|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$34,776.00 |
$34,776.00 |
$34,776.00 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,741.00 |
$2,741.00 |
$5,166.85 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$613.53 |
$1,853.04 |
$2,117.76 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$410.00 |
$410.00 |
$460.35 |
|
|
Epstein barr early antigen antibody
|
$37.50 |
$115.20 |
$596.00 |
|
|
Epstein barr nuclear antigen antibody
|
$37.50 |
$119.50 |
$315.00 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$100.00 |
$132.50 |
$284.00 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$199.28 |
$223.01 |
$488.60 |
|
|
Ercp biliary & pancreas
|
$682.00 |
$1,131.00 |
$4,009.00 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$5,054.40 |
$5,054.40 |
$26,777.78 |
|
|
Ercp ea duct/ampulla dilate
|
$16,199.16 |
$16,199.16 |
$16,199.16 |
|
|
Ercp lesion ablate w/dilate 43278
|
$37,547.36 |
$37,547.36 |
$37,547.36 |
|
|
Ercp remove duct calculi 43264
|
$18,722.78 |
$18,722.78 |
$18,722.78 |
|
|
Ercp remove forgn body duct 43275
|
$15,383.30 |
$15,383.30 |
$15,383.30 |
|
|
Ercp stent exchange w/dilate
|
$27,370.91 |
$27,370.91 |
$27,370.91 |
|
|
Ercp w/specimen collection
|
$17,591.90 |
$17,591.90 |
$17,591.90 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$7,021.80 |
$7,021.80 |
$8,037.00 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$117.14 |
$217.16 |
$748.00 |
|
|
ER Visit (level 1, minor)
|
$251.40 |
$284.00 |
$315.00 |
|
|
ER Visit (level 2)
|
$398.40 |
$513.50 |
$598.50 |
|
|
ER Visit (level 3)
|
$630.00 |
$755.50 |
$961.20 |
|
|
ER Visit (level 4)
|
$975.50 |
$1,385.50 |
$1,511.50 |
|
|
ER Visit (level 5, high severity)
|
$1,291.50 |
$1,952.00 |
$2,124.00 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$911.96 |
$911.96 |
$1,020.61 |
|
|
Escharotomy ea addl incision
|
$598.65 |
$598.65 |
$598.65 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$993.05 |
$993.05 |
$1,111.35 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$45.00 |
$45.00 |
$66.04 |
|
|
Esophageal dilat s&i
|
$369.60 |
$6,650.00 |
$6,650.00 |
|
|
Esophageal recording
|
$1,877.00 |
$2,317.00 |
$2,317.00 |
|
|
Esophageal recording
|
$2,116.50 |
$2,253.50 |
$2,782.00 |
|
|
Esophagoscop ultrasound exam
|
$1,196.00 |
$1,984.50 |
$1,984.50 |
|
|
Esophagoscopy control bleed
|
$1,138.00 |
$1,888.50 |
$1,888.50 |
|
|
Esophagoscopy flex biopsy
|
$472.50 |
$1,156.50 |
$4,180.80 |
|
|
Esophagoscopy/flex/diagnostic 43200
|
$681.00 |
$988.50 |
$988.50 |
|
|
Esophagoscopy flex remove fb
|
$1,154.00 |
$1,915.00 |
$4,180.80 |
|
|
Esophagoscopy w/us needle bx
|
$1,255.00 |
$2,083.00 |
$2,083.00 |
|
|
Esophagoscp rig trnso rem fb
|
$1,374.00 |
$2,279.50 |
$2,279.50 |
|
|
Esophagus endoscopy/ligation
|
$1,154.00 |
$1,915.00 |
$1,915.00 |
|
|
Esophagus motility study
|
$508.50 |
$1,070.50 |
$4,893.23 |
|
|
Esoph balloon distension tst
|
$470.00 |
$470.00 |
$1,880.45 |
|
|
Esoph egd dilation <30 mm
|
$8,021.98 |
$8,021.98 |
$9,403.37 |
|
|
Esoph endoscopy dilation
|
$1,084.50 |
$1,799.50 |
$1,799.50 |
|
|
Esoph imped function test
|
$325.00 |
$617.00 |
$1,317.00 |
|
|
Esoph imped funct test > 1hr
|
$634.50 |
$1,625.50 |
$2,505.00 |
|
|
Esoph scope w/sclerosis inj
|
$426.50 |
$426.50 |
$1,154.00 |
|
|
Esoph scope w/submucous inj
|
$1,154.00 |
$1,915.00 |
$1,915.00 |
|
|
Essure 58565
|
$5,143.50 |
$7,112.00 |
$7,112.00 |
|
|
Establish access to aorta
|
$832.80 |
$832.80 |
$832.80 |
|
|
Establish access to artery
|
$267.50 |
$443.50 |
$1,467.00 |
|
|
