|
Drainage of mouth lesion
|
$135.15 |
$135.15 |
$135.15 |
$2,320.03
|
|
Drainage of mouth lesion
|
$821.27 |
$821.27 |
$821.27 |
$3,837.72
|
|
Drainage of mouth lesion
|
$173.57 |
$173.57 |
$173.57 |
$905.30
|
|
Drainage of mouth lesion
|
$182.24 |
$182.24 |
$182.24 |
$1,008.80
|
|
Drainage of mouth lesion
|
$208.93 |
$208.93 |
$208.93 |
$6,781.90
|
|
Drainage of mouth lesion
|
$281.52 |
$281.52 |
$281.52 |
$3,459.00
|
|
Drainage of mouth lesion
|
$241.74 |
$241.74 |
$241.74 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$161.84 |
$161.84 |
$161.84 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$162.18 |
$162.18 |
$162.18 |
$781.44
|
|
Drainage of pelvis bursa
|
$312.29 |
$312.29 |
$312.29 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$833.34 |
$833.34 |
$833.34 |
$3,863.70
|
|
Drainage of rectal abscess
|
$99.45 |
$99.45 |
$99.45 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$336.77 |
$336.77 |
$336.77 |
$3,786.00
|
|
Drainage of throat abscess
|
$470.56 |
$470.56 |
$470.56 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$521.73 |
$521.73 |
$521.73 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$277.61 |
$277.61 |
$277.61 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$36.21 |
$36.21 |
$36.21 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$116.28 |
$116.28 |
$116.28 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$110.16 |
$110.16 |
$110.16 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$792.88 |
$792.88 |
$792.88 |
$1,025.00
|
|
Drain chest lesion
|
$293.42 |
$293.42 |
$293.42 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$205.87 |
$205.87 |
$205.87 |
$428.40
|
|
Drain lower leg bursa
|
$728.79 |
$728.79 |
$728.79 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$872.61 |
$872.61 |
$872.61 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$649.23 |
$649.23 |
$649.23 |
$3,301.20
|
|
Drain ovarn cyst abd
|
$250.58 |
$250.58 |
$250.58 |
$3,786.00
|
|
Drain penis lesion
|
$177.99 |
$177.99 |
$177.99 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$405.96 |
$405.96 |
$405.96 |
$3,345.60
|
|
Drain shoulder lesion
|
$151.81 |
$151.81 |
$151.81 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$649.23 |
$649.23 |
$649.23 |
$3,824.50
|
|
Drain to peritoneal cavity
|
$440.13 |
$440.13 |
$440.13 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$97.41 |
$97.41 |
$97.41 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$83.13 |
$83.13 |
$83.13 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$181.22 |
$181.22 |
$181.22 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$25.33 |
$25.33 |
$25.33 |
$724.37
|
|
Drng appendix abscess open 44900
|
$447.44 |
$447.44 |
$447.44 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$337.96 |
$337.96 |
$337.96 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$182.75 |
$182.75 |
$182.75 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$498.10 |
$498.10 |
$498.10 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$170.00 |
$170.00 |
$170.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$121.89 |
$121.89 |
$121.89 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$185.98 |
$185.98 |
$185.98 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$298.18 |
$298.18 |
$298.18 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$254.15 |
$254.15 |
$254.15 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$252.45 |
$252.45 |
$252.45 |
$2,111.46
|
|
Drng of salivary cyst 42409
|
$854.76 |
$854.76 |
$854.76 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$430.44 |
$430.44 |
$430.44 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$629.51 |
$629.51 |
$629.51 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$573.58 |
$573.58 |
$573.58 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$905.76 |
