|
Emb without cervical dilation 58100
|
$89.40 |
$89.40 |
$89.40 |
$370.50
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$5,119.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$3,830.40 |
$3,830.40 |
$3,830.40 |
$5,372.80
|
|
Endoluminl ivus oct c 1st
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
$2,203.49
|
|
Endome abla/them without hystero guide 58353
|
$966.00 |
$966.00 |
$966.00 |
$4,317.40
|
|
Endoscopy maxillary sinus
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$7,307.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$601.80 |
$601.80 |
$601.80 |
$2,756.52
|
|
Endovenous rf abl vein addl
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$3,226.73
|
|
Endoven ther chem adhes 1st 36482
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$5,988.54
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$16,936.20 |
$16,936.20 |
$16,936.20 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$373.20 |
$373.20 |
$373.20 |
$109.71
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$54.90 |
$54.90 |
$54.90 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$897.90 |
$897.90 |
$897.90 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$368.40 |
$368.40 |
$368.40 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$858.60 |
$858.60 |
$858.60 |
$1,289.71
|
|
Epstein barr early antigen antibody
|
$45.00 |
$45.00 |
$45.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$30.60 |
$30.60 |
$30.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$66.00 |
$66.00 |
$66.00 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,681.60 |
$6,681.60 |
$6,681.60 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
ER Visit (level 1, minor)
|
$67.20 |
$67.20 |
$67.20 |
$246.24
|
|
ER Visit (level 2)
|
$158.40 |
$158.40 |
$158.40 |
$452.20
|
|
ER Visit (level 3)
|
$304.80 |
$304.80 |
$304.80 |
$770.04
|
|
ER Visit (level 4)
|
$1,917.00 |
$1,917.00 |
$1,917.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$3,270.60 |
$3,270.60 |
$3,270.60 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$248.40 |
$248.40 |
$248.40 |
$223.99
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Esophagoscopy/rigid/diagnostic 43191
|
$204.60 |
$204.60 |
$204.60 |
$2,660.00
|
|
Esophagoscopy rigid trnso 43180
|
$774.84 |
$774.84 |
$774.84 |
$6,553.49
|
|
Established Patient Office Visit (level 1)
|
$413.40 |
$413.40 |
$413.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$73.80 |
$73.80 |
$73.80 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$136.20 |
$136.20 |
$136.20 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$135.60 |
$135.60 |
$135.60 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$199.80 |
$199.80 |
$199.80 |
$280.33
|
|
Estradiol total
|
$219.00 |
$219.00 |
$219.00 |
$146.50
|
|
Estrogens total-sendout
|
$288.60 |
$288.60 |
$288.60 |
$96.20
|
|
Ethylene glycol -sendout
|
$266.40 |
$266.40 |
$266.40 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$685.20 |
$685.20 |
$685.20 |
$235.20
|
|
Evaluation of speech fluency 92521
|
$450.00 |
$450.00 |
$450.00 |
$311.50
|
|
Event monitor
|
$175.20 |
$175.20 |
$175.20 |
$242.65
|
|
Evoked auditory tst complete
|
$163.80 |
$163.80 |
$163.80 |
$344.68
|
|
Exam of vagina w/scope 57420
|
$126.00 |
$126.00 |
$126.00 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$219.60 |
$219.60 |
$219.60 |
$3,762.53
|
|
Exc abd les sc 3 cm/>
|
$733.80 |
$733.80 |
$733.80 |
$3,796.00
|
|
Exc benign tal 0.5 < cm 11400
|
$112.80 |
$112.80 |
$112.80 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$130.80 |
$130.80 |
$130.80 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$243.00 |
$243.00 |
$243.00 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$301.20 |
$301.20 |
$301.20 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$337.80 |
$337.80 |
$337.80 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$136.20 |
$136.20 |
