|
Debridement (>20 cm) charge pt
|
$35.53 |
$35.53 |
$35.53 |
$284.00
|
|
Debridement bone <= 20 sq cm
|
$278.83 |
$278.83 |
$278.83 |
$2,320.80
|
|
Debridement subcutaneous tissue <= 20 sq cm
|
$74.42 |
$74.42 |
$74.42 |
$835.20
|
|
Debride nail1-5 11720
|
$17.90 |
$17.90 |
$17.90 |
$149.60
|
|
Debride skin bone at fx site
|
$513.86 |
$513.86 |
$513.86 |
$3,015.00
|
|
Debride skn/sq/musc/abd wall 11004
|
$708.85 |
$708.85 |
$708.85 |
$903.00
|
|
Debride skn/sq t/m/f necro infctj abdl wall 11005
|
$1,384.08 |
$1,384.08 |
$1,384.08 |
$1,899.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$32.97 |
$32.97 |
$32.97 |
$663.30
|
|
Debr musc/fascia 20sq cm/< 11043
|
$190.28 |
$190.28 |
$190.28 |
$1,165.50
|
|
Decalcification
|
$15.47 |
$15.47 |
$15.47 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$241.90 |
$241.90 |
$241.90 |
$572.95
|
|
Delivery of placenta 59414
|
$1,309.81 |
$1,309.81 |
$1,309.81 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$150.50 |
$150.50 |
$150.50 |
$185.17
|
|
Desoxycorticosterone
|
$52.17 |
$52.17 |
$52.17 |
$109.28
|
|
Destroy internal hemorrhoids destroy 46930
|
$184.16 |
$184.16 |
$184.16 |
$1,395.28
|
|
Destruct ben lesion 15/> 17111
|
$99.85 |
$99.85 |
$99.85 |
$235.13
|
|
Destruction anal lesion(s)
|
$163.44 |
$163.44 |
$163.44 |
$3,711.00
|
|
Destruction anal lesion(s) smpl chem 46900
|
$166.73 |
$166.73 |
$166.73 |
$557.90
|
|
Destruction penis lesion(s) chem 54050
|
$127.17 |
$127.17 |
$127.17 |
$332.00
|
|
Device sut capio slim opn
|
$6,369.00 |
$6,369.00 |
$6,369.00 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$9,087.33 |
$9,087.33 |
$9,087.33 |
$2,515.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$37.59 |
$37.59 |
$37.59 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$16.83 |
$16.83 |
$16.83 |
$79.30
|
|
Diag laparo separate proc 49320
|
$405.53 |
$405.53 |
$405.53 |
$7,104.72
|
|
Diagnostic anoscopy spx 46600
|
$49.93 |
$49.93 |
$49.93 |
$195.50
|
|
Diagnostic Mammogram (both breasts)
|
$352.44 |
$352.44 |
$352.44 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$232.85 |
$232.85 |
$232.85 |
$314.00
|
|
Diffusing capacity
|
$353.25 |
$353.25 |
$353.25 |
$336.80
|
|
Digoxin total therapeutic drug level
|
$29.73 |
$29.73 |
$29.73 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$96.55 |
$96.55 |
$96.55 |
$1,548.00
|
|
Dilation of urethra
|
$1,205.89 |
$1,205.89 |
$1,205.89 |
$2,424.12
|
|
Dilator fascial 10fx20cm
|
$1,410.68 |
$1,410.68 |
$1,410.68 |
$402.10
|
|
Disability dlco
|
$273.07 |
$273.07 |
$273.07 |
$293.76
|
|
Disaccharidases
|
$203.08 |
$203.08 |
$203.08 |
$230.40
|
|
Dna antibody native/double stranded
|
$32.86 |
$32.86 |
$32.86 |
$100.00
|
|
Dna gardnerella
|
$34.16 |
$34.16 |
$34.16 |
$61.83
|
|
Dna trichomonas
|
$34.16 |
$34.16 |
$34.16 |
$63.00
|
|
Doppler echo complete
|
$371.18 |
$371.18 |
$371.18 |
$558.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$242.61 |
$242.61 |
$242.61 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$60,227.20 |
$60,227.20 |
$60,227.20 |
$34,278.00
|
|
Dpyd gene common variants
|
$608.48 |
$608.48 |
$608.48 |
$423.60
|
|
Drainage of kidney lesion
|
$1,393.30 |
$1,393.30 |
$1,393.30 |
$1,506.00
|
|
Drain cath image guided visceral pq
|
$1,393.30 |
$1,393.30 |
$1,393.30 |
$2,903.44
|
|
Drain finger abscess;simple 26010
|
$169.09 |
$169.09 |
$169.09 |
$428.40
|
|
Drain lower leg lesion 27603
|
$715.92 |
$715.92 |
$715.92 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$398.47 |
$398.47 |
$398.47 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$927.87 |
$927.87 |
$927.87 |
$3,986.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$66.41 |
$66.41 |
$66.41 |
$349.50
|
|
Drng of eyelid abscess 67700
|
$209.12 |
$209.12 |
$209.12 |
$655.72
|
|
Drng of scrotum abscess 55100
|
