|
Establish access to artery
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
|
|
Establish brain cavity shunt
|
$7,608.00 |
$8,881.80 |
$13,183.20 |
|
|
Established Patient Office Visit (level 1)
|
$24.60 |
$129.60 |
$526.40 |
|
|
Established Patient Office Visit (level 2)
|
$61.80 |
$174.00 |
$675.20 |
|
|
Established Patient Office Visit (level 3)
|
$61.80 |
$216.00 |
$868.00 |
|
|
Established Patient Office Visit (level 4)
|
$93.00 |
$250.80 |
$1,034.40 |
|
|
Established Patient Office Visit (level 5)
|
$130.80 |
$316.00 |
$1,136.00 |
|
|
Estim aid bone healg invasiv
|
$311.40 |
$311.40 |
$311.40 |
|
|
Estradiol total
|
$85.20 |
$151.20 |
$519.60 |
|
|
Estradiol valerate 10 mg inj
|
$28.80 |
$51.00 |
$390.60 |
|
|
Estrogens total-sendout
|
$40.55 |
$168.00 |
$711.60 |
|
|
Etanercept injection
|
$1,119.00 |
$1,801.80 |
$1,801.80 |
|
|
Ethanolamine oleate 100 mg
|
$697.20 |
$1,156.80 |
$1,605.00 |
|
|
Ethylene glycol -sendout
|
$28.80 |
$158.40 |
$1,018.00 |
|
|
Etonogestrel implant system
|
$693.60 |
$2,889.60 |
$5,044.00 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.40 |
$252.60 |
$3,355.20 |
|
|
Etoposide 50 mg cap
|
$45.00 |
$45.00 |
$285.60 |
|
|
Euflexxa inj per dose
|
$451.80 |
$752.40 |
$2,044.20 |
|
|
Euglobulin lysis
|
$30.60 |
$66.00 |
$441.00 |
|
|
Eval aud funcj ea addl 15
|
$204.60 |
$204.60 |
$204.60 |
|
|
Eval aud rehab status/first hr 92626
|
$573.00 |
$573.00 |
$876.60 |
|
|
Eval/fit voice prosthesis iii, st
|
$183.00 |
$373.60 |
$1,056.00 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$163.50 |
$496.80 |
$939.60 |
|
|
Evaluation heart device
|
$279.50 |
$279.50 |
$279.50 |
|
|
Evaluation of speech fluency 92521
|
$228.60 |
$404.40 |
$552.80 |
|
|
Evaluation psychiatric diagnostic
|
$105.60 |
$358.20 |
$993.00 |
|
|
Evasc prlng admn rx agnt 1st
|
$3,609.60 |
$4,462.80 |
$17,661.00 |
|
|
Evasc prlng admn rx agnt add
|
$1,269.00 |
$1,774.20 |
$3,835.80 |
|
|
Evasc repair of iliac artery; endograft 34718
|
$2,011.00 |
$17,281.80 |
$17,281.80 |
|
|
Evasc rpr a-ao ndgft 34701
|
$5,013.60 |
$7,465.20 |
$12,276.00 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$5,013.60 |
$5,013.60 |
$5,013.60 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,013.60 |
$8,133.60 |
$12,276.00 |
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,882.00 |
$4,695.60 |
$9,316.20 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,950.60 |
$7,465.20 |
$13,111.80 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$9,282.60 |
$9,282.60 |
$13,111.80 |
|
|
Evasc rpr ilio-iliac ndgft
|
$7,465.20 |
$7,465.20 |
$10,086.60 |
|
|
Evasc st rpr thrc/aa acrs br
|
$2,027.00 |
$2,027.00 |
$2,027.00 |
|
|
Evasc st rpr thrc/aa x crsg
|
$1,516.50 |
$1,516.50 |
$1,516.50 |
|
|
Event monitor
|
$122.00 |
$462.00 |
$1,565.40 |
|
|
Evoked auditory tst complete
|
$201.60 |
$201.60 |
$302.40 |
|
|
Evoked oa emissions ltd
|
$119.40 |
$151.20 |
$446.40 |
|
|
Evoked potentials auditory screening automated analysis
|
$77.60 |
$281.60 |
$1,386.60 |
|
|
Evoked potentials upper limbs
|
$339.00 |
$477.00 |
$1,708.20 |
|
|
Evoked potential visual not glaucoma
|
$457.20 |
$572.40 |
$1,312.80 |
|
|
Evok oa screening qual
|
$33.00 |
$44.50 |
$263.40 |
|
|
Exam of vagina w/scope 57420
|
$81.00 |
$615.60 |
$1,288.80 |
|
|
Exam pelvic add-on
|
$13.50 |
$16.80 |
$16.80 |
|
|
Exam plvc w/anes othr thn lcl
|
$200.40 |
$465.00 |
$936.00 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$979.20 |
$979.20 |
$979.20 |
|
|
Exc abd les sc 3 cm/>
|
$696.00 |
$1,144.80 |
$2,047.00 |
|
|
Exc abdl tum deep < 5 cm
|
$727.20 |
$1,301.67 |
$1,464.00 |
|
|
