|
Debride nail6 or more 11721
|
$67.28 |
$67.28 |
$67.28 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$115.76 |
$115.76 |
$115.76 |
$663.30
|
|
Debr inf skin add-on 11001
|
$129.74 |
$129.74 |
$129.74 |
$124.08
|
|
Debr musc/fascia 20sq cm/< 11043
|
$683.21 |
$683.21 |
$683.21 |
$1,165.50
|
|
Decalcification
|
$9.42 |
$9.42 |
$9.42 |
$68.34
|
|
Declotting thrombolytic agent implanted vas access device 36
|
$152.01 |
$152.01 |
$152.01 |
$572.95
|
|
Delivery of placenta 59414
|
$748.98 |
$748.98 |
$748.98 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$72.10 |
$72.10 |
$72.10 |
$185.17
|
|
Design mlc device for imrt
|
$590.46 |
$590.46 |
$590.46 |
$1,753.00
|
|
Desoxycorticosterone
|
$14.04 |
$14.04 |
$14.04 |
$109.28
|
|
Device ablt adv novasure
|
$1,806.48 |
$1,806.48 |
$1,806.48 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$4,200.00
|
|
Device sut capio slim opn
|
$2,848.68 |
$2,848.68 |
$2,848.68 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$2,167.62 |
$2,167.62 |
$2,167.62 |
$2,515.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$10.12 |
$10.12 |
$10.12 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$26.73 |
$26.73 |
$26.73 |
$79.30
|
|
Diagnostic laryngoscopy 31575
|
$133.81 |
$133.81 |
$133.81 |
$338.00
|
|
Diffusing capacity
|
$159.71 |
$159.71 |
$159.71 |
$336.80
|
|
Digital analysis of eeg
|
$176.08 |
$176.08 |
$176.08 |
$593.40
|
|
Digoxin total therapeutic drug level
|
$8.00 |
$8.00 |
$8.00 |
$102.07
|
|
Dilate biliary duct/ampulla
|
$1,380.55 |
$1,380.55 |
$1,380.55 |
$1,866.73
|
|
Dilator fascial 10fx20cm
|
$336.49 |
$336.49 |
$336.49 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$1,011.79 |
$1,011.79 |
$1,011.79 |
$3,900.60
|
|
Dilat xst trc new access rcs
|
$1,714.93 |
$1,714.93 |
$1,714.93 |
$4,258.20
|
|
Disaccharidases
|
$54.66 |
$54.66 |
$54.66 |
$230.40
|
|
Dlyd plmt xtn prosth ea addl
|
$2,005.08 |
$2,005.08 |
$2,005.08 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$11.35 |
$11.35 |
$11.35 |
$100.00
|
|
Dna gardnerella
|
$11.10 |
$11.10 |
$11.10 |
$61.83
|
|
Dna trichomonas
|
$11.10 |
$11.10 |
$11.10 |
$63.00
|
|
Doppler echo complete
|
$223.86 |
$223.86 |
$223.86 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$947.96 |
$947.96 |
$947.96 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$246.50 |
$246.50 |
$246.50 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$210.82 |
$210.82 |
$210.82 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$53,874.98 |
$53,874.98 |
$53,874.98 |
$34,278.00
|
|
Dpyd gene common variants
|
$191.36 |
$191.36 |
$191.36 |
$423.60
|
|
Drainage of bladder abscess
|
$1,389.80 |
$1,389.80 |
$1,389.80 |
$3,127.88
|
|
Drainage of kidney lesion
|
$441.88 |
$441.88 |
$441.88 |
$1,506.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$901.97 |
$901.97 |
$901.97 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$648.23 |
$648.23 |
$648.23 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$296.51 |
$296.51 |
$296.51 |
$1,044.00
|
|
Drng of hydrocele 55000
|
$278.02 |
$278.02 |
$278.02 |
$867.90
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,279.19 |
$2,279.19 |
$2,279.19 |
$1,818.32
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$103.81 |
$103.81 |
$103.81 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$578.59 |
$578.59 |
$578.59 |
$569.75
|
|
Drug assay caffeine
|
$17.52 |
$17.52 |
$17.52 |
$80.00
|
|
Drug assay posaconazole
|
$17.82 |
$17.82 |
$17.82 |
$96.75
|
|
Drug assay voriconazole
|
$19.18 |
$19.18 |
$19.18 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$43.94 |
$43.94 |
$43.94 |
$66.43
|
|
Drug of abuse screen urine
|
$9.66 |
$9.66 |
$9.66 |
$67.89
|
|
Drug screening tapentadol
|
$8.46 |
$8.46 |
$8.46 |
$47.03
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$67.80 |
