|
Enterectomy small intestine single 44120
|
$1,861.92 |
$1,861.92 |
$1,861.92 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,005.92 |
$2,005.92 |
$2,005.92 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$2,137.92 |
$2,137.92 |
$2,137.92 |
$2,650.80
|
|
Enterorrhaphy multiple perforations 44603
|
$2,456.16 |
$2,456.16 |
$2,456.16 |
$2,901.00
|
|
Envrn ivntj med mgmt psyc pt
|
$105.12 |
$105.12 |
$105.12 |
$58.40
|
|
Ep & ablate supravent arrhyt
|
$1,242.72 |
$1,242.72 |
$1,242.72 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$1,497.12 |
$1,497.12 |
$1,497.12 |
$28,199.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$1,594.08 |
$1,594.08 |
$1,594.08 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$1,594.08 |
$1,594.08 |
$1,594.08 |
$1,113.83
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$497.66 |
$497.66 |
$497.66 |
$248.81
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,822.88 |
$2,822.88 |
$2,822.88 |
$3,762.53
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,062.72 |
$1,062.72 |
$1,062.72 |
$809.08
|
|
Epstein barr early antigen antibody
|
$36.12 |
$36.12 |
$36.12 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$55.46 |
$55.46 |
$55.46 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$72.25 |
$72.25 |
$72.25 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,315.44 |
$1,315.44 |
$1,315.44 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,217.04 |
$4,217.04 |
$4,217.04 |
$3,838.45
|
|
Ercp w/specimen collection
|
$5,892.96 |
$5,892.96 |
$5,892.96 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,755.20 |
$2,755.20 |
$2,755.20 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$332.08 |
$332.08 |
$332.08 |
$222.98
|
|
ER Visit (level 1, minor)
|
$144.50 |
$144.50 |
$144.50 |
$246.24
|
|
ER Visit (level 2)
|
$190.80 |
$190.80 |
$190.80 |
$452.20
|
|
ER Visit (level 3)
|
$354.24 |
$354.24 |
$354.24 |
$770.04
|
|
ER Visit (level 4)
|
$534.24 |
$534.24 |
$534.24 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$258.71 |
$258.71 |
$258.71 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$320.40 |
$320.40 |
$320.40 |
$553.88
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,215.36 |
$1,215.36 |
$1,215.36 |
$1,296.00
|
|
Esoph egd dilation <30 mm
|
$1,630.56 |
$1,630.56 |
$1,630.56 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$2,333.76 |
$2,333.76 |
$2,333.76 |
$2,221.83
|
|
Esrd home pt serv p mo 12-19
|
$633.12 |
$633.12 |
$633.12 |
$1,016.00
|
|
Esrd home pt serv p mo 20+
|
$372.96 |
$372.96 |
$372.96 |
$540.80
|
|
Esrd home pt serv p mo 2-11
|
$659.52 |
$659.52 |
$659.52 |
$1,064.00
|
|
Esrd home pt serv p mo <2yrs
|
$768.96 |
$768.96 |
$768.96 |
$1,216.80
|
|
Esrd serv 4 visits p mo <2yr
|
$1,484.16 |
$1,484.16 |
$1,484.16 |
$2,130.40
|
|
Esrd srv 2-3 vsts p mo 12-19
|
$634.08 |
$634.08 |
$634.08 |
$977.60
|
|
Esrd srv 2-3 vsts p mo 20+
|
$372.96 |
$372.96 |
$372.96 |
$540.80
|
|
Esrd srv 2-3 vsts p mo 2-11
|
$661.92 |
$661.92 |
$661.92 |
$1,023.20
|
|
Esrd srv 4 visits p mo 20+
|
$448.80 |
$448.80 |
$448.80 |
$652.00
|
|
Esrd srv 4 vsts p mo 12-19
|
$974.40 |
$974.40 |
$974.40 |
$1,440.00
|
|
Esrd svc pr day pt 12-19
|
$21.60 |
$21.60 |
$21.60 |
$34.40
|
|
Esrd svc pr day pt <2
|
$22.56 |
$22.56 |
$22.56 |
$40.80
|
|
Esrd svc pr day pt 20+
|
$12.00 |
$12.00 |
$12.00 |
$53.76
|
|
Esrd svc pr day pt 2-11
|
$22.08 |
$22.08 |
$22.08 |
$36.00
|
|
Essure 58565
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$5,741.00
|
|
Established Patient Office Visit (level 1)
|
$30.24 |
$30.24 |
$30.24 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$72.96 |
$72.96 |
$72.96 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$116.64 |
$116.64 |
$116.64 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$164.64 |
$164.64 |
$164.64 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$231.84 |
