|
Drainage of eye
|
$682.80 |
$682.80 |
$682.80 |
$2,360.00
|
|
Drainage of eye
|
$325.40 |
$325.40 |
$325.40 |
$3,170.00
|
|
Drainage of forearm bursa
|
$265.80 |
$265.80 |
$265.80 |
$2,054.00
|
|
Drainage of kidney lesion
|
$587.40 |
$587.40 |
$587.40 |
$1,506.00
|
|
Drainage of mouth lesion
|
$84.40 |
$84.40 |
$84.40 |
$489.00
|
|
Drainage of mouth lesion
|
$165.80 |
$165.80 |
$165.80 |
$2,304.00
|
|
Drainage of mouth lesion
|
$159.00 |
$159.00 |
$159.00 |
$2,423.85
|
|
Drainage of mouth lesion
|
$185.80 |
$185.80 |
$185.80 |
$3,900.60
|
|
Drainage of mouth lesion
|
$204.20 |
$204.20 |
$204.20 |
$962.40
|
|
Drainage of mouth lesion
|
$214.40 |
$214.40 |
$214.40 |
$1,008.80
|
|
Drainage of mouth lesion
|
$245.80 |
$245.80 |
$245.80 |
$6,781.90
|
|
Drainage of mouth lesion
|
$331.20 |
$331.20 |
$331.20 |
$3,544.29
|
|
Drainage of mouth lesion
|
$284.40 |
$284.40 |
$284.40 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$190.40 |
$190.40 |
$190.40 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$190.80 |
$190.80 |
$190.80 |
$781.44
|
|
Drainage of pelvis bursa
|
$367.40 |
$367.40 |
$367.40 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$478.20 |
$478.20 |
$478.20 |
$3,958.50
|
|
Drainage of prostate abscess
|
$315.80 |
$315.80 |
$315.80 |
$4,081.37
|
|
Drainage of prostate abscess
|
$312.80 |
$312.80 |
$312.80 |
$3,863.60
|
|
Drainage of rectal abscess
|
$117.00 |
$117.00 |
$117.00 |
$2,111.46
|
|
Drainage of rectal abscess 45020
|
$396.20 |
$396.20 |
$396.20 |
$3,769.20
|
|
Drainage of throat abscess
|
$553.60 |
$553.60 |
$553.60 |
$6,465.11
|
|
Drainage of urethra abscess 53060
|
$114.20 |
$114.20 |
$114.20 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$34.20 |
$34.20 |
$34.20 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$41.80 |
$41.80 |
$41.80 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$136.80 |
$136.80 |
$136.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,322.20 |
$1,322.20 |
$1,322.20 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$519.00 |
$519.00 |
$519.00 |
$1,044.00
|
|
Drain chest lesion
|
$345.20 |
$345.20 |
$345.20 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$242.20 |
$242.20 |
$242.20 |
$419.00
|
|
Drain lower leg bursa
|
$1,509.40 |
$1,509.40 |
$1,509.40 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$368.20 |
$368.20 |
$368.20 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$1,788.40 |
$1,788.40 |
$1,788.40 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$2,074.20 |
$2,074.20 |
$2,074.20 |
$3,964.27
|
|
Drain penis lesion
|
$209.40 |
$209.40 |
$209.40 |
$2,112.60
|
|
Drain shoulder bone lesion
|
$477.60 |
$477.60 |
$477.60 |
$3,345.60
|
|
Drain shoulder lesion
|
$178.60 |
$178.60 |
$178.60 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$475.40 |
$475.40 |
$475.40 |
$3,620.47
|
|
Drain to peritoneal cavity
|
$517.80 |
$517.80 |
$517.80 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$526.80 |
$526.80 |
$526.80 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$261.20 |
$261.20 |
$261.20 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$975.40 |
$975.40 |
$975.40 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$29.80 |
$29.80 |
$29.80 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$419.40 |
$419.40 |
$419.40 |
$8,131.20
|
|
Drng appendix abscess open 44900
|
$526.40 |
$526.40 |
$526.40 |
$1,453.80
|
|
Drng hand tendon sheath 26020
|
$397.60 |
$397.60 |
$397.60 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$200.20 |
$200.20 |
$200.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$338.40 |
$338.40 |
$338.40 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$210.60 |
$210.60 |
$210.60 |
$832.60
|
|
Drng of mouth lesion 40801
|
$143.40 |
$143.40 |
$143.40 |
$1,262.76
|
|
