|
ER Visit (level 5, high severity)
|
$2,749.50 |
$2,749.50 |
$2,749.50 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$468.00 |
$468.00 |
$468.00 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1.11 |
$1.11 |
$1.11 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.80 |
$11.80 |
$11.80 |
$516.71
|
|
Esophageal dilat s&i
|
$581.10 |
$581.10 |
$581.10 |
$551.20
|
|
Esophagosc flex trnsn biopsy
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,768.00
|
|
Esophagoscopy balloon <30mm
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,460.00
|
|
Esophagoscopy flex dx brush
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,879.00
|
|
Esoph egd dilation <30 mm
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$97.50 |
$97.50 |
$97.50 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$97.50 |
$97.50 |
$97.50 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$97.50 |
$97.50 |
$97.50 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$121.55 |
$121.55 |
$121.55 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$156.00 |
$156.00 |
$156.00 |
$290.68
|
|
Estradiol total
|
$125.45 |
$125.45 |
$125.45 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$87.56 |
$87.56 |
$87.56 |
$57.35
|
|
Etanercept injection
|
$4,772.20 |
$4,772.20 |
$4,772.20 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$618.46 |
$618.46 |
$618.46 |
$824.88
|
|
Ethylene glycol -sendout
|
$66.95 |
$66.95 |
$66.95 |
$86.04
|
|
Etonogestrel implant system
|
$1,989.56 |
$1,989.56 |
$1,989.56 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$531.49 |
$531.49 |
$531.49 |
$235.20
|
|
Etoposide 50 mg cap
|
$135.02 |
$135.02 |
$135.02 |
$135.02
|
|
Euflexxa inj per dose
|
$421.94 |
$421.94 |
$421.94 |
$510.68
|
|
Euglobulin lysis
|
$37.70 |
$37.70 |
$37.70 |
$63.84
|
|
Eval aud rehab status/first hr 92626
|
$406.90 |
$406.90 |
$406.90 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$923.00 |
$923.00 |
$923.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$440.05 |
$440.05 |
$440.05 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$385.45 |
$385.45 |
$385.45 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$313.30 |
$313.30 |
$313.30 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$4,420.65 |
$4,420.65 |
$4,420.65 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$4,056.65 |
$4,056.65 |
$4,056.65 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$20,476.30 |
$20,476.30 |
$20,476.30 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$19,352.45 |
$19,352.45 |
$19,352.45 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$4,210.70 |
$4,210.70 |
$4,210.70 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$10,294.05 |
$10,294.05 |
$10,294.05 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$22,506.25 |
$22,506.25 |
$22,506.25 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$10,294.05 |
$10,294.05 |
$10,294.05 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$10,294.05 |
$10,294.05 |
$10,294.05 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$10,294.05 |
$10,294.05 |
$10,294.05 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$10,294.05 |
$10,294.05 |
$10,294.05 |
$7,922.00
|
|
Event monitor
|
$139.10 |
$139.10 |
$139.10 |
$231.00
|
|
Evoked auditory tst complete
|
$809.90 |
$809.90 |
$809.90 |
$357.41
|
|
Evoked oa emissions ltd
|
$809.90 |
$809.90 |
$809.90 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$410.15 |
$410.15 |
$410.15 |
$261.30
|
|
Evoked potentials upper limbs
|
$1,396.85 |
$1,396.85 |
$1,396.85 |
$908.54
|
|
Evok oa screening qual
|
$120.90 |
$120.90 |
$120.90 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$909.35 |
$909.35 |
$909.35 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,386.84
|
|
Exc benign tal 0.5 < cm 11400
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$779.35 |
$779.35 |
$779.35 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$999.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,484.00
|
|
Exc forearm tum deep 3 cm/>
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$4,247.20
|
|
Exchange biliary drg cath
|
$10,552.10 |
$10,552.10 |
$10,552.10 |
$3,856.84
|
|
Exchange drainage catheter
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$2,958.80
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,322.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,865.00
|
|
Excision graft extremity
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,881.00
|
|
Excision of penis lesion(s) 54060
|
$5,469.10 |
$5,469.10 |
$5,469.10 |
$2,837.09
|
|
Excision of vaginal septum 57130
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,762.53
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$4,420.32
|
|
Exc malig feenl <0.5cm 11640
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,082.00
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,064.70
|
|
Exc malig tal <0.5cm 11600
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$779.35 |
$779.35 |
$779.35 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,274.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$3,322.80
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$4,014.40
|
|
Exc tendon sheath or cap lesion 26160
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,797.08
|
|
Exc thrombosed hemorrhoid 46320
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,175.36
|
|
Exc vagina lesion 57135
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,292.17
|
|
Exercise tst brncspsm w/ecg
|
$385.45 |
$385.45 |
$385.45 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$177.45 |
$177.45 |
$177.45 |
$129.92
|
|
Exome sequence analysis
|
$7,767.50 |
$7,767.50 |
$7,767.50 |
$5,258.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$976.30 |
$976.30 |
$976.30 |
$2,421.09
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$2,357.35
|
|
Explore/repair chest 32110
|
$6,830.20 |
$6,830.20 |
$6,830.20 |
$3,698.00
|
|
Explore/treat finger joint
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,480.83
|
|
Expose endoprosth brachial 34834
|
$12,860.90 |
$12,860.90 |
$12,860.90 |
$1,888.20
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,896.40
|
|
Extended visual field xm
|
$385.45 |
$385.45 |
$385.45 |
$162.75
|
|
External cannula declotting
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$1,838.28
|