|
Established Patient Office Visit (level 3)
|
$72.00 |
$72.00 |
$72.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$105.50 |
$105.50 |
$105.50 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$157.00 |
$157.00 |
$157.00 |
$280.33
|
|
Estradiol total
|
$110.00 |
$110.00 |
$110.00 |
$146.50
|
|
Ethylene glycol -sendout
|
$7.00 |
$7.00 |
$7.00 |
$89.40
|
|
Etonogestrel implant system
|
$828.50 |
$828.50 |
$828.50 |
$2,081.30
|
|
Euflexxa inj per dose
|
$501.50 |
$501.50 |
$501.50 |
$587.51
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$170.00 |
$170.00 |
$170.00 |
$219.60
|
|
Evaluation psychiatric diagnostic
|
$196.00 |
$196.00 |
$196.00 |
$312.00
|
|
Event monitor
|
$35.50 |
$35.50 |
$35.50 |
$242.65
|
|
Evoked auditory tst complete
|
$191.00 |
$191.00 |
$191.00 |
$344.68
|
|
Evoked oa emissions ltd
|
$20.00 |
$20.00 |
$20.00 |
$234.32
|
|
Exam of vagina w/scope 57420
|
$95.00 |
$95.00 |
$95.00 |
$486.03
|
|
Exam pelvic add-on
|
$17.50 |
$17.50 |
$17.50 |
$41.60
|
|
Ex arm/elbow tum deep < 5 cm
|
$587.50 |
$587.50 |
$587.50 |
$3,386.84
|
|
Exc abd les sc 3 cm/>
|
$491.50 |
$491.50 |
$491.50 |
$3,796.00
|
|
Exc arm/elbo les sc >=3cm 24071
|
$446.50 |
$446.50 |
$446.50 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$359.00 |
$359.00 |
$359.00 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$397.00 |
$397.00 |
$397.00 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$808.00 |
$808.00 |
$808.00 |
$3,805.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$224.00 |
$224.00 |
$224.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$319.00 |
$319.00 |
$319.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$83.00 |
$83.00 |
$83.00 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$678.50 |
$678.50 |
$678.50 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$144.50 |
$144.50 |
$144.50 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$176.50 |
$176.50 |
$176.50 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$678.50 |
$678.50 |
$678.50 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$277.50 |
$277.50 |
$277.50 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$389.50 |
$389.50 |
$389.50 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$678.50 |
$678.50 |
$678.50 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$150.00 |
$150.00 |
$150.00 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$218.50 |
$218.50 |
$218.50 |
$2,101.45
|
|
Exc forearm les sc 3 cm/>
|
$459.00 |
$459.00 |
$459.00 |
$3,628.50
|
|
Exc forearm tum deep 3 cm/>
|
$572.00 |
$572.00 |
$572.00 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$355.00 |
$355.00 |
$355.00 |
$1,897.50
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$3,398.50
|
|
Excise anal ext tag/papilla
|
$133.00 |
$133.00 |
$133.00 |
$1,710.00
|
|
Excise/repair mouth lesion
|
$185.50 |
$185.50 |
$185.50 |
$1,903.93
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$373.50 |
$373.50 |
$373.50 |
$2,623.00
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$131.00 |
$131.00 |
$131.00 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,238.50 |
$2,238.50 |
$2,238.50 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$678.50 |
$678.50 |
$678.50 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$257.50 |
$257.50 |
$257.50 |
$2,865.00
|
|
Excision nasal polyp(s) simple 30110
|
$132.50 |
$132.50 |
$132.50 |
$1,752.89
|
|
Excision olecranon bursa
|
$391.00 |
$391.00 |
$391.00 |
$2,889.60
|
|
Excision tongue lesion without closure 41110
|
$130.50 |
$130.50 |
$130.50 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$520.50 |
$520.50 |
$520.50 |
$3,650.40
|
|
Exc les conjunctiva <1 cm
|
$140.00 |
$140.00 |
$140.00 |
$2,747.43
|
|
Exc les conjunctiva >1 cm
|
$172.00 |
$172.00 |
$172.00 |
$2,760.73
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$125.00 |
$125.00 |
$125.00 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$123.00 |
$123.00 |
$123.00 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$173.00 |
$173.00 |
$173.00 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$382.00 |
$382.00 |
$382.00 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$121.00 |
$121.00 |
$121.00 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$143.50 |
$143.50 |
$143.50 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$200.00 |
$200.00 |
$200.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$120.50 |
$120.50 |
$120.50 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$143.00 |
$143.00 |
$143.00 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$389.50 |
$389.50 |
$389.50 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$678.50 |
$678.50 |
$678.50 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$204.00 |
$204.00 |
$204.00 |
$1,294.80
|
|
Exc of residual cervix via aginal approach 57550
|
$438.50 |
$438.50 |
$438.50 |
$5,463.96
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$206.50 |
$206.50 |
$206.50 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$160.50 |
$160.50 |
$160.50 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$291.50 |
$291.50 |
$291.50 |
$3,370.52
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$333.00 |
$333.00 |
$333.00 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$491.00 |
$491.00 |
$491.00 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$333.00 |
$333.00 |
$333.00 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$342.00 |
$342.00 |
$342.00 |
$2,557.92
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$463.50 |
$463.50 |
$463.50 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$3,994.09
|
|
Exc tendon sheath or cap lesion 26160
|
$338.50 |
$338.50 |
$338.50 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$345.50 |
$345.50 |
$345.50 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$121.50 |
$121.50 |
$121.50 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$316.50 |
$316.50 |
$316.50 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$190.50 |
$190.50 |
$190.50 |
$4,232.80
|
|
Exploration of foot joint
|
$389.50 |
$389.50 |
$389.50 |
$3,832.27
|
|
Explore/irrigate tear ducts
|
$112.50 |
$112.50 |
$112.50 |
$523.25
|
|
Explore penetrating wnd/extremity 20103
|
$363.50 |
$363.50 |
$363.50 |
$1,788.80
|
|
Explore/treat wrist joint
|
$434.00 |
$434.00 |
$434.00 |
$3,880.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$275.00 |
$275.00 |
$275.00 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$363.50 |
$363.50 |
$363.50 |
$2,734.20
|
|
Ext ecg>48hr<7d rev&interpj
|
$25.50 |
$25.50 |
$25.50 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$27.50 |
$27.50 |
$27.50 |
$63.20
|
|
Extended visual field xm
|
$29.00 |
$29.00 |
$29.00 |
$163.00
|
|
External chromosome analysis 20-25 cells
|
$335.50 |
$335.50 |
$335.50 |
$384.15
|
|
Extnd color vision xm
|
$9.50 |
$9.50 |
$9.50 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$157.00 |
$157.00 |
$157.00 |
$108.60
|
|
Extraction of lens
|
$799.00 |
$799.00 |
$799.00 |
$4,452.74
|
|
Extraction of lens
|
$732.50 |
$732.50 |
$732.50 |
$2,653.00
|
|
F-18 fdg pet diag
|
$427.00 |
$427.00 |
$427.00 |
$551.72
|
|
Facial bones <3
|
$173.00 |
$173.00 |
$173.00 |
$252.60
|
|
Factor ix
|
$154.50 |
$154.50 |
$154.50 |
$156.13
|
|
Factor viii
|
$208.50 |
$208.50 |
$208.50 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$113.00 |
$113.00 |
$113.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$117.00 |
$117.00 |
$117.00 |
$230.36
|
