|
Drainage of nose lesion sept 30020
|
$318.15 |
$318.15 |
$318.15 |
$755.95
|
|
Drainage of pelvis lesion 26990
|
$2,718.45 |
$2,718.45 |
$2,718.45 |
$3,969.00
|
|
Drainage of rectal abscess
|
$995.40 |
$995.40 |
$995.40 |
$2,299.90
|
|
Drainage of salivary gland
|
$1,470.70 |
$1,470.70 |
$1,470.70 |
$3,837.72
|
|
Drainage of salivary gland
|
$387.80 |
$387.80 |
$387.80 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$2,459.34
|
|
Drain bladder by trocar/cath
|
$411.95 |
$411.95 |
$411.95 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$156.80 |
$156.80 |
$156.80 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,010.20 |
$6,010.20 |
$6,010.20 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$6,010.20 |
$6,010.20 |
$6,010.20 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$414.75 |
$414.75 |
$414.75 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$156.80 |
$156.80 |
$156.80 |
$492.81
|
|
Drain lower leg bursa
|
$3,930.50 |
$3,930.50 |
$3,930.50 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$2,276.05 |
$2,276.05 |
$2,276.05 |
$3,386.84
|
|
Drain ovarn cyst abd
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$3,762.53
|
|
Drain penis lesion
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,005.32
|
|
Drain shoulder lesion
|
$2,031.75 |
$2,031.75 |
$2,031.75 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$4,349.10 |
$4,349.10 |
$4,349.10 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$159.95 |
$159.95 |
$159.95 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$156.80 |
$156.80 |
$156.80 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$621.60 |
$621.60 |
$621.60 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$448.70 |
$448.70 |
$448.70 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$11,698.98 |
$11,698.98 |
$11,698.98 |
$6,438.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$2,706.90 |
$2,706.90 |
$2,706.90 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$2,374.75 |
$2,374.75 |
$2,374.75 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$156.80 |
$156.80 |
$156.80 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,095.15 |
$1,095.15 |
$1,095.15 |
$832.60
|
|
Drng of mouth lesion 40801
|
$597.80 |
$597.80 |
$597.80 |
$1,145.97
|
|
Drng of pelvic abscess transrectal 45000
|
$888.65 |
$888.65 |
$888.65 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$434.35 |
$434.35 |
$434.35 |
$602.63
|
|
Droperidol 2.5 mg/ml injection solution
|
$35.18 |
$35.18 |
$35.18 |
$34.85
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,444.66 |
$1,444.66 |
$1,444.66 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,567.36 |
$2,567.36 |
$2,567.36 |
$2,567.36
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$382.24 |
$382.24 |
$382.24 |
$184.74
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$16.10 |
$16.10 |
$16.10 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,346.89 |
$5,346.89 |
$5,346.89 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$21,905.91 |
$21,905.91 |
$21,905.91 |
$10,534.20
|
|
Drug admin & hemodynmic meas
|
$377.65 |
$377.65 |
$377.65 |
$528.50
|
|
Drug assay caffeine
|
$11.20 |
$11.20 |
$11.20 |
$81.61
|
|
Drug test prsmv instrmnt
|
$282.10 |
$282.10 |
$282.10 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$162.05 |
$162.05 |
$162.05 |
$278.85
|
|
Ductogram sgl duct
|
$355.95 |
$355.95 |
$355.95 |
$413.91
|
|
Dup scan/hemodialysis access 93990
|
$217.35 |
$217.35 |
$217.35 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$482.65 |
$482.65 |
$482.65 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,101.45 |
$1,101.45 |
$1,101.45 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$11,009.65 |
$11,009.65 |
$11,009.65 |
$11,009.65
|
|
Dxa bone density axl vrt fx
|
$316.40 |
$316.40 |
$316.40 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$177.80 |
$177.80 |
$177.80 |
$368.50
|
|
Dx gastr intub w/asp specs
|
$169.75 |
$169.75 |
$169.75 |
$204.96
|
|
Dx laryngoscopy newborn
|
$347.20 |
$347.20 |
$347.20 |
$619.08
|
|
Dx laryngoscopy w/oper scope
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
$2,040.67
|
|
Ear irrigation 69209
|
$96.95 |
$96.95 |
$96.95 |
$165.42
|
|
Ecg 12 lead tracing only
|
$330.75 |
$330.75 |
$330.75 |
$245.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,835.75 |
$1,835.75 |
$1,835.75 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$406.70 |
$406.70 |
$406.70 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,039.80 |
$2,039.80 |
$2,039.80 |
$2,070.12
|
|
Echocardiography transthoracic 2d followup/limited
|
$528.50 |
$528.50 |
$528.50 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$691.25 |
$691.25 |
$691.25 |
$813.99
|
|
Echocardiograpy doppler follow up/limited study
|
$218.75 |
$218.75 |
$218.75 |
$353.46
|
|
Echo exam uterus 76831-
|
$322.00 |
$322.00 |
$322.00 |
$547.20
|
|
Echograp trans r pros study
|
$274.40 |
$274.40 |
$274.40 |
$459.40
|
|
Echo guidance radiotherapy
|
$241.50 |
$241.50 |
$241.50 |
$774.80
|
|
Echo stress
|
$2,215.50 |
$2,215.50 |
$2,215.50 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,988.30 |
$2,988.30 |
$2,988.30 |
$1,871.10
|
|
Echo transesophageal intraop
|
$861.70 |
$861.70 |
$861.70 |
$1,571.70
|
|
Echo transthoracic
|
$1,835.75 |
$1,835.75 |
$1,835.75 |
$1,492.50
|
|
Echo transthoracic
|
$460.60 |
$460.60 |
$460.60 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,300.25 |
$1,300.25 |
$1,300.25 |
$1,014.01
|
|
Ecmo/ecls initiation artery 33947
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,145.50 |
$2,145.50 |
$2,145.50 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,453.40 |
$4,453.40 |
$4,453.40 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$25,442.29 |
$25,442.29 |
$25,442.29 |
$13,071.00
|
|
Eeg 41-60 minutes 95812-26
|
$595.35 |
$595.35 |
$595.35 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,816.15 |
$1,816.15 |
$1,816.15 |
$1,049.59
|
|
Eeg during surgery
|
$399.70 |
$399.70 |
$399.70 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$936.00
|
|
Eeg recording awake and asleep
|
$627.55 |
$627.55 |
$627.55 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,416.10 |
$1,416.10 |
$1,416.10 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$655.55 |
$655.55 |
$655.55 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$4,248.30 |
$4,248.30 |
$4,248.30 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,052.10 |
$1,052.10 |
$1,052.10 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,124.85 |
$2,124.85 |
$2,124.85 |
$1,251.52
|
|
Egd remove foreign body
|
$530.60 |
$530.60 |
$530.60 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,086.75 |
$1,086.75 |
$1,086.75 |
$2,664.75
|
|
Egfr gene com variants
|
$139.65 |
$139.65 |
$139.65 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$149.10 |
$149.10 |
$149.10 |
$619.45
|
|
Electrd sq emblem s-icd
|
$7,764.83 |
$7,764.83 |
$7,764.83 |
$9,761.50
|
|
Electrical stimulation/unattended 97014
|
$77.70 |
$77.70 |
$77.70 |
$81.75
|
|
Electrolyte panel
|
$126.70 |
$126.70 |
$126.70 |
$86.33
|
|
Electrophysiologic study
|
$6,178.90 |
$6,178.90 |
$6,178.90 |
$6,758.40
|
|
Electrophysiology evaluation
|
$8,260.35 |
$8,260.35 |
$8,260.35 |
$8,979.45
|