|
Eeg without vid ea 12-26hr cont
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$615.00 |
$615.00 |
$615.00 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$1,632.95
|
|
E equine encephalitis igg
|
$198.00 |
$198.00 |
$198.00 |
$51.84
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$85.60 |
$85.60 |
$85.60 |
$13,130.61
|
|
Egd balloon dil esoph30 mm/>
|
$4,618.20 |
$4,618.20 |
$4,618.20 |
$2,244.82
|
|
Egd control bleeding any
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$2,553.75
|
|
Egd endoscopic stent place
|
$3,774.00 |
$3,774.00 |
$3,774.00 |
$3,986.00
|
|
Egd guide wire insertion
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$1,664.00
|
|
Egd injection varices
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,244.82
|
|
Egd lesion ablation
|
$3,581.40 |
$3,581.40 |
$3,581.40 |
$2,354.48
|
|
Egd remove foreign body
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$1,571.40
|
|
Egd remove lesion snare
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,597.25
|
|
Egd varices ligation
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$6,406.20 |
$6,406.20 |
$6,406.20 |
$4,480.44
|
|
Egfr gene com variants
|
$163.80 |
$163.80 |
$163.80 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$726.60 |
$726.60 |
$726.60 |
$93.00
|
|
EKG (Tracing Only)
|
$180.60 |
$180.60 |
$180.60 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$289.20 |
$289.20 |
$289.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$310.80 |
$310.80 |
$310.80 |
$364.20
|
|
Elec analys infus pump w/reprog 62368
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$616.00
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$618.80
|
|
Electrd sq emblem s-icd
|
$50,632.80 |
$50,632.80 |
$50,632.80 |
$10,243.24
|
|
Electroacous eval hear aid/biaural 92595
|
$160.20 |
$160.20 |
$160.20 |
$97.50
|
|
Electrocorticography durng sx
|
$953.40 |
$953.40 |
$953.40 |
$1,642.53
|
|
Electrode stimulation brain
|
$976.20 |
$976.20 |
$976.20 |
$1,203.94
|
|
Electrolyte panel
|
$144.60 |
$144.60 |
$144.60 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,811.40 |
$1,811.40 |
$1,811.40 |
$1,011.98
|
|
Electrophysiologic study
|
$4,802.40 |
$4,802.40 |
$4,802.40 |
$7,493.20
|
|
Electrophysiology evaluation
|
$4,615.80 |
$4,615.80 |
$4,615.80 |
$8,975.40
|
|
Electrophysiology evaluation
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$10,724.84
|
|
Electrophysiology evaluation
|
$6,537.00 |
$6,537.00 |
$6,537.00 |
$6,760.00
|
|
Electrophysiology evaluation
|
$7,232.40 |
$7,232.40 |
$7,232.40 |
$5,883.66
|
|
Electrophysiology evaluation
|
$3,516.60 |
$3,516.60 |
$3,516.60 |
$2,559.70
|
|
Electrophysiology evaluation
|
$5,272.80 |
$5,272.80 |
$5,272.80 |
$2,914.40
|
|
Electrophysiology evaluation
|
$707.40 |
$707.40 |
$707.40 |
$1,844.00
|
|
Electrophys map 3d add-on
|
$2,003.40 |
$2,003.40 |
$2,003.40 |
$5,762.40
|
|
Elotuzumab 300 mg intravenous solution
|
$19.80 |
$19.80 |
$19.80 |
$5,761.81
|
|
Embolization s&i
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$12,810.60 |
$12,810.60 |
$12,810.60 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,810.60 |
$12,810.60 |
$12,810.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,810.60 |
$12,810.60 |
$12,810.60 |
$15,101.00
|
|
Embo or occlude vascular venous s&i
|
$12,810.60 |
$12,810.60 |
$12,810.60 |
$14,741.00
|
|
Emb without cervical dilation 58100
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$373.60
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$260.40 |
$260.40 |
$260.40 |
$394.80
|
|
Emg cranial nerve bilateral
|
$321.60 |
$321.60 |
$321.60 |
$529.10
|
|
Emg needle test 1-extremity
|
$249.60 |
$249.60 |
$249.60 |
$351.50
|
|
Encephalitis, california igg/igm
|
$198.00 |
$198.00 |
$198.00 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$198.00 |
$198.00 |
