|
Esoph balloon distension tst
|
$1,175.65 |
$1,175.65 |
$1,175.65 |
$1,040.00
|
|
Esophgl motil w/stim/perfus
|
$1,075.06 |
$1,075.06 |
$1,075.06 |
$1,392.95
|
|
Esoph imped function test
|
$1,036.73 |
$1,036.73 |
$1,036.73 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$1,393.73 |
$1,393.73 |
$1,393.73 |
$1,121.40
|
|
Esrd svc pr day pt 12-19
|
$448.10 |
$448.10 |
$448.10 |
$34.40
|
|
Esrd svc pr day pt <2
|
$448.10 |
$448.10 |
$448.10 |
$40.80
|
|
Esrd svc pr day pt 20+
|
$409.33 |
$409.33 |
$409.33 |
$53.76
|
|
Esrd svc pr day pt 2-11
|
$448.10 |
$448.10 |
$448.10 |
$36.00
|
|
Essure 58565
|
$6,031.46 |
$6,031.46 |
$6,031.46 |
$5,841.60
|
|
Establish access to aorta
|
$145.60 |
$145.60 |
$1,280.06 |
$1,273.00
|
|
Establish access to artery
|
$949.27 |
$949.27 |
$949.27 |
$1,145.65
|
|
Establish brain cavity shunt
|
$2,674.30 |
$2,674.30 |
$2,674.30 |
$2,870.05
|
|
Established Patient Office Visit (level 1)
|
$134.02 |
$134.02 |
$179.38 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$190.05 |
$190.05 |
$190.05 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$214.20 |
$214.20 |
$214.20 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$148.58 |
$148.58 |
$148.58 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$113.58 |
$113.58 |
$113.58 |
$290.68
|
|
Estim aid bone healg invasiv
|
$3,885.99 |
$3,885.99 |
$3,885.99 |
$2,620.80
|
|
Estradiol total
|
$87.85 |
$87.85 |
$366.74 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$15.43 |
$15.43 |
$15.43 |
$57.35
|
|
Estrogens total-sendout
|
$100.45 |
$100.45 |
$112.76 |
$97.50
|
|
Ethanolamine oleate 100 mg
|
$71.17 |
$71.17 |
$71.17 |
$824.88
|
|
Ethmoidectomy extranasal total 31205
|
$3,615.13 |
$3,615.13 |
$3,615.13 |
$4,593.60
|
|
Ethylene glycol -sendout
|
$46.55 |
$46.55 |
$170.07 |
$86.04
|
|
Etonogestrel implant system
|
$2,081.30 |
$2,081.30 |
$2,081.30 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$0.42 |
$0.42 |
$235.20 |
$235.20
|
|
Etoposide 50 mg cap
|
$12.55 |
$12.55 |
$12.55 |
$135.02
|
|
Euglobulin lysis
|
$113.14 |
$113.14 |
$113.14 |
$63.84
|
|
Evacuate mole of uterus
|
$3,427.35 |
$3,427.35 |
$3,427.35 |
$3,762.53
|
|
Eval aud funcj ea addl 15
|
$95.40 |
$95.40 |
$95.40 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$366.14 |
$366.14 |
$366.14 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$456.85 |
$456.85 |
$456.85 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$73.50 |
$73.50 |
$365.14 |
$213.15
|
|
Evaluation heart device
|
$1,024.28 |
$1,024.28 |
$3,221.39 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$439.79 |
$439.79 |
$439.79 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$52.68 |
$52.68 |
$353.60 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$4,112.11 |
$4,112.11 |
$4,112.11 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$4,273.67 |
$4,273.67 |
$4,273.67 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$4,263.18 |
$4,263.18 |
$4,263.18 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$5,053.13 |
$5,053.13 |
$5,053.13 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$5,117.70 |
$5,117.70 |
$5,117.70 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,273.67 |
$4,273.67 |
$4,273.67 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$4,263.18 |
$4,263.18 |
$4,263.18 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$5,053.13 |
$5,053.13 |
$5,053.13 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$2,906.23 |
$2,906.23 |
$7,150.44 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$3,399.73 |
$3,399.73 |
$3,399.73 |
$7,922.00
|
|
Event monitor
|
$2.28 |
$2.28 |
$366.60 |
$231.00
|
|
Evoked auditory tst complete
|
$7.70 |
$7.70 |
$412.43 |
$357.41
|
|
Evoked oa emissions ltd
|
$4.90 |
$4.90 |
$385.39 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$54.95 |
$54.95 |
$395.69 |
$261.30
|
|
Evoked potentials upper limbs
|
$1,079.35 |
$1,079.35 |
$1,079.35 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$997.29 |
