|
Eptifibatide 0.75 mg/ml intravenous solution
|
$256.62 |
$256.62 |
$256.62 |
$425.08
|
|
Ercp biliary & pancreas
|
$2,021.68 |
$2,021.68 |
$2,021.68 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$331.50 |
$331.50 |
$331.50 |
$5,339.00
|
|
Ercp ea duct/ampulla dilate
|
$271.44 |
$271.44 |
$271.44 |
$4,176.60
|
|
Ercp lesion ablate w/dilate 43278
|
$310.44 |
$310.44 |
$310.44 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$309.92 |
$309.92 |
$309.92 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$261.30 |
$261.30 |
$261.30 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$269.88 |
$269.88 |
$269.88 |
$2,859.02
|
|
Ercp sphincter pressure meas
|
$256.36 |
$256.36 |
$256.36 |
$3,552.00
|
|
Ercp stent exchange w/dilate
|
$345.02 |
$345.02 |
$345.02 |
$5,718.02
|
|
Ercp w/specimen collection
|
$231.40 |
$231.40 |
$231.40 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$54.60 |
$54.60 |
$54.60 |
$232.12
|
|
ER Visit (level 1, minor)
|
$371.48 |
$371.48 |
$371.48 |
$252.96
|
|
ER Visit (level 2)
|
$668.22 |
$668.22 |
$668.22 |
$464.00
|
|
ER Visit (level 3)
|
$1,167.72 |
$1,167.72 |
$1,167.72 |
$816.60
|
|
ER Visit (level 4)
|
$1,795.98 |
$1,795.98 |
$1,795.98 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,586.30 |
$2,586.30 |
$2,586.30 |
$1,878.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$199.73 |
$199.73 |
$199.73 |
$223.99
|
|
Escharotomy ea addl incision
|
$842.86 |
$842.86 |
$842.86 |
$203.20
|
|
Esophageal dilat s&i
|
$1,405.26 |
$1,405.26 |
$1,405.26 |
$556.20
|
|
Esophageal lengthening add on code 43338
|
$82.16 |
$82.16 |
$82.16 |
$6,837.60
|
|
Esophageal motility
|
$988.64 |
$988.64 |
$988.64 |
$655.45
|
|
Esophageal recording
|
$26.00 |
$26.00 |
$26.00 |
$1,985.34
|
|
Esophageal recording
|
$41.86 |
$41.86 |
$41.86 |
$2,187.60
|
|
Esophagomyotomy abdominal 43330
|
$977.08 |
$977.08 |
$977.08 |
$3,271.20
|
|
Esophagomyotomy thoracic 43331
|
$969.28 |
$969.28 |
$969.28 |
$3,267.20
|
|
Esophagoplasty congenital
|
$2,118.74 |
$2,118.74 |
$2,118.74 |
$4,104.71
|
|
Esophagosc dilate balloon 30
|
$141.44 |
$141.44 |
$141.44 |
$2,244.82
|
|
Esophagosc flex trnsn biopsy
|
$71.24 |
$71.24 |
$71.24 |
$1,768.00
|
|
Esophagoscop mucosal resect
|
$168.74 |
$168.74 |
$168.74 |
$3,484.00
|
|
Esophagoscop stent placement
|
$16,738.80 |
$16,738.80 |
$16,738.80 |
$6,505.71
|
|
Esophagoscop ultrasound exam
|
$112.06 |
$112.06 |
$112.06 |
$2,605.80
|
|
Esophagoscopy balloon <30mm
|
$85.54 |
$85.54 |
$85.54 |
$2,460.00
|
|
Esophagoscopy control bleed
|
$118.82 |
$118.82 |
$118.82 |
$2,742.00
|
|
Esophagoscopy flex biopsy
|
$74.10 |
$74.10 |
$74.10 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$63.44 |
$63.44 |
$63.44 |
$1,296.00
|
|
Esophagoscopy flex dx brush
|
$59.54 |
$59.54 |
$59.54 |
$1,879.00
|
|
Esophagoscopy flex remove fb
|
$102.44 |
$102.44 |
$102.44 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$141.44 |
$141.44 |
$141.44 |
$4,502.13
|
|
Esophagoscopy lesion removal
|
$96.72 |
$96.72 |
$96.72 |
$3,484.00
|
|
Esophagoscopy retro balloon
|
$5,334.66 |
$5,334.66 |
$5,334.66 |
$2,994.40
|
|
Esophagoscopy rigid balloon
|
$135.46 |
$135.46 |
$135.46 |
$4,502.13
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$113.62 |
$113.62 |
$113.62 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$400.92 |
$400.92 |
$400.92 |
$6,553.49
|
|
Esophagoscopy snare les remv
|
$115.44 |
$115.44 |
$115.44 |
$2,742.00
|
|
Esophagoscopy w/us needle bx
|
$142.48 |
$142.48 |
$142.48 |
$2,244.82
|
|
Esophagoscp guide wire dilat 43196
|
$143.26 |
$143.26 |
$143.26 |
$2,638.57
|
|
Esophagoscp rig trnso biopsy
|
$124.02 |
$124.02 |
$124.02 |
$3,484.00
|
|
Esophagoscp rig trnso inject
|
$123.76 |
$123.76 |
$123.76 |
$3,484.00
|
|
Esophagoscp rig trnso rem fb
|
