|
Drainage of bone lesion
|
$943.38 |
$943.38 |
$943.38 |
$2,854.40
|
|
Drainage of bone lesion
|
$608.85 |
$608.85 |
$608.85 |
$3,153.60
|
|
Drainage of eye
|
$82.62 |
$82.62 |
$82.62 |
$2,360.00
|
|
Drainage of eye
|
$439.29 |
$439.29 |
$439.29 |
$3,170.00
|
|
Drainage of forearm bursa
|
$358.83 |
$358.83 |
$358.83 |
$2,054.00
|
|
Drainage of kidney lesion
|
$84.78 |
$84.78 |
$84.78 |
$1,506.00
|
|
Drainage of mouth lesion
|
$113.94 |
$113.94 |
$113.94 |
$489.00
|
|
Drainage of mouth lesion
|
$223.83 |
$223.83 |
$223.83 |
$2,304.00
|
|
Drainage of mouth lesion
|
$214.65 |
$214.65 |
$214.65 |
$2,423.85
|
|
Drainage of mouth lesion
|
$250.83 |
$250.83 |
$250.83 |
$3,900.60
|
|
Drainage of mouth lesion
|
$275.67 |
$275.67 |
$275.67 |
$962.40
|
|
Drainage of mouth lesion
|
$289.44 |
$289.44 |
$289.44 |
$1,008.80
|
|
Drainage of mouth lesion
|
$331.83 |
$331.83 |
$331.83 |
$6,781.90
|
|
Drainage of mouth lesion
|
$447.12 |
$447.12 |
$447.12 |
$3,544.29
|
|
Drainage of mouth lesion
|
$383.94 |
$383.94 |
$383.94 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$257.04 |
$257.04 |
$257.04 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$257.58 |
$257.58 |
$257.58 |
$781.44
|
|
Drainage of pelvis bursa
|
$495.99 |
$495.99 |
$495.99 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$645.57 |
$645.57 |
$645.57 |
$3,958.50
|
|
Drainage of rectal abscess
|
$157.95 |
$157.95 |
$157.95 |
$2,111.46
|
|
Drainage of rectal abscess 45020
|
$534.87 |
$534.87 |
$534.87 |
$3,769.20
|
|
Drainage of throat abscess
|
$747.36 |
$747.36 |
$747.36 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$154.17 |
$154.17 |
$154.17 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$46.17 |
$46.17 |
$46.17 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$56.43 |
$56.43 |
$56.43 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$184.68 |
$184.68 |
$184.68 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$174.96 |
$174.96 |
$174.96 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$175.77 |
$175.77 |
$175.77 |
$1,044.00
|
|
Drain chest lesion
|
$466.02 |
$466.02 |
$466.02 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$326.97 |
$326.97 |
$326.97 |
$419.00
|
|
Drain lower leg bursa
|
$315.09 |
$315.09 |
$315.09 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$497.07 |
$497.07 |
$497.07 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$323.19 |
$323.19 |
$323.19 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$397.98 |
$397.98 |
$397.98 |
$3,964.27
|
|
Drain penis lesion
|
$282.69 |
$282.69 |
$282.69 |
$2,112.60
|
|
Drain shoulder bone lesion
|
$644.76 |
$644.76 |
$644.76 |
$3,345.60
|
|
Drain shoulder lesion
|
$241.11 |
$241.11 |
$241.11 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$641.79 |
$641.79 |
$641.79 |
$3,620.47
|
|
Drain to peritoneal cavity
|
$699.03 |
$699.03 |
$699.03 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$148.23 |
$148.23 |
$148.23 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$82.35 |
$82.35 |
$82.35 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$187.38 |
$187.38 |
$187.38 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$40.23 |
$40.23 |
$40.23 |
$755.08
|
|
Drng appendix abscess open 44900
|
$710.64 |
$710.64 |
$710.64 |
$1,453.80
|
|
Drng hand tendon sheath 26020
|
$536.76 |
$536.76 |
$536.76 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$270.27 |
$270.27 |
$270.27 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$456.84 |
$456.84 |
$456.84 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$113.94 |
$113.94 |
$113.94 |
$832.60
|
|
Drng of mouth lesion 40801
|
$193.59 |
$193.59 |
$193.59 |
$1,262.76
|
|
Drng of ovarian cyst(s) 58800
|
$295.38 |
$295.38 |
