|
Emg thor paraspinal without t1/t2
|
$75.00 |
$75.00 |
$75.00 |
$296.91
|
|
Encephalitis, california igg/igm
|
$53.00 |
$53.00 |
$53.00 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$25.00 |
$25.00 |
$25.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$25.00 |
$25.00 |
$25.00 |
$53.10
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,836.00 |
$4,836.00 |
$4,836.00 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,431.00 |
$3,431.00 |
$3,431.00 |
$5,372.80
|
|
Endo below knee alignable sy
|
$297.04 |
$297.04 |
$297.04 |
$611.88
|
|
Endo cath bile duct s&i
|
$984.00 |
$984.00 |
$984.00 |
$694.06
|
|
Endo cath panc duct s&i
|
$984.00 |
$984.00 |
$984.00 |
$672.43
|
|
Endo cholangiopancreatograph
|
$4,233.50 |
$4,233.50 |
$4,233.50 |
$4,217.20
|
|
Endoluminal bx biliary tree
|
$863.00 |
$863.00 |
$863.00 |
$2,476.50
|
|
Endoluminal bx urtr rnl plvs
|
$2,463.50 |
$2,463.50 |
$2,463.50 |
$2,290.60
|
|
Endoluminl ivus oct c 1st
|
$2,330.50 |
$2,330.50 |
$2,330.50 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$2,203.49
|
|
Endoscopy of bowel pouch 44385
|
$396.00 |
$396.00 |
$396.00 |
$1,899.00
|
|
Endoscopy of ureter
|
$3,652.50 |
$3,652.50 |
$3,652.50 |
$4,243.00
|
|
Endoscopy swallow (fees) vid
|
$269.00 |
$269.00 |
$269.00 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$2,756.52
|
|
Endovasc rpr a-biiliac endogft 34705
|
$750.50 |
$750.50 |
$750.50 |
$9,055.68
|
|
Endovasc tempory vessel occl
|
$13,483.50 |
$13,483.50 |
$13,483.50 |
$11,261.25
|
|
Endovenous mchnchem 1st vein
|
$3,379.50 |
$3,379.50 |
$3,379.50 |
$4,845.93
|
|
Endovenous mchnchem add-on
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$2,203.63
|
|
Endovenous rf abl vein addl
|
$2,192.50 |
$2,192.50 |
$2,192.50 |
$3,226.73
|
|
Energy storing foot
|
$456.44 |
$456.44 |
$456.44 |
$840.00
|
|
Entamoeba histolytica ag eia - sendout
|
$106.50 |
$106.50 |
$106.50 |
$56.89
|
|
Enzyme histochemistry
|
$394.50 |
$394.50 |
$394.50 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$240.50 |
$240.50 |
$240.50 |
$456.96
|
|
Ep & ablate supravent arrhyt
|
$11,948.00 |
$11,948.00 |
$11,948.00 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$11,948.00 |
$11,948.00 |
$11,948.00 |
$28,199.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$2,459.50 |
$2,459.50 |
$2,459.50 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$2,459.50 |
$2,459.50 |
$2,459.50 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$204.00 |
$204.00 |
$204.00 |
$1,141.80
|
|
Epidural lysis mult sessions
|
$825.50 |
$825.50 |
$825.50 |
$2,440.50
|
|
Ep induct arrhy by elect pacing
|
$577.00 |
$577.00 |
$577.00 |
$2,635.75
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$4,330.00 |
$4,330.00 |
$4,330.00 |
$3,762.53
|
|
Epstein barr early antigen antibody
|
$59.00 |
$59.00 |
$59.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$66.00 |
$66.00 |
$66.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.50 |
$80.50 |
$80.50 |
$91.00
|
|
Ercp biliary & pancreas
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$967.04
|
|
ER Visit (level 1, minor)
|
$132.00 |
$132.00 |
$132.00 |
$246.24
|
|
ER Visit (level 2)
|
$264.50 |
$264.50 |
$264.50 |
$452.20
|
|
ER Visit (level 3)
|
$440.00 |
$440.00 |
$440.00 |
$770.04
|
|
ER Visit (level 4)
|
$631.00 |
$631.00 |
$631.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$982.00 |
$982.00 |
$982.00 |
$1,820.02
|
|
Esophageal dilat s&i
|
$853.50 |
$853.50 |
$853.50 |
$581.10
|
|
Esophagoscopy flex remove fb
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$2,099.70
|
|
