|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$1,290.30 |
$1,290.30 |
$1,290.30 |
$5,372.80
|
|
Endo cath bile duct s&i
|
$86.10 |
$86.10 |
$86.10 |
$694.06
|
|
Endo cath panc duct s&i
|
$83.10 |
$83.10 |
$83.10 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$61.65 |
$61.65 |
$61.65 |
$470.25
|
|
Endocervical curettage 57505
|
$138.30 |
$138.30 |
$138.30 |
$1,035.00
|
|
Endoluminal bx biliary tree
|
$841.05 |
$841.05 |
$841.05 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,434.15 |
$1,434.15 |
$1,434.15 |
$2,203.49
|
|
Endoscopy swallow (fees) vid
|
$167.10 |
$167.10 |
$167.10 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$758.70 |
$758.70 |
$758.70 |
$2,756.52
|
|
Endovasc rpr a-biiliac endogft 34705
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$9,055.68
|
|
Endovenous laser vein addon 36479
|
$655.20 |
$655.20 |
$655.20 |
$2,603.36
|
|
Endovenous rf abl vein addl
|
$947.25 |
$947.25 |
$947.25 |
$3,226.73
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$93.74 |
$93.74 |
$93.74 |
$109.71
|
|
Enterectomy small intestine single 44120
|
$598.05 |
$598.05 |
$598.05 |
$2,170.64
|
|
Enzyme histochemistry
|
$207.75 |
$207.75 |
$207.75 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$72.30 |
$72.30 |
$72.30 |
$456.96
|
|
Ep & ablate supravent arrhyt
|
$4,032.60 |
$4,032.60 |
$4,032.60 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$4,032.60 |
$4,032.60 |
$4,032.60 |
$28,199.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$708.15 |
$708.15 |
$708.15 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$182.25 |
$182.25 |
$182.25 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$708.15 |
$708.15 |
$708.15 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$182.25 |
$182.25 |
$182.25 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$306.00 |
$306.00 |
$306.00 |
$1,141.80
|
|
Epilepsy gen seq alys panel
|
$3,142.35 |
$3,142.35 |
$3,142.35 |
$3,142.35
|
|
Ep induct arrhy by elect pacing
|
$513.90 |
$513.90 |
$513.90 |
$2,635.75
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$42.80 |
$42.80 |
$42.80 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$42.80 |
$42.80 |
$42.80 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$195.83 |
$195.83 |
$195.83 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$770.88 |
$770.88 |
$770.88 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$22.95 |
$22.95 |
$22.95 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$13.80 |
$13.80 |
$13.80 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$30.60 |
$30.60 |
$30.60 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$366.82 |
$366.82 |
$366.82 |
$393.98
|
|
Ercp biliary & pancreas
|
$86.10 |
$86.10 |
$86.10 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$177.54 |
$177.54 |
$177.54 |
$222.98
|
|
ER Visit (level 1, minor)
|
$68.40 |
$68.40 |
$68.40 |
$246.24
|
|
ER Visit (level 2)
|
$94.35 |
$94.35 |
$94.35 |
$452.20
|
|
ER Visit (level 3)
|
$204.75 |
$204.75 |
$204.75 |
$770.04
|
|
ER Visit (level 4)
|
$300.30 |
$300.30 |
$300.30 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$456.15 |
$456.15 |
$456.15 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$146.69 |
$146.69 |
$146.69 |
$223.99
|
|
Esophageal dilat s&i
|
$85.80 |
$85.80 |
$85.80 |
$581.10
|
|
Esophagus motility study
|
$227.25 |
$227.25 |
$227.25 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$581.40 |
$581.40 |
$581.40 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$18.90 |
$18.90 |
$18.90 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$22.35 |
$22.35 |
$22.35 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$36.30 |
$36.30 |
$36.30 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$41.70 |
$41.70 |
$41.70 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$46.20 |
$46.20 |
$46.20 |
$280.33
|
|
Estradiol total
|
$49.05 |
$49.05 |
$49.05 |
$146.50
|
|
Estrogens total-sendout
|
$38.10 |
$38.10 |
$38.10 |
$96.20
|
|
Ethylene glycol -sendout
|
$25.05 |
$25.05 |
$25.05 |
$89.40
|
|
Etonogestrel implant system
|
$852.14 |
$852.14 |
$852.14 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$23.75 |
$23.75 |
$23.75 |
$235.20
|
|
Euglobulin lysis
|
$17.85 |
$17.85 |
$17.85 |
$56.70
|
|
Eval/fit voice prosthesis iii, st
|
$124.05 |
$124.05 |
$124.05 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$112.80 |
$112.80 |
$112.80 |
$219.60
|
|
Evaluation heart device
|
$513.90 |
$513.90 |
$513.90 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$110.10 |
$110.10 |
$110.10 |
$311.50
|
|
Evasc repair of iliac artery; endograft 34718
|
$795.75 |
$795.75 |
$795.75 |
$6,925.05
|
|
Evasc rpr a-ao ndgft 34701
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$795.75 |
$795.75 |
$795.75 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$8,996.13
|
|
Event monitor
|
$247.50 |
$247.50 |
$247.50 |
$242.65
|
|
Evoked auditory tst complete
|
$25.80 |
$25.80 |
$25.80 |
$344.68
|
|
Evoked oa emissions ltd
|
$23.70 |
$23.70 |
$23.70 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$66.30 |
$66.30 |
$66.30 |
$249.71
|
|
Evoked potentials upper limbs
|
$365.55 |
$365.55 |
$365.55 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$107.70 |
$107.70 |
$107.70 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$676.50 |
$676.50 |
$676.50 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$163.20 |
$163.20 |
$163.20 |
$907.92
|
|
Exam of vagina w/scope 57420
|
$61.65 |
$61.65 |
$61.65 |
$486.03
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$180.45 |
$180.45 |
$180.45 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$1,174.65 |
$1,174.65 |
$1,174.65 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$355.35 |
$355.35 |
$355.35 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$176.40 |
$176.40 |
$176.40 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$135.60 |
$135.60 |
$135.60 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$149.10 |
$149.10 |
$149.10 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$355.35 |
$355.35 |
$355.35 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$38.55 |
$38.55 |
$38.55 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$323.25 |
$323.25 |
$323.25 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$390.90 |
$390.90 |
$390.90 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$183.75 |
$183.75 |
$183.75 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$222.30 |
$222.30 |
$222.30 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$264.30 |
$264.30 |
$264.30 |
$973.71
|
|
Exc hand les sc < 1.5 cm
|
$676.05 |
$676.05 |
$676.05 |
$1,897.50
|
|
Exchange biliary drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$119.40 |
$119.40 |
$119.40 |
$554.45
|
|
Exchange drainage catheter
|
$848.10 |
$848.10 |
$848.10 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$516.00 |
$516.00 |
$516.00 |
$2,958.80
|
|
Exc hidradenitis peri/umb int 11470
|
$516.90 |
$516.90 |
$516.90 |
$3,386.84
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$714.75 |
$714.75 |
$714.75 |
$2,623.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$323.25 |
$323.25 |
$323.25 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$293.70 |
$293.70 |
$293.70 |
$1,973.12
|
