|
Drainage of mouth lesion
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$535.20
|
|
Drainage of mouth lesion
|
$4,054.40 |
$4,054.40 |
$4,054.40 |
$2,304.00
|
|
Drainage of mouth lesion
|
$4,149.60 |
$4,149.60 |
$4,149.60 |
$2,320.03
|
|
Drainage of mouth lesion
|
$6,708.80 |
$6,708.80 |
$6,708.80 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,971.20 |
$1,971.20 |
$1,971.20 |
$905.30
|
|
Drainage of mouth lesion
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,008.80
|
|
Drainage of mouth lesion
|
$7,912.80 |
$7,912.80 |
$7,912.80 |
$6,781.90
|
|
Drainage of mouth lesion
|
$7,352.80 |
$7,352.80 |
$7,352.80 |
$3,459.00
|
|
Drainage of mouth lesion
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$683.20 |
$683.20 |
$683.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$781.44
|
|
Drainage of pelvis bursa
|
$408.00 |
$408.00 |
$6,675.20 |
$2,211.05
|
|
Drainage of pelvis lesion 26990
|
$5,560.05 |
$5,560.05 |
$8,170.40 |
$3,863.70
|
|
Drainage of prostate abscess
|
$11,508.00 |
$11,508.00 |
$11,508.00 |
$4,081.37
|
|
Drainage of prostate abscess
|
$6,232.80 |
$6,232.80 |
$6,232.80 |
$3,863.60
|
|
Drainage of prostate abscess
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$4,081.37
|
|
Drainage of rectal abscess
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$3,786.00
|
|
Drainage of salivary gland
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$4,560.40
|
|
Drainage of salivary gland
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$890.76
|
|
Drainage of throat abscess
|
$16,038.40 |
$16,038.40 |
$16,038.40 |
$6,465.11
|
|
Drainage of urethra abscess
|
$11,586.40 |
$11,586.40 |
$11,586.40 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,424.12
|
|
Drainage of urinary leakage
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,308.48
|
|
Drainage of urinary leakage
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$2,760.80 |
$2,760.80 |
$2,760.80 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$403.20 |
$403.20 |
$403.20 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$7,072.80 |
$7,072.80 |
$7,072.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,994.25 |
$1,994.25 |
$4,737.60 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$415.20 |
$415.20 |
$2,710.40 |
$1,025.00
|
|
Drain chest lesion
|
$6,412.00 |
$6,412.00 |
$6,412.00 |
$3,839.54
|
|
Drain chst dry seal exp thorastat
|
$197.61 |
$197.61 |
$197.61 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$784.00 |
$784.00 |
$784.00 |
$428.40
|
|
Drain lower leg bursa
|
$10,595.20 |
$10,595.20 |
$10,595.20 |
$3,958.50
|
|
Drain lower leg lesion 27603
|
$229.05 |
$229.05 |
$7,655.20 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$2,320.95 |
$2,320.95 |
$8,573.60 |
$3,301.20
|
|
Drain ovarn cyst abd
|
$2,712.45 |
$2,712.45 |
$7,285.60 |
$3,786.00
|
|
Drain ovary abscess open
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$3,762.53
|
|
Drain penis lesion
|
$6,932.80 |
$6,932.80 |
$6,932.80 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
$3,322.80
|
|
Drain shoulder lesion
|
$8,573.60 |
$8,573.60 |
$8,573.60 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$299.25 |
$299.25 |
$8,573.60 |
$3,824.50
|
|
Drain thyroid/tongue cyst
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$649.60 |
$649.60 |
$649.60 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$627.20 |
$627.20 |
$627.20 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$543.20 |
$543.20 |
$543.20 |
$724.37
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$8,756.68 |
$8,756.68 |
$8,756.68 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$666.40 |
$666.40 |
$666.40 |
$1,485.75
|
|
Driver pneumatic vad, rep
