|
Electrical Stimulation Therapy (each 15 minutes)
|
$104.00 |
$106.40 |
$121.60 |
|
|
Electrical stimulation/unattended 97014
|
$88.80 |
$100.80 |
$159.20 |
|
|
Electroconvulsive therapy 90870
|
$1,535.20 |
$1,535.20 |
$1,535.20 |
|
|
Electrolyte panel
|
$44.80 |
$81.60 |
$132.00 |
|
|
Electron microscopy diagnostic
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
|
|
Electrophysiologic study
|
$9,225.60 |
$9,225.60 |
$9,225.60 |
|
|
Electrophysiology evaluation
|
$12,380.00 |
$12,380.00 |
$12,380.00 |
|
|
Electrophysiology evaluation
|
$16,280.00 |
$16,280.00 |
$16,280.00 |
|
|
Electrophysiology evaluation
|
$6,338.40 |
$6,338.40 |
$6,338.40 |
|
|
Electrophysiology evaluation
|
$6,338.40 |
$6,338.40 |
$6,338.40 |
|
|
Electrophysiology evaluation
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
|
|
Electrophysiology evaluation
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
|
|
Electrophys map 3d add-on
|
$10,975.20 |
$10,975.20 |
$10,975.20 |
|
|
Elotuzumab 300 mg intravenous solution
|
$5,172.80 |
$5,172.80 |
$5,172.80 |
|
|
Embolization s&i
|
$4,590.40 |
$4,590.40 |
$4,893.60 |
|
|
Embo or occlude vascular arterial s&i
|
$17,756.00 |
$17,756.00 |
$17,756.00 |
|
|
Embo or occlude vascular hemorrhage s&i
|
$17,844.00 |
$17,844.00 |
$19,079.20 |
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$18,452.80 |
$18,452.80 |
$18,452.80 |
|
|
Embo or occlude vascular venous s&i
|
$17,819.20 |
$17,819.20 |
$18,272.80 |
|
|
Emb/throm/fempop/aor/ilia/leg inc 34201
|
$7,031.20 |
$7,031.20 |
$7,031.20 |
|
|
Emb without cervical dilation 58100
|
$356.00 |
$356.00 |
$392.00 |
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$362.40 |
$362.40 |
$362.40 |
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$340.80 |
$340.80 |
$340.80 |
|
|
Emg cranial nerve bilateral
|
$1,508.80 |
$1,508.80 |
$1,508.80 |
|
|
Emg needle test 1-extremity
|
$331.20 |
$331.20 |
$331.20 |
|
|
Emg needle test 4-extremities
|
$340.80 |
$340.80 |
$340.80 |
|
|
Emg thor paraspinal without t1/t2
|
$308.80 |
$308.80 |
$308.80 |
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$6,940.80 |
$6,940.80 |
$7,269.60 |
|
|
Endo cath bile duct s&i
|
$1,115.20 |
$1,115.20 |
$1,345.60 |
|
|
Endo cath panc duct s&i
|
$1,014.40 |
$1,014.40 |
$1,161.60 |
|
|
Endoluminal bx biliary tree
|
$5,072.00 |
$5,072.00 |
$5,072.00 |
|
|
Endoluminal bx urtr rnl plvs
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
|
|
Endoluminl ivus oct c 1st
|
$1,456.80 |
$1,456.80 |
$3,574.40 |
|
|
Endoluminl ivus oct c ea
|
$2,296.00 |
$2,296.00 |
$2,720.00 |
|
|
Endoscopy swallow (fees) vid
|
$357.60 |
$420.00 |
$471.20 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$2,859.20 |
$2,859.20 |
$2,859.20 |
|
|
Endo, single, pulmonary
|
$3,074.40 |
$3,074.40 |
$3,074.40 |
|
|
Endovasc rpr a-biiliac endogft 34705
|
$10,212.80 |
$10,212.80 |
$19,116.80 |
|
|
Endovasc tempory vessel occl
|
$3,536.80 |
$3,536.80 |
$13,346.40 |
|
|
Endovasc visc aorta 2 graft
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
|
|
Endovasc visc aorta 3 graft
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
|
|
Endovasc visc aorta 4 graft
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
|
|
Endovas iliac a device addon
|
$10,212.80 |
$10,212.80 |
$10,212.80 |
|
|
Endovenous mchnchem 1st vein
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
|
|
Endovenous mchnchem add-on
|
$2,448.80 |
$2,448.80 |
$2,448.80 |
|
|
Endovenous rf abl vein addl
|
$5,092.80 |
$5,092.80 |
$5,151.20 |
|
|
Endoven ther chem adhes 1st 36482
|
$7,971.20 |
$7,971.20 |
$8,302.40 |
|
|
Endoven ther chem adhes sbsq 36483
|
$4,199.20 |
$4,199.20 |
$4,507.20 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,836.79 |
$4,836.79 |
