|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$72.36 |
$72.36 |
$72.36 |
$31.80
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$6.00 |
$6.00 |
$6.00 |
$6.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$713.38 |
$713.38 |
$713.38 |
$856.06
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$515.80 |
$515.80 |
$515.80 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$37.00 |
$37.00 |
$37.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$43.00 |
$43.00 |
$43.00 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$45.50 |
$45.50 |
$45.50 |
$85.15
|
|
Ercp biliary & pancreas
|
$302.00 |
$302.00 |
$302.00 |
$951.20
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$4,151.50 |
$4,151.50 |
$4,151.50 |
$5,110.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$84.34 |
$84.34 |
$84.34 |
$227.20
|
|
ER Visit (level 1, minor)
|
$182.50 |
$182.50 |
$182.50 |
$252.35
|
|
ER Visit (level 2)
|
$218.00 |
$218.00 |
$218.00 |
$463.00
|
|
ER Visit (level 3)
|
$384.00 |
$384.00 |
$384.00 |
$793.20
|
|
ER Visit (level 4)
|
$622.00 |
$622.00 |
$622.00 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$1,844.80
|
|
Esophageal dilat s&i
|
$3,663.50 |
$3,663.50 |
$3,663.50 |
$550.00
|
|
Esoph egd dilation <30 mm
|
$345.67 |
$345.67 |
$345.67 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$187.00 |
$187.00 |
$187.00 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$188.00 |
$188.00 |
$188.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$287.50 |
$287.50 |
$287.50 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$217.00 |
$217.00 |
$217.00 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$231.50 |
$231.50 |
$231.50 |
$287.10
|
|
Estradiol total
|
$144.00 |
$144.00 |
$144.00 |
$149.43
|
|
Estrogens total-sendout
|
$40.55 |
$40.55 |
$40.55 |
$96.63
|
|
Ethylene glycol -sendout
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$85.00
|
|
Etonogestrel implant system
|
$1,242.50 |
$1,242.50 |
$1,242.50 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$46.63 |
$46.63 |
$46.63 |
$235.20
|
|
Euflexxa inj per dose
|
$1,503.38 |
$1,503.38 |
$1,503.38 |
$510.68
|
|
Euglobulin lysis
|
$66.00 |
$66.00 |
$66.00 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$350.50 |
$350.50 |
$350.50 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$163.50 |
$163.50 |
$163.50 |
$211.12
|
|
Evaluation heart device
|
$279.50 |
$279.50 |
$279.50 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$305.50 |
$305.50 |
$305.50 |
$307.75
|
|
Evasc repair of iliac artery; endograft 34718
|
$2,011.00 |
$2,011.00 |
$2,011.00 |
$6,824.35
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,882.00 |
$2,882.00 |
$2,882.00 |
$4,846.34
|
|
Evasc st rpr thrc/aa acrs br
|
$2,027.00 |
$2,027.00 |
$2,027.00 |
$5,062.50
|
|
Evasc st rpr thrc/aa x crsg
|
$1,516.50 |
$1,516.50 |
$1,516.50 |
$11,524.11
|
|
Event monitor
|
$122.00 |
$122.00 |
$122.00 |
$237.60
|
|
Evoked oa emissions ltd
|
$353.50 |
$353.50 |
$353.50 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$327.50 |
$327.50 |
$327.50 |
$259.20
|
|
Evok oa screening qual
|
$44.50 |
$44.50 |
$44.50 |
$109.13
|
|
Exam pelvic add-on
|
$13.50 |
$13.50 |
$13.50 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$465.00 |
$465.00 |
$465.00 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$3,386.84
|
|
Exc abd les sc 3 cm/>
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,786.00
|
|
Exc abdl tum deep < 5 cm
|
$1,301.67 |
$1,301.67 |
$1,301.67 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$3,720.50 |
$3,720.50 |
$3,720.50 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,741.00 |
$1,741.00 |
$1,741.00 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$1,066.50 |
$1,066.50 |
$1,066.50 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$755.50 |
$755.50 |
$755.50 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$755.50 |
$755.50 |
$755.50 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,259.67 |
$1,259.67 |
$1,259.67 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$598.00 |
$598.00 |
$598.00 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,415.50 |
$2,415.50 |
$2,415.50 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$995.00 |
$995.00 |
$995.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$755.75 |
$755.75 |
$755.75 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$1,244.03
|
|
Exc face tum deep < 2 cm
|
$1,091.67 |
$1,091.67 |
$1,091.67 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,049.83 |
$1,049.83 |
$1,049.83 |
$973.71
|
|
Exc foot/toe tum dep 1.5cm/>
|
$640.33 |
$640.33 |
$640.33 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$1,921.00 |
$1,921.00 |
$1,921.00 |
$3,628.50
|
|
Exc hand les sc < 1.5 cm
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,897.50
|
|
Exc hand tum deep < 1.5 cm 26116
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,271.01
|
|
Exchange biliary drg cath
|
$4,509.00 |
$4,509.00 |
$4,509.00 |
$3,797.76
|
|
Exchange drainage catheter
|
$2,205.50 |
$2,205.50 |
$2,205.50 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$2,977.50 |
$2,977.50 |
$2,977.50 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$1,597.33 |
$1,597.33 |
$1,597.33 |
$3,386.84
|
|
Excimer lsr psriasis<250sqcm
|
$230.50 |
$230.50 |
$230.50 |
$347.88
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,421.50 |
$1,421.50 |
$1,421.50 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$4,028.50 |
$4,028.50 |
$4,028.50 |
$3,370.52
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,244.00 |
$3,244.00 |
$3,244.00 |
$3,486.52
|
|
Excise anal ext tag/papilla
|
$1,375.50 |
$1,375.50 |
$1,375.50 |
$2,172.09
|
|
Excise intrspinl lesion lmbr
|
$2,604.60 |
$2,604.60 |
$2,604.60 |
$6,311.00
|
|
Excise lip or cheek fold
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,855.10
|
|
Excise parotid gland/lesion
|
$8,915.00 |
$8,915.00 |
$8,915.00 |
$6,583.24
|
|
Excise parotid gland/lesion
|
$27,134.50 |
$27,134.50 |
$27,134.50 |
$7,000.36
|
|
Excise parotid gland/lesion
|
$9,179.50 |
$9,179.50 |
$9,179.50 |
$6,839.00
|
|
Excise pharynx lesion
|
$1,322.50 |
$1,322.50 |
$1,322.50 |
$3,837.72
|
|
Excise/repair mouth lesion
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,903.93
|
|
Excise sublingual gland
|
$5,480.50 |
$5,480.50 |
$5,480.50 |
$5,678.40
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$3,307.66
|
|
Excision addl breast lesion 19126
|
$546.17 |
$546.17 |
$546.17 |
$546.17
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$814.00 |
$814.00 |
$814.00 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,641.65
|
|
Excision breast lesion
|
$2,488.00 |
$2,488.00 |
$2,488.00 |
$4,042.99
|
|
Excision nasal polyp(s) simple 30110
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$3,460.50 |
$3,460.50 |
$3,460.50 |
$3,823.00
|
|
Excision of gum lesion
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$4,560.40
|
|
Excision of gum lesion 41825
|
$4,103.00 |
$4,103.00 |
$4,103.00 |
$4,007.22
|
