|
Electrical stimulation/unattended 97014
|
$15.90 |
$15.90 |
$15.90 |
$79.20
|
|
Electrocorticography durng sx
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$1,660.52
|
|
Electrode stimulation brain
|
$282.60 |
$282.60 |
$282.60 |
$1,180.80
|
|
Electrolyte panel
|
$12.00 |
$12.00 |
$12.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$720.00 |
$720.00 |
$720.00 |
$983.41
|
|
Electrophysiology evaluation
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$10,233.60
|
|
Electrophysiology evaluation
|
$513.90 |
$513.90 |
$513.90 |
$2,451.90
|
|
Electrophysiology evaluation
|
$513.90 |
$513.90 |
$513.90 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$513.90 |
$513.90 |
$513.90 |
$5,881.00
|
|
Embolization s&i
|
$659.10 |
$659.10 |
$659.10 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$4,518.90 |
$4,518.90 |
$4,518.90 |
$14,586.00
|
|
Emb without cervical dilation 58100
|
$37.20 |
$37.20 |
$37.20 |
$370.50
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$87.75 |
$87.75 |
$87.75 |
$375.20
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$123.75 |
$123.75 |
$123.75 |
$464.00
|
|
Emg cranial nerve bilateral
|
$69.15 |
$69.15 |
$69.15 |
$500.49
|
|
Emg needle test 1-extremity
|
$68.10 |
$68.10 |
$68.10 |
$334.34
|
|
Emg needle test 4-extremities
|
$133.20 |
$133.20 |
$133.20 |
$547.00
|
|
Encephalitis, california igg/igm
|
$12.45 |
$12.45 |
$12.45 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$12.45 |
$12.45 |
$12.45 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$23.10 |
$23.10 |
$23.10 |
$53.10
|
|
Endo cath bile duct s&i
|
$86.10 |
$86.10 |
$86.10 |
$694.06
|
|
Endo cath panc duct s&i
|
$83.10 |
$83.10 |
$83.10 |
$672.43
|
|
Endocerv curettage w/scope 57456
|
$61.65 |
$61.65 |
$61.65 |
$470.25
|
|
Endoluminal bx biliary tree
|
$841.05 |
$841.05 |
$841.05 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$1,434.15 |
$1,434.15 |
$1,434.15 |
$2,203.49
|
|
Endoscopy swallow (fees) vid
|
$167.10 |
$167.10 |
$167.10 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$758.70 |
$758.70 |
$758.70 |
$2,756.52
|
|
Endovasc tempory vessel occl
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$11,261.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$146.98 |
$146.98 |
$146.98 |
$109.71
|
|
Enterectomy small intestine single 44120
|
$598.05 |
$598.05 |
$598.05 |
$2,170.64
|
|
Enzyme histochemistry
|
$207.75 |
$207.75 |
$207.75 |
$471.60
|
|
Eo, adj lock joint prefab ot
|
$72.30 |
$72.30 |
$72.30 |
$456.96
|
|
Ep & ablate supravent arrhyt
|
$4,032.60 |
$4,032.60 |
$4,032.60 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$4,032.60 |
$4,032.60 |
$4,032.60 |
$28,199.40
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$708.15 |
$708.15 |
$708.15 |
$2,478.85
|
|
Epidrm a-grft f/n/hf/g addl
|
$182.25 |
$182.25 |
$182.25 |
$1,148.00
|
|
Epidrm agrft t/a/l 1st 100
|
$708.15 |
$708.15 |
$708.15 |
$2,710.80
|
|
Epidrm autogrft t/a/l add-on
|
$182.25 |
$182.25 |
$182.25 |
$1,113.83
|
|
Epidural/lumbar/sacral/ea add level64484
|
$306.00 |
$306.00 |
$306.00 |
$1,141.80
|
|
Epilepsy gen seq alys panel
|
$3,142.35 |
$3,142.35 |
$3,142.35 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$42.80 |
$42.80 |
$42.80 |
$393.15
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$98.38 |
$98.38 |
$98.38 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$636.32 |
$636.32 |
$636.32 |
$809.08
|
|
Epstein barr early antigen antibody
|
$22.95 |
$22.95 |
$22.95 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$13.80 |
$13.80 |
$13.80 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$30.60 |
$30.60 |
$30.60 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$366.82 |
$366.82 |
$366.82 |
$393.98
|
|