$997.29 |
$997.29 |
$814.61
|
|
Evok oa screening qual
|
$118.61 |
$118.61 |
$118.61 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$841.88 |
$841.88 |
$841.88 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$9.80 |
$9.80 |
$2,498.48 |
$3,816.40
|
|
Ex arm/elbow tum deep < 5 cm
|
$4,252.81 |
$4,252.81 |
$4,252.81 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$4,376.27 |
$4,376.27 |
$4,376.27 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$5,311.41 |
$5,311.41 |
$5,311.41 |
$3,994.09
|
|
Exc abdl tum deep < 5 cm
|
$4,404.32 |
$4,404.32 |
$4,404.32 |
$3,786.00
|
|
Exc abdl tum deep 5 cm/>
|
$4,852.58 |
$4,852.58 |
$4,852.58 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$5,516.71 |
$5,516.71 |
$5,516.71 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$116.73 |
$116.73 |
$4,320.08 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$7,480.20 |
$7,480.20 |
$7,480.20 |
$7,000.36
|
|
Exc aurl glomus tum trnsmstd
|
$6,969.40 |
$6,969.40 |
$6,969.40 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$117.95 |
$117.95 |
$3,684.77 |
$2,711.00
|
|
Exc back tum deep 5 cm/>
|
$3,805.88 |
$3,805.88 |
$3,805.88 |
$3,994.09
|
|
Exc bartholins gland/cyst
|
$2,605.38 |
$2,605.38 |
$2,605.38 |
$3,902.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$325.85 |
$325.85 |
$2,699.71 |
$2,443.20
|
|
Exc benign feenlm >4.0cm 11446
|
$87.15 |
$87.15 |
$3,813.55 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$57.93 |
$57.93 |
$3,635.98 |
$2,306.25
|
|
Exc benign tal 0.5 < cm 11400
|
$205.63 |
$205.63 |
$805.70 |
$832.60
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$184.45 |
$184.45 |
$1,176.11 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$325.85 |
$325.85 |
$1,864.29 |
$1,152.96
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$325.85 |
$325.85 |
$2,610.29 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$353.68 |
$353.68 |
$1,705.39 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,009.75 |
$1,009.75 |
$2,838.60 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$83.30 |
$83.30 |
$4,799.48 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$47.43 |
$47.43 |
$1,105.66 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$66.50 |
$66.50 |
$1,343.00 |
$1,314.67
|
|
Exc breast duct fistula 19112
|
$3,847.45 |
$3,847.45 |
$3,847.45 |
$4,238.48
|
|
Exc cervix/repair vagina 57555
|
$3,317.67 |
$3,317.67 |
$3,317.67 |
$5,468.70
|
|
Exc chest wall tumor w/ribs 21601
|
$2,441.11 |
$2,441.11 |
$2,441.11 |
$3,386.84
|
|
Exc coccygl pr ulc flap clsr
|
$3,113.11 |
$3,113.11 |
$3,113.11 |
$4,332.25
|
|
Exc coccygl pr ulc prim sutr
|
$800.95 |
$800.95 |
$800.95 |
$2,682.40
|
|
Exc constrict ring finger w/mlt z-plasties 26596
|
$2,207.29 |
$2,207.29 |
$2,207.29 |
$3,839.54
|
|
Exc/crtg b1 cst/b9 tum rds
|
$3,142.72 |
$3,142.72 |
$3,142.72 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum agrf
|
$5,487.32 |
$5,487.32 |
$5,487.32 |
$7,907.11
|
|
Exc/crtg b1 cst/tum hum algr
|
$5,487.32 |
$5,487.32 |
$5,487.32 |
$7,807.24
|
|
Exc/crtg b1 cst/tum rds algr
|
$5,487.32 |
$5,487.32 |
$5,487.32 |
$7,907.11
|
|
Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106
|
$4,430.94 |
$4,430.94 |
$4,430.94 |
$6,653.00
|
|
Exc/curtg b1 cst/b9 tum hum
|
$3,968.54 |
$3,968.54 |
$3,968.54 |
$3,839.54
|
|
Exc excessive skin buttock
|
$2,680.44 |
$2,680.44 |
$2,680.44 |
$3,386.84
|
|
Exc excessive skin hip
|
$2,448.48 |
$2,448.48 |
$2,448.48 |
$4,350.00
|
|
Exc excessive skin leg
|
$4,460.78 |
$4,460.78 |
$4,460.78 |
$4,321.60
|
|
Exc excessive skin thigh
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$4,540.80
|
|
Exc excsv skin forearm/hand
|
$2,441.11 |
$2,441.11 |
$2,441.11 |
$3,386.84
|
|
Exc excsv submental fat pad
|
$2,610.83 |
$2,610.83 |
$2,610.83 |
$3,386.84
|
|
Exc ext ear/partial/simple repair 69110
|
$1,965.11 |
$1,965.11 |
$1,965.11 |
$3,339.00
|
|
Exc face tum deep < 2 cm
|
$2,316.75 |
$2,316.75 |
$2,316.75 |
$2,206.43
|
