|
Emg 3 ext w-w/o paraspinal area 95863
|
$436.00 |
$743.50 |
$1,708.00 |
|
|
Emg cranial nerve bilateral
|
$350.50 |
$350.50 |
$1,048.00 |
|
|
Emg needle test 1-extremity
|
$290.00 |
$366.00 |
$1,442.00 |
|
|
Emg needle test 4-extremities
|
$182.00 |
$972.50 |
$1,977.50 |
|
|
Emg thor paraspinal without t1/t2
|
$140.50 |
$140.50 |
$350.50 |
|
|
Encephalitis, california igg/igm
|
$8.00 |
$50.00 |
$300.00 |
|
|
Encephalitis, st louis igg/igm
|
$8.00 |
$50.00 |
$148.50 |
|
|
Encephalitis, western equine igg/igm
|
$8.00 |
$65.00 |
$127.00 |
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$294.00 |
$472.00 |
$5,188.00 |
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,803.00 |
$4,709.00 |
$14,547.00 |
|
|
Endo cath bile duct s&i
|
$228.00 |
$550.00 |
$1,485.50 |
|
|
Endo cath panc duct s&i
|
$182.50 |
$593.00 |
$714.50 |
|
|
Endocerv curettage w/scope 57456
|
$105.00 |
$350.50 |
$1,586.00 |
|
|
Endocervical curettage 57505
|
$109.50 |
$1,045.00 |
$1,677.50 |
|
|
Endo cholangiopancreatograph
|
$2,372.50 |
$2,971.50 |
$4,256.34 |
|
|
Endo cholangiopancreatograph
|
$2,336.00 |
$3,302.50 |
$7,114.50 |
|
|
Endo defect closure gi tract
|
$11,691.00 |
$11,691.00 |
$11,691.00 |
|
|
Endoluminal bx biliary tree
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
|
|
Endoluminal bx urtr rnl plvs
|
$2,439.00 |
$3,452.00 |
$3,552.50 |
|
|
Endoluminl ivus oct c 1st
|
$1,255.50 |
$5,512.50 |
$8,739.00 |
|
|
Endoluminl ivus oct c ea
|
$811.50 |
$1,455.50 |
$5,814.50 |
|
|
Endome abla/them without hystero guide 58353
|
$233.50 |
$241.50 |
$2,187.88 |
|
|
Endo outlet restrict w/tube
|
$9,959.00 |
$10,522.00 |
$11,691.00 |
|
|
Endoscopic injection/implant
|
$205.00 |
$615.00 |
$5,458.50 |
|
|
Endoscopic pancreatoscopy
|
$584.00 |
$3,498.13 |
$5,383.75 |
|
|
Endoscopic Ultrasound exam esoph
|
$1,367.50 |
$2,557.50 |
$5,204.00 |
|
|
Endoscopy bowel pouch/biop
|
$91.50 |
$92.00 |
$2,421.50 |
|
|
Endoscopy maxillary sinus
|
$1,114.20 |
$7,139.50 |
$12,393.00 |
|
|
Endoscopy of bowel pouch 44385
|
$75.00 |
$76.50 |
$872.00 |
|
|
Endoscopy of ureter
|
$9,621.00 |
$9,621.00 |
$9,621.00 |
|
|
Endoscopy swallow (fees) vid
|
$143.00 |
$370.00 |
$607.00 |
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$601.80 |
$3,006.00 |
$5,958.00 |
|
|
Endo, single, pulmonary
|
$1,070.63 |
$2,412.50 |
$3,860.00 |
|
|
Endovasc rpr a-biiliac endogft 34705
|
$6,105.00 |
$6,792.00 |
$36,786.50 |
|
|
Endovasc tempory vessel occl
|
$4,749.00 |
$4,749.00 |
$4,749.00 |
|
|
Endovasc visc aorta 1 graft
|
$1,267.50 |
$1,290.50 |
$10,006.50 |
|
|
Endovasc visc aorta 2 graft
|
$5,679.50 |
$5,679.50 |
$6,310.50 |
|
|
Endovasc visc aorta 3 graft
|
$1,492.50 |
$1,519.50 |
$2,431.20 |
|
|
Endovasc visc aorta 4 graft
|
$1,605.00 |
$1,634.00 |
$6,688.00 |
|
|
Endovas iliac a device addon
|
$217.50 |
$223.00 |
$1,000.50 |
|
|
Endovenous laser vein addon 36479
|
$143.00 |
$144.00 |
$2,902.00 |
|
|
Endovenous mchnchem 1st vein
|
$190.50 |
$304.80 |
$3,428.00 |
|
|
Endovenous mchnchem add-on
|
$94.50 |
$95.50 |
$1,506.50 |
|
|
Endovenous rf abl vein addl
|
$1,915.20 |
$2,430.00 |
$3,346.50 |
|
|
Endoven ther chem adhes 1st 36482
|
$190.50 |
$305.60 |
$12,351.00 |
|
|
Endoven ther chem adhes sbsq 36483
|
$1,506.50 |
$1,532.50 |
$4,807.50 |
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$11,460.72 |
$25,281.00 |
$33,708.00 |
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$1.50 |
$23.76 |
$373.20 |
|
|
Entamoeba histolytica ag eia - sendout
|
$58.50 |
$72.80 |
$94.00 |
|
|
Entamoeb hist dispr ag ia
|
$71.00 |
$71.00 |
$71.00 |
|
|
Enterectomy small intestine addl 44121
|
$258.50 |
$260.00 |
$416.00 |
|
|
