|
Epidrm a-grft f/n/hf/g addl
|
$614.72 |
$614.72 |
$614.72 |
$1,038.13
|
|
Epidrm agrft t/a/l 1st 100
|
$2,089.73 |
$2,089.73 |
$2,089.73 |
$2,703.50
|
|
Epidrm autogrft t/a/l add-on
|
$1,113.83 |
$1,113.83 |
$1,113.83 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$741.45 |
$1,341.04 |
$1,341.04 |
$1,182.00
|
|
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 |
$2,174.23 |
$2,174.23 |
$2,420.73
|
|
Epidurography
|
$589.04 |
$589.04 |
$589.04 |
$589.04
|
|
Epilepsy gen seq alys panel
|
$3,000.00 |
$4,315.50 |
$4,315.50 |
$3,142.35
|
|
Ep induct arrhy by elect pacing
|
$1,580.56 |
$6,074.47 |
$6,074.47 |
$2,702.70
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$37.86 |
$37.86 |
$49.82 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$678.91 |
$678.91 |
$678.91 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$42.00 |
$42.00 |
$42.00 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$42.00 |
$42.00 |
$42.00 |
$33.60
|
|
Epiphysl arrst dstl rds&ulna
|
$3,098.15 |
$3,098.15 |
$3,098.15 |
$3,839.54
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$203.16 |
$203.16 |
$491.04 |
$256.27
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,778.57 |
$3,778.57 |
$3,778.57 |
$3,778.57
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$130.22 |
$130.22 |
$873.58 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,941.00 |
$1,941.00 |
$2,116.62 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$121.99 |
$160.20 |
$362.48 |
$129.30
|
|
Epstein barr early antigen antibody
|
$17.92 |
$17.92 |
$828.40 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$43.65 |
$107.78 |
$107.78 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$110.55 |
$132.49 |
$132.49 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,077.29 |
$2,723.82 |
$2,723.82 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$3,290.09 |
$3,290.09 |
$3,290.09 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$967.04 |
$967.04 |
$1,035.30 |
$967.04
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$5,390.40
|
|
Ercp ea duct/ampulla dilate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,199.25
|
|
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 |
$4,060.00
|
|
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 |
$5,718.03
|
|
Ercp w/specimen collection
|
$4,494.90 |
$4,494.90 |
$4,494.90 |
$4,494.90
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$277.91 |
$350.38 |
$697.50 |
$232.12
|
|
ER Visit (level 1, minor)
|
$184.50 |
$286.94 |
$904.82 |
$252.60
|
|
ER Visit (level 2)
|
$298.65 |
$469.39 |
$1,745.13 |
$463.00
|
|
ER Visit (level 3)
|
$579.15 |
$770.04 |
$2,819.46 |
$812.18
|
|
ER Visit (level 4)
|
$845.10 |
$1,273.68 |
$4,451.42 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,591.20 |
$2,327.80 |
$8,209.23 |
$1,871.60
|
|
Erwinaze injection
|
$9.00 |
$9.00 |
$9.00 |
$6,423.46
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$182.60 |
$248.39 |
$455.18 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$279.72 |
$349.65 |
$365.76 |
$279.72
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$907.02 |
$907.02 |
$997.76 |
$516.71
|
|
Esophageal dilat s&i
|
$330.65 |
$330.65 |
$3,427.72 |
$551.20
|
|
Esophageal motility
|
$4,844.13 |
$4,844.13 |
$4,844.13 |
$655.45
|
|
Esophageal recording
|
$2,112.54 |
$2,112.54 |
$2,112.54 |
$1,985.34
|
|
Esophageal recording
|
$2,467.22 |
$2,467.22 |
$2,467.22 |
$2,187.60
|
|
Esophagosc dilate balloon 30
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Esophagoscop stent placement
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$6,375.00
|
|
Esophagoscopy balloon <30mm
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$1,824.75 |
