|
Esophagoscop stent placement
|
$13,408.75 |
$13,408.75 |
$13,408.75 |
$6,821.10
|
|
Esophagoscopy control bleed
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,638.57
|
|
Esophagoscopy/flex/diagnostic 43200
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,099.70
|
|
Esophagoscopy w/us needle bx
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,638.57
|
|
Esophagus endoscopy/ligation
|
$4,476.95 |
$4,476.95 |
$4,476.95 |
$2,392.00
|
|
Esoph egd dilation <30 mm
|
$4,531.35 |
$4,531.35 |
$4,531.35 |
$2,656.80
|
|
Establish access to aorta
|
$2,439.50 |
$2,439.50 |
$2,439.50 |
$1,280.06
|
|
Establish access to artery
|
$2,370.65 |
$2,370.65 |
$2,370.65 |
$1,418.50
|
|
Establish brain cavity shunt
|
$14,483.15 |
$14,483.15 |
$14,483.15 |
$2,464.00
|
|
Establish brain cavity shunt
|
$39,527.55 |
$39,527.55 |
$39,527.55 |
$2,316.00
|
|
Established Patient Office Visit (level 3)
|
$240.55 |
$240.55 |
$240.55 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$340.00 |
$340.00 |
$340.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$477.70 |
$477.70 |
$477.70 |
$280.33
|
|
Estradiol total
|
$113.05 |
$113.05 |
$113.05 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$356.26 |
$356.26 |
$356.26 |
$57.35
|
|
Etanercept injection
|
$5,412.75 |
$5,412.75 |
$5,412.75 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$1,055.64 |
$1,055.64 |
$1,055.64 |
$751.36
|
|
Eth estr and eton monthly
|
$435.55 |
$435.55 |
$435.55 |
$266.45
|
|
Ethylene glycol -sendout
|
$60.35 |
$60.35 |
$60.35 |
$89.40
|
|
Etonogestrel implant system
|
$3,386.51 |
$3,386.51 |
$3,386.51 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$490.02 |
$490.02 |
$490.02 |
$235.20
|
|
Etoposide 50 mg cap
|
$233.80 |
$233.80 |
$233.80 |
$135.02
|
|
Euflexxa inj per dose
|
$376.34 |
$376.34 |
$376.34 |
$587.51
|
|
Euglobulin lysis
|
$34.00 |
$34.00 |
$34.00 |
$56.70
|
|
Evacuate mole of uterus
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Eval/fit voice prosthesis iii, st
|
$574.60 |
$574.60 |
$574.60 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$395.25 |
$395.25 |
$395.25 |
$219.60
|
|
Evaluation heart device
|
$15,278.75 |
$15,278.75 |
$15,278.75 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$617.10 |
$617.10 |
$617.10 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$303.45 |
$303.45 |
$303.45 |
$312.00
|
|
Evasc prlng admn rx agnt 1st
|
$14,327.60 |
$14,327.60 |
$14,327.60 |
$3,822.00
|
|
Evasc repair of iliac artery; endograft 34718
|
$21,372.40 |
$21,372.40 |
$21,372.40 |
$6,925.05
|
|
Evasc rpr a-ao ndgft 34701
|
$22,625.30 |
$22,625.30 |
$22,625.30 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$30,754.70 |
$30,754.70 |
$30,754.70 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$35,598.85 |
$35,598.85 |
$35,598.85 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$5,791.05 |
$5,791.05 |
$5,791.05 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$24,252.20 |
$24,252.20 |
$24,252.20 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$25,815.35 |
$25,815.35 |
$25,815.35 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$21,102.10 |
$21,102.10 |
$21,102.10 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$25,606.25 |
$25,606.25 |
$25,606.25 |
$8,996.13
|
|
Exam plvc w/anes othr thn lcl
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Exc bartholins gland/cyst
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Exc benign tal 0.5 < cm 11400
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,247.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$3,230.00