$905.76 |
$905.76 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$94.01 |
$94.01 |
$94.01 |
$2,039.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.69 |
$24.69 |
$24.69 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$544.85 |
$544.85 |
$544.85 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$13.60 |
$13.60 |
$13.60 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$8.84 |
$8.84 |
$8.84 |
$59.40
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$5,221.21 |
$5,221.21 |
$5,221.21 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$278.46 |
$278.46 |
$278.46 |
$586.30
|
|
Drug assay posaconazole
|
$3.69 |
$3.69 |
$3.69 |
$96.75
|
|
Drug assay rufinamide
|
$2.57 |
$2.57 |
$2.57 |
$85.80
|
|
Drug assay vedolizumab
|
$34.00 |
$34.00 |
$34.00 |
$157.00
|
|
Drug assay voriconazole
|
$3.69 |
$3.69 |
$3.69 |
$96.75
|
|
Drug of abuse screen urine
|
$29.75 |
$29.75 |
$29.75 |
$64.50
|
|
Drug screening tapentadol
|
$3.66 |
$3.66 |
$3.66 |
$44.25
|
|
Drug screen quant tiagabine
|
$11.73 |
$11.73 |
$11.73 |
$104.50
|
|
Drug test prsmv instrmnt
|
$25.67 |
$25.67 |
$25.67 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$40.80 |
$40.80 |
$40.80 |
$280.11
|
|
Drvvt confirm - quest
|
$16.89 |
$16.89 |
$16.89 |
$108.55
|
|
Dry needling (97799)
|
$24.82 |
$24.82 |
$24.82 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$2,152.88 |
$2,152.88 |
$2,152.88 |
$2,967.48
|
|
Dstr mal les s/n/h/f/g >4.0
|
$171.02 |
$171.02 |
$171.02 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$147.05 |
$147.05 |
$147.05 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$166.60 |
$166.60 |
$166.60 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$160.31 |
$160.31 |
$160.31 |
$886.40
|
|
Ductogram sgl duct
|
$119.85 |
$119.85 |
$119.85 |
$469.30
|
|
Duodenal exclusion
|
$1,008.95 |
$1,008.95 |
$1,008.95 |
$4,393.60
|
|
Duplex scan bilateral study 93985
|
$24.31 |
$24.31 |
$24.31 |
$692.40
|
|
Dup scan/hemodialysis access 93990
|
$98.09 |
$98.09 |
$98.09 |
$482.30
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$224.91 |
$224.91 |
$224.91 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$372.81 |
$372.81 |
$372.81 |
$903.50
|
|
Durvalumab 50 mg/ml intravenous solution
|
$5,356.85 |
$5,356.85 |
$5,356.85 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$75.31 |
$75.31 |
$75.31 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$76.50 |
$76.50 |
$76.50 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$75.14 |
$75.14 |
$75.14 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$91.63 |
$91.63 |
$91.63 |
$2,755.53
|
|
Ear and throat examination
|
$40.63 |
$40.63 |
$40.63 |
$602.63
|
|
Ear canal biopsy 69105
|
$624.24 |
$624.24 |
$624.24 |
$1,889.50
|
|
Ear cartilage graft
|
$342.38 |
$342.38 |
$342.38 |
$6,311.00
|
|
Ear irrigation 69209
|
$55.93 |
$55.93 |
$55.93 |
$150.00
|
|
Ecg 12 lead tracing only
|
$118.15 |
$118.15 |
$118.15 |
$226.20
|
|
Ecg/1-3 leads/interp & report only 93042
|
$17.68 |
$17.68 |
$17.68 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$134.30 |
$134.30 |
$134.30 |
$132.03
|
|
Ecg < 30 days transmission & analysis
|
$158.61 |
$158.61 |
$158.61 |
$466.20
|
|
Ecg external < 48 hours recording
|
$104.38 |
$104.38 |
$104.38 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$148.41 |
$148.41 |
$148.41 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$28.73 |
$28.73 |
$28.73 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$48.62 |
$48.62 |
$48.62 |
$161.85
|
|
Ecg record/review
|
$371.28 |
$371.28 |
$371.28 |
$251.20
|
|
Ecg/review interpret only
|
$11.05 |
$11.05 |
$11.05 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$836.74 |
$836.74 |
$836.74 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$163.88 |
$163.88 |
$163.88 |
$499.20
|