|
Drain cerebro spinal fluid 62272
|
$985.95 |
$985.95 |
$985.95 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$473.20 |
$473.20 |
$473.20 |
$492.81
|
|
Drain lower leg bursa
|
$1,824.55 |
$1,824.55 |
$1,824.55 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$2,115.40 |
$2,115.40 |
$2,115.40 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$2,266.60 |
$2,266.60 |
$2,266.60 |
$3,386.84
|
|
Drain ovary abscess open
|
$3,988.25 |
$3,988.25 |
$3,988.25 |
$3,762.53
|
|
Drain penis lesion
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,005.32
|
|
Drain shoulder lesion
|
$2,115.40 |
$2,115.40 |
$2,115.40 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$2,266.60 |
$2,266.60 |
$2,266.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$578.90 |
$578.90 |
$578.90 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$578.90 |
$578.90 |
$578.90 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$578.90 |
$578.90 |
$578.90 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$432.60 |
$432.60 |
$432.60 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$11,698.98 |
$11,698.98 |
$11,698.98 |
$8,648.63
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,987.30 |
$1,987.30 |
$1,987.30 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$2,018.10 |
$2,018.10 |
$2,018.10 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$473.20 |
$473.20 |
$473.20 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$2,344.30 |
$2,344.30 |
$2,344.30 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,898.75 |
$1,898.75 |
$1,898.75 |
$832.60
|
|
Drng of mouth lesion 40801
|
$566.30 |
$566.30 |
$566.30 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,486.10 |
$1,486.10 |
$1,486.10 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$2,344.30 |
$2,344.30 |
$2,344.30 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,657.95 |
$1,657.95 |
$1,657.95 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$761.60 |
$761.60 |
$761.60 |
$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 |
$2,608.11
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$382.24 |
$382.24 |
$382.24 |
$242.02
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,346.89 |
$5,346.89 |
$5,346.89 |
$6,491.75
|
|
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
|
$138.25 |
$138.25 |
$138.25 |
$528.50
|
|
Drug test prsmv instrmnt
|
$97.65 |
$97.65 |
$97.65 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$186.55 |
$186.55 |
$186.55 |
$278.85
|
|
Ductogram sgl duct
|
$359.45 |
$359.45 |
$359.45 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$997.85 |
$997.85 |
$997.85 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$596.40 |
$596.40 |
$596.40 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$819.70 |
$819.70 |
$819.70 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$11,009.65 |
$11,009.65 |
$11,009.65 |
$13,812.34
|
|
Dxa bone density axl vrt fx
|
$315.35 |
$315.35 |
$315.35 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$1,917.30 |
$1,917.30 |
$1,917.30 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,917.30 |
$1,917.30 |
$1,917.30 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$727.65 |
$727.65 |
$727.65 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$310.45 |
$310.45 |
$310.45 |
$204.96
|
|
Dx laryngoscopy newborn
|
$341.25 |
$341.25 |
$341.25 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,174.25 |
$1,174.25 |
$1,174.25 |
$2,040.67
|
|
Ear irrigation 69209
|
$249.90 |
$249.90 |
$249.90 |
$165.42
|
|
Ecg 12 lead tracing only
|
$191.80 |
$191.80 |
$191.80 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$46.20 |
$46.20 |
$46.20 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$1,374.45 |
$1,374.45 |
$1,374.45 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$300.30 |
$300.30 |
$300.30 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$705.25 |
$705.25 |
$705.25 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$546.00 |
$546.00 |
$546.00 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$458.15 |
$458.15 |
$458.15 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$281.40 |
$281.40 |
$281.40 |
$353.46
|
|
Echo exam uterus 76831-
|
$368.90 |
$368.90 |
$368.90 |
$547.20
|
|
Echograp trans r pros study
|
$366.10 |
$366.10 |
$366.10 |
$459.40
|
|
Echo guidance radiotherapy
|
$564.20 |
$564.20 |
$564.20 |
$774.80
|
|
Echo guide for artery repair
|
$712.25 |
$712.25 |
$712.25 |
$680.28
|
|
Echo stress
|
$1,083.95 |
$1,083.95 |
$1,083.95 |
$1,582.75
|
|
Echo tee guidance
|
$2,584.40 |
$2,584.40 |
$2,584.40 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,359.40 |
$1,359.40 |
$1,359.40 |
$1,871.10
|
|
Echo transesophageal intraop
|
$920.85 |
$920.85 |
$920.85 |
$1,571.70
|
|
Echo transthoracic
|
$915.25 |
$915.25 |
$915.25 |
$1,492.50
|
|
Echo transthoracic
|
$511.70 |
$511.70 |
$511.70 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$977.20 |
$977.20 |
$977.20 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$1,678.25 |
$1,678.25 |
$1,678.25 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,677.75 |
$4,677.75 |
$4,677.75 |
$4,331.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$4,677.75 |
$4,677.75 |
$4,677.75 |
$1,898.66
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$4,677.75 |
$4,677.75 |
$4,677.75 |
$1,802.40
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$25,442.29 |
$25,442.29 |
$25,442.29 |
$18,199.20
|
|
Eeg 41-60 minutes 95812-26
|
$476.00 |
$476.00 |
$476.00 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$364.70 |
$364.70 |
$364.70 |
$1,049.59
|
|
Eeg monitor/record/awake/drowsy 95816
|
$481.95 |
$481.95 |
$481.95 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$583.80 |
$583.80 |
$583.80 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$208.60 |
$208.60 |
$208.60 |
$936.00
|
|
Eeg recording awake and asleep
|
$499.80 |
$499.80 |
$499.80 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$554.40 |
$554.40 |
$554.40 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$380.45 |
$380.45 |
$380.45 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,784.65 |
$1,784.65 |
$1,784.65 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$1,368.85 |
$1,368.85 |
$1,368.85 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$415.80 |
$415.80 |
$415.80 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$913.15 |
$913.15 |
$913.15 |
$1,251.52
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$23,671.55 |
$23,671.55 |
$23,671.55 |
$17,246.41
|
|
Egd remove foreign body
|
$586.60 |
$586.60 |
$586.60 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$2,664.75
|
|
Egfr gene com variants
|
$139.65 |
$139.65 |
$139.65 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$272.30 |
$272.30 |
$272.30 |
$619.45
|
|
Electrd sq emblem s-icd
|
$7,764.83 |
$7,764.83 |
$7,764.83 |
$9,319.72
|
|
Electrical stimulation/unattended 97014
|
$31.15 |
$31.15 |
$31.15 |
$81.75
|
|
Electrolyte panel
|
$102.55 |
$102.55 |
$102.55 |
$86.33
|
|
Electrophysiologic study
|
$3,105.90 |
$3,105.90 |
$3,105.90 |
$6,758.40
|
|
Electrophysiology evaluation
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$5,194.35 |
$5,194.35 |
$5,194.35 |
$11,175.42
|
|
Electrophysiology evaluation
|
$5,097.05 |
$5,097.05 |
$5,097.05 |
$7,769.30
|
|
Electrophysiology evaluation
|
$5,097.05 |
$5,097.05 |
$5,097.05 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,997.80 |
$1,997.80 |
$1,997.80 |
$2,845.10
|
|
Electrophysiology evaluation
|
$825.65 |
$825.65 |
$825.65 |
$2,803.20
|