|
Drng peritoneal abscess open 49020
|
$1,012.32 |
$1,012.32 |
$1,012.32 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$105.07 |
$105.07 |
$105.07 |
$2,039.50
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,339.12 |
$1,339.12 |
$1,339.12 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$3.80 |
$3.80 |
$3.80 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$5,835.47 |
$5,835.47 |
$5,835.47 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$44.46 |
$44.46 |
$44.46 |
$578.59
|
|
Drug assay posaconazole
|
$4.12 |
$4.12 |
$4.12 |
$96.75
|
|
Drug assay vedolizumab
|
$38.00 |
$38.00 |
$38.00 |
$157.00
|
|
Drug assay voriconazole
|
$4.12 |
$4.12 |
$4.12 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$43.70 |
$43.70 |
$43.70 |
$66.43
|
|
Drug of abuse screen urine
|
$38.76 |
$38.76 |
$38.76 |
$64.50
|
|
Drug screening tapentadol
|
$4.09 |
$4.09 |
$4.09 |
$44.25
|
|
Drug screen quant tiagabine
|
$13.11 |
$13.11 |
$13.11 |
$107.59
|
|
Drug test prsmv instrmnt
|
$72.39 |
$72.39 |
$72.39 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$79.80 |
$79.80 |
$79.80 |
$280.95
|
|
Drvvt confirm - quest
|
$3.04 |
$3.04 |
$3.04 |
$109.20
|
|
Dry needling (97799)
|
$14.82 |
$14.82 |
$14.82 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$96.71 |
$96.71 |
$96.71 |
$2,967.48
|
|
Dstr mal les s/n/h/f/g >4.0
|
$191.14 |
$191.14 |
$191.14 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$164.35 |
$164.35 |
$164.35 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$186.20 |
$186.20 |
$186.20 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$179.17 |
$179.17 |
$179.17 |
$886.40
|
|
Ductogram sgl duct
|
$208.62 |
$208.62 |
$208.62 |
$469.44
|
|
Duodenal exclusion
|
$1,127.65 |
$1,127.65 |
$1,127.65 |
$4,393.60
|
|
Duplex scan bilateral study 93985
|
$27.17 |
$27.17 |
$27.17 |
$692.40
|
|
Dup scan/hemodialysis access 93990
|
$326.61 |
$326.61 |
$326.61 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$17.10 |
$17.10 |
$17.10 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$399.38 |
$399.38 |
$399.38 |
$903.50
|
|
Dx bronchoscope/brush 31623
|
$84.17 |
$84.17 |
$84.17 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$85.50 |
$85.50 |
$85.50 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$83.98 |
$83.98 |
$83.98 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$102.41 |
$102.41 |
$102.41 |
$2,755.53
|
|
Ear and throat examination
|
$45.41 |
$45.41 |
$45.41 |
$602.63
|
|
Ear canal biopsy 69105
|
$97.28 |
$97.28 |
$97.28 |
$1,889.50
|
|
Ear cartilage graft
|
$382.66 |
$382.66 |
$382.66 |
$6,311.00
|
|
Ear irrigation 69209
|
$16.34 |
$16.34 |
$16.34 |
$150.00
|
|
Ecg 12 lead tracing only
|
$92.72 |
$92.72 |
$92.72 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$4.94 |
$4.94 |
$4.94 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$58.14 |
$58.14 |
$58.14 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$99.37 |
$99.37 |
$99.37 |
$466.20
|
|
Ecg external < 48 hours recording
|
$190.57 |
$190.57 |
$190.57 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$112.86 |
$112.86 |
$112.86 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$5.89 |
$5.89 |
$5.89 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$5.89 |
$5.89 |
$5.89 |
$161.85
|
|
Ecg record/review
|
$129.58 |
$129.58 |
$129.58 |
$251.20
|
|
Ecg/review interpret only
|
$12.35 |
$12.35 |
$12.35 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$564.11 |
$564.11 |
$564.11 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$261.06 |
$261.06 |
$261.06 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$50.92 |
$50.92 |
$50.92 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$233.89 |