Exc arm/elbo les sc >=3cm 24071
|
$742.20 |
$3,338.50 |
$4,078.80 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$860.40 |
$1,898.50 |
$6,097.20 |
|
|
Exc back les sbq <3 cm 21930
|
$672.60 |
$1,898.50 |
$5,356.20 |
|
|
Exc back tum deep 5 cm/>
|
$1,420.20 |
$1,420.20 |
$3,338.50 |
|
|
Exc bartholins gland/cyst
|
$551.40 |
$551.40 |
$3,720.50 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$279.60 |
$2,502.60 |
$3,505.20 |
|
|
Exc benign feenlm >4.0cm 11446
|
$555.60 |
$3,515.40 |
$5,502.00 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$317.40 |
$3,572.40 |
$4,530.60 |
|
|
Exc benign tal 0.5 < cm 11400
|
$94.20 |
$1,341.60 |
$3,265.20 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$123.00 |
$2,184.60 |
$4,057.80 |
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$255.60 |
$2,184.60 |
$3,393.60 |
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$308.40 |
$2,184.60 |
$3,393.60 |
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$286.80 |
$1,266.00 |
$2,815.20 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$265.80 |
$1,096.20 |
$3,420.00 |
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$465.00 |
$718.80 |
$5,502.00 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$258.60 |
$969.00 |
$3,636.00 |
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$526.20 |
$1,651.80 |
$3,265.20 |
|
|
Exc breast duct fistula 19112
|
$465.00 |
$465.00 |
$465.00 |
|
|
Exc ext ear/partial/simple repair 69110
|
$576.00 |
$576.00 |
$576.00 |
|
|
Exc face tum deep < 2 cm
|
$740.40 |
$740.40 |
$1,091.67 |
|
|
Exc face tum deep 2cm/> 21014
|
$969.60 |
$1,480.00 |
$7,471.20 |
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$490.80 |
$1,534.40 |
$3,123.60 |
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$396.60 |
$3,448.20 |
$5,985.00 |
|
|
Exc foot/toe tum dep 1.5cm/>
|
$640.33 |
$640.33 |
$838.80 |
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$501.00 |
$501.00 |
$1,898.50 |
|
|
Exc forearm les sc 3 cm/>
|
$735.60 |
$735.60 |
$1,921.00 |
|
|
Exc hand les sc < 1.5 cm
|
$678.00 |
$678.00 |
$1,898.50 |
|
|
Exc hand tum deep < 1.5 cm 26116
|
$977.40 |
$977.40 |
$1,898.50 |
|
|
Exchange biliary drg cath
|
$2,259.00 |
$6,028.00 |
$8,884.20 |
|
|
Exchange drainage catheter
|
$971.40 |
$4,536.00 |
$6,913.20 |
|
|
Exchange nephrostomy cath
|
$120.00 |
$2,685.60 |
$8,884.20 |
|
|
Exc hidradenitis ing simpl 11462
|
$621.60 |
$621.60 |
$1,597.33 |
|
|
Exc hidradenitis peri/umb comp 11471
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
|
|
Exc hidradenitis peri/umb int 11470
|
$2,295.00 |
$2,295.00 |
$2,295.00 |
|
|
Exc hip/pelv tum deep 5 cm/>
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
|
|
Excimer lsr psriasis 250-500
|
$667.80 |
$667.80 |
$667.80 |
|
|
Excimer lsr psriasis<250sqcm
|
$230.50 |
$230.50 |
$652.20 |
|
|
Excimer lsr psriasis>500sqcm
|
$997.80 |
$997.80 |
$997.80 |
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,174.80 |
$1,421.50 |
$6,814.20 |
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$4,028.50 |
$4,028.50 |
$4,028.50 |
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$1,202.40 |
$1,202.40 |
$3,244.00 |
|
|
Excise anal ext tag/papilla
|
$1,375.50 |
$2,813.40 |
$4,177.20 |
|
|
Excise inferior turbinate
|
$650.40 |
$650.40 |
$650.40 |
|
|
Excise intrspinl lesion lmbr
|
$2,604.60 |
$2,604.60 |
$2,604.60 |
|
|
Excise lip or cheek fold
|
$390.60 |
$390.60 |
$1,783.50 |
|
|
Excise oral mucosa for graft 40818
|
$511.20 |
$511.20 |
$511.20 |
|
|
Excise parotid gland/lesion
|
$1,119.60 |
$1,119.60 |
$8,915.00 |
|
|
Excise parotid gland/lesion
|
$2,053.20 |
$2,053.20 |
$27,134.50 |
|
