|
Egd Ultrasound fine needle bx/aspir
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$3,333.85
|
|
Egd varices ligation
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,480.44
|
|
Egfr gene com variants
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$351.20 |
$351.20 |
$351.20 |
$93.00
|
|
EKG (Tracing Only)
|
$271.80 |
$271.80 |
$271.80 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$659.20 |
$659.20 |
$659.20 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$452.00 |
$452.00 |
$452.00 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$124.80 |
$124.80 |
$124.80 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$27.00 |
$27.00 |
$27.00 |
$81.75
|
|
Electrolyte panel
|
$158.40 |
$158.40 |
$158.40 |
$79.30
|
|
Elotuzumab 300 mg intravenous solution
|
$28.80 |
$28.80 |
$28.80 |
$5,761.81
|
|
Emb w/colposcopy 58110
|
$706.40 |
$706.40 |
$706.40 |
$290.55
|
|
Emb without cervical dilation 58100
|
$2,633.60 |
$2,633.60 |
$2,633.60 |
$373.60
|
|
Encephalitis, california igg/igm
|
$111.20 |
$111.20 |
$111.20 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$111.20 |
$111.20 |
$111.20 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$111.20 |
$111.20 |
$111.20 |
$54.99
|
|
Endo cath bile duct s&i
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$714.24
|
|
Endo cath panc duct s&i
|
$1,471.20 |
$1,471.20 |
$1,471.20 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$232.00 |
$232.00 |
$232.00 |
$515.50
|
|
Endocervical curettage 57505
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,060.50
|
|
Endo cholangiopancreatograph
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,350.00
|
|
Endoscopic injection/implant
|
$12,844.00 |
$12,844.00 |
$12,844.00 |
$5,304.00
|
|
Endoscopic pancreatoscopy
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$2,325.00
|
|
Endoscopic Ultrasound exam esoph
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,638.57
|
|
Endoscopy bowel pouch/biop
|
$3,816.80 |
$3,816.80 |
$3,816.80 |
$2,184.00
|
|
Endoscopy of bowel pouch 44385
|
$3,816.80 |
$3,816.80 |
$3,816.80 |
$1,899.00
|
|
Endoscopy swallow (fees) vid
|
$196.00 |
$196.00 |
$196.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,765.60 |
$2,765.60 |
$2,765.60 |
$2,787.20
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$69.60 |
$69.60 |
$69.60 |
$112.79
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$441.60 |
$441.60 |
$441.60 |
$507.10
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$213.00 |
$213.00 |
$213.00 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$229.80 |
$229.80 |
$229.80 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,764.60 |
$4,764.60 |
$4,764.60 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$271.20 |
$271.20 |
$271.20 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$353.60 |
$353.60 |
$353.60 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$353.60 |
$353.60 |
$353.60 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$2,520.60 |
$2,520.60 |
$2,520.60 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$46.40 |
$46.40 |
$46.40 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$1,294.40 |
$1,294.40 |
$1,294.40 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$5,718.03
|
|
Ercp w/specimen collection
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$509.40 |
$509.40 |
$509.40 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$595.80 |
$595.80 |
$595.80 |
$232.12
|
|
ER Visit (level 1, minor)
|
$352.80 |
$352.80 |
$352.80 |
$252.60
|
|
ER Visit (level 2)
|
$492.00 |
$492.00 |
$492.00 |
$463.00
|
|
ER Visit (level 3)
|
$900.00 |
$900.00 |
$900.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,557.60 |
$1,557.60 |
$1,557.60 |
$1,871.60
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$460.00 |
$460.00 |
$460.00 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$11.80 |
$11.80 |
$11.80 |
$516.71
|
|
Esophageal dilat s&i
|
$672.80 |
$672.80 |
$672.80 |
$551.20
|
|
Esophagosc flex trnsn biopsy
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$3,484.00
|
|
Esophagoscop stent placement
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$6,375.00
|
|
Esophagoscop ultrasound exam
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$4,264.00 |
$4,264.00 |
$4,264.00 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$7,896.80 |
$7,896.80 |
$7,896.80 |
$4,502.13
|
|
Esophagoscopy snare les remv
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,244.82
|
|
Esophagus endoscopy/ligation
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,392.00
|
|
Esophagus motility study
|
$2,426.40 |
$2,426.40 |
$2,426.40 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$2,221.83
|
|
Esoph imped function test
|
$6,467.20 |
$6,467.20 |
$6,467.20 |
$603.00
|
|
Established Patient Office Visit (level 1)
|
$199.80 |
$199.80 |
$199.80 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$250.80 |
$250.80 |
$250.80 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$250.80 |
$250.80 |
$250.80 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$327.00 |
$327.00 |
$327.00 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$421.20 |
$421.20 |
$421.20 |
$290.68
|
|
Estradiol total
|
$451.20 |
$451.20 |
$451.20 |
$152.10
|
|
Estrogens total-sendout
|
$375.20 |
$375.20 |
$375.20 |
$97.50
|
|
Ethanolamine oleate 100 mg
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$824.88
|
|
Ethylene glycol -sendout
|
$245.60 |
$245.60 |
$245.60 |
$86.04
|
|
Etonogestrel implant system
|
$5,044.00 |
$5,044.00 |
$5,044.00 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$235.20
|
|
Etoposide 50 mg cap
|
$285.60 |
$285.60 |
$285.60 |
$135.02
|
|
Euflexxa inj per dose
|
$752.40 |
$752.40 |
$752.40 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$375.20 |
$375.20 |
$375.20 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$270.40 |
$270.40 |
$270.40 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$552.80 |
$552.80 |
$552.80 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$182.40 |
$182.40 |
$182.40 |
$318.24
|
|
Event monitor
|
$558.40 |
$558.40 |
$558.40 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$154.40 |
$154.40 |
$154.40 |
$261.30
|
|
Evok oa screening qual
|
$140.80 |
$140.80 |
$140.80 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$162.60 |
$162.60 |
$162.60 |
$486.03
|