$233.89 |
$233.89 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$18.24 |
$18.24 |
$18.24 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$110.39 |
$110.39 |
$110.39 |
$371.25
|
|
Echo exam of eye
|
$22.99 |
$22.99 |
$22.99 |
$172.00
|
|
Echo exam of eye thickness
|
$8.55 |
$8.55 |
$8.55 |
$40.30
|
|
Echo exam of fetal heart
|
$561.64 |
$561.64 |
$561.64 |
$904.80
|
|
Echo exam of fetal heart
|
$103.36 |
$103.36 |
$103.36 |
$431.41
|
|
Echo exam uterus 76831-
|
$258.78 |
$258.78 |
$258.78 |
$552.50
|
|
Echograp trans r pros study
|
$256.88 |
$256.88 |
$256.88 |
$466.20
|
|
Echo guidance radiotherapy
|
$420.66 |
$420.66 |
$420.66 |
$812.00
|
|
Echo guide for amniocentesis
|
$161.50 |
$161.50 |
$161.50 |
$446.60
|
|
Echo guide for artery repair
|
$200.45 |
$200.45 |
$200.45 |
$687.35
|
|
Echo stress
|
$446.69 |
$446.69 |
$446.69 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$637.83 |
$637.83 |
$637.83 |
$1,889.20
|
|
Echo transesophageal
|
$19.95 |
$19.95 |
$19.95 |
$1,075.20
|
|
Echo transesophageal
|
$173.09 |
$173.09 |
$173.09 |
$602.00
|
|
Echo transesophageal
|
$680.58 |
$680.58 |
$680.58 |
$1,599.50
|
|
Echo transthoracic
|
$464.36 |
$464.36 |
$464.36 |
$1,361.75
|
|
Echo transthoracic
|
$354.54 |
$354.54 |
$354.54 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$340.67 |
$340.67 |
$340.67 |
$1,022.30
|
|
Ecmo/ecls initiation venous 33946
|
$189.24 |
$189.24 |
$189.24 |
$3,988.60
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$144.21 |
$144.21 |
$144.21 |
$1,362.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$20.33 |
$20.33 |
$20.33 |
$90.26
|
|
Eeg 41-60 minutes 95812-26
|
$464.93 |
$464.93 |
$464.93 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$216.98 |
$216.98 |
$216.98 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$292.98 |
$292.98 |
$292.98 |
$831.00
|
|
Eeg/record in coma or sleep only 95822
|
$311.60 |
$311.60 |
$311.60 |
$865.00
|
|
Eeg recording awake and asleep
|
$290.51 |
$290.51 |
$290.51 |
$929.00
|
|
E equine encephalitis igg
|
$2.23 |
$2.23 |
$2.23 |
$50.88
|
|
Egd balloon dil esoph30 mm/>
|
$145.35 |
$145.35 |
$145.35 |
$2,234.01
|
|
Egd control bleeding any
|
$128.63 |
$128.63 |
$128.63 |
$2,553.75
|
|
Egd dilate stricture
|
$112.67 |
$112.67 |
$112.67 |
$2,244.82
|
|
Egd endo mucosal resection
|
$172.71 |
$172.71 |
$172.71 |
$2,430.40
|
|
Egd endoscopic stent place
|
$138.70 |
$138.70 |
$138.70 |
$3,786.00
|
|
Egd guide wire insertion
|
$106.59 |
$106.59 |
$106.59 |
$1,664.00
|
|
Egd injection varices
|
$151.43 |
$151.43 |
$151.43 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$91.39 |
$91.39 |
$91.39 |
$2,234.01
|
|
Egd lesion ablation
|
$143.83 |
$143.83 |
$143.83 |
$2,244.82
|
|
Egd optical endomicroscopy
|
$107.92 |
$107.92 |
$107.92 |
$2,372.30
|
|
Egd remove foreign body
|
$113.05 |
$113.05 |
$113.05 |
$1,548.00
|
|
Egd remove lesion snare
|
$329.46 |
$329.46 |
$329.46 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$108.87 |
$108.87 |
$108.87 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$144.97 |
$144.97 |
$144.97 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$148.96 |
$148.96 |
$148.96 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$167.96 |
$167.96 |
$167.96 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$167.96 |
$167.96 |
$167.96 |
$3,127.50
|
|
Egd varices ligation
|
$156.75 |
$156.75 |
$156.75 |
$2,244.82
|
|
Egd w/transmural drain cyst
|
$249.66 |
$249.66 |
$249.66 |
$4,379.25
|
|
Egfr gene com variants
|
$242.25 |
$242.25 |
$242.25 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$5.73 |
$5.73 |
$5.73 |
$93.00
|
|
EKG (Electrocardiogram)
|
$11.02 |
$11.02 |
$11.02 |
$89.60
|