|
Drng of eyelid abscess 67700
|
$351.96 |
$351.96 |
$351.96 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,440.18 |
$1,440.18 |
$1,440.18 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$1,195.74 |
$1,195.74 |
$1,195.74 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$607.74 |
$607.74 |
$607.74 |
$602.63
|
|
Droperidol 2.5 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,372.29 |
$2,372.29 |
$2,372.29 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$3,964.00 |
$3,964.00 |
$3,964.00 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$886.80 |
$886.80 |
$886.80 |
$468.29
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$7,156.03 |
$7,156.03 |
$7,156.03 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$28,551.05 |
$28,551.05 |
$28,551.05 |
$18,384.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$176.40 |
$176.40 |
$176.40 |
$278.85
|
|
Dup scan/hemodialysis access 93990
|
$162.54 |
$162.54 |
$162.54 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$391.02 |
$391.02 |
$391.02 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$713.16 |
$713.16 |
$713.16 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$14,438.37 |
$14,438.37 |
$14,438.37 |
$14,438.37
|
|
Dxa bone density axl vrt fx
|
$293.16 |
$293.16 |
$293.16 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$1,616.16 |
$1,616.16 |
$1,616.16 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,616.16 |
$1,616.16 |
$1,616.16 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$489.72 |
$489.72 |
$489.72 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$193.20 |
$193.20 |
$193.20 |
$204.96
|
|
Dx laryngoscopy newborn
|
$435.96 |
$435.96 |
$435.96 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,848.84 |
$1,848.84 |
$1,848.84 |
$2,040.67
|
|
Ear irrigation 69209
|
$128.52 |
$128.52 |
$128.52 |
$165.42
|
|
Ecg 12 lead tracing only
|
$149.52 |
$149.52 |
$149.52 |
$245.00
|
|
Echocardiogram (Heart Ultrasound)
|
$844.20 |
$844.20 |
$844.20 |
$2,049.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$402.36 |
$402.36 |
$402.36 |
$724.20
|
|
Echo exam of fetal heart
|
$270.06 |
$270.06 |
$270.06 |
$431.41
|
|
Eeg 41-60 minutes 95812-26
|
$933.66 |
$933.66 |
$933.66 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$739.20 |
$739.20 |
$739.20 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$786.66 |
$786.66 |
$786.66 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$832.02 |
$832.02 |
$832.02 |
$1,030.27
|
|
Egd remove foreign body
|
$954.66 |
$954.66 |
$954.66 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$2,664.75
|
|
EKG (Electrocardiogram)
|
$26.46 |
$26.46 |
$26.46 |
$102.44
|
|
EKG interpret & report preve g0405
|
$23.10 |
$23.10 |
$23.10 |
$12.00
|
|
EKG tracing for initial prev
|
$23.10 |
$23.10 |
$23.10 |
$56.65
|
|
Elec analys infus pump w/reprog 62368
|
$367.92 |
$367.92 |
$367.92 |
$619.45
|
|
Electrd sq emblem s-icd
|
$10,183.02 |
$10,183.02 |
$10,183.02 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$89.46 |
$89.46 |
$89.46 |
$81.75
|
|
Electrolyte panel
|
$72.66 |
$72.66 |
$72.66 |
$86.33
|
|
Emb without cervical dilation 58100
|
$236.88 |
$236.88 |
$236.88 |
$397.66
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,848.84 |
$1,848.84 |
$1,848.84 |
$2,872.59
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$470.63 |
$470.63 |
$470.63 |
$121.63
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$56.70 |
$56.70 |
$56.70 |
$450.94
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,762.53
|
|
Epstein barr nuclear antigen antibody
|
$117.18 |
$117.18 |
$117.18 |
$81.81
|
|
Epstein barr viral capsid antigen antibody igm
|
$122.64 |
$122.64 |
$122.64 |
$95.04
|
|
Ercp biliary & pancreas
|
$0.42 |
$0.42 |
$0.42 |
$943.50
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$236.04 |
$236.04 |
$236.04 |
$364.08
|
|
ER Visit (level 1, minor)
|
$150.78 |
$150.78 |
$150.78 |
$276.70
|
|
ER Visit (level 2)
|
$273.00 |
$273.00 |
$273.00 |
$487.50
|
|
ER Visit (level 3)
|
$480.90 |
$480.90 |
$480.90 |
$850.50
|
|
ER Visit (level 4)
|
$755.16 |
$755.16 |
$755.16 |
$1,359.15
|
|
ER Visit (level 5, high severity)
|
$1,115.52 |
$1,115.52 |
$1,115.52 |
$2,007.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$57.10 |
$57.10 |
$57.10 |
$540.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$954.66 |
$954.66 |
$954.66 |
$1,109.47
|
|
Esophagoscopy flex remove fb
|
$2,014.32 |
$2,014.32 |
$2,014.32 |
$2,109.53
|
|
Esophagus motility study
|
$2,905.56 |
$2,905.56 |
$2,905.56 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$1,759.38 |
$1,759.38 |
$1,759.38 |
$2,656.80
|
|
Established Patient Office Visit (level 1)
|
$18.90 |
$18.90 |
$18.90 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$52.50 |
$52.50 |
$52.50 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$70.14 |
$70.14 |
$70.14 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$87.36 |
$87.36 |
$87.36 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$118.86 |
$118.86 |
$118.86 |
$287.10
|
|
Estradiol total
|
$150.36 |
$150.36 |
$150.36 |
$153.00
|
|
Estradiol valerate 10 mg inj
|
$125.23 |
$125.23 |
$125.23 |
$63.50
|
|
Etonogestrel implant system
|
$3,142.49 |
$3,142.49 |
$3,142.49 |
$3,016.77
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$288.96 |
$288.96 |
$288.96 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$67.62 |
$67.62 |
$67.62 |
$347.75
|
|
Evoked oa emissions ltd
|
$25.20 |
$25.20 |
$25.20 |
$273.00
|
|
Evok oa screening qual
|
$42.84 |
$42.84 |
$42.84 |
$120.90
|
|
Exam pelvic add-on
|
$56.70 |
$56.70 |
$56.70 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,649.80
|
|
Exc bartholins gland/cyst
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,744.41
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$434.70 |
$434.70 |
$434.70 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$863.10 |
$863.10 |
$863.10 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$863.10 |
$863.10 |
$863.10 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$496.02 |
$496.02 |
$496.02 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,110.90 |
$1,110.90 |
$1,110.90 |
$1,301.30
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$237.30 |
$237.30 |
$237.30 |
$1,061.40
|
|
Exchange biliary drg cath
|
$4,710.72 |
$4,710.72 |
$4,710.72 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,316.30 |
$2,316.30 |
$2,316.30 |
$2,256.80
|
|
Exc hidradenitis peri/umb int 11470
|
$121.80 |
$121.80 |
$121.80 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$697.62 |
$697.62 |
$697.62 |
$1,395.28
|
|
Excise/repair mouth lesion
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$863.10 |
$863.10 |
$863.10 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$863.10 |
$863.10 |
$863.10 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,916.96
|
|
Excision of gum lesion 41825
|
$3,783.78 |
$3,783.78 |
$3,783.78 |
$3,920.70
|