$162.60 |
$162.60 |
$162.60 |
$457.10
|
|
Eo, adj lock joint prefab ot
|
$1,076.93 |
$1,076.93 |
$1,076.93 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$307.48 |
$307.48 |
$307.48 |
$145.60
|
|
Epidural/lumbar/sacral/ea add level64484
|
$3,060.60 |
$3,060.60 |
$3,060.60 |
$1,110.90
|
|
Epinephrine 1 mg/ml im kit - adult
|
$676.80 |
$676.80 |
$676.80 |
$25.30
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$476.52 |
$476.52 |
$476.52 |
$809.08
|
|
Epstein barr early antigen antibody
|
$44.40 |
$44.40 |
$44.40 |
$59.50
|
|
Epstein barr nuclear antigen antibody
|
$44.40 |
$44.40 |
$44.40 |
$78.00
|
|
Epstein barr viral capsid antigen antibody igm
|
$44.40 |
$44.40 |
$44.40 |
$90.40
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$311.34 |
$311.34 |
$311.34 |
$389.16
|
|
Ercp biliary & pancreas
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$966.00
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$22,944.89 |
$22,944.89 |
$22,944.89 |
$5,110.00
|
|
Ercp ea duct/ampulla dilate
|
$14,441.94 |
$14,441.94 |
$14,441.94 |
$4,176.60
|
|
Ercp lithotripsy calculi
|
$22,944.89 |
$22,944.89 |
$22,944.89 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$20,278.09 |
$20,278.09 |
$20,278.09 |
$3,986.00
|
|
Ercp remove forgn body duct 43275
|
$18,118.24 |
$18,118.24 |
$18,118.24 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$20,785.31 |
$20,785.31 |
$20,785.31 |
$5,718.02
|
|
Ercp w/specimen collection
|
$9,939.94 |
$9,939.94 |
$9,939.94 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$63.66 |
$63.66 |
$63.66 |
$222.34
|
|
ER Visit (level 1, minor)
|
$640.80 |
$640.80 |
$640.80 |
$251.20
|
|
ER Visit (level 2)
|
$1,218.60 |
$1,218.60 |
$1,218.60 |
$457.92
|
|
ER Visit (level 3)
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$775.80
|
|
ER Visit (level 4)
|
$2,216.40 |
$2,216.40 |
$2,216.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,730.60 |
$2,730.60 |
$2,730.60 |
$1,823.50
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$381.48 |
$381.48 |
$381.48 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$419.64 |
$419.64 |
$419.64 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$6.00 |
$6.00 |
$6.00 |
$547.14
|
|
Esophageal dilat s&i
|
$690.00 |
$690.00 |
$690.00 |
$558.80
|
|
Esoph egd dilation <30 mm
|
$8,181.76 |
$8,181.76 |
$8,181.76 |
$2,656.80
|
|
Establish access to aorta
|
$882.00 |
$882.00 |
$882.00 |
$1,280.06
|
|
Establish access to artery
|
$965.40 |
$965.40 |
$965.40 |
$1,418.50
|
|
Estradiol total
|
$147.60 |
$147.60 |
$147.60 |
$144.00
|
|
Ethylene glycol -sendout
|
$153.00 |
$153.00 |
$153.00 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$371.40 |
$371.40 |
$371.40 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$275.40 |
$275.40 |
$275.40 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$1,566.00 |
$1,566.00 |
$1,566.00 |
$2,750.97
|
|
Evasc repair of iliac artery; endograft 34718
|
$7,712.40 |
$7,712.40 |
$7,712.40 |
$6,925.05
|
|
Evasc rpr a-iliac ndgft 34717
|
$7,712.40 |
$7,712.40 |
$7,712.40 |
$4,846.34
|
|
Ewhfo w/joint(s) cf
|
$2,923.88 |
$2,923.88 |
$2,923.88 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,686.43 |
$1,686.43 |
$1,686.43 |
$907.92
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$13,210.44 |
$13,210.44 |
$13,210.44 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$10,905.60 |
$10,905.60 |
$10,905.60 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$10,470.00 |
$10,470.00 |
$10,470.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$10,230.42 |
$10,230.42 |
$10,230.42 |
$770.70
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$11,393.46 |
$11,393.46 |
$11,393.46 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$8,494.20 |
$8,494.20 |
$8,494.20 |
$2,101.45
|
|
Exc hand tum deep < 1.5 cm 26116
|
$7,960.20 |
$7,960.20 |
$7,960.20 |
$2,271.01
|
|
Exchange biliary drg cath
|
$2,791.80 |
$2,791.80 |
$2,791.80 |
$3,931.00
|
|
Exchange drainage catheter
|
$1,455.60 |
$1,455.60 |
$1,455.60 |
$2,206.00
|
|
Exchange nephrostomy cath
|
$2,290.80 |
$2,290.80 |
$2,290.80 |
$2,958.80
|
|
Excise submaxillary gland
|
$52,646.45 |
$52,646.45 |
$52,646.45 |
$6,547.81
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$8,997.66 |
$8,997.66 |
$8,997.66 |
$1,949.35
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$6,754.20 |
$6,754.20 |
$6,754.20 |
$2,872.24
|
|
Excision tongue lesion without closure 41110
|
$5,155.80 |
$5,155.80 |
$5,155.80 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$7,551.90 |
$7,551.90 |
$7,551.90 |
$3,650.40
|
|
Exc malig feenl 1.1-2 11642
|
$13,111.08 |
$13,111.08 |
$13,111.08 |
$1,082.00
|
|
Exc malig feenl >4cm 11646
|
$10,772.40 |
$10,772.40 |
$10,772.40 |
$3,083.21
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$10,794.78 |
$10,794.78 |
$10,794.78 |
$1,131.50
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,231.60 |
$6,231.60 |
$6,231.60 |
$3,386.84
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$9,006.60 |
$9,006.60 |
$9,006.60 |
$3,370.52
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$8,428.68 |
$8,428.68 |
$8,428.68 |
$4,014.40
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$8,950.50 |
$8,950.50 |
$8,950.50 |
$1,898.50
|
|
Exc tendon sheath or cap lesion 26160
|
$11,240.52 |
$11,240.52 |
$11,240.52 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$12,668.52 |
$12,668.52 |
$12,668.52 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
$4,034.25
|
|
Exploration maxillary sinus
|
$18,300.54 |
$18,300.54 |
$18,300.54 |
$4,341.97
|
|
Exploration of toe joint
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,788.80
|
|
Explore/treat finger joint
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,594.44
|
|
Explore/treat finger joint
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,195.20
|
|
Extended steel shank
|
$122.00 |
$122.00 |
$122.00 |
$122.00
|
|
Extension per extension per
|
$134.44 |
$134.44 |
$134.44 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$305.40 |
$305.40 |
$305.40 |
$376.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$309.00 |
$309.00 |
$309.00 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$136.80 |
$136.80 |
$136.80 |
$105.60
|
|
Eye implant band 40
|
$3,740.25 |
$3,740.25 |
$3,740.25 |
$6,394.52
|
|
F-18 fdg pet diag
|
$262.50 |
$262.50 |
$262.50 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,543.50 |
$4,543.50 |
$4,543.50 |
$4,960.80
|
|
Facial bones <3
|
$198.00 |
$198.00 |
$198.00 |
$252.20
|
|
Factor ix
|
$123.60 |
$123.60 |
$123.60 |
$147.00
|