Ercp biliary & pancreas
|
$86.10 |
$86.10 |
$86.10 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$1,439.88 |
$1,439.88 |
$1,439.88 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$142.03 |
$142.03 |
$142.03 |
$222.98
|
|
ER Visit (level 1, minor)
|
$68.40 |
$68.40 |
$68.40 |
$246.24
|
|
ER Visit (level 2)
|
$94.35 |
$94.35 |
$94.35 |
$452.20
|
|
ER Visit (level 3)
|
$204.75 |
$204.75 |
$204.75 |
$770.04
|
|
ER Visit (level 4)
|
$300.30 |
$300.30 |
$300.30 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$456.15 |
$456.15 |
$456.15 |
$1,820.02
|
|
Esophageal dilat s&i
|
$85.80 |
$85.80 |
$85.80 |
$581.10
|
|
Esophagus motility study
|
$227.25 |
$227.25 |
$227.25 |
$1,289.20
|
|
Established Patient Office Visit (level 1)
|
$18.90 |
$18.90 |
$18.90 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$22.35 |
$22.35 |
$22.35 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$36.30 |
$36.30 |
$36.30 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$41.70 |
$41.70 |
$41.70 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$46.20 |
$46.20 |
$46.20 |
$280.33
|
|
Estradiol total
|
$49.05 |
$49.05 |
$49.05 |
$146.50
|
|
Estrogens total-sendout
|
$38.10 |
$38.10 |
$38.10 |
$96.20
|
|
Ethylene glycol -sendout
|
$25.05 |
$25.05 |
$25.05 |
$89.40
|
|
Euglobulin lysis
|
$17.85 |
$17.85 |
$17.85 |
$56.70
|
|
Eval/fit voice prosthesis iii, st
|
$124.05 |
$124.05 |
$124.05 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$112.80 |
$112.80 |
$112.80 |
$219.60
|
|
Evaluation heart device
|
$513.90 |
$513.90 |
$513.90 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$110.10 |
$110.10 |
$110.10 |
$311.50
|
|
Evasc prlng admn rx agnt 1st
|
$1,558.80 |
$1,558.80 |
$1,558.80 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$623.55 |
$623.55 |
$623.55 |
$2,734.40
|
|
Event monitor
|
$247.50 |
$247.50 |
$247.50 |
$242.65
|
|
Evoked oa emissions ltd
|
$23.70 |
$23.70 |
$23.70 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$66.30 |
$66.30 |
$66.30 |
$249.71
|
|
Evoked potentials upper limbs
|
$365.55 |
$365.55 |
$365.55 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$107.70 |
$107.70 |
$107.70 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$676.50 |
$676.50 |
$676.50 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$163.20 |
$163.20 |
$163.20 |
$907.92
|
|
Exam of vagina w/scope 57420
|
$61.65 |
$61.65 |
$61.65 |
$486.03
|
|
Exc benign tal 0.5 < cm 11400
|
$176.40 |
$176.40 |
$176.40 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$38.55 |
$38.55 |
$38.55 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$183.75 |
$183.75 |
$183.75 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$222.30 |
$222.30 |
$222.30 |
$1,247.50
|
|
Exchange biliary drg cath
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$3,909.56
|
|
Exchange blood transfusion newborn 36450
|
$119.40 |
$119.40 |
$119.40 |
$554.45
|
|
Exchange drainage catheter
|
$848.10 |
$848.10 |
$848.10 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$516.00 |
$516.00 |
$516.00 |
$2,958.80
|
|
Exc hidradenitis peri/umb int 11470
|
$516.90 |
$516.90 |
$516.90 |
$3,386.84
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$293.70 |
$293.70 |
$293.70 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$202.05 |
$202.05 |
$202.05 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$268.95 |
$268.95 |
$268.95 |
$2,865.00
|
|
Exc malig feenl 1.1-2 11642
|
$294.75 |
$294.75 |
$294.75 |
$1,082.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$135.60 |
$135.60 |
$135.60 |
$832.60
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$164.10 |
$164.10 |
$164.10 |
$1,131.50
|
|
Exc thrombosed hemorrhoid 46320
|
$674.70 |
$674.70 |
$674.70 |
$2,099.00
|