$231.84 |
$231.84 |
$280.33
|
|
Estradiol total
|
$98.20 |
$98.20 |
$98.20 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$452.81 |
$452.81 |
$452.81 |
$57.35
|
|
Estrogens total-sendout
|
$153.15 |
$153.15 |
$153.15 |
$96.20
|
|
Ethylene glycol -sendout
|
$53.93 |
$53.93 |
$53.93 |
$89.40
|
|
Etonogestrel implant system
|
$2,477.38 |
$2,477.38 |
$2,477.38 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$167.42 |
$167.42 |
$167.42 |
$235.20
|
|
Eval aud funcj ea addl 15
|
$55.46 |
$55.46 |
$55.46 |
$85.80
|
|
Eval aud rehab status/first hr 92626
|
$222.35 |
$222.35 |
$222.35 |
$285.60
|
|
Eval/fit voice prosthesis iii, st
|
$240.00 |
$240.00 |
$240.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$124.15 |
$124.15 |
$124.15 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$170.96 |
$170.96 |
$170.96 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$221.28 |
$221.28 |
$221.28 |
$312.00
|
|
Event monitor
|
$381.60 |
$381.60 |
$381.60 |
$242.65
|
|
Evoked oa emissions ltd
|
$27.36 |
$27.36 |
$27.36 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$443.04 |
$443.04 |
$443.04 |
$249.71
|
|
Exam of vagina w/scope 57420
|
$204.96 |
$204.96 |
$204.96 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$162.72 |
$162.72 |
$162.72 |
$3,762.53
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,067.52 |
$1,067.52 |
$1,067.52 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$679.68 |
$679.68 |
$679.68 |
$3,796.00
|
|
Exc abdl tum deep < 5 cm
|
$872.64 |
$872.64 |
$872.64 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$1,025.28 |
$1,025.28 |
$1,025.28 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$626.88 |
$626.88 |
$626.88 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$815.52 |
$815.52 |
$815.52 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$775.20 |
$775.20 |
$775.20 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$1,134.24 |
$1,134.24 |
$1,134.24 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$484.80 |
$484.80 |
$484.80 |
$3,762.53
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$434.88 |
$434.88 |
$434.88 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$588.96 |
$588.96 |
$588.96 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$365.76 |
$365.76 |
$365.76 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$197.28 |
$197.28 |
$197.28 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$220.32 |
$220.32 |
$220.32 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$297.60 |
$297.60 |
$297.60 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$350.40 |
$350.40 |
$350.40 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$245.28 |
$245.28 |
$245.28 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$315.84 |
$315.84 |
$315.84 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$503.52 |
$503.52 |
$503.52 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$240.00 |
$240.00 |
$240.00 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$304.32 |
$304.32 |
$304.32 |
$1,247.50
|
|
Exc breast duct fistula 19112
|
$708.96 |
$708.96 |
$708.96 |
$4,238.48
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$1,265.76 |
$1,265.76 |
$1,265.76 |
$3,594.44
|
|
Exc/crtg b1 cst/b9 tum rds
|
$829.92 |
$829.92 |
$829.92 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum algr
|
$1,327.68 |
$1,327.68 |
$1,327.68 |
$7,807.24
|
|
Exc ext ear/partial/simple repair 69110
|
$721.44 |
$721.44 |
$721.44 |
$3,127.88
|
|
Exc face tum deep 2cm/> 21014
|
$803.04 |
$803.04 |
$803.04 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$363.36 |
$363.36 |
$363.36 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$482.40 |
$482.40 |
$482.40 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$693.60 |
$693.60 |
$693.60 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$586.08 |
$586.08 |
$586.08 |
$3,230.00
|