$198.00 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$198.00 |
$198.00 |
$198.00 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$19,470.00 |
$19,470.00 |
$19,470.00 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$22,308.00 |
$22,308.00 |
$22,308.00 |
$5,515.40
|
|
Endo cholangiopancreatograph
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$4,188.00 |
$4,188.00 |
$4,188.00 |
$4,350.00
|
|
Endoluminal bx biliary tree
|
$8,707.20 |
$8,707.20 |
$8,707.20 |
$2,379.30
|
|
Endoluminl ivus oct c 1st
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$289.80 |
$289.80 |
$289.80 |
$2,158.95
|
|
Endoscopy bowel pouch/biop
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$2,184.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$3,191.40 |
$3,191.40 |
$3,191.40 |
$2,787.20
|
|
Endovasc rpr a-biiliac endogft 34705
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
$9,122.40
|
|
Endovasc visc aorta 1 graft
|
$19,823.40 |
$19,823.40 |
$19,823.40 |
$6,076.00
|
|
Endovasc visc aorta 2 graft
|
$19,823.40 |
$19,823.40 |
$19,823.40 |
$7,081.75
|
|
Endovenous laser vein addon 36479
|
$4,234.20 |
$4,234.20 |
$4,234.20 |
$2,755.76
|
|
Endovenous mchnchem 1st vein
|
$5,092.80 |
$5,092.80 |
$5,092.80 |
$4,904.40
|
|
Endovenous rf abl vein addl
|
$4,155.60 |
$4,155.60 |
$4,155.60 |
$3,156.02
|
|
Endoven ther chem adhes 1st 36482
|
$7,079.40 |
$7,079.40 |
$7,079.40 |
$6,366.08
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$69.60 |
$69.60 |
$69.60 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$141.60 |
$141.60 |
$141.60 |
$112.79
|
|
Enzyme cell activity ra
|
$272.40 |
$272.40 |
$272.40 |
$197.60
|
|
Enzyme histochemistry
|
$652.20 |
$652.20 |
$652.20 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$48,916.80 |
$48,916.80 |
$48,916.80 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$48,916.80 |
$48,916.80 |
$48,916.80 |
$27,778.40
|
|
Ep induct arrhy by elect pacing
|
$1,441.80 |
$1,441.80 |
$1,441.80 |
$2,702.70
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$104.00 |
$104.00 |
$104.00 |
$507.10
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$958.80 |
$958.80 |
$958.80 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$122.40 |
$122.40 |
$122.40 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$580.80 |
$580.80 |
$580.80 |
$129.30
|
|
Epstein barr early antigen antibody
|
$250.20 |
$250.20 |
$250.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$177.00 |
$177.00 |
$177.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$304.80 |
$304.80 |
$304.80 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$116.00 |
$116.00 |
$116.00 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,751.80 |
$3,751.80 |
$3,751.80 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$702.60 |
$702.60 |
$702.60 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$4,961.40 |
$4,961.40 |
$4,961.40 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$4,961.40 |
$4,961.40 |
$4,961.40 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$4,209.00 |
$4,209.00 |
$4,209.00 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$4,282.80 |
$4,282.80 |
$4,282.80 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$4,282.80 |
$4,282.80 |
$4,282.80 |
$5,718.03
|
|
Ercp w/specimen collection
|
$4,144.80 |
$4,144.80 |
$4,144.80 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$409.80 |
$409.80 |
$409.80 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$24.80 |
$24.80 |
$24.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$384.60 |
$384.60 |
$384.60 |
$252.60
|
|
ER Visit (level 2)
|
$640.20 |
$640.20 |
$640.20 |
$463.00
|
|
ER Visit (level 3)
|
$793.20 |
$793.20 |
$793.20 |
$812.18
|
|
ER Visit (level 4)
|
$1,581.00 |
$1,581.00 |
$1,581.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,165.40 |
$2,165.40 |
$2,165.40 |
$1,871.60
|
