|
Embolization s&i
|
$1,130.85 |
$1,130.85 |
$1,130.85 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$11,865.60 |
$11,865.60 |
$11,865.60 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$11,497.65 |
$11,497.65 |
$11,497.65 |
$14,586.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$508.20 |
$508.20 |
$508.20 |
$375.20
|
|
Emg needle test 1-extremity
|
$294.90 |
$294.90 |
$294.90 |
$334.34
|
|
Emg needle test 4-extremities
|
$914.10 |
$914.10 |
$914.10 |
$547.00
|
|
Encephalitis, california igg/igm
|
$109.35 |
$109.35 |
$109.35 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$63.45 |
$63.45 |
$63.45 |
$53.10
|
|
Endo cath bile duct s&i
|
$1,035.30 |
$1,035.30 |
$1,035.30 |
$694.06
|
|
Endo cholangiopancreatograph
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,217.20
|
|
Endo cholangiopancreatograph
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,214.73
|
|
Endoluminal bx biliary tree
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$6,254.70 |
$6,254.70 |
$6,254.70 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,537.05 |
$1,537.05 |
$1,537.05 |
$2,203.49
|
|
Endoscopic pancreatoscopy
|
$2,635.20 |
$2,635.20 |
$2,635.20 |
$2,635.20
|
|
Endoscopic Ultrasound exam esoph
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,557.50
|
|
Endoscopy bowel pouch/biop
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,184.00
|
|
Endoscopy of bowel pouch 44385
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,899.00
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,779.15 |
$1,779.15 |
$1,779.15 |
$2,756.52
|
|
Endovasc tempory vessel occl
|
$11,497.65 |
$11,497.65 |
$11,497.65 |
$11,261.25
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$5,452.92 |
$5,452.92 |
$5,452.92 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$93.92 |
$93.92 |
$93.92 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$54.15 |
$54.15 |
$54.15 |
$56.89
|
|
Ep & ablate supravent arrhyt
|
$14,791.50 |
$14,791.50 |
$14,791.50 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$14,791.50 |
$14,791.50 |
$14,791.50 |
$28,199.40
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$30,598.85 |
$30,598.85 |
$30,598.85 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$741.45 |
$741.45 |
$741.45 |
$1,141.80
|
|
Epidural lysis mult sessions
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$2,440.50
|
|
Epidural lysis on single day 62264
|
$1,393.80 |
$1,393.80 |
$1,393.80 |
$2,202.48
|
|
Ep induct arrhy by elect pacing
|
$1,996.50 |
$1,996.50 |
$1,996.50 |
$2,635.75
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$491.04 |
$491.04 |
$491.04 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$873.58 |
$873.58 |
$873.58 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,116.62 |
$2,116.62 |
$2,116.62 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$121.99 |
$121.99 |
$121.99 |
$129.30
|
|
Epstein barr early antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$110.55 |
$110.55 |
$110.55 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,077.29 |
$1,077.29 |
$1,077.29 |
$393.98
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$5,054.40
|
|
Ercp ea duct/ampulla dilate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,157.89
|
|
Ercp lesion ablate w/dilate 43278
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,502.13
|
|
Ercp lithotripsy calculi
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,379.25
|
|
Ercp remove duct calculi 43264
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$3,986.00
|
|
Ercp remove forgn body duct 43275
|
$2,144.25 |
$2,144.25 |
$2,144.25 |
$2,859.02
|
|
Ercp stent exchange w/dilate
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$5,467.20
|
|
Ercp w/specimen collection
|
$4,494.90 |
$4,494.90 |
$4,494.90 |
$4,494.90
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$277.91 |
$277.91 |
$277.91 |
$222.98
|
|
ER Visit (level 1, minor)
|
$184.50 |
$184.50 |
$184.50 |
$246.24
|
|
ER Visit (level 2)
|
$298.65 |
$298.65 |
$298.65 |
$452.20
|
|
ER Visit (level 3)
|
$579.15 |
$579.15 |
$579.15 |
$770.04
|
|
ER Visit (level 4)
|
$845.10 |
$845.10 |
$845.10 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,820.02
|
|
Erwinaze injection
|
$9.00 |
$9.00 |
$9.00 |
$6,423.46
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$182.60 |
$182.60 |
$182.60 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$279.72 |
$279.72 |
$279.72 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$997.76 |
$997.76 |
$997.76 |
$553.88
|
|
Esophageal recording
|
$1,919.70 |
$1,919.70 |
$1,919.70 |
$2,187.60
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,824.75 |
$1,824.75 |
$1,824.75 |
$1,296.00
|
|
Esophagoscopy lesion ablate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,502.13
|
|
Esoph egd dilation <30 mm
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$220.65 |
$220.65 |
$220.65 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$286.50 |
$286.50 |
$286.50 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$352.50 |
$352.50 |
$352.50 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$418.65 |
$418.65 |
$418.65 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$484.35 |
$484.35 |
$484.35 |
$280.33
|
|
Estradiol total
|
$30.90 |
$30.90 |
$30.90 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$57.35 |
$57.35 |
$57.35 |
$57.35
|
|
Etanercept injection
|
$3,172.86 |
$3,172.86 |
$3,172.86 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$713.40 |
$713.40 |
$713.40 |
$751.36
|
|
Ethylene glycol -sendout
|
$138.00 |
$138.00 |
$138.00 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$367.96 |
$367.96 |
$367.96 |
$235.20
|
|
Etoposide 50 mg cap
|
$90.40 |
$90.40 |
$90.40 |
$135.02
|
|
Euflexxa inj per dose
|
$778.96 |
$778.96 |
$778.96 |
$587.51
|
|
Euglobulin lysis
|
$93.15 |
$93.15 |
$93.15 |
$56.70
|
|
Eval/fit voice prosthesis iii, st
|
$345.75 |
$345.75 |
$345.75 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$492.45 |
$492.45 |
$492.45 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$356.85 |
$356.85 |
$356.85 |
$311.50
|
|
Evoked potentials upper limbs
|
$812.40 |
$812.40 |
$812.40 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$812.40 |
$812.40 |
$812.40 |
$814.61
|
|
Exchange biliary drg cath
|
$2,790.30 |
$2,790.30 |
$2,790.30 |
$3,909.56
|
|
Exchange drainage catheter
|
$2,017.80 |
$2,017.80 |
$2,017.80 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$3,009.45 |
$3,009.45 |
$3,009.45 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$795.45 |
$795.45 |
$795.45 |
$832.60
|
|
Exc thrombosed hemorrhoid 46320
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$2,099.00
|
|
Exercise tst brncspsm w/ecg
|
$324.00 |
$324.00 |
$324.00 |
$318.50
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$60.27 |
$60.27 |
$60.27 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,520.00 |
$5,520.00 |
$5,520.00 |
$4,048.38
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,662.30 |
$4,662.30 |
$4,662.30 |
$3,623.43
|
|
Extension drainage tubing
|
$27.60 |
$27.60 |
$27.60 |
$27.60
|
|
External chromosome analysis 20-25 cells
|
$450.00 |
$450.00 |
$450.00 |
$384.15
|
|
External newborn metabolic screening panel
|
$176.10 |
$176.10 |
$176.10 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$379.20 |
$379.20 |
$379.20 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$206.70 |
$206.70 |
$206.70 |
$108.60
|
|
Facial bones <3
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
Factor ix
|
$91.95 |
$91.95 |
$91.95 |
$156.13
|
|
Factor ix complex
|
$3.70 |
$3.70 |
$3.70 |
$5.91
|
|
Factor ix non-recombinant
|
$4.63 |
$4.63 |
$4.63 |
$4.63
|