|
$107,185.12 |
$107,185.12 |
$107,185.12 |
$107,185.12
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$3,808.00
|
|
Drm agrft t/a/l ea addl
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,793.59
|
|
Drng hand tendon sheath 26020
|
$335.70 |
$335.70 |
$7,694.40 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,702.40 |
$1,702.40 |
$1,702.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$111.15 |
$111.15 |
$6,395.20 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$3,298.40 |
$3,298.40 |
$3,298.40 |
$832.60
|
|
Drng of mouth lesion 40801
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$8,002.40 |
$8,002.40 |
$8,002.40 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$295.65 |
$295.65 |
$6,412.00 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$252.75 |
$252.75 |
$6,412.00 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$6,434.40 |
$6,434.40 |
$6,434.40 |
$2,111.46
|
|
Drng of salivary cyst 42409
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$6,305.60 |
$6,305.60 |
$6,305.60 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$605.55 |
$605.55 |
$605.55 |
$1,924.00
|
|
Drng ovary abscess perqt 58822
|
$401.70 |
$401.70 |
$401.70 |
$2,279.50
|
|
Drng peritoneal abscess open 49020
|
$870.90 |
$870.90 |
$4,138.40 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$4,788.00 |
$4,788.00 |
$4,788.00 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$2,559.20 |
$2,559.20 |
$2,559.20 |
$741.60
|
|
Dronabinol 2.5mg oral
|
$3.92 |
$3.92 |
$3.92 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$5.84 |
$5.84 |
$5.84 |
$31.26
|
|
Drop lock knee
|
$114.80 |
$114.80 |
$114.80 |
$204.95
|
|
Drop lock retainer each
|
$44.80 |
$44.80 |
$44.80 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$14.00 |
$14.00 |
$14.00 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16,459.80 |
$16,459.80 |
$16,459.80 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$3,396.98 |
$3,396.98 |
$3,396.98 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$616.00 |
$616.00 |
$616.00 |
$123.24
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$44.80 |
$44.80 |
$44.80 |
$122.50
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$146.16 |
$146.16 |
$146.16 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$4,606.95 |
$4,606.95 |
$8,040.27 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$44.80 |
$44.80 |
$44.80 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$907.50 |
$907.50 |
$1,512.00 |
$578.59
|
|
Drug assay caffeine
|
$187.60 |
$187.60 |
$187.60 |
$81.61
|
|
Drug assay posaconazole
|
$3.25 |
$3.25 |
$46.48 |
$96.75
|
|
Drug assay rufinamide
|
$2.27 |
$2.27 |
$63.84 |
$85.80
|
|
Drug assay vedolizumab
|
$30.00 |
$30.00 |
$136.08 |
$157.00
|
|
Drug assay voriconazole
|
$3.25 |
$3.25 |
$46.48 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$43.68 |
$43.68 |
$43.68 |
$66.43
|
|
Drug of abuse screen urine
|
$51.30 |
$51.30 |
$85.68 |
$64.50
|
|
Drug screening tapentadol
|
$3.23 |
$3.23 |
$80.08 |
$44.25
|
|
Drug screen quant tiagabine
|
$10.35 |
$10.35 |
$219.52 |
$107.59
|
|
Drug/substance nos 4-6
|
$80.08 |
$80.08 |
$80.08 |
$72.14
|
|
Drug test def 15-21 classes
|
$1,383.20 |
$1,383.20 |
$1,383.20 |
$316.00
|
|
Drug test def 1-7 classes
|
$364.00 |
$364.00 |
$364.00 |
$263.25
|
|
Drug test def 22+ classes
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$423.00
|
|
Drug test def 8-14 classes
|
$403.20 |
$403.20 |
$403.20 |
$289.80
|
|
Drug test prsmv instrmnt
|
$34.65 |
$34.65 |
$481.60 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$82.65 |
$82.65 |
$515.20 |
$280.95
|
|
Drvvt confirm - quest
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
