|
Esophagus motility study
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$1,257.17
|
|
Esoph balloon distension tst
|
$870.50 |
$870.50 |
$870.50 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$7,972.50 |
$7,972.50 |
$7,972.50 |
$2,638.57
|
|
Esoph endoscopy dilation
|
$5,430.00 |
$5,430.00 |
$5,430.00 |
$2,221.83
|
|
Esoph imped function test
|
$409.00 |
$409.00 |
$409.00 |
$603.00
|
|
Esoph imped funct test > 1hr
|
$409.00 |
$409.00 |
$409.00 |
$1,089.15
|
|
Esoph scope w/submucous inj
|
$5,075.50 |
$5,075.50 |
$5,075.50 |
$2,580.50
|
|
Establish access to aorta
|
$545.50 |
$545.50 |
$545.50 |
$1,191.04
|
|
Established Patient Office Visit (level 1)
|
$72.00 |
$72.00 |
$72.00 |
$122.40
|
|
Established Patient Office Visit (level 2)
|
$72.50 |
$72.50 |
$72.50 |
$138.82
|
|
Established Patient Office Visit (level 3)
|
$72.00 |
$72.00 |
$72.00 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$72.50 |
$72.50 |
$72.50 |
$235.00
|
|
Established Patient Office Visit (level 5)
|
$72.50 |
$72.50 |
$72.50 |
$287.10
|
|
Estradiol total
|
$172.50 |
$172.50 |
$172.50 |
$149.43
|
|
Estrogens total-sendout
|
$277.00 |
$277.00 |
$277.00 |
$96.63
|
|
Etanercept injection
|
$662.14 |
$662.14 |
$662.14 |
$3,172.86
|
|
Ethmoidectomy extranasal total 31205
|
$4,946.17 |
$4,946.17 |
$4,946.17 |
$4,558.89
|
|
Ethylene glycol -sendout
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$85.00
|
|
Etonogestrel implant system
|
$2,793.67 |
$2,793.67 |
$2,793.67 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$739.76 |
$739.76 |
$739.76 |
$235.20
|
|
Euflexxa inj per dose
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$510.68
|
|
Euglobulin lysis
|
$99.71 |
$99.71 |
$99.71 |
$63.84
|
|
Eval aud funcj ea addl 15
|
$64.50 |
$64.50 |
$64.50 |
$69.60
|
|
Eval aud rehab status/first hr 92626
|
$237.50 |
$237.50 |
$237.50 |
$300.80
|
|
Eval/fit voice prosthesis iii, st
|
$356.00 |
$356.00 |
$356.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$174.50 |
$174.50 |
$174.50 |
$211.12
|
|
Evaluation heart device
|
$3,172.50 |
$3,172.50 |
$3,172.50 |
$2,221.96
|
|
Evaluation of speech fluency 92521
|
$311.50 |
$311.50 |
$311.50 |
$307.75
|
|
Evaluation psychiatric diagnostic
|
$388.00 |
$388.00 |
$388.00 |
$315.00
|
|
Evasc prlng admn rx agnt 1st
|
$4,068.00 |
$4,068.00 |
$4,068.00 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$4,068.00 |
$4,068.00 |
$4,068.00 |
$2,765.60
|
|
Evasc repair of iliac artery; endograft 34718
|
$2,471.00 |
$2,471.00 |
$2,471.00 |
$6,824.35
|
|
Evasc rpr a-ao ndgft 34701
|
$36,786.50 |
$36,786.50 |
$36,786.50 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$36,786.50 |
$36,786.50 |
$36,786.50 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$36,786.50 |
$36,786.50 |
$36,786.50 |
$8,133.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$3,592.00 |
$3,592.00 |
$3,592.00 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$36,786.50 |
$36,786.50 |
$36,786.50 |
$5,608.35
|
|
Evasc rpr a-unilac ndgft rpt
|
$36,786.50 |
$36,786.50 |
$36,786.50 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$10,351.50 |
$10,351.50 |
$10,351.50 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$8,996.13
|
|
Evasc st rpr thrc/aa acrs br
|
$2,331.00 |
$2,331.00 |
$2,331.00 |
$5,062.50
|
|
Evasc st rpr thrc/aa x crsg
|
$1,743.50 |
$1,743.50 |
$1,743.50 |
$11,524.11
|
|
Event monitor
|
$366.50 |
$366.50 |
$366.50 |
$237.60
|
|
Evoked auditory tst complete
|
$756.50 |
$756.50 |
$756.50 |
$344.98
|
|
Evoked oa emissions ltd
|
$276.50 |
$276.50 |
$276.50 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$451.00 |
$451.00 |
$451.00 |
$259.20
|
|
Evoked potentials upper limbs
|
$634.00 |
$634.00 |
$634.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$686.00 |
$686.00 |
$686.00 |
$812.40
|
|
Evok oa screening qual
|
$52.50 |
$52.50 |
$52.50 |
$109.13
|
|
Exam of vagina w/scope 57420
|
$2,350.00 |
$2,350.00 |
$2,350.00 |
$486.03
|
|
Exam pelvic add-on
|
$16.00 |
$16.00 |
$16.00 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$2,767.67 |
$2,767.67 |
