|
Eeg over 1 hour 95813 - 26
|
$240.30 |
$240.30 |
$264.33 |
$1,100.40
|
|
Eeg phy/qhp>36<60 hr without vid
|
$90.00 |
$90.00 |
$90.00 |
$1,932.00
|
|
Eeg phy/qhp>36<60 hr w/veeg
|
$109.50 |
$109.50 |
$109.50 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr without vid
|
$111.30 |
$111.30 |
$111.30 |
$1,932.00
|
|
Eeg phy/qhp>60<84 hr w/veeg
|
$139.50 |
$139.50 |
$139.50 |
$1,932.00
|
|
Eeg phy/qhp>84 hr without vid
|
$126.60 |
$126.60 |
$126.60 |
$1,932.00
|
|
Eeg phy/qhp>84 hr w/veeg
|
$176.40 |
$176.40 |
$176.40 |
$2,072.80
|
|
Eeg phy/qhp ea incr w/veeg
|
$89.70 |
$89.70 |
$89.70 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr without vid
|
$44.40 |
$44.40 |
$44.40 |
$553.80
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$57.90 |
$57.90 |
$57.90 |
$586.80
|
|
Eeg phys/qhp ea incr without vid
|
$68.70 |
$68.70 |
$68.70 |
$858.00
|
|
Eeg/record in coma or sleep only 95822
|
$222.09 |
$222.09 |
$222.09 |
$865.00
|
|
Eeg recording awake and asleep
|
$203.70 |
$203.70 |
$224.07 |
$929.00
|
|
Eeg without vid 2-12 hr unmntr
|
$262.50 |
$262.50 |
$288.75 |
$681.02
|
|
Eeg wo vid ea 12-26hr unmntr
|
$262.50 |
$262.50 |
$288.75 |
$1,591.10
|
|
E equine encephalitis igg
|
$8.58 |
$8.58 |
$16.38 |
$50.88
|
|
Elec analys infus pump w/reprog 62368
|
$560.10 |
$560.10 |
$616.11 |
$606.10
|
|
Elect analysis of infusion pump 62367
|
$560.10 |
$560.10 |
$616.11 |
$551.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$560.10 |
$560.10 |
$616.11 |
$618.80
|
|
Electrd sq emblem s-icd
|
$8,085.00 |
$8,085.00 |
$8,893.50 |
$10,617.22
|
|
Electroconvulsive therapy 90870
|
$394.80 |
$394.80 |
$394.80 |
$1,296.90
|
|
Electrode stimulation brain
|
$457.80 |
$457.80 |
$457.80 |
$1,180.80
|
|
Electrolyte panel
|
$21.45 |
$21.45 |
$40.95 |
$78.65
|
|
Electron microscopy diagnostic
|
$371.58 |
$371.58 |
$709.38 |
$1,006.20
|
|
Electrophysiology evaluation
|
$1,719.30 |
$1,719.30 |
$1,891.23 |
$8,979.45
|
|
Electrophysiology evaluation
|
$1,879.20 |
$1,879.20 |
$2,067.12 |
$10,593.00
|
|
Electrophysiology evaluation
|
$1,247.70 |
$1,247.70 |
$1,372.47 |
$6,760.00
|
|
Electrophysiology evaluation
|
$1,247.70 |
$1,247.70 |
$1,372.47 |
$5,854.80
|
|
Electrophysiology evaluation
|
$439.80 |
$439.80 |
$483.78 |
$2,902.81
|
|
Electrophys map 3d add-on
|
$1,719.30 |
$1,719.30 |
$1,891.23 |
$5,881.00
|
|
Elisa hiv-1/hiv-2 screen
|
$112.14 |
$112.14 |
$112.14 |
$45.34
|
|
Elotuzumab 300 mg intravenous solution
|
$3,164.18 |
$3,164.18 |
$3,480.60 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$14,606.11 |
$14,606.11 |
$16,066.72 |
$16,965.94
|
|
Emboli detcj wo IV mbubb njx
|
$94.71 |
$94.71 |
$94.71 |
$484.25
|
|
Embolization s&i
|
$428.70 |
$428.70 |
$471.57 |
$3,215.00
|
|
Embo or occlude vascular arterial s&i
|
$3,371.70 |
$3,371.70 |
$3,708.87 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$3,371.70 |
$3,371.70 |
$3,708.87 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$3,371.70 |
$3,371.70 |
$3,708.87 |
$14,633.25
|
|
Embo or occlude vascular venous s&i
|
$3,371.70 |
$3,371.70 |
$3,708.87 |
$14,743.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$126.30 |
$126.30 |
$138.93 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$191.70 |
$191.70 |
$210.87 |
$487.20
|
|
Emg cranial nerve bilateral
|
$140.10 |
$140.10 |
$154.11 |
$518.00
|
|
Emg needle test 1-extremity
|
$94.80 |
$94.80 |
$104.28 |
$342.24
|
|
Emg needle test 4-extremities
|
$223.50 |
$223.50 |
$245.85 |
$590.00
|
|
Emg thor paraspinal without t1/t2
|
$140.10 |
$140.10 |
$154.11 |
$308.80
|
|
Encephalitis, california igg/igm
|
$11.88 |
$11.88 |
$22.68 |
$54.14
|
|
Encephalitis, st louis igg/igm
|
$11.88 |
$11.88 |
$22.68 |
$50.88
|
|
Encephalitis, western equine igg/igm
|
$8.58 |
$8.58 |
$16.38 |
$53.90
|
|
Endo cath bile duct s&i
|
$167.40 |
$167.40 |
$184.14 |
$694.06
|
|
Endo cath panc duct s&i
|
$92.10 |
$92.10 |
$101.31 |
$672.43
|
|