Esophagus motility study
|
$676.00 |
$676.00 |
$676.00 |
$1,289.20
|
|
Esoph egd dilation <30 mm
|
$942.50 |
$942.50 |
$942.50 |
$2,656.80
|
|
Estradiol total
|
$177.50 |
$177.50 |
$177.50 |
$146.50
|
|
Estrogens total-sendout
|
$99.00 |
$99.00 |
$99.00 |
$96.20
|
|
Ethylene glycol -sendout
|
$91.50 |
$91.50 |
$91.50 |
$89.40
|
|
Eval aud funcj ea addl 15
|
$86.00 |
$86.00 |
$86.00 |
$85.80
|
|
Eval/fit voice prosthesis iii, st
|
$360.50 |
$360.50 |
$360.50 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$49.50 |
$49.50 |
$49.50 |
$219.60
|
|
Evaluation heart device
|
$1,258.00 |
$1,258.00 |
$1,258.00 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$373.00 |
$373.00 |
$373.00 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$299.00 |
$299.00 |
$299.00 |
$312.00
|
|
Evasc prlng admn rx agnt 1st
|
$1,937.50 |
$1,937.50 |
$1,937.50 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$1,937.50 |
$1,937.50 |
$1,937.50 |
$2,734.40
|
|
Evasc repair of iliac artery; endograft 34718
|
$2,148.50 |
$2,148.50 |
$2,148.50 |
$6,925.05
|
|
Evasc rpr a-ao ndgft 34701
|
$750.50 |
$750.50 |
$750.50 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$750.50 |
$750.50 |
$750.50 |
$4,670.40
|
|
Evasc rpr a-biiliac ndgft rptr
|
$750.50 |
$750.50 |
$750.50 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$2,148.50 |
$2,148.50 |
$2,148.50 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$750.50 |
$750.50 |
$750.50 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft rpt
|
$750.50 |
$750.50 |
$750.50 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$750.50 |
$750.50 |
$750.50 |
$6,931.00
|
|
Evasc rpr ilio-iliac rpt
|
$750.50 |
$750.50 |
$750.50 |
$8,996.13
|
|
Event monitor
|
$281.50 |
$281.50 |
$281.50 |
$242.65
|
|
Evoked auditory tst complete
|
$217.50 |
$217.50 |
$217.50 |
$344.68
|
|
Evoked oa emissions ltd
|
$184.50 |
$184.50 |
$184.50 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$240.00 |
$240.00 |
$240.00 |
$249.71
|
|
Evoked potentials upper limbs
|
$164.00 |
$164.00 |
$164.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$202.50 |
$202.50 |
$202.50 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$332.76 |
$332.76 |
$332.76 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$332.76 |
$332.76 |
$332.76 |
$907.92
|
|
Ex arm/elbow tum deep < 5 cm
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$3,386.84
|
|
Exc abd les sc 3 cm/>
|
$4,488.00 |
$4,488.00 |
$4,488.00 |
$3,796.00
|
|
Exc abdl tum deep < 5 cm
|
$4,464.50 |
$4,464.50 |
$4,464.50 |
$3,386.84
|
|
Exc abd tum 5 cm or less 49203
|
$3,865.50 |
$3,865.50 |
$3,865.50 |
$5,487.53
|
|
Exc arm/elbo les sc <3cm 24075
|
$891.50 |
$891.50 |
$891.50 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$2,676.58
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$2,449.00 |
$2,449.00 |
$2,449.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$728.50 |
$728.50 |
$728.50 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,149.50 |
$1,149.50 |
$1,149.50 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,343.50 |
$2,343.50 |
$2,343.50 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$633.50 |
$633.50 |
$633.50 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$1,247.50
|
|
Exc coccygl pr ulc flap clsr
|
$4,884.00 |
$4,884.00 |
$4,884.00 |
$4,332.25
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$906.50 |
$906.50 |
$906.50 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,475.00 |
$1,475.00 |
$1,475.00 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$767.50 |
$767.50 |
$767.50 |
$3,230.00
|