$2,767.67 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$5,537.50 |
$5,537.50 |
$5,537.50 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$5,941.67 |
$5,941.67 |
$5,941.67 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$5,999.50 |
$5,999.50 |
$5,999.50 |
$3,786.00
|
|
Exc abdl tum deep < 5 cm
|
$4,558.00 |
$4,558.00 |
$4,558.00 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$8,830.34 |
$8,830.34 |
$8,830.34 |
$4,168.59
|
|
Exc arm/elbo les sc <3cm 24075
|
$4,528.50 |
$4,528.50 |
$4,528.50 |
$2,532.80
|
|
Exc aurl glomus tum trnscanl
|
$26,550.00 |
$26,550.00 |
$26,550.00 |
$7,000.36
|
|
Exc back les sbq <3 cm 21930
|
$9,695.50 |
$9,695.50 |
$9,695.50 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$4,850.50 |
$4,850.50 |
$4,850.50 |
$3,986.00
|
|
Exc bartholins gland/cyst
|
$12,171.50 |
$12,171.50 |
$12,171.50 |
$3,781.65
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$4,197.00 |
$4,197.00 |
$4,197.00 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$18,704.50 |
$18,704.50 |
$18,704.50 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$8,463.50 |
$8,463.50 |
$8,463.50 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$4,459.50 |
$4,459.50 |
$4,459.50 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$6,230.50 |
$6,230.50 |
$6,230.50 |
$1,051.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$6,047.50 |
$6,047.50 |
$6,047.50 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$8,771.50 |
$8,771.50 |
$8,771.50 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$4,359.00 |
$4,359.00 |
$4,359.00 |
$2,121.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$5,129.00 |
$5,129.00 |
$5,129.00 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$14,931.50 |
$14,931.50 |
$14,931.50 |
$770.70
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$21,535.50 |
$21,535.50 |
$21,535.50 |
$1,244.03
|
|
Exc chest wall tumor w/ribs 21601
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$3,386.84
|
|
Exc/crtg b1 cst/b9 tum rds
|
$4,382.50 |
$4,382.50 |
$4,382.50 |
$2,617.60
|
|
Exc/crtg b1 cst/tum hum algr
|
$4,916.00 |
$4,916.00 |
$4,916.00 |
$7,807.24
|
|
Exc excessive skin leg
|
$28,188.00 |
$28,188.00 |
$28,188.00 |
$4,321.60
|
|
Exc excessive skin thigh
|
$11,714.00 |
$11,714.00 |
$11,714.00 |
$4,540.80
|
|
Exc ext ear/partial/simple repair 69110
|
$15,503.34 |
$15,503.34 |
$15,503.34 |
$3,170.00
|
|
Exc face tum deep < 2 cm
|
$9,272.50 |
$9,272.50 |
$9,272.50 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$5,865.00 |
$5,865.00 |
$5,865.00 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$3,038.67 |
$3,038.67 |
$3,038.67 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$12,667.34 |
$12,667.34 |
$12,667.34 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$6,846.50 |
$6,846.50 |
$6,846.50 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$5,809.00 |
$5,809.00 |
$5,809.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$8,290.50 |
$8,290.50 |
$8,290.50 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$6,693.50 |
$6,693.50 |
$6,693.50 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$7,077.50 |
$7,077.50 |
$7,077.50 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$6,153.50 |
$6,153.50 |
$6,153.50 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$7,972.50 |
$7,972.50 |
$7,972.50 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$4,151.50 |
$4,151.50 |
$4,151.50 |
$2,271.01
|
|
Exchange biliary drg cath
|
$4,115.00 |
$4,115.00 |
$4,115.00 |
$3,797.76
|
|
Exchange drainage catheter
|
$2,451.00 |
$2,451.00 |
$2,451.00 |
$2,191.20
|
|
Exchange lens prosthesis
|
$2,849.88 |
$2,849.88 |
$2,849.88 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$13,996.00 |
$13,996.00 |
$13,996.00 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$4,807.50 |
$4,807.50 |
$4,807.50 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$10,311.50 |
$10,311.50 |
$10,311.50 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$3,713.00 |
$3,713.00 |
$3,713.00 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$4,071.50 |
$4,071.50 |
$4,071.50 |
$3,386.84
|
