|
Epirubicin 200 mg/100 ml intravenous solution
|
$54.60 |
$82.80 |
$8,677.20 |
$256.27
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$1,964.40 |
$1,964.40 |
$1,973.40 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$30.75 |
$865.80 |
$1,222.20 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$98.40 |
$143.40 |
$6,835.20 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$253.20 |
$529.20 |
$759.00 |
$129.30
|
|
Epstein barr early antigen antibody
|
$85.20 |
$99.00 |
$595.80 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$117.00 |
$222.60 |
$459.60 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$133.20 |
$222.60 |
$451.20 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$113.60 |
$204.00 |
$2,272.80 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,637.20 |
$3,637.20 |
$4,849.80 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$877.20 |
$987.60 |
$1,486.80 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$2,919.00 |
$4,000.80 |
$5,390.40 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$2,500.80 |
$4,176.60 |
$4,330.80 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$2,311.80 |
$3,928.80 |
$5,574.60 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$2,490.00 |
$3,417.00 |
$5,378.40 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,180.40 |
$2,505.00 |
$6,117.00 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$2,784.00 |
$6,045.60 |
$12,039.00 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$2,784.00 |
$4,282.20 |
$12,039.00 |
$5,718.03
|
|
Ercp w/specimen collection
|
$2,887.80 |
$3,748.20 |
$5,507.40 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$277.80 |
$387.60 |
$3,069.60 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$211.20 |
$1,000.80 |
$1,000.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$183.60 |
$238.80 |
$308.40 |
$252.60
|
|
ER Visit (level 2)
|
$336.60 |
$424.20 |
$620.40 |
$463.00
|
|
ER Visit (level 3)
|
$508.80 |
$763.20 |
$1,344.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,138.20 |
$1,223.40 |
$1,954.20 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,615.20 |
$2,410.20 |
$3,631.80 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$28.60 |
$109.20 |
$116.80 |
$223.99
|
|
Esd endoscopy or colonoscopy
|
$4,282.20 |
$5,434.20 |
$6,853.80 |
$4,440.75
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$10.95 |
$10.95 |
$13.00 |
$516.71
|
|
Esophageal dilat s&i
|
$694.80 |
$925.80 |
$1,403.40 |
$551.20
|
|
Esophageal motility
|
$499.20 |
$552.00 |
$2,551.20 |
$655.45
|
|
Esophagosc dilate balloon 30
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$736.20 |
$736.20 |
$3,055.20 |
$1,768.00
|
|
Esophagoscop stent placement
|
$7,596.60 |
$7,596.60 |
$7,596.60 |
$6,375.00
|
|
Esophagoscop ultrasound exam
|
$2,959.80 |
$2,959.80 |
$4,330.80 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$2,794.80 |
$2,794.80 |
$3,759.00 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$1,063.80 |
$1,063.80 |
$1,063.80 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$8,991.00 |
$8,991.00 |
$8,991.00 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,895.40 |
$2,410.20 |
$3,235.80 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$580.80 |
$2,959.80 |
$3,238.80 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$1,759.80 |
$2,574.60 |
$3,222.60 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$4,513.20 |
$4,513.20 |
$4,513.20 |
$4,502.13
|
|
Esophagoscopy retro balloon
|
$5,386.80 |
$5,386.80 |
$5,386.80 |
$2,994.40
|
|
Esophagoscopy rigid trnso 43180
|
$8,042.40 |
$8,042.40 |
$8,042.40 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$2,344.20 |
$4,137.60 |
$4,856.40 |
$2,244.82
|
|
Esophagus endoscopy/ligation
|
$4,024.20 |
$4,024.20 |
$4,024.20 |
$2,392.00
|
|
Esophagus motility study
|
$510.60 |
$975.00 |
$3,203.40 |
$1,257.17
|
|
Esoph balloon distension tst
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$2,370.60 |
$2,978.40 |
