|
Endo abl/incom vein/ext/laser/#1 36478
|
$294.00 |
$294.00 |
$294.00 |
$4,980.03
|
|
Endocerv curettage w/scope 57456
|
$475.00 |
$475.00 |
$475.00 |
$470.25
|
|
Endocervical curettage 57505
|
$816.50 |
$816.50 |
$816.50 |
$1,035.00
|
|
Endome abla/them without hystero guide 58353
|
$241.50 |
$241.50 |
$241.50 |
$4,317.40
|
|
Endoscopic injection/implant
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$4,846.99
|
|
Endoscopy bowel pouch/biop
|
$91.50 |
$91.50 |
$91.50 |
$1,983.09
|
|
Endoscopy of bowel pouch 44385
|
$75.00 |
$75.00 |
$75.00 |
$1,899.00
|
|
Endo, single, pulmonary
|
$2,412.50 |
$2,412.50 |
$2,412.50 |
$1,046.66
|
|
Endovasc visc aorta 1 graft
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$8,078.85
|
|
Endovasc visc aorta 3 graft
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$7,311.20
|
|
Endovasc visc aorta 4 graft
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$6,219.85
|
|
Endovas iliac a device addon
|
$217.50 |
$217.50 |
$217.50 |
$880.00
|
|
Endovenous laser vein addon 36479
|
$144.00 |
$144.00 |
$144.00 |
$2,616.29
|
|
Endovenous mchnchem 1st vein
|
$191.50 |
$191.50 |
$191.50 |
$4,845.93
|
|
Endovenous mchnchem add-on
|
$95.50 |
$95.50 |
$95.50 |
$2,203.63
|
|
Endoven ther chem adhes 1st 36482
|
$190.50 |
$190.50 |
$190.50 |
$5,983.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$23.76 |
$23.76 |
$23.76 |
$112.52
|
|
Enterectomy small intestine addl 44121
|
$258.50 |
$258.50 |
$258.50 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$5,979.50 |
$5,979.50 |
$5,979.50 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$1,414.00 |
$1,414.00 |
$1,414.00 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$1,511.50 |
$1,511.50 |
$1,511.50 |
$2,650.80
|
|
Enterorrhaphy multiple perforations 44603
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$2,901.00
|
|
Enzyme histochemistry
|
$532.00 |
$532.00 |
$532.00 |
$456.30
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,125.50 |
$1,125.50 |
$1,125.50 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$254.50 |
$254.50 |
$254.50 |
$2,174.23
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$30.00 |
$30.00 |
$30.00 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$24.12 |
$24.12 |
$24.12 |
$34.13
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$160.50 |
$160.50 |
$160.50 |
$3,762.53
|
|
Epoetin alfa, 100 units esrd
|
$4.00 |
$4.00 |
$4.00 |
$6.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$267.52 |
$267.52 |
$267.52 |
$840.97
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$835.59 |
$835.59 |
$835.59 |
$1,273.20
|
|
Epstein barr early antigen antibody
|
$85.00 |
$85.00 |
$85.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$76.00 |
$76.00 |
$76.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$89.70
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$45.47 |
$45.47 |
$45.47 |
$232.12
|
|
ER Visit (level 1, minor)
|
$156.00 |
$156.00 |
$156.00 |
$248.40
|
|
ER Visit (level 2)
|
$291.00 |
$291.00 |
$291.00 |
$454.74
|
|
ER Visit (level 3)
|
$585.50 |
$585.50 |
$585.50 |
$770.04
|
|
ER Visit (level 4)
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,667.50 |
$1,667.50 |
$1,667.50 |
$1,823.50
|
|
Esophageal dilat s&i
|
$27.50 |
$27.50 |
$27.50 |
$581.10
|
|
Esophagoscopy balloon <30mm
|
$122.50 |
$122.50 |
$122.50 |
$2,460.00
|
|
Esophagoscopy flex biopsy
|
$111.50 |
$111.50 |
$111.50 |
$2,101.52
|
|
Esophagoscopy/flex/diagnostic 43200
|
$91.00 |
$91.00 |
$91.00 |
$1,263.27
|
|
Esophagoscopy snare les remv
|
$165.00 |
$165.00 |
$165.00 |
$2,638.57
|
|
Esoph balloon distension tst
|
$49.50 |
$49.50 |
$49.50 |
$1,040.00
|
|
Esoph egd dilation <30 mm
|
$1,433.25 |
$1,433.25 |
$1,433.25 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$110.50 |