$1,824.75 |
$1,824.75 |
$1,296.00
|
|
Esophagoscopy flex remove fb
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,089.60
|
|
Esophagoscopy lesion ablate
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,502.13
|
|
Esophagoscopy w/us needle bx
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Esophagus motility study
|
$771.00 |
$1,257.17 |
$3,240.17 |
$1,257.17
|
|
Esoph balloon distension tst
|
$1,330.72 |
$1,330.72 |
$2,218.97 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,221.83
|
|
Esophgl motil w/stim/perfus
|
$3,080.73 |
$3,080.73 |
$3,080.73 |
$1,392.95
|
|
Esoph imped function test
|
$325.65 |
$800.22 |
$800.22 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$763.05 |
$1,543.64 |
$1,543.64 |
$1,121.40
|
|
Establish access to aorta
|
$1,560.95 |
$1,560.95 |
$1,560.95 |
$1,273.00
|
|
Establish access to artery
|
$973.08 |
$973.08 |
$973.08 |
$1,145.65
|
|
Establish brain cavity shunt
|
$2,425.63 |
$2,425.63 |
$2,425.63 |
$2,870.05
|
|
Established Patient Office Visit (level 1)
|
$387.00 |
$387.00 |
$387.00 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$508.20 |
$508.20 |
$508.20 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$710.40 |
$710.40 |
$710.40 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$872.85 |
$872.85 |
$872.85 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$1,074.90 |
$1,074.90 |
$1,074.90 |
$290.68
|
|
Estradiol total
|
$30.90 |
$366.74 |
$2,095.56 |
$152.10
|
|
Estradiol valerate 10 mg inj
|
$57.35 |
$57.35 |
$120.03 |
$57.35
|
|
Estrogens total-sendout
|
$161.24 |
$161.24 |
$841.06 |
$97.50
|
|
Etanercept injection
|
$3,172.86 |
$3,172.86 |
$3,172.86 |
$3,172.86
|
|
Ethanolamine oleate 100 mg
|
$713.40 |
$713.40 |
$713.40 |
$824.88
|
|
Ethylene glycol -sendout
|
$138.00 |
$138.70 |
$536.95 |
$86.04
|
|
Etonogestrel implant system
|
$2,081.30 |
$2,081.30 |
$2,081.30 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$42.86 |
$235.20 |
$367.96 |
$235.20
|
|
Etoposide 50 mg cap
|
$90.40 |
$90.40 |
$1,568.52 |
$135.02
|
|
Euflexxa inj per dose
|
$778.96 |
$778.96 |
$778.96 |
$510.68
|
|
Eval aud rehab status/first hr 92626
|
$350.99 |
$350.99 |
$350.99 |
$329.59
|
|
Eval/fit voice prosthesis iii, st
|
$345.75 |
$442.57 |
$442.57 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$223.43 |
$223.43 |
$508.44 |
$213.15
|
|
Evaluation heart device
|
$3,469.10 |
$3,469.10 |
$3,804.14 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$407.48 |
$407.48 |
$610.35 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$384.35 |
$384.35 |
$384.35 |
$318.24
|
|
Evasc prlng admn rx agnt 1st
|
$2,606.85 |
$7,201.60 |
$7,201.60 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$2,606.85 |
$2,803.24 |
$2,803.24 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$5,234.05 |
$5,234.05 |
$118,130.99 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$4,979.34 |
$4,979.34 |
$118,130.99 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$4,169.50 |
$4,169.50 |
$118,130.99 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$6,331.42 |
$6,331.42 |
$118,130.99 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,846.34 |
$4,846.34 |
$5,757.75 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$3,245.02 |
$3,245.02 |
$118,130.99 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$2,667.85 |
$2,667.85 |
$118,130.99 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$8,412.85 |
$8,412.85 |
$118,130.99 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$8,996.13 |
$8,996.13 |
$118,130.99 |
$7,922.00
|
|
Evasc st rpr thrc/aa x crsg
|
$22,386.00 |
$22,386.00 |
$22,386.00 |
$11,524.11
|
|
Event monitor
|
$574.01 |
$574.01 |
$574.01 |
$231.00
|