|
|
Exchange biliary drg cath
|
$8,485.55 |
$8,485.55 |
$8,485.55 |
$3,909.56
|
|
Exchange drainage catheter
|
$4,667.35 |
$4,667.35 |
$4,667.35 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$2,958.80
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,623.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,012.86
|
|
Excision graft abdomen
|
$32,883.95 |
$32,883.95 |
$32,883.95 |
$4,638.40
|
|
Excision graft extremity
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$4,706.99
|
|
Excision of salivary cyst
|
$7,292.15 |
$7,292.15 |
$7,292.15 |
$4,558.89
|
|
Excision of vaginal septum 57130
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Excision tongue lesion without closure 41110
|
$7,897.35 |
$7,897.35 |
$7,897.35 |
$3,786.00
|
|
Exc les conjunctiva <1 cm
|
$5,732.40 |
$5,732.40 |
$5,732.40 |
$2,747.43
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,752.25
|
|
Exc sacral pr ulc prim sutr
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,386.84
|
|
Exc thigh/knee tum dep 5cm/>
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,520.00
|
|
Exc thrombosed hemorrhoid 46320
|
$3,208.75 |
$3,208.75 |
$3,208.75 |
$2,099.00
|
|
Exc vagina lesion 57135
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$279.65 |
$279.65 |
$279.65 |
$318.50
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,489.20 |
$1,489.20 |
$1,489.20 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,590.80 |
$2,590.80 |
$2,590.80 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$7,522.50 |
$7,522.50 |
$7,522.50 |
$1,944.80
|
|
Exploration of foot joint
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,591.33
|
|
Exploration of knee joint
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$3,981.06
|
|
Explore penetrating wnd/extremity 20103
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$1,788.80
|
|
Explore/repair chest 32110
|
$42,306.20 |
$42,306.20 |
$42,306.20 |
$3,608.25
|
|
Explore/treat finger joint
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,146.20
|
|
Explore wound abdomen 20102
|
$5,107.65 |
$5,107.65 |
$5,107.65 |
$2,568.80
|
|
Explore wound neck 20100
|
$1,547.00 |
$1,547.00 |
$1,547.00 |
$1,185.00
|
|
Expose endoprosth brachial 34834
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,560.90
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$583.95 |
$583.95 |
$583.95 |
$384.15
|
|
External recharg sys intern
|
$2,788.00 |
$2,788.00 |
$2,788.00 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$578.85 |
$578.85 |
$578.85 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$73.10 |
$73.10 |
$73.10 |
$108.60
|
|
Eye implant band 40
|
$3,611.50 |
$3,611.50 |
$3,611.50 |
$6,394.52
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,923.05 |
$2,923.05 |
$2,923.05 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$5,609.32 |
$5,609.32 |
$5,609.32 |
$940.00
|
|
F-18 sodium fluoride
|
$1,844.50 |
$1,844.50 |
$1,844.50 |
$392.60
|
|
Factor ix
|
$78.20 |
$78.20 |
$78.20 |
$156.13
|
|
Factor ix alprolix recomb
|
$17.74 |
$17.74 |
$17.74 |
$9.46
|
|
Factor ix complex
|
$9.66 |
$9.66 |
$9.66 |
$5.91
|
|
Factor ix idelvion inj
|
$13.31 |
$13.31 |
$13.31 |
$14.35
|
|
Factor ix non-recombinant
|
$5.66 |
$5.66 |
$5.66 |
$4.63
|
|
Factor ix recomb gly rebinyn
|
$12.82 |
$12.82 |
$12.82 |
$13.36
|
|
Factor ix recombinan rixubis
|
$10.67 |
$10.67 |
$10.67 |
$7.03
|
|
Factor viia recomb sevenfact
|
$7.91 |
$7.91 |
$7.91 |
$8.43
|
|
Factor viii
|
$73.10 |
$73.10 |
$73.10 |
$133.81
|
|
Factor viii
|
$4.66 |
$4.66 |
$4.66 |
$5.02
|
