|
Dress/debride pt-thick burn/<5% bs 16020
|
$602.00 |
$602.00 |
$602.00 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$602.00 |
$602.00 |
$602.00 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$523.25 |
$523.25 |
$523.25 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$11,698.98 |
$11,698.98 |
$11,698.98 |
$9,390.80
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$668.85 |
$668.85 |
$668.85 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$769.30 |
$769.30 |
$769.30 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$3,137.40 |
$3,137.40 |
$3,137.40 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$602.00 |
$602.00 |
$602.00 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$793.10 |
$793.10 |
$793.10 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,034.95 |
$1,034.95 |
$1,034.95 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,499.05 |
$1,499.05 |
$1,499.05 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$651.00 |
$651.00 |
$651.00 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,444.66 |
$1,444.66 |
$1,444.66 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,567.36 |
$2,567.36 |
$2,567.36 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$382.24 |
$382.24 |
$382.24 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$16.10 |
$16.10 |
$16.10 |
$318.13
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,346.89 |
$5,346.89 |
$5,346.89 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$21,905.91 |
$21,905.91 |
$21,905.91 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$355.25 |
$355.25 |
$355.25 |
$528.50
|
|
Drug assay caffeine
|
$11.20 |
$11.20 |
$11.20 |
$81.61
|
|
Drug test prsmv instrmnt
|
$407.40 |
$407.40 |
$407.40 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$583.10 |
$583.10 |
$583.10 |
$278.85
|
|
Ductogram sgl duct
|
$665.00 |
$665.00 |
$665.00 |
$413.91
|
|
Dup scan/hemodialysis access 93990
|
$891.10 |
$891.10 |
$891.10 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,298.85 |
$1,298.85 |
$1,298.85 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,036.70 |
$1,036.70 |
$1,036.70 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$11,009.65 |
$11,009.65 |
$11,009.65 |
$14,438.37
|
|
Durvalumab 50 mg/ml intravenous solution
|
$15,440.78 |
$15,440.78 |
$15,440.78 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$260.40 |
$260.40 |
$260.40 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$5,125.05 |
$5,125.05 |
$5,125.05 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$310.10 |
$310.10 |
$310.10 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$243.60 |
$243.60 |
$243.60 |
$204.96
|
|
Dx laryngoscopy newborn
|
$224.35 |
$224.35 |
$224.35 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$2,040.67
|
|
Ear irrigation 69209
|
$365.05 |
$365.05 |
$365.05 |
$165.42
|
|
Ecg 12 lead tracing only
|
$323.75 |
$323.75 |
$323.75 |
$245.00
|
|
Ecg external < 48 hours recording
|
$1,629.95 |
$1,629.95 |
$1,629.95 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$366.80 |
$366.80 |
$366.80 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,226.70 |
$2,226.70 |
$2,226.70 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$395.50 |
$395.50 |
$395.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$417.90 |
$417.90 |
$417.90 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$397.25 |
$397.25 |
$397.25 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$153.65 |
$153.65 |
$153.65 |
$353.46
|
|
Echo exam uterus 76831-
|
$673.40 |
$673.40 |
$673.40 |
$547.20
|
|
Echograp trans r pros study
|
$220.50 |
$220.50 |
$220.50 |
$459.40
|
|
Echo guidance radiotherapy
|
$472.15 |
$472.15 |
$472.15 |
$774.80
|
|
Echo guide for artery repair
|
$703.15 |
$703.15 |
$703.15 |
$680.28
|
|
Echo stress
|
$1,411.90 |
$1,411.90 |
$1,411.90 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,530.90 |
$1,530.90 |
$1,530.90 |
$1,871.10
|
|
Echo transesophageal
|
$33.60 |
$33.60 |
$33.60 |
$1,734.10
|
|
Echo transesophageal intraop
|
$780.85 |
$780.85 |
$780.85 |
$1,571.70
|
|
Echo transthoracic
|
$792.05 |
$792.05 |
$792.05 |
$1,492.50
|
|
Echo transthoracic
|
$397.25 |
$397.25 |
$397.25 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$792.05 |
$792.05 |
$792.05 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$4,324.50
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$4,331.00
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,394.09
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,624.70
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,128.60
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$1,802.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$25,442.29 |
$25,442.29 |
$25,442.29 |
$18,038.06
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,609.30 |
$1,609.30 |
$1,609.30 |
$1,049.59
|
|
Eeg during surgery
|
$422.45 |
$422.45 |
$422.45 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,074.50 |
$1,074.50 |
$1,074.50 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,609.30 |
$1,609.30 |
$1,609.30 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$1,609.30 |
$1,609.30 |
$1,609.30 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,609.30 |
$1,609.30 |
$1,609.30 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,190.35 |
$1,190.35 |
$1,190.35 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$550.55 |
$550.55 |
$550.55 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$3,570.70 |
$3,570.70 |
$3,570.70 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$2,677.15 |
$2,677.15 |
$2,677.15 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$884.45 |
$884.45 |
$884.45 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$1,251.52
|
|
Egd remove foreign body
|
$407.40 |
$407.40 |
$407.40 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,086.75 |
$1,086.75 |
$1,086.75 |
$2,664.75
|
|
Egfr gene com variants
|
$139.65 |
$139.65 |
$139.65 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$214.20 |
$214.20 |
$214.20 |
$619.45
|
|
Electrd sq emblem s-icd
|
$7,764.83 |
$7,764.83 |
$7,764.83 |
$9,175.83
|
|
Electrical stimulation/unattended 97014
|
$80.85 |
$80.85 |
$80.85 |
$81.75
|
|
Electrocochleography
|
$286.30 |
$286.30 |
$286.30 |
$393.00
|
|
Electrolyte panel
|
$129.85 |
$129.85 |
$129.85 |
$86.33
|
|
Electronic analysis with brain program ea add 15 min 95984
|
$96.25 |
$96.25 |
$96.25 |
$121.23
|
|
Electronic analysis with brain program first 15 min 95983
|
$96.25 |
$96.25 |
$96.25 |
$144.70
|
|
Electrophysiologic study
|
$6,539.05 |
$6,539.05 |
$6,539.05 |
$6,758.40
|
|
Electrophysiology evaluation
|
$9,800.00 |
$9,800.00 |
$9,800.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$9,376.50 |
$9,376.50 |
$9,376.50 |
$11,175.42
|
|
Electrophysiology evaluation
|
$3,592.75 |
$3,592.75 |
$3,592.75 |
$7,769.30
|
|
Electrophysiology evaluation
|
$3,413.20 |
$3,413.20 |
$3,413.20 |
$6,516.00
|