|
Encephalitis, st louis igg/igm
|
$91.80 |
$91.80 |
$91.80 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$91.80 |
$91.80 |
$91.80 |
$54.99
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$3,715.20 |
$3,715.20 |
$3,715.20 |
$4,888.00
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,715.20 |
$3,715.20 |
$3,715.20 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$714.24
|
|
Endocerv curettage w/scope 57456
|
$218.40 |
$218.40 |
$218.40 |
$515.50
|
|
Endocervical curettage 57505
|
$513.60 |
$513.60 |
$513.60 |
$1,060.50
|
|
Endo cholangiopancreatograph
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,233.50
|
|
Endo cholangiopancreatograph
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,350.00
|
|
Endoluminl ivus oct c 1st
|
$806.40 |
$806.40 |
$806.40 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$578.40 |
$578.40 |
$578.40 |
$2,158.95
|
|
Endoscopic pancreatoscopy
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$2,325.00
|
|
Endoscopy bowel pouch/biop
|
$3,156.60 |
$3,156.60 |
$3,156.60 |
$2,184.00
|
|
Endoscopy swallow (fees) vid
|
$162.00 |
$162.00 |
$162.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$2,787.20
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,193.80 |
$6,193.80 |
$6,193.80 |
$9,122.40
|
|
Endovenous laser vein addon 36479
|
$3,715.20 |
$3,715.20 |
$3,715.20 |
$2,755.76
|
|
Endovenous rf abl vein addl
|
$3,715.20 |
$3,715.20 |
$3,715.20 |
$3,156.02
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$7.60 |
$7.60 |
$7.60 |
$112.79
|
|
Enzyme histochemistry
|
$471.60 |
$471.60 |
$471.60 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$14,329.20 |
$14,329.20 |
$14,329.20 |
$26,193.60
|
|
Ep & ablate ventric tachy
|
$27,777.00 |
$27,777.00 |
$27,777.00 |
$27,778.40
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$100.80 |
$100.80 |
$100.80 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$1,182.00
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$441.60 |
$441.60 |
$441.60 |
$507.10
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$8.40 |
$8.40 |
$8.40 |
$256.27
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$874.20 |
$874.20 |
$874.20 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$160.00 |
$160.00 |
$160.00 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$213.60 |
$213.60 |
$213.60 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$292.20 |
$292.20 |
$292.20 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$292.20 |
$292.20 |
$292.20 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$268.80 |
$268.80 |
$268.80 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,469.20 |
$3,469.20 |
$3,469.20 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,199.25
|
|
Ercp lesion ablate w/dilate 43278
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$4,060.00
|
|
Ercp remove forgn body duct 43275
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$5,718.03
|
|
Ercp w/specimen collection
|
$6,529.80 |
$6,529.80 |
$6,529.80 |
$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
|
$396.00 |
$396.00 |
$396.00 |
$232.12
|
|
ER Visit (level 1, minor)
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
ER Visit (level 2)
|
$406.80 |
$406.80 |
$406.80 |
$463.00
|
|
ER Visit (level 3)
|
$744.00 |
$744.00 |
$744.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,243.80 |
$1,243.80 |
$1,243.80 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$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
|
$556.20 |
$556.20 |
$556.20 |
$551.20
|
|
Esophagoscop ultrasound exam
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,605.80
|
|
Esophagoscopy/flex/diagnostic 43200
|
$3,526.20 |
$3,526.20 |
$3,526.20 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,089.60
|
|
Esophagoscopy w/us needle bx
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,244.82
|
|
Esophagus motility study
|
$2,006.40 |
$2,006.40 |
$2,006.40 |
$1,257.17
|
|
Esoph egd dilation <30 mm
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,656.80
|
|
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
|
$373.20 |
$373.20 |
$373.20 |
$152.10
|
|
Estrogens total-sendout
|
$310.20 |
$310.20 |
$310.20 |
$97.50
|
|
Ethylene glycol -sendout
|
$202.80 |
$202.80 |
$202.80 |
$86.04
|
|
Etonogestrel implant system
|
$5,044.00 |
$5,044.00 |
$5,044.00 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$261.60 |
$261.60 |
$261.60 |
$235.20
|
|
Etoposide 50 mg cap
|
$271.80 |
$271.80 |
$271.80 |
$135.02
|
|
Euflexxa inj per dose
|
$752.40 |
$752.40 |
$752.40 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$310.20 |
$310.20 |
$310.20 |
$359.50
|
|
Evaluation of speech fluency 92521
|
$457.20 |
$457.20 |
$457.20 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$105.60 |
$105.60 |
$105.60 |
$318.24
|
|
Event monitor
|
$462.00 |
$462.00 |
$462.00 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$127.80 |
$127.80 |
$127.80 |
$261.30
|
|
Evoked potentials upper limbs
|
$491.40 |
$491.40 |
$491.40 |
$908.54
|
|
Exam of vagina w/scope 57420
|
$189.60 |
$189.60 |
$189.60 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$2,443.20
|
|
Exc benign tal 0.5 < cm 11400
|
$490.80 |
$490.80 |
$490.80 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$490.80 |
$490.80 |
$490.80 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$483.60 |
$483.60 |
$483.60 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$501.00 |
$501.00 |
$501.00 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$490.80 |
$490.80 |
$490.80 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$2,271.01
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$258.60 |
$258.60 |
$258.60 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$526.20 |
$526.20 |
$526.20 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$490.80 |
$490.80 |
$490.80 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$940.20 |
$940.20 |
$940.20 |
$2,101.45
|
|
Exchange biliary drg cath
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$971.40 |
$971.40 |
$971.40 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$5,026.20 |
$5,026.20 |
$5,026.20 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$490.80 |
$490.80 |
$490.80 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$490.80 |
$490.80 |
$490.80 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$940.20 |
$940.20 |
$940.20 |
$2,865.00
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$3,104.42
|
|
Exc malig feenl <0.5cm 11640
|
$490.80 |
$490.80 |
$490.80 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$490.80 |
$490.80 |
$490.80 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$955.80 |
$955.80 |
$955.80 |
$2,070.30
|