Endoluminal bx biliary tree
|
$534.00 |
$534.00 |
$587.40 |
$2,354.40
|
|
Endoluminal bx urtr rnl plvs
|
$994.80 |
$994.80 |
$1,094.28 |
$2,290.60
|
|
Endoluminl ivus oct c 1st
|
$348.60 |
$348.60 |
$383.46 |
$3,290.30
|
|
Endoluminl ivus oct c ea
|
$174.00 |
$174.00 |
$191.40 |
$2,096.38
|
|
Endoscopy swallow (fees) vid
|
$87.30 |
$87.30 |
$96.03 |
$402.35
|
|
Endovasc prosth delayed 33886
|
$906.00 |
$906.00 |
$906.00 |
$2,336.80
|
|
Endovasc rpr a-biiliac endogft 34705
|
$1,247.70 |
$1,247.70 |
$1,247.70 |
$9,044.19
|
|
Endovasc tempory vessel occl
|
$3,660.90 |
$3,660.90 |
$4,026.99 |
$11,261.25
|
|
Endovas iliac a device addon
|
$534.30 |
$534.30 |
$534.30 |
$880.00
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,307.88 |
$4,307.88 |
$4,738.67 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$55.76 |
$55.76 |
$61.33 |
$116.08
|
|
Enzyme histochemistry
|
$112.20 |
$112.20 |
$214.20 |
$455.91
|
|
Ep & ablate supravent arrhyt
|
$4,734.30 |
$4,734.30 |
$5,207.73 |
$26,232.69
|
|
Ep & ablate ventric tachy
|
$4,734.30 |
$4,734.30 |
$5,207.73 |
$27,778.40
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$16,849.46 |
$16,849.46 |
$18,534.40 |
$30,598.85
|
|
Ep induct arrhy by elect pacing
|
$1,224.90 |
$1,224.90 |
$1,347.39 |
$2,702.70
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$478.02 |
$478.02 |
$525.83 |
$253.77
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$451.08 |
$451.08 |
$496.19 |
$856.06
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,092.95 |
$1,092.95 |
$1,202.24 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$109.60 |
$109.60 |
$120.56 |
$129.30
|
|
Epstein barr nuclear antigen antibody
|
$14.19 |
$14.19 |
$27.09 |
$76.70
|
|
Epstein barr viral capsid antigen antibody igm
|
$14.19 |
$14.19 |
$27.09 |
$85.15
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$221.05 |
$221.05 |
$243.16 |
$425.12
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,048.98 |
$2,048.98 |
$2,253.88 |
$3,788.80
|
|
Ercp biliary & pancreas
|
$167.40 |
$167.40 |
$184.14 |
$951.20
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,441.58 |
$1,441.58 |
$1,585.74 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$241.85 |
$241.85 |
$266.03 |
$227.20
|
|
ER Visit (level 1, minor)
|
$97.50 |
$97.50 |
$107.25 |
$252.35
|
|
ER Visit (level 2)
|
$175.80 |
$175.80 |
$193.38 |
$463.00
|
|
ER Visit (level 3)
|
$225.00 |
$225.00 |
$247.50 |
$793.20
|
|
ER Visit (level 4)
|
$300.00 |
$300.00 |
$330.00 |
$1,277.65
|
|
ER Visit (level 5, high severity)
|
$343.20 |
$343.20 |
$377.52 |
$1,844.80
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$201.96 |
$201.96 |
$222.16 |
$223.99
|
|
Esophageal motility
|
$385.77 |
$385.77 |
$385.77 |
$655.45
|
|
Esophageal recording
|
$300.00 |
$300.00 |
$300.00 |
$2,112.54
|
|
Establish access to artery
|
$66.33 |
$66.33 |
$66.33 |
$1,145.65
|
|
Established Patient Office Visit (level 1)
|
$60.06 |
$60.06 |
$78.75 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$45.87 |
$45.87 |
$126.00 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$54.45 |
$54.45 |
$141.75 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$68.31 |
$68.31 |
$157.50 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$91.08 |
$91.08 |
$173.25 |
$287.10
|
|
Estradiol total
|
$87.78 |
$87.78 |
$167.58 |
$149.43
|
|
Estradiol valerate 10 mg inj
|
$325.94 |
$325.94 |
$358.54 |
$57.35
|
|
Ethanolamine oleate 100 mg
|
$515.19 |
$515.19 |
$566.71 |
$875.55
|
|
Etoposide 20 mg/ml intravenous solution
|
$144.10 |
$144.10 |
$158.51 |
$235.20
|
|
Euflexxa inj per dose
|
$129.83 |
$129.83 |
$142.81 |
$510.68
|
|
Eval/fit voice prosthesis iii, st
|
$85.20 |
$85.20 |
$93.72 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$44.10 |
$44.10 |
$44.10 |
$211.12
|
|
Evaluation of speech fluency 92521
|
$54.60 |
$54.60 |
$60.06 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$90.75 |
$90.75 |
$157.50 |
$315.00
|