$4,681.20 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$3,265.80 |
$3,265.80 |
$5,461.80 |
$2,221.83
|
|
Esoph imped function test
|
$491.40 |
$491.40 |
$507.60 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,122.00 |
$1,122.00 |
$1,548.60 |
$1,121.40
|
|
Esoph scope w/submucous inj
|
$4,418.40 |
$4,418.40 |
$4,418.40 |
$2,590.33
|
|
Establish access to aorta
|
$4,618.20 |
$4,618.20 |
$5,479.20 |
$1,273.00
|
|
Establish brain cavity shunt
|
$7,608.00 |
$8,881.80 |
$13,183.20 |
$2,464.00
|
|
Established Patient Office Visit (level 1)
|
$96.60 |
$108.60 |
$186.60 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$111.60 |
$125.40 |
$283.20 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$141.00 |
$179.40 |
$426.00 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$168.00 |
$194.40 |
$568.20 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$200.40 |
$227.40 |
$709.20 |
$290.68
|
|
Estradiol total
|
$186.00 |
$253.20 |
$519.60 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$51.00 |
$51.00 |
$390.60 |
$57.35
|
|
Estrogens total-sendout
|
$179.40 |
$253.80 |
$711.60 |
$97.50
|
|
Etanercept injection
|
$1,119.00 |
$1,801.80 |
$1,801.80 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$697.20 |
$697.20 |
$1,156.80 |
$824.88
|
|
Ethylene glycol -sendout
|
$114.60 |
$266.40 |
$799.80 |
$86.04
|
|
Etonogestrel implant system
|
$2,545.20 |
$2,545.20 |
$2,889.60 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$44.40 |
$415.80 |
$594.60 |
$235.20
|
|
Etoposide 50 mg cap
|
$210.60 |
$210.60 |
$253.80 |
$135.02
|
|
Euflexxa inj per dose
|
$1,538.40 |
$1,538.40 |
$2,039.40 |
$510.68
|
|
Euglobulin lysis
|
$67.20 |
$71.40 |
$441.00 |
$63.84
|
|
Eval aud rehab status/first hr 92626
|
$573.00 |
$573.00 |
$573.00 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$806.40 |
$852.60 |
$979.80 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$228.60 |
$348.60 |
$405.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$159.60 |
$265.80 |
$993.00 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$4,786.20 |
$4,786.20 |
$17,661.00 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$1,774.20 |
$2,865.00 |
$3,835.80 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$4,483.80 |
$4,483.80 |
$4,695.60 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$12,276.00 |
$12,276.00 |
$12,276.00 |
$5,403.50
|
|
Evasc rpr a-biiliac ndgft rptr
|
$10,363.80 |
$10,363.80 |
$12,276.00 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,483.80 |
$4,483.80 |
$4,695.60 |
$4,919.00
|
|
Evasc rpr ilio-iliac ndgft
|
$7,629.00 |
$7,629.00 |
$7,629.00 |
$7,060.51
|
|
Event monitor
|
$284.40 |
$615.00 |
$1,565.40 |
$231.00
|
|
Evoked oa emissions ltd
|
$446.40 |
$446.40 |
$446.40 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$282.60 |
$336.60 |
$1,386.60 |
$261.30
|
|
Evoked potentials upper limbs
|
$477.00 |
$561.00 |
$1,708.20 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$457.20 |
$488.40 |
$1,312.80 |
$814.61
|
|
Evok oa screening qual
|
$263.40 |
$263.40 |
$263.40 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$664.20 |
$664.20 |
$1,288.80 |
$486.03
|
|
Exam pelvic add-on
|
$16.80 |
$16.80 |
$16.80 |
$46.85
|
|
Exam plvc w/anes othr thn lcl
|
$936.00 |
$936.00 |
$936.00 |
$3,816.40
|
|
Exc arm/elbo les sc >=3cm 24071
|
$4,078.80 |
$4,078.80 |
$4,078.80 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$4,086.60 |
$4,086.60 |
$6,097.20 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$3,529.20 |
$3,529.20 |
$5,356.20 |
$2,711.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,574.60 |
$2,979.60 |
$3,393.60 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$3,992.40 |
$3,992.40 |
$5,502.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$3,417.00 |
$3,572.40 |
$4,334.40 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$1,527.60 |
$1,728.00 |
$3,265.20 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,703.40 |
$2,270.40 |
$4,057.80 |
$969.60
|
