|
Drainage of kidney lesion
|
$1,317.12 |
$1,317.12 |
$1,317.12 |
$1,706.65
|
|
Drainage of mouth lesion
|
$486.72 |
$486.72 |
$486.72 |
$455.56
|
|
Drainage of mouth lesion
|
$3,059.52 |
$3,059.52 |
$3,059.52 |
$2,320.03
|
|
Drainage of mouth lesion
|
$7,812.00 |
$7,812.00 |
$7,812.00 |
$3,986.00
|
|
Drainage of mouth lesion
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$799.40
|
|
Drainage of mouth lesion
|
$4,803.84 |
$4,803.84 |
$4,803.84 |
$3,837.72
|
|
Drainage of nose lesion int 30000
|
$486.72 |
$486.72 |
$486.72 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,969.00
|
|
Drainage of rectal abscess
|
$3,797.28 |
$3,797.28 |
$3,797.28 |
$2,299.90
|
|
Drainage of salivary gland
|
$4,803.84 |
$4,803.84 |
$4,803.84 |
$3,837.72
|
|
Drainage of salivary gland
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$4,371.84 |
$4,371.84 |
$4,371.84 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$601.92 |
$601.92 |
$601.92 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$144.48 |
$144.48 |
$144.48 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,318.88 |
$2,318.88 |
$2,318.88 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$2,318.88 |
$2,318.88 |
$2,318.88 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$2,005.44 |
$2,005.44 |
$2,005.44 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$484.32 |
$484.32 |
$484.32 |
$492.81
|
|
Drain lower leg bursa
|
$4,893.60 |
$4,893.60 |
$4,893.60 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$4,987.68 |
$4,987.68 |
$4,987.68 |
$3,386.84
|
|
Drain penis lesion
|
$6,451.20 |
$6,451.20 |
$6,451.20 |
$2,005.32
|
|
Drain shoulder lesion
|
$6,971.52 |
$6,971.52 |
$6,971.52 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$6,630.72 |
$6,630.72 |
$6,630.72 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$737.28 |
$737.28 |
$737.28 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$565.44 |
$565.44 |
$565.44 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$890.40 |
$890.40 |
$890.40 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$18,807.93 |
$18,807.93 |
$18,807.93 |
$6,438.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$4,501.92 |
$4,501.92 |
$4,501.92 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$3,807.36 |
$3,807.36 |
$3,807.36 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$1,019.52 |
$1,019.52 |
$1,019.52 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,412.48 |
$2,412.48 |
$2,412.48 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$3,301.92 |
$3,301.92 |
$3,301.92 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$4,164.96 |
$4,164.96 |
$4,164.96 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$2,240.64 |
$2,240.64 |
$2,240.64 |
$602.63
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,402.52 |
$2,402.52 |
$2,402.52 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,240.79 |
$4,240.79 |
$4,240.79 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$660.83 |
$660.83 |
$660.83 |
$189.68
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$8,713.19 |
$8,713.19 |
$8,713.19 |
$5,835.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$35,217.15 |
$35,217.15 |
$35,217.15 |
$12,232.79
|
|
Drug admin & hemodynmic meas
|
$70.56 |
$70.56 |
$70.56 |
$528.50
|
|
Drug assay voriconazole
|
$76.32 |
$76.32 |
$76.32 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$280.80 |
$280.80 |
$280.80 |
$278.85
|
|
Drvvt confirm - quest
|
$3.31 |
$3.31 |
$3.31 |
$101.66
|
|
Dup scan/hemodialysis access 93990
|
$623.04 |
$623.04 |
$623.04 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$447.36 |
$447.36 |
$447.36 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,361.76 |
$1,361.76 |
$1,361.76 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$17,795.19 |
$17,795.19 |
$17,795.19 |
$11,062.08
|
|
Dxa bone density axl vrt fx
|
$445.92 |
$445.92 |
$445.92 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$891.36 |
$891.36 |
$891.36 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$891.36 |
$891.36 |
$891.36 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$891.36 |
$891.36 |
$891.36 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$420.00 |
$420.00 |
$420.00 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$375.84 |
$375.84 |
$375.84 |
$204.96
|
|
Dx laryngoscopy newborn
|
$230.88 |
$230.88 |
$230.88 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$2,574.72 |
$2,574.72 |
$2,574.72 |
$2,040.67
|
|
Ear irrigation 69209
|
$221.28 |
$221.28 |
$221.28 |
$165.42
|
|
Ecg 12 lead tracing only
|
$288.48 |
$288.48 |
$288.48 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$487.20 |
$487.20 |
$487.20 |
$129.83
|
|
Ecg external < 48 hours recording
|
$322.56 |
$322.56 |
$322.56 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,118.88 |
$1,118.88 |
$1,118.88 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,971.84 |
$1,971.84 |
$1,971.84 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$757.44 |
$757.44 |
$757.44 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,127.84 |
$2,127.84 |
$2,127.84 |
$2,047.13
|
|
Echocardiography transthoracic 2d followup/limited
|
$584.16 |
$584.16 |
$584.16 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$930.72 |
$930.72 |
$930.72 |
$802.10
|
|
Echocardiograpy doppler follow up/limited study
|
$355.68 |
$355.68 |
$355.68 |
$353.46
|
|
Echo exam of fetal heart
|
$1,462.56 |
$1,462.56 |
$1,462.56 |
$855.38
|
|
Echo exam of fetal heart
|
$988.32 |
$988.32 |
$988.32 |
$503.80
|
|
Echo exam of fetal heart
|
$351.84 |
$351.84 |
$351.84 |
$431.41
|
|
Echo exam of fetal heart
|
$351.84 |
$351.84 |
$351.84 |
$323.40
|
|
Echo exam uterus 76831-
|
$280.32 |
$280.32 |
$280.32 |
$547.20
|
|
Echograp trans r pros study
|
$488.64 |
$488.64 |
$488.64 |
$459.40
|
|
Echo guide for amniocentesis
|
$326.88 |
$326.88 |
$326.88 |
$384.65
|
|
Echo guide for artery repair
|
$614.88 |
$614.88 |
$614.88 |
$680.28
|
|
Echo stress
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,986.56 |
$2,986.56 |
$2,986.56 |
$1,871.10
|
|
Echo transesophageal
|
$1,600.32 |
$1,600.32 |
$1,600.32 |
$1,734.10
|
|
Echo transesophageal intraop
|
$1,828.32 |
$1,828.32 |
$1,828.32 |
$1,571.70
|
|
Echo transthoracic
|
$1,294.56 |
$1,294.56 |
$1,294.56 |
$1,492.50
|
|
Echo transthoracic
|
$816.00 |
$816.00 |
$816.00 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,184.16 |
$1,184.16 |
$1,184.16 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$3,429.60 |
$3,429.60 |
$3,429.60 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$1,559.04 |
$1,559.04 |
$1,559.04 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$1,559.04 |
$1,559.04 |
$1,559.04 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$6,094.56 |
$6,094.56 |
$6,094.56 |
$4,331.00
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$6,094.56 |
$6,094.56 |
$6,094.56 |
$1,802.40
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$38.88 |
$38.88 |
$38.88 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$732.00 |
$732.00 |
$732.00 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$408.48 |
$408.48 |
$408.48 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$393.12 |
$393.12 |
$393.12 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,165.44 |
$1,165.44 |
$1,165.44 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$885.60 |
$885.60 |
$885.60 |
$936.00
|
|
Eeg recording awake and asleep
|
$367.20 |
$367.20 |
$367.20 |
$1,030.27
|