$67.80 |
$67.80 |
$278.85
|
|
Drvvt confirm - quest
|
$9.99 |
$9.99 |
$9.99 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$148.23 |
$148.23 |
$148.23 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$224.17 |
$224.17 |
$224.17 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$374.24 |
$374.24 |
$374.24 |
$904.78
|
|
Ecg/1-3 leads/tracing only 93041
|
$41.00 |
$41.00 |
$41.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$236.58 |
$236.58 |
$236.58 |
$412.88
|
|
Ecg external < 48 hours recording
|
$102.49 |
$102.49 |
$102.49 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$140.60 |
$140.60 |
$140.60 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$522.21 |
$522.21 |
$522.21 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$201.44 |
$201.44 |
$201.44 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$118.95 |
$118.95 |
$118.95 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$652.86 |
$652.86 |
$652.86 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$251.94 |
$251.94 |
$251.94 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$112.12 |
$112.12 |
$112.12 |
$371.25
|
|
Echo exam uterus 76831-
|
$101.82 |
$101.82 |
$101.82 |
$561.00
|
|
Echograp trans r pros study
|
$78.14 |
$78.14 |
$78.14 |
$468.00
|
|
Echo guidance radiotherapy
|
$171.98 |
$171.98 |
$171.98 |
$812.00
|
|
Echo guide for artery repair
|
$92.65 |
$92.65 |
$92.65 |
$696.30
|
|
Echo stress
|
$382.79 |
$382.79 |
$382.79 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$845.89 |
$845.89 |
$845.89 |
$1,913.60
|
|
Echo transesophageal
|
$482.43 |
$482.43 |
$482.43 |
$1,650.00
|
|
Echo transthoracic
|
$395.07 |
$395.07 |
$395.07 |
$1,361.75
|
|
Echo transthoracic
|
$209.82 |
$209.82 |
$209.82 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$269.88 |
$269.88 |
$269.88 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$450.97 |
$450.97 |
$450.97 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$464.47 |
$464.47 |
$464.47 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$563.83 |
$563.83 |
$563.83 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$405.87 |
$405.87 |
$405.87 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$581.20 |
$581.20 |
$581.20 |
$2,660.16
|
|
Eeg 41-60 minutes 95812-26
|
$387.85 |
$387.85 |
$387.85 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$284.48 |
$284.48 |
$284.48 |
$994.15
|
|
Eeg during surgery
|
$459.46 |
$459.46 |
$459.46 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$269.37 |
$269.37 |
$269.37 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$456.18 |
$456.18 |
$456.18 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$316.02 |
$316.02 |
$316.02 |
$871.00
|
|
Eeg recording awake and asleep
|
$320.62 |
$320.62 |
$320.62 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$204.76 |
$204.76 |
$204.76 |
$895.20
|
|
Eeg without vid 2-12 hr unmntr
|
$163.81 |
$163.81 |
$163.81 |
$721.76
|
|
Eeg without vid ea 12-26hr cont
|
$286.67 |
$286.67 |
$286.67 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$270.46 |
$270.46 |
$270.46 |
$1,584.70
|
|
Eeg wo vid 2-12hr intmt mntr
|
$188.56 |
$188.56 |
$188.56 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$245.72 |
$245.72 |
$245.72 |
$1,632.95
|
|
E equine encephalitis igg
|
$11.89 |
$11.89 |
$11.89 |
$51.84
|
|
Egfr gene com variants
|
$221.10 |
$221.10 |
$221.10 |
$672.88
|
|
EKG (Tracing Only)
|
$94.10 |
$94.10 |
$94.10 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$82.72 |
$82.72 |
$82.72 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$89.79 |
$89.79 |
$89.79 |
$364.20
|
|
Elect analysis of infusion pump 62367
|
$203.74 |
$203.74 |
$203.74 |
$563.20
|
|
Electrd sq emblem s-icd
|
$4,849.64 |
$4,849.64 |
$4,849.64 |
$10,243.24
|