|
Established Patient Office Visit (level 3)
|
$36.30 |
$36.30 |
$36.30 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$41.70 |
$41.70 |
$41.70 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$46.20 |
$46.20 |
$46.20 |
$287.10
|
|
Estradiol total
|
$49.05 |
$49.05 |
$49.05 |
$149.43
|
|
Estrogens total-sendout
|
$38.10 |
$38.10 |
$38.10 |
$96.63
|
|
Ethylene glycol -sendout
|
$25.05 |
$25.05 |
$25.05 |
$85.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$211.06 |
$211.06 |
$211.06 |
$235.20
|
|
Etoposide 50 mg cap
|
$12.72 |
$12.72 |
$12.72 |
$135.02
|
|
Euglobulin lysis
|
$17.85 |
$17.85 |
$17.85 |
$63.84
|
|
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 |
$211.12
|
|
Evaluation heart device
|
$513.90 |
$513.90 |
$513.90 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$110.10 |
$110.10 |
$110.10 |
$307.75
|
|
Evasc prlng admn rx agnt 1st
|
$1,558.80 |
$1,558.80 |
$1,558.80 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$623.55 |
$623.55 |
$623.55 |
$2,765.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$795.75 |
$795.75 |
$795.75 |
$6,824.35
|
|
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 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$8,133.60
|
|
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 |
$5,608.35
|
|
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 |
$7,150.44
|
|
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 |
$237.60
|
|
Evoked auditory tst complete
|
$25.80 |
$25.80 |
$25.80 |
$344.98
|
|
Evoked oa emissions ltd
|
$23.70 |
$23.70 |
$23.70 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$66.30 |
$66.30 |
$66.30 |
$259.20
|
|
Evoked potentials upper limbs
|
$365.55 |
$365.55 |
$365.55 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$107.70 |
$107.70 |
$107.70 |
$812.40
|
|
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 |
$830.70
|
|
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 |
$2,271.01
|
|
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 |
$2,271.01
|
|
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 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$149.10 |
$149.10 |
$149.10 |
$1,051.40
|
|
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 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$323.25 |
$323.25 |
$323.25 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$390.90 |
$390.90 |
$390.90 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$183.75 |
$183.75 |
$183.75 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$222.30 |
$222.30 |
$222.30 |
$1,244.03
|
|
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 |
$3,797.76
|
|
Exchange blood transfusion newborn 36450
|
$119.40 |
$119.40 |
$119.40 |
$566.55
|
|
Exchange drainage catheter
|
$848.10 |
$848.10 |
$848.10 |
$2,191.20
|
|
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 |
$3,307.66
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$323.25 |
$323.25 |
$323.25 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$293.70 |
$293.70 |
$293.70 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$202.05 |
$202.05 |
$202.05 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$268.95 |
$268.95 |
$268.95 |
$2,641.65
|
|
Excision of penis lesion(s) 54060
|
$780.45 |
$780.45 |
$780.45 |
$2,479.33
|
|
Excision tongue lesion without closure 41110
|
$928.20 |
$928.20 |
$928.20 |
$3,819.23
|
|
Exc malig feenl <0.5cm 11640
|
$240.30 |
$240.30 |
$240.30 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$294.75 |
$294.75 |
$294.75 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$290.70 |
$290.70 |
$290.70 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$324.15 |
$324.15 |
$324.15 |
$3,167.89
|
|
Exc malig snhfg 0.5cm or less 11620
|
$676.05 |
$676.05 |
$676.05 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$198.60 |
$198.60 |
$198.60 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$743.70 |
$743.70 |
$743.70 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$294.75 |
$294.75 |
$294.75 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$135.60 |
$135.60 |
$135.60 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$149.10 |
$149.10 |
$149.10 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$164.10 |
$164.10 |
$164.10 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$180.45 |
$180.45 |
$180.45 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,174.65 |
$1,174.65 |
$1,174.65 |
$3,386.84
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,174.65 |
$1,174.65 |
$1,174.65 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$218.40 |
$218.40 |
$218.40 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$817.95 |
$817.95 |
$817.95 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$899.85 |
$899.85 |
$899.85 |
$3,386.84
|
|
Exc tendon sheath or cap lesion 26160
|
$708.15 |
$708.15 |
$708.15 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$674.70 |
$674.70 |
$674.70 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$613.05 |
$613.05 |
$613.05 |
$1,949.90
|
|
Exc vagina lesion 57135
|
$1,192.05 |
$1,192.05 |
$1,192.05 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$60.15 |
$60.15 |
$60.15 |
$324.00
|
|
Exercise w/hemodynamic meas
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$901.60
|
|
Exome re-evaluation
|
$410.55 |
$410.55 |
$410.55 |
$441.60
|
|
Exome sequence analysis
|
$6,134.25 |
$6,134.25 |
$6,134.25 |
$5,258.00
|
|
Exome sequence analysis
|
$15,399.75 |
$15,399.75 |
$15,399.75 |
$12,000.00
|
|
Explore adrenal gland w or without biopsy 60540
|
$624.15 |
$624.15 |
$624.15 |
$2,228.80
|
|
Explore penetrating wnd/extremity 20103
|
$222.45 |
$222.45 |
$222.45 |
$1,788.80
|
|
Explore/treat finger joint
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,594.44
|
|
Explore/treat finger joint
|
$723.45 |
$723.45 |
$723.45 |
$2,211.05
|
|
Explore wound abdomen 20102
|
$853.20 |
$853.20 |
$853.20 |
$2,699.50
|
|
Explore woundchest 20101
|
$853.20 |
$853.20 |
$853.20 |
$2,195.00
|
|
External chromosome analysis 20-25 cells
|
$218.25 |
$218.25 |
$218.25 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$91.65 |
$91.65 |
$91.65 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$4,388.25 |
$4,388.25 |
$4,388.25 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$221.10 |
$221.10 |
$221.10 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$31.50 |
$31.50 |
$31.50 |
$109.00
|
|
F-18 fdg pet diag
|
$198.45 |
$198.45 |
$198.45 |
$551.72
|
|
F-18 fluciclovine per mci
|
$902.25 |
$902.25 |
$902.25 |
$1,042.30
|
|
F-18 sodium fluoride
|
$94.80 |
$94.80 |
$94.80 |
$492.56
|
|
F9 full gene sequence
|
$471.45 |
$471.45 |
$471.45 |
$1,200.00
|
