|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$11,460.72 |
$11,460.72 |
$11,460.72 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$25.31 |
$25.31 |
$25.31 |
$109.71
|
|
Entamoeba histolytica ag eia - sendout
|
$72.80 |
$72.80 |
$72.80 |
$56.89
|
|
Enterectomy small intestine addl 44121
|
$416.00 |
$416.00 |
$416.00 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$2,147.20 |
$2,147.20 |
$2,147.20 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,315.20 |
$2,315.20 |
$2,315.20 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$2,650.80
|
|
Enterorrhaphy multiple perforations 44603
|
$2,812.00 |
$2,812.00 |
$2,812.00 |
$2,901.00
|
|
Enzyme histochemistry
|
$44.80 |
$44.80 |
$44.80 |
$456.30
|
|
Epidural/lumbar/sacral/ea add level64484
|
$80.00 |
$80.00 |
$80.00 |
$1,110.90
|
|
Epidural lysis on single day 62264
|
$389.60 |
$389.60 |
$389.60 |
$2,237.95
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$45.60 |
$45.60 |
$45.60 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$13.07 |
$13.07 |
$13.07 |
$24.90
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$8.17 |
$8.17 |
$8.17 |
$414.76
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$2.90 |
$2.90 |
$2.90 |
$32.00
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$257.60 |
$257.60 |
$257.60 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$6.40 |
$6.40 |
$6.40 |
$5.67
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$856.06 |
$856.06 |
$856.06 |
$817.75
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$309.48 |
$309.48 |
$309.48 |
$1,273.20
|
|
Epstein barr early antigen antibody
|
$38.40 |
$38.40 |
$38.40 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$190.40 |
$190.40 |
$190.40 |
$76.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$64.00 |
$64.00 |
$64.00 |
$88.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,656.17 |
$4,656.17 |
$4,656.17 |
$3,788.80
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$72.77 |
$72.77 |
$72.77 |
$228.12
|
|
ER Visit (level 1, minor)
|
$182.40 |
$182.40 |
$182.40 |
$245.60
|
|
ER Visit (level 2)
|
$339.20 |
$339.20 |
$339.20 |
$452.20
|
|
ER Visit (level 3)
|
$593.60 |
$593.60 |
$593.60 |
$770.04
|
|
ER Visit (level 4)
|
$925.60 |
$925.60 |
$925.60 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,859.20 |
$1,859.20 |
$1,859.20 |
$1,828.80
|
|
Esophageal dilat s&i
|
$52.00 |
$52.00 |
$52.00 |
$581.10
|
|
Esophagoscopy balloon <30mm
|
$192.80 |
$192.80 |
$192.80 |
$2,361.00
|
|
Esophagoscopy flex biopsy
|
$168.80 |
$168.80 |
$168.80 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$144.80 |
$144.80 |
$144.80 |
$1,296.00
|
|
Esophagoscopy snare les remv
|
$258.40 |
$258.40 |
$258.40 |
$2,638.57
|
|
Esoph balloon distension tst
|
$92.00 |
$92.00 |
$92.00 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$985.60 |
$985.60 |
$985.60 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$94.40 |
$94.40 |
$94.40 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$94.40 |
$94.40 |
$94.40 |
$137.91
|
|
Established Patient Office Visit (level 3)
|
$168.00 |
$168.00 |
$168.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$168.80 |
$168.80 |
$168.80 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$502.40 |
$502.40 |
$502.40 |
$280.33
|
|
Estradiol total
|
$617.41 |
$617.41 |
$617.41 |
$151.20
|
|
Estrogens total-sendout
|
$65.60 |
$65.60 |
$65.60 |
$96.63
|
|
Ethylene glycol -sendout
|
$10.24 |
$10.24 |
$10.24 |
$86.04
|
|
Etonogestrel implant system
|
$1,325.60 |
$1,325.60 |
$1,325.60 |
$2,071.74
|
|
Etoposide 20 mg/ml intravenous solution
|
$36.10 |
$36.10 |
$36.10 |
$235.20
|
|
Euflexxa inj per dose
|
$802.40 |
$802.40 |
$802.40 |
$510.68
|
|
Euglobulin lysis
|
$105.60 |
$105.60 |
$105.60 |
$59.15
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$120.00 |
$120.00 |
$120.00 |
$211.20
|
|
Evaluation of speech fluency 92521
|
$184.80 |
$184.80 |
$184.80 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$250.40 |
$250.40 |
$250.40 |
$313.30
|
|
Event monitor
|
$13.60 |
$13.60 |
$13.60 |
$237.60
|
|
Evoked auditory tst complete
|
$50.40 |
$50.40 |
$50.40 |
$348.80
|
|
Evoked oa emissions ltd
|
$32.00 |
$32.00 |
$32.00 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$291.20 |
$291.20 |
$291.20 |
$259.20
|
|
Exam of vagina w/scope 57420
|
$152.00 |
$152.00 |
$152.00 |
$486.03
|
|
Exam pelvic add-on
|
$28.00 |
$28.00 |
$28.00 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$177.60 |
$177.60 |
$177.60 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$940.00 |
$940.00 |
$940.00 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$714.40 |
$714.40 |
$714.40 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,486.60 |
$1,486.60 |
$1,486.60 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$635.20 |
$635.20 |
$635.20 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$1,292.80 |
$1,292.80 |
$1,292.80 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$518.40 |
$518.40 |
$518.40 |
$3,786.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$358.40 |
$358.40 |
$358.40 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$510.40 |
$510.40 |
$510.40 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$1,136.64
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$282.40 |
$282.40 |
$282.40 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,939.74 |
$2,939.74 |
$2,939.74 |
$3,455.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,632.00 |
$2,632.00 |
$2,632.00 |
$1,247.50
|
|
Exc/crtg b1 cst/b9 tum rds
|
$907.20 |
$907.20 |
$907.20 |
$2,617.60
|
|
Exc excessive skin leg
|
$1,437.60 |
$1,437.60 |
$1,437.60 |
$4,321.60
|
|
Exc ext ear/partial/simple repair 69110
|
$524.00 |
$524.00 |
$524.00 |
$3,167.89
|
|
Exc face tum deep 2cm/> 21014
|
$866.40 |
$866.40 |
$866.40 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$3,078.40 |
$3,078.40 |
$3,078.40 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$349.60 |
$349.60 |
$349.60 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$754.40 |
$754.40 |
$754.40 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$438.40 |
$438.40 |
$438.40 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$734.40 |
$734.40 |
$734.40 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$879.20 |
$879.20 |
$879.20 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$8,400.80 |
$8,400.80 |
$8,400.80 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$2,606.94 |
$2,606.94 |
$2,606.94 |
$1,897.50
|
|
Exchange drainage catheter
|
$113.60 |
$113.60 |
$113.60 |
$2,206.00
|
|
Exchange lens prosthesis
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$4,504.00
|
|
Exc hidradenitis ing simpl 11462
|
$432.00 |
$432.00 |
$432.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$504.00 |
$504.00 |
$504.00 |
$3,386.84
|
|
Exc hip/pelv tum deep < 5 cm
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$3,386.84
|
|
Exc hip/pelv tum deep 5 cm/>
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$3,630.40
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$4,451.20 |
$4,451.20 |
$4,451.20 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$585.60 |
$585.60 |
$585.60 |
$3,370.52
|