$110.50 |
$110.50 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$63.00 |
$63.00 |
$63.00 |
$133.25
|
|
Established Patient Office Visit (level 3)
|
$126.00 |
$126.00 |
$126.00 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$200.00 |
$200.00 |
$200.00 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$157.00 |
$157.00 |
$157.00 |
$280.33
|
|
Estradiol total
|
$106.00 |
$106.00 |
$106.00 |
$154.70
|
|
Estrogens total-sendout
|
$60.83 |
$60.83 |
$60.83 |
$97.50
|
|
Ethylene glycol -sendout
|
$7.00 |
$7.00 |
$7.00 |
$93.75
|
|
Etonogestrel implant system
|
$1,402.23 |
$1,402.23 |
$1,402.23 |
$2,081.30
|
|
Euflexxa inj per dose
|
$1,002.25 |
$1,002.25 |
$1,002.25 |
$512.27
|
|
Euglobulin lysis
|
$66.00 |
$66.00 |
$66.00 |
$63.84
|
|
Evaluation psychiatric diagnostic
|
$164.50 |
$164.50 |
$164.50 |
$313.30
|
|
Event monitor
|
$7.50 |
$7.50 |
$7.50 |
$242.65
|
|
Evoked auditory tst complete
|
$29.00 |
$29.00 |
$29.00 |
$354.40
|
|
Evoked oa emissions ltd
|
$18.50 |
$18.50 |
$18.50 |
$244.00
|
|
Exam of vagina w/scope 57420
|
$493.50 |
$493.50 |
$493.50 |
$486.03
|
|
Exam pelvic add-on
|
$22.00 |
$22.00 |
$22.00 |
$41.60
|
|
Exam plvc w/anes othr thn lcl
|
$111.00 |
$111.00 |
$111.00 |
$3,762.53
|
|
Ex arm/elbow tum deep < 5 cm
|
$580.00 |
$580.00 |
$580.00 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$739.50 |
$739.50 |
$739.50 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$491.50 |
$491.50 |
$491.50 |
$3,646.94
|
|
Exc abdl tum deep < 5 cm
|
$605.50 |
$605.50 |
$605.50 |
$3,386.84
|
|
Exc abdl tum deep 5 cm/>
|
$714.50 |
$714.50 |
$714.50 |
$3,370.52
|
|
Exc arm/elbo les sc >=3cm 24071
|
$2,640.50 |
$2,640.50 |
$2,640.50 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$362.00 |
$362.00 |
$362.00 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$403.00 |
$403.00 |
$403.00 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$788.50 |
$788.50 |
$788.50 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$347.00 |
$347.00 |
$347.00 |
$3,769.92
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,244.20
|
|
Exc benign feenlm >4.0cm 11446
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$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
|
$1,017.88 |
$1,017.88 |
$1,017.88 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,686.50 |
$1,686.50 |
$1,686.50 |
$923.06
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,427.67 |
$1,427.67 |
$1,427.67 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,262.50 |
$1,262.50 |
$1,262.50 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,845.50 |
$1,845.50 |
$1,845.50 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,209.50 |
$1,209.50 |
$1,209.50 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$3,382.50 |
$3,382.50 |
$3,382.50 |
$1,228.50
|
|
Exc/crtg b1 cst/b9 tum rds
|
$565.50 |
$565.50 |
$565.50 |
$2,617.60
|
|
Exc excessive skin leg
|
$916.00 |
$916.00 |
$916.00 |
$4,321.60
|
|
Exc ext ear/partial/simple repair 69110
|
$332.00 |
$332.00 |
$332.00 |
$3,127.88
|
|
Exc face tum deep < 2 cm
|
$419.50 |
$419.50 |
$419.50 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$570.00 |
$570.00 |
$570.00 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$1,145.17 |
$1,145.17 |
$1,145.17 |
$973.71
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$469.50 |
$469.50 |
$469.50 |
$3,994.09
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$3,230.00
|
|
Exc forearm les sc 3 cm/>
|
$469.50 |
$469.50 |
$469.50 |
$3,628.50
|
|
Exc forearm tum deep < 3 cm
|
$549.00 |
$549.00 |
$549.00 |
$2,149.50
|
|
Exc forearm tum deep 3 cm/>
|
$572.00 |
$572.00 |
$572.00 |
$3,994.09
|
|
Exc hand les sc < 1.5 cm
|
$363.00 |
$363.00 |
$363.00 |
$1,897.50
|