Established Patient Office Visit (level 1)
|
$101.00 |
$187.80 |
$1,452.00 |
|
|
Established Patient Office Visit (level 2)
|
$43.00 |
$137.00 |
$260.50 |
|
|
Established Patient Office Visit (level 3)
|
$43.00 |
$188.50 |
$389.00 |
|
|
Established Patient Office Visit (level 4)
|
$43.00 |
$195.00 |
$467.00 |
|
|
Established Patient Office Visit (level 5)
|
$43.00 |
$214.50 |
$518.00 |
|
|
Estradiol total
|
$121.20 |
$183.50 |
$716.50 |
|
|
Estrogens total-sendout
|
$29.50 |
$76.00 |
$879.50 |
|
|
Etanercept injection
|
$3,282.00 |
$3,282.00 |
$3,282.00 |
|
|
Ethanolamine oleate 100 mg
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
|
|
Ethylene glycol -sendout
|
$119.40 |
$176.50 |
$622.00 |
|
|
Etonogestrel implant system
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$130.23 |
$149.06 |
$870.00 |
|
|
Etoposide 50 mg cap
|
$514.13 |
$618.00 |
$641.36 |
|
|
Eval aud rehab status/first hr 92626
|
$146.50 |
$146.50 |
$146.50 |
|
|
Eval/fit voice prosthesis iii, st
|
$213.50 |
$290.00 |
$531.00 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$147.60 |
$269.00 |
$582.50 |
|
|
Evaluation heart device
|
$735.00 |
$2,650.50 |
$9,473.00 |
|
|
Evaluation of speech fluency 92521
|
$199.50 |
$252.50 |
$505.50 |
|
|
Evaluation psychiatric diagnostic
|
$102.50 |
$142.00 |
$1,297.00 |
|
|
Evasc prlng admn rx agnt 1st
|
$1,265.00 |
$1,718.00 |
$48,716.00 |
|
|
Evasc prlng admn rx agnt add
|
$754.50 |
$1,024.50 |
$48,716.00 |
|
|
Evasc rpr a-ao ndgft 34701
|
$2,357.50 |
$2,910.50 |
$3,964.50 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$2,357.50 |
$2,910.50 |
$5,947.00 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$2,357.50 |
$2,910.50 |
$5,723.00 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$2,357.50 |
$2,910.50 |
$3,964.50 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,357.50 |
$2,910.50 |
$5,947.00 |
|
|
Evasc rpr ilio-iliac ndgft
|
$2,357.50 |
$2,910.50 |
$5,281.50 |
|
|
Evasc rpr ilio-iliac rpt
|
$2,357.50 |
$2,910.50 |
$7,922.00 |
|
|
Event monitor
|
$149.00 |
$183.00 |
$230.00 |
|
|
Evoked auditory tst complete
|
$169.50 |
$169.50 |
$169.50 |
|
|
Evoked oa emissions ltd
|
$71.00 |
$169.50 |
$169.50 |
|
|
Evoked potentials upper limbs
|
$681.50 |
$693.00 |
$841.00 |
|
|
Evoked potential visual not glaucoma
|
$215.00 |
$554.50 |
$843.00 |
|
|
Ewhfo w/joint(s) cf
|
$6,985.97 |
$6,985.97 |
$6,985.97 |
|
|
Ewho w/joint(s) cf
|
$4,029.35 |
$4,029.35 |
$4,029.35 |
|
|
Exam of vagina w/scope 57420
|
$365.00 |
$504.50 |
$623.00 |
|
|
Exam plvc w/anes othr thn lcl
|
$2,620.50 |
$3,397.00 |
$3,623.00 |
|
|
Ex arm/elbow tum deep < 5 cm
|
$7,276.78 |
$7,276.78 |
$7,276.78 |
|
|
Ex arm/elbow tum deep 5 cm/>
|
$11,348.14 |
$11,348.14 |
$11,348.14 |
|
|
Exc abd les sc 3 cm/>
|
$2,242.50 |
$2,897.00 |
$13,398.34 |
|
|
Exc abdl tum deep < 5 cm
|
$10,262.34 |
$10,262.34 |
$10,262.34 |
|
|
Exc arm/elbo les sc <3cm 24075
|
$6,554.38 |
$6,554.38 |
$6,554.38 |
|
|
Exc back les sbq <3 cm 21930
|
$2,121.00 |
$3,284.50 |
$3,284.50 |
|
|
Exc back tum deep 5 cm/>
|
$10,277.16 |
$10,277.16 |
$11,612.27 |
|
|
Exc bartholins gland/cyst
|
$2,741.00 |
$3,790.00 |
$13,698.43 |
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,207.50 |
$1,669.50 |
$1,669.50 |
|
|
Exc benign feenlm >4.0cm 11446
|
$2,034.50 |
$2,813.00 |
$2,813.00 |
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,641.00 |
$3,652.00 |
$10,175.04 |
|
|
Exc benign tal 0.5 < cm 11400
|
$614.00 |
$849.50 |
$7,593.81 |
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$614.00 |
$801.60 |
$998.00 |
|
