|
Drainage of rectal abscess 45020
|
$376.39 |
$376.39 |
$376.39 |
$3,786.00
|
|
Drainage of throat abscess
|
$525.92 |
$525.92 |
$525.92 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$108.49 |
$108.49 |
$108.49 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$32.49 |
$32.49 |
$32.49 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$41.80 |
$41.80 |
$41.80 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$129.96 |
$129.96 |
$129.96 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,116.63 |
$1,116.63 |
$1,116.63 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$192.47 |
$192.47 |
$192.47 |
$1,025.00
|
|
Drain chest lesion
|
$327.94 |
$327.94 |
$327.94 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$95.38 |
$95.38 |
$95.38 |
$428.40
|
|
Drain lower leg bursa
|
$221.73 |
$221.73 |
$221.73 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$259.35 |
$259.35 |
$259.35 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$227.43 |
$227.43 |
$227.43 |
$3,301.20
|
|
Drain ovarn cyst abd
|
$280.06 |
$280.06 |
$280.06 |
$3,786.00
|
|
Drain penis lesion
|
$198.93 |
$198.93 |
$198.93 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$453.72 |
$453.72 |
$453.72 |
$3,345.60
|
|
Drain shoulder lesion
|
$169.67 |
$169.67 |
$169.67 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$339.34 |
$339.34 |
$339.34 |
$3,824.50
|
|
Drain to peritoneal cavity
|
$491.91 |
$491.91 |
$491.91 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$72.20 |
$72.20 |
$72.20 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$37.05 |
$37.05 |
$37.05 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$85.12 |
$85.12 |
$85.12 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$28.31 |
$28.31 |
$28.31 |
$724.37
|
|
Drng appendix abscess open 44900
|
$500.08 |
$500.08 |
$500.08 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$377.72 |
$377.72 |
$377.72 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$78.28 |
$78.28 |
$78.28 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$124.83 |
$124.83 |
$124.83 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$55.29 |
$55.29 |
$55.29 |
$832.60
|
|
Drng of mouth lesion 40801
|
$136.23 |
$136.23 |
$136.23 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$207.86 |
$207.86 |
$207.86 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$333.26 |
$333.26 |
$333.26 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$284.05 |
$284.05 |
$284.05 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$282.15 |
$282.15 |
$282.15 |
$2,111.46
|
|
Drng of salivary cyst 42409
|
$157.51 |
$157.51 |
$157.51 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$111.91 |
$111.91 |
$111.91 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$703.57 |
$703.57 |
$703.57 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$641.06 |
$641.06 |
$641.06 |
$1,800.00
|
|
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
|
|
Dstrj nulyt agt gnclr nrv
|
$96.71 |
$96.71 |
$96.71 |
$2,967.48
|
|
Dstr mal les s/n/h/f/g >4.0
|
$133.57 |
$133.57 |
$133.57 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$113.05 |
$113.05 |
$113.05 |
$603.20
|
|
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
|
$43.13 |
$43.13 |
$43.13 |
$1,889.50
|
|
Ear cartilage graft
|
$382.66 |
$382.66 |
$382.66 |
$6,311.00
|
|
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 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 >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
|
$5.70 |
$5.70 |
$5.70 |
$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
|
$68.02 |
$68.02 |
$68.02 |
$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
|
$64.79 |
$64.79 |
$64.79 |
$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
|