Drng of ovarian cyst(s) 58800
|
$2,074.20 |
$2,074.20 |
$2,074.20 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$350.80 |
$350.80 |
$350.80 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$299.00 |
$299.00 |
$299.00 |
$3,821.05
|
|
Drng of pelvic abscess transrectal 45000
|
$297.00 |
$297.00 |
$297.00 |
$2,111.46
|
|
Drng of salivary cyst 42409
|
$280.80 |
$280.80 |
$280.80 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$163.80 |
$163.80 |
$163.80 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$740.60 |
$740.60 |
$740.60 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$674.80 |
$674.80 |
$674.80 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$1,065.60 |
$1,065.60 |
$1,065.60 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$443.40 |
$443.40 |
$443.40 |
$2,133.48
|
|
Droperidol 2.5 mg/ml injection solution
|
$18.60 |
$18.60 |
$18.60 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$691.60 |
$691.60 |
$691.60 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$5.40 |
$5.40 |
$5.40 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$67.80 |
$67.80 |
$67.80 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$9,059.40 |
$9,059.40 |
$9,059.40 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$46.80 |
$46.80 |
$46.80 |
$569.75
|
|
Drug assay posaconazole
|
$4.34 |
$4.34 |
$4.34 |
$96.75
|
|
Drug assay vedolizumab
|
$40.00 |
$40.00 |
$40.00 |
$152.79
|
|
Drug assay voriconazole
|
$4.34 |
$4.34 |
$4.34 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$46.00 |
$46.00 |
$46.00 |
$66.43
|
|
Drug of abuse screen urine
|
$18.00 |
$18.00 |
$18.00 |
$63.75
|
|
Drug screening tapentadol
|
$1.20 |
$1.20 |
$1.20 |
$36.00
|
|
Drug test prsmv instrmnt
|
$81.80 |
$81.80 |
$81.80 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$102.60 |
$102.60 |
$102.60 |
$278.85
|
|
Drvvt confirm - quest
|
$3.20 |
$3.20 |
$3.20 |
$109.20
|
|
Dry needling (97799)
|
$15.60 |
$15.60 |
$15.60 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$101.80 |
$101.80 |
$101.80 |
$3,020.80
|
|
Dstr mal les s/n/h/f/g >4.0
|
$201.20 |
$201.20 |
$201.20 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$173.00 |
$173.00 |
$173.00 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$196.00 |
$196.00 |
$196.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$188.60 |
$188.60 |
$188.60 |
$849.50
|
|
Ductogram sgl duct
|
$13.40 |
$13.40 |
$13.40 |
$463.10
|
|
Duodenal exclusion
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$4,393.60
|
|
Duplex scan bilateral study 93985
|
$428.00 |
$428.00 |
$428.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$88.40 |
$88.40 |
$88.40 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$190.60 |
$190.60 |
$190.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$18.00 |
$18.00 |
$18.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$622.00 |
$622.00 |
$622.00 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,271.45 |
$2,271.45 |
$2,271.45 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$88.60 |
$88.60 |
$88.60 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,358.80 |
$1,358.80 |
$1,358.80 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,533.20 |
$1,533.20 |
$1,533.20 |
$2,322.60
|
|
Dx laryngoscopy w/oper scope
|
$107.80 |
$107.80 |
$107.80 |
$2,607.00
|
|
Ear and throat examination
|
$47.80 |
$47.80 |
$47.80 |
$602.63
|
|
Ear canal biopsy 69105
|
$102.40 |
$102.40 |
$102.40 |
$1,889.50
|
|
Ear cartilage graft
|
$402.80 |
$402.80 |
$402.80 |
$6,385.40
|
|
Ear irrigation 69209
|
$24.40 |
$24.40 |
$24.40 |
$149.76
|
|
Ecg 12 lead tracing only
|
$122.40 |
$122.40 |
$122.40 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$5.20 |
$5.20 |
$5.20 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$54.20 |
$54.20 |
$54.20 |
$135.80
|