$140.66 |
$140.66 |
$140.66 |
$2,785.75
|
|
Esophagotomy thrc rmvl fb
|
$944.58 |
$944.58 |
$944.58 |
$3,173.60
|
|
Esophagus endoscopy/ligation
|
$101.14 |
$101.14 |
$101.14 |
$2,392.00
|
|
Esophagus motility study
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,274.00
|
|
Esoph balloon distension tst
|
$35.10 |
$35.10 |
$35.10 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$110.50 |
$110.50 |
$110.50 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$94.90 |
$94.90 |
$94.90 |
$2,221.83
|
|
Esoph fundoplasty lap 43327
|
$610.22 |
$610.22 |
$610.22 |
$2,010.40
|
|
Esoph fundoplasty thor 43328
|
$809.90 |
$809.90 |
$809.90 |
$2,748.00
|
|
Esophgl motil w/stim/perfus
|
$6.50 |
$6.50 |
$6.50 |
$1,392.95
|
|
Esoph imped function test
|
$766.64 |
$766.64 |
$766.64 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,121.40
|
|
Esoph optical endomicroscopy
|
$96.20 |
$96.20 |
$96.20 |
$2,704.00
|
|
Esoph scope w/sclerosis inj
|
$97.50 |
$97.50 |
$97.50 |
$2,244.82
|
|
Esoph scope w/submucous inj
|
$74.88 |
$74.88 |
$74.88 |
$2,590.33
|
|
Esphg dstl 2/3 w/laps moblj 43287
|
$2,558.66 |
$2,558.66 |
$2,558.66 |
$7,128.80
|
|
Esphg thrsc moblj
|
$2,701.14 |
$2,701.14 |
$2,701.14 |
$7,526.40
|
|
Esphg tot w/laps moblj
|
$2,300.22 |
$2,300.22 |
$2,300.22 |
$6,423.20
|
|
Esphg tot w/thrcm
|
$2,460.64 |
$2,460.64 |
$2,460.64 |
$4,863.84
|
|
Esrd home pt serv p mo 12-19
|
$362.96 |
$362.96 |
$362.96 |
$1,016.00
|
|
Esrd home pt serv p mo 20+
|
$214.24 |
$214.24 |
$214.24 |
$540.80
|
|
Esrd home pt serv p mo 2-11
|
$376.74 |
$376.74 |
$376.74 |
$1,064.00
|
|
Esrd home pt serv p mo <2yrs
|
$439.92 |
$439.92 |
$439.92 |
$1,216.80
|
|
Esrd serv 1 visit p mo 20+
|
$147.68 |
$147.68 |
$147.68 |
$409.60
|
|
Esrd serv 1 vst p mo 12-19
|
$237.12 |
$237.12 |
$237.12 |
$660.80
|
|
Esrd serv 4 visits p mo <2yr
|
$846.04 |
$846.04 |
$846.04 |
$2,130.40
|
|
Esrd serv 4 vsts p mo 2-11
|
$729.30 |
$729.30 |
$729.30 |
$1,838.40
|
|
Esrd srv 1 visit p mo 2-11
|
$254.02 |
$254.02 |
$254.02 |
$711.20
|
|
Esrd srv 2-3 vsts p mo 12-19
|
$363.74 |
$363.74 |
$363.74 |
$977.60
|
|
Esrd srv 2-3 vsts p mo 20+
|
$214.24 |
$214.24 |
$214.24 |
$540.80
|
|
Esrd srv 2-3 vsts p mo 2-11
|
$380.12 |
$380.12 |
$380.12 |
$1,023.20
|
|
Esrd srv 4 visits p mo 20+
|
$258.44 |
$258.44 |
$258.44 |
$652.00
|
|
Esrd srv 4 vsts p mo 12-19
|
$558.74 |
$558.74 |
$558.74 |
$1,440.00
|
|
Esrd svc pr day pt 12-19
|
$12.22 |
$12.22 |
$12.22 |
$34.40
|
|
Esrd svc pr day pt <2
|
$12.74 |
$12.74 |
$12.74 |
$40.80
|
|
Esrd svc pr day pt 20+
|
$7.02 |
$7.02 |
$7.02 |
$53.76
|
|
Esrd svc pr day pt 2-11
|
$12.48 |
$12.48 |
$12.48 |
$36.00
|
|
Essure 58565
|
$333.06 |
$333.06 |
$333.06 |
$5,841.60
|
|
Establish access to aorta
|
$3,557.18 |
$3,557.18 |
$3,557.18 |
$1,273.00
|
|
Establish access to artery
|
$1,440.78 |
$1,440.78 |
$1,440.78 |
$1,145.65
|
|
Establish brain cavity shunt
|
$760.24 |
$760.24 |
$760.24 |
$2,464.00
|
|
Establish brain cavity shunt
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$2,674.30
|
|
Establish brain cavity shunt
|
$690.30 |
$690.30 |
$690.30 |
$1,446.87
|
|
Establish brain cavity shunt
|
$734.24 |
$734.24 |
$734.24 |
$2,316.00
|
|
Establish brain cavity shunt
|
$1,017.64 |
$1,017.64 |
$1,017.64 |
$2,104.22
|
|
Establish brain cavity shunt
|
$719.16 |
$719.16 |
$719.16 |
$2,338.40
|
|
Established Patient Office Visit (level 1)
|
$316.72 |
$316.72 |
$316.72 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$396.64 |
$396.64 |
$396.64 |
$141.60
|
|
Established Patient Office Visit (level 3)
|
$475.82 |
$475.82 |
$475.82 |
$189.00
|
|
Established Patient Office Visit (level 4)
|
$555.00 |
$555.00 |
$555.00 |
$239.94
|
|
Established Patient Office Visit (level 5)
|
$634.18 |
$634.18 |
$634.18 |
$301.50
|
