|
Emb without cervical dilation 58100
|
$203.00 |
$203.00 |
$203.00 |
$378.00
|
|
Encephalitis, california igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$54.99
|
|
Encephalitis, st louis igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$49.92
|
|
Encephalitis, western equine igg/igm
|
$30.00 |
$30.00 |
$30.00 |
$54.14
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$294.00 |
$294.00 |
$294.00 |
$5,004.00
|
|
Endocerv curettage w/scope 57456
|
$292.00 |
$292.00 |
$292.00 |
$504.40
|
|
Endocervical curettage 57505
|
$111.00 |
$111.00 |
$111.00 |
$1,060.50
|
|
Endome abla/them without hystero guide 58353
|
$241.50 |
$241.50 |
$241.50 |
$4,317.40
|
|
Endoscopic injection/implant
|
$209.00 |
$209.00 |
$209.00 |
$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 |
$4,881.00
|
|
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 |
$6,223.50
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$15.82 |
$15.82 |
$15.82 |
$109.71
|
|
Enterectomy small intestine addl 44121
|
$258.50 |
$258.50 |
$258.50 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$4,595.50 |
$4,595.50 |
$4,595.50 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$1,479.50 |
$1,479.50 |
$1,479.50 |
$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
|
$26.50 |
$26.50 |
$26.50 |
$456.30
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,110.90
|
|
Epidural lysis on single day 62264
|
$254.50 |
$254.50 |
$254.50 |
$2,237.95
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$28.50 |
$28.50 |
$28.50 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$16.40 |
$16.40 |
$16.40 |
$24.90
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$12.06 |
$12.06 |
$12.06 |
$32.00
|
|
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 |
$5.67
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$535.04 |
$535.04 |
$535.04 |
$817.75
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$24.00 |
$24.00 |
$24.00 |
$1,273.20
|
|
Epstein barr early antigen antibody
|
$19.50 |
$19.50 |
$19.50 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$40.00 |
$40.00 |
$40.00 |
$76.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$93.50 |
$93.50 |
$93.50 |
$88.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,741.75 |
$2,741.75 |
$2,741.75 |
$3,788.80
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$33.77 |
$33.77 |
$33.77 |
$228.12
|
|
ER Visit (level 1, minor)
|
$127.00 |
$127.00 |
$127.00 |
$245.60
|
|
ER Visit (level 2)
|
$184.00 |
$184.00 |
$184.00 |
$452.20
|
|
ER Visit (level 3)
|
$415.00 |
$415.00 |
$415.00 |
$770.04
|
|
ER Visit (level 4)
|
$654.00 |
$654.00 |
$654.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$1,828.80
|
|
Esophageal dilat s&i
|
$27.50 |
$27.50 |
$27.50 |
$581.10
|
|
Esophagoscopy balloon <30mm
|
$122.50 |
$122.50 |
$122.50 |
$2,361.00
|
|
Esophagoscopy flex biopsy
|
$106.00 |
$106.00 |
$106.00 |
$2,132.00
|
|
Esophagoscopy/flex/diagnostic 43200
|
$91.00 |
$91.00 |
$91.00 |
$1,296.00
|
|
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
|
$945.50 |
$945.50 |
$945.50 |
$2,638.57
|
|
Established Patient Office Visit (level 1)
|
$28.00 |
$28.00 |
$28.00 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$38.50 |
$38.50 |
$38.50 |
$137.91
|
|
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 |
$232.26
|
|
Established Patient Office Visit (level 5)
|
$157.00 |
$157.00 |
$157.00 |
$280.33
|
|
Estradiol total
|
$184.00 |
$184.00 |
$184.00 |
$151.20
|
|
Estrogens total-sendout
|
$40.55 |
$40.55 |
$40.55 |
$96.63
|
|
Ethylene glycol -sendout
|
$7.00 |
$7.00 |
$7.00 |
$86.04
|
|
Etonogestrel implant system
|
$828.50 |
$828.50 |
$828.50 |
$2,071.74
|
|
Euflexxa inj per dose
|
$501.50 |
$501.50 |
$501.50 |
$510.68
|
|
Euglobulin lysis
|
$66.00 |
$66.00 |
$66.00 |
$59.15
|
|
Eval/fit voice prosthesis iii, st
|
$356.00 |
$356.00 |
$356.00 |
$350.00
|
|
Evaluation psychiatric diagnostic
|
$154.00 |
$154.00 |
$154.00 |
$313.30
|
|
Event monitor
|
$53.50 |
$53.50 |
$53.50 |
$237.60
|
|
Evoked auditory tst complete
|
$29.00 |
$29.00 |
$29.00 |
$348.80
|
|
Evoked oa emissions ltd
|
$18.50 |
$18.50 |
$18.50 |
$244.00
|
|
Exam of vagina w/scope 57420
|
$306.50 |
$306.50 |
$306.50 |
$486.03
|
|
Exam pelvic add-on
|
$12.00 |
$12.00 |
$12.00 |
$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
|
$1,547.00 |
$1,547.00 |
$1,547.00 |
$4,078.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,986.00 |
$1,986.00 |
$1,986.00 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$385.50 |
$385.50 |
$385.50 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$788.50 |
$788.50 |
$788.50 |
$3,805.88
|
|
Exc bartholins gland/cyst
|
$328.50 |
$328.50 |
$328.50 |
$3,786.00
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$2,271.01
|
|
Exc benign feenlm >4.0cm 11446
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$2,271.01
|
|
Exc benign tal 0.5 < cm 11400
|
$2,216.50 |
$2,216.50 |
$2,216.50 |
$827.77
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$1,136.64
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,491.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,538.50 |
$3,538.50 |
$3,538.50 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$3,455.25
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$682.50 |
$682.50 |
$682.50 |
$768.00
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$709.50 |
$709.50 |
$709.50 |
$1,247.50
|
|
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 |
$3,167.89
|
|
Exc face tum deep < 2 cm
|
$243.51 |
$243.51 |
$243.51 |
$1,917.33
|
|
Exc face tum deep 2cm/> 21014
|
$547.00 |
$547.00 |
$547.00 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$864.50 |
$864.50 |
$864.50 |
$973.71
|