$4,836.79 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$68.17 |
$75.29 |
$350.79 |
|
|
Enzyme histochemistry
|
$284.00 |
$284.00 |
$1,336.00 |
|
|
Eo, adj lock joint prefab ot
|
$205.60 |
$205.60 |
$205.60 |
|
|
Ep & ablate supravent arrhyt
|
$36,257.60 |
$36,257.60 |
$36,257.60 |
|
|
Ep & ablate ventric tachy
|
$38,628.80 |
$38,628.80 |
$38,628.80 |
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$3,426.40 |
$3,426.40 |
$3,426.40 |
|
|
Epidrm a-grft f/n/hf/g addl
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
|
|
Epidrm agrft t/a/l 1st 100
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
|
|
Epidrm autogrft t/a/l add-on
|
$1,849.60 |
$1,849.60 |
$1,849.60 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,162.40 |
$1,162.40 |
$1,572.00 |
|
|
Ep induct arrhy by elect pacing
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$67.05 |
$68.51 |
$311.91 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$61.88 |
$70.40 |
$321.60 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$312.29 |
$312.29 |
$436.00 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$61.15 |
$66.56 |
$97.12 |
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$287.79 |
$287.79 |
$287.79 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,236.80 |
$2,236.80 |
$2,280.80 |
|
|
Epoetin alfa, 100 units esrd
|
$480.00 |
$480.00 |
$480.00 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$294.00 |
$588.00 |
$686.14 |
|
|
Epoetin beta esrd use
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
|
|
Epoetin beta non esrd
|
$1,520.00 |
$1,520.00 |
$1,520.00 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$325.95 |
$325.95 |
$325.95 |
|
|
Epstein barr nuclear antigen antibody
|
$72.80 |
$86.40 |
$174.40 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$68.80 |
$136.00 |
$148.80 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$358.00 |
$358.00 |
$358.00 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,452.00 |
$2,688.18 |
$4,517.91 |
|
|
Ercp biliary & pancreas
|
$1,414.40 |
$1,414.40 |
$1,426.40 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,140.00 |
$3,140.00 |
$3,140.00 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$79.30 |
$123.64 |
$392.43 |
|
|
ER Visit (level 1, minor)
|
$251.20 |
$296.00 |
$309.60 |
|
|
ER Visit (level 2)
|
$431.20 |
$494.40 |
$510.40 |
|
|
ER Visit (level 3)
|
$684.80 |
$808.00 |
$864.80 |
|
|
ER Visit (level 4)
|
$984.80 |
$1,204.00 |
$1,384.00 |
|
|
ER Visit (level 5, high severity)
|
$1,428.00 |
$1,805.60 |
$2,037.60 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$103.77 |
$103.77 |
$363.35 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$271.64 |
$305.50 |
$488.72 |
|
|
Esophageal dilat s&i
|
$1,124.80 |
$1,124.80 |
$1,388.00 |
|
|
Esophageal motility
|
$1,008.80 |
$1,055.20 |
$1,246.40 |
|
|
Esophageal recording
|
$2,413.60 |
$2,413.60 |
$2,413.60 |
|
|
Esophageal recording
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
|
|
Esophagoscopy flex remove fb
|
$1,930.40 |
$2,360.00 |
$2,531.20 |
|
|
Esophagus motility study
|
$1,673.60 |
$1,673.60 |
$1,911.20 |
|
|
Esoph balloon distension tst
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
|
|
Esoph imped funct test > 1hr
|
$2,243.20 |
$2,243.20 |
$2,640.00 |
|
|
Establish access to aorta
|
$2,526.40 |
$2,526.40 |
$2,838.40 |
|
|
Established Patient Office Visit (level 1)
|
$92.80 |
$160.00 |
$364.00 |
|
|
Established Patient Office Visit (level 2)
|
$105.60 |
$125.60 |
$335.20 |
|
|
Established Patient Office Visit (level 3)
|
$131.20 |
$199.20 |
$704.00 |
|
|
Established Patient Office Visit (level 4)
|
$158.40 |
$252.00 |
$997.60 |
|
|
Established Patient Office Visit (level 5)
|
$306.40 |
$322.40 |
$1,095.20 |
|
|
Estradiol total
|
$137.60 |
$196.00 |
$258.40 |
|