$204.41 |
$204.41 |
$204.41 |
$1,997.89
|
|
Drng peritoneal abscess open 49020
|
$2,824.19 |
$2,824.19 |
$2,824.19 |
$2,520.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,059.31 |
$6,059.31 |
$6,059.31 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$232.10 |
$232.10 |
$232.10 |
$7,465.97
|
|
Drug assay caffeine
|
$65.08 |
$65.08 |
$65.08 |
$80.00
|
|
Drug assay posaconazole
|
$66.20 |
$66.20 |
$66.20 |
$96.75
|
|
Drug assay vedolizumab
|
$177.84 |
$177.84 |
$177.84 |
$154.00
|
|
Drug assay voriconazole
|
$71.25 |
$71.25 |
$71.25 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$163.25 |
$163.25 |
$163.25 |
$66.43
|
|
Drug of abuse screen urine
|
$35.90 |
$35.90 |
$35.90 |
$67.89
|
|
Drug screening tapentadol
|
$31.42 |
$31.42 |
$31.42 |
$47.03
|
|
Drug test prsmv instrmnt
|
$29.17 |
$29.17 |
$29.17 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$251.89 |
$251.89 |
$251.89 |
$278.85
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$304.01 |
$304.01 |
$304.01 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$760.33 |
$760.33 |
$760.33 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$85.92 |
$85.92 |
$85.92 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$344.85 |
$344.85 |
$344.85 |
$412.88
|
|
Ecg external < 48 hours recording
|
$264.00 |
$264.00 |
$264.00 |
$467.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,071.99 |
$1,071.99 |
$1,071.99 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$364.53 |
$364.53 |
$364.53 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$292.51 |
$292.51 |
$292.51 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,340.13 |
$1,340.13 |
$1,340.13 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$455.94 |
$455.94 |
$455.94 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$186.70 |
$186.70 |
$186.70 |
$371.25
|
|
Echo exam uterus 76831-
|
$572.32 |
$572.32 |
$572.32 |
$561.00
|
|
Echo guide for amniocentesis
|
$486.18 |
$486.18 |
$486.18 |
$455.57
|
|
Echo stress
|
$694.16 |
$694.16 |
$694.16 |
$1,609.44
|
|
Echo transthoracic
|
$72.82 |
$72.82 |
$72.82 |
$1,361.75
|
|
Echo transthoracic
|
$41.74 |
$41.74 |
$41.74 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$589.46 |
$589.46 |
$589.46 |
$1,033.00
|
|
E equine encephalitis igg
|
$34.45 |
$34.45 |
$34.45 |
$51.84
|
|
Egd dilate stricture
|
$216.19 |
$216.19 |
$216.19 |
$2,394.60
|
|
Egd remove foreign body
|
$217.60 |
$217.60 |
$217.60 |
$1,571.40
|
|
Egd remove lesion snare
|
$240.68 |
$240.68 |
$240.68 |
$2,597.25
|
|
Egd varices ligation
|
$300.97 |
$300.97 |
$300.97 |
$2,244.82
|
|
Egfr gene com variants
|
$1,128.87 |
$1,128.87 |
$1,128.87 |
$672.88
|
|
EKG (Tracing Only)
|
$277.67 |
$277.67 |
$277.67 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$146.83 |
$146.83 |
$146.83 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$173.24 |
$173.24 |
$173.24 |
$364.20
|
|
Electrd sq emblem s-icd
|
$10,842.70 |
$10,842.70 |
$10,842.70 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$65.89 |
$65.89 |
$65.89 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$53.29 |
$53.29 |
$53.29 |
$81.75
|
|
Electrolyte panel
|
$43.76 |
$43.76 |
$43.76 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,018.64 |
$1,018.64 |
$1,018.64 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$34.45 |
$34.45 |
$34.45 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$34.45 |
$34.45 |
$34.45 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$34.45 |
$34.45 |
$34.45 |
$54.99
|
|
Enterectomy small intestine single 44120
|
$2,170.64 |
$2,170.64 |
$2,170.64 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$2,464.80
|
|
Enterorrhaphy 1perforation 44602
|
$1,746.47 |
$1,746.47 |
$1,746.47 |
$2,650.80
|
|
Enzyme histochemistry
|
$1,018.64 |
$1,018.64 |
$1,018.64 |
$455.91
|