$136.20 |
$765.50
|
|
Exc face tum deep 2cm/> 21014
|
$893.40 |
$893.40 |
$893.40 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$408.60 |
$408.60 |
$408.60 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$612.60 |
$612.60 |
$612.60 |
$2,101.45
|
|
Excise inferior turbinate
|
$561.00 |
$561.00 |
$561.00 |
$3,589.62
|
|
Excise lip or cheek fold
|
$315.60 |
$315.60 |
$315.60 |
$1,855.10
|
|
Excise parotid gland/lesion
|
$1,135.80 |
$1,135.80 |
$1,135.80 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$7,000.36
|
|
Excise sublingual gland
|
$895.80 |
$895.80 |
$895.80 |
$5,678.40
|
|
Excise submaxillary gland
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$6,547.81
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$336.60 |
$336.60 |
$336.60 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$276.00 |
$276.00 |
$276.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$201.60 |
$201.60 |
$201.60 |
$1,012.86
|
|
Excision graft extremity
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$4,706.99
|
|
Excision nasal polyp(s) simple 30110
|
$250.80 |
$250.80 |
$250.80 |
$1,752.89
|
|
Excision of anal lesion(s)
|
$267.00 |
$267.00 |
$267.00 |
$3,786.00
|
|
Excision of tongue lesion
|
$409.80 |
$409.80 |
$409.80 |
$3,811.00
|
|
Excision of uvula
|
$287.40 |
$287.40 |
$287.40 |
$3,811.00
|
|
Excision tongue lesion without closure 41110
|
$1,573.20 |
$1,573.20 |
$1,573.20 |
$3,786.00
|
|
Exc malig feenl <0.5cm 11640
|
$336.00 |
$336.00 |
$336.00 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$510.60 |
$510.60 |
$510.60 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$714.60 |
$714.60 |
$714.60 |
$2,070.30
|
|
Exc malig snhfg 0.5cm or less 11620
|
$132.00 |
$132.00 |
$132.00 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$336.60 |
$336.60 |
$336.60 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$583.80 |
$583.80 |
$583.80 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$154.20 |
$154.20 |
$154.20 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$202.20 |
$202.20 |
$202.20 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$206.40 |
$206.40 |
$206.40 |
$889.20
|
|
Exc neck tum deep < 5 cm
|
$749.40 |
$749.40 |
$749.40 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$1,251.60 |
$1,251.60 |
$1,251.60 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$544.80 |
$544.80 |
$544.80 |
$3,752.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$408.60 |
$408.60 |
$408.60 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$593.40 |
$593.40 |
$593.40 |
$2,014.93
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$525.60 |
$525.60 |
$525.60 |
$3,322.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$331.20 |
$331.20 |
$331.20 |
$1,917.33
|
|
Ex palate/uvula lesion without closure 42104
|
$231.60 |
$231.60 |
$231.60 |
$3,837.72
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$61.94 |
$61.94 |
$61.94 |
$4,048.38
|
|
Exploration maxillary sinus
|
$871.20 |
$871.20 |
$871.20 |
$4,341.97
|
|
Explore limb vessels 35860
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$4,341.66
|
|
Explore parathyroid glands
|
$2,118.00 |
$2,118.00 |
$2,118.00 |
$6,966.64
|
|
Explore penetrating wnd/extremity 20103
|
$982.20 |
$982.20 |
$982.20 |
$1,788.80
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.00 |
$57.00 |
$57.00 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$57.00 |
$57.00 |
$57.00 |
$63.20
|
|
External chromosome analysis 20-25 cells
|
$490.80 |
$490.80 |
$490.80 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$414.60 |
$414.60 |
$414.60 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$198.00 |
$198.00 |
$198.00 |
$108.60
|
|
F-18 fdg pet diag
|
$1,516.20 |
$1,516.20 |
$1,516.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,543.80 |
$4,543.80 |
$4,543.80 |
$4,960.80
|
|
Facial bones <3
|
$243.00 |
$243.00 |
$243.00 |
$252.60
|