Enterectomy small intestine single 44120
|
$1,342.00 |
$4,595.50 |
$10,472.00 |
|
|
Enteroenterostomy fusion 44130
|
$1,414.00 |
$1,447.00 |
$2,315.20 |
|
|
Enterorrhaphy 1perforation 44602
|
$1,511.50 |
$1,532.50 |
$5,318.33 |
|
|
Enterorrhaphy multiple perforations 44603
|
$1,734.50 |
$1,757.50 |
$2,812.00 |
|
|
Enzyme histochemistry
|
$26.50 |
$93.50 |
$878.50 |
|
|
Eo, adj lock joint prefab ot
|
$152.37 |
$184.50 |
$195.50 |
|
|
Ep & ablate supravent arrhyt
|
$12,742.00 |
$13,697.50 |
$19,113.00 |
|
|
Ep & ablate ventric tachy
|
$13,551.00 |
$13,952.50 |
$17,849.50 |
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$31,680.72 |
$31,680.72 |
$31,680.72 |
|
|
Epidrm a-grft face/nck/hf/g 15115
|
$2,371.50 |
$3,072.50 |
$3,403.50 |
|
|
Epidrm a-grft f/n/hf/g addl
|
$385.50 |
$385.50 |
$385.50 |
|
|
Epidrm agrft t/a/l 1st 100
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
|
|
Epidrm autogrft t/a/l add-on
|
$273.00 |
$273.00 |
$737.50 |
|
|
Epidural/lumbar/sacral/ea add level64484
|
$50.00 |
$1,003.50 |
$2,891.00 |
|
|
Epidural lysis on single day 62264
|
$243.50 |
$254.50 |
$389.60 |
|
|
Ep induct arrhy by elect pacing
|
$1,468.00 |
$1,468.00 |
$3,048.50 |
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$28.50 |
$64.13 |
$256.50 |
|
|
Epinephrine 1 mg/ml im kit - adult
|
$2.99 |
$16.40 |
$245.97 |
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$8.17 |
$35.55 |
$897.90 |
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$2.90 |
$12.06 |
$102.72 |
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$160.50 |
$257.60 |
$5,344.50 |
|
|
Epoetin alfa, 100 units esrd
|
$4.00 |
$6.00 |
$350.00 |
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$13.50 |
$356.69 |
$890.10 |
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$24.00 |
$309.48 |
$1,512.00 |
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$60.00 |
$60.00 |
$60.00 |
|
|
Epstein barr early antigen antibody
|
$19.50 |
$45.00 |
$225.00 |
|
|
Epstein barr nuclear antigen antibody
|
$30.00 |
$46.50 |
$207.00 |
|
|
Epstein barr viral capsid antigen antibody igm
|
$40.00 |
$68.50 |
$236.00 |
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$97.13 |
$97.13 |
$97.13 |
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$2,741.75 |
$6,681.60 |
$11,640.42 |
|
|
Ercp biliary & pancreas
|
$182.50 |
$628.50 |
$999.50 |
|
|
Ercp bil/panc duct; each stent plcmt 43274
|
$1,251.33 |
$4,200.00 |
$5,563.00 |
|
|
Ercp ea duct/ampulla dilate
|
$3,009.67 |
$4,667.00 |
$10,317.34 |
|
|
Ercp lesion ablate w/dilate 43278
|
$945.00 |
$945.00 |
$2,597.13 |
|
|
Ercp lithotripsy calculi
|
$3,068.38 |
$4,380.34 |
$7,407.34 |
|
|
Ercp remove duct calculi 43264
|
$1,033.67 |
$3,302.50 |
$4,038.50 |
|
|
Ercp remove forgn body duct 43275
|
$1,224.00 |
$2,807.00 |
$5,335.00 |
|
|
Ercp stent exchange w/dilate
|
$1,314.00 |
$1,422.00 |
$10,767.50 |
|
|
Ercp w/specimen collection
|
$1,387.00 |
$3,381.00 |
$10,684.50 |
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$7,296.75 |
$7,296.75 |
$9,517.50 |
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$15.00 |
$53.50 |
$429.60 |
|
|
ER Visit (level 1, minor)
|
$67.20 |
$164.00 |
$247.00 |
|
|
ER Visit (level 2)
|
$142.00 |
$291.00 |
$769.00 |
|
|
ER Visit (level 3)
|
$207.00 |
$479.00 |
$814.50 |
|
|
ER Visit (level 4)
|
$331.00 |
$787.00 |
$1,917.00 |
|
|
ER Visit (level 5, high severity)
|
$491.50 |
$1,376.40 |
$4,303.50 |
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$23.74 |
$62.28 |
$248.40 |
|
|
Esd endoscopy or colonoscopy
|
$461.33 |
$461.33 |
$1,680.00 |
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$2.63 |
$1,298.40 |
$1,298.40 |
|