$295.38 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$473.58 |
$473.58 |
$473.58 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$403.65 |
$403.65 |
$403.65 |
$3,821.05
|
|
Drng of pelvic abscess transrectal 45000
|
$400.95 |
$400.95 |
$400.95 |
$2,111.46
|
|
Drng of salivary cyst 42409
|
$379.08 |
$379.08 |
$379.08 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$221.13 |
$221.13 |
$221.13 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$999.81 |
$999.81 |
$999.81 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$910.98 |
$910.98 |
$910.98 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$1,438.56 |
$1,438.56 |
$1,438.56 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$149.31 |
$149.31 |
$149.31 |
$2,133.48
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,902.96 |
$1,902.96 |
$1,902.96 |
$1,956.48
|
|
Drug admin & hemodynmic meas
|
$63.18 |
$63.18 |
$63.18 |
$569.75
|
|
Drug assay posaconazole
|
$5.86 |
$5.86 |
$5.86 |
$96.75
|
|
Drug assay vedolizumab
|
$54.00 |
$54.00 |
$54.00 |
$152.79
|
|
Drug assay voriconazole
|
$5.86 |
$5.86 |
$5.86 |
$96.75
|
|
Drug of abuse screen urine
|
$13.50 |
$13.50 |
$13.50 |
$63.75
|
|
Drug screening tapentadol
|
$5.81 |
$5.81 |
$5.81 |
$36.00
|
|
Drug screen quant tiagabine
|
$18.63 |
$18.63 |
$18.63 |
$114.62
|
|
Drug test prsmv instrmnt
|
$38.07 |
$38.07 |
$38.07 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$51.57 |
$51.57 |
$51.57 |
$278.85
|
|
Drvvt confirm - quest
|
$4.31 |
$4.31 |
$4.31 |
$109.20
|
|
Dry needling (97799)
|
$21.06 |
$21.06 |
$21.06 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$137.43 |
$137.43 |
$137.43 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$271.62 |
$271.62 |
$271.62 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$233.55 |
$233.55 |
$233.55 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$264.60 |
$264.60 |
$264.60 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$254.61 |
$254.61 |
$254.61 |
$849.50
|
|
Ductogram sgl duct
|
$246.78 |
$246.78 |
$246.78 |
$463.10
|
|
Duodenal exclusion
|
$1,602.45 |
$1,602.45 |
$1,602.45 |
$4,393.60
|
|
Duplex scan bilateral study 93985
|
$38.61 |
$38.61 |
$38.61 |
$690.95
|
|
Dup scan/hemodialysis access 93990
|
$23.22 |
$23.22 |
$23.22 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$24.30 |
$24.30 |
$24.30 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$527.58 |
$527.58 |
$527.58 |
$887.25
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$1,691.28 |
$1,691.28 |
$1,691.28 |
$23,482.80
|
|
Dx bronchoscope/brush 31623
|
$119.61 |
$119.61 |
$119.61 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$121.50 |
$121.50 |
$121.50 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$119.34 |
$119.34 |
$119.34 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$145.53 |
$145.53 |
$145.53 |
$2,607.00
|
|
Ear and throat examination
|
$64.53 |
$64.53 |
$64.53 |
$602.63
|
|
Ear canal biopsy 69105
|
$138.24 |
$138.24 |
$138.24 |
$1,889.50
|
|
Ear cartilage graft
|
$543.78 |
$543.78 |
$543.78 |
$6,385.40
|
|
Ear irrigation 69209
|
$23.22 |
$23.22 |
$23.22 |
$149.76
|
|
Ecg 12 lead tracing only
|
$177.39 |
$177.39 |
$177.39 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$7.02 |
$7.02 |
$7.02 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$132.03 |
$132.03 |
$132.03 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$141.21 |
$141.21 |
$141.21 |
$487.60
|
|
Ecg external < 48 hours recording
|
$30.24 |
$30.24 |
$30.24 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$47.79 |
$47.79 |
$47.79 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$8.37 |
$8.37 |
$8.37 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$8.37 |
$8.37 |
$8.37 |
$161.85
|
|
Ecg record/review
|
$184.14 |
$184.14 |
$184.14 |
$251.20
|