|
Dry needling (97799)
|
$20.72 |
$20.72 |
$29.70 |
$114.27
|
|
Dstrj extensive retinopathy
|
$4,877.60 |
$4,877.60 |
$4,877.60 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$6,227.20 |
$6,227.20 |
$6,227.20 |
$2,967.48
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$886.40
|
|
Dstry eye lesn,fdr vssl tech
|
$2,682.40 |
$2,682.40 |
$2,682.40 |
$756.27
|
|
Ductogram sgl duct
|
$227.55 |
$227.55 |
$716.80 |
$469.44
|
|
Duodenal motility study
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$494.25 |
$494.25 |
$1,108.80 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$907.20 |
$907.20 |
$907.20 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$528.30 |
$528.30 |
$1,596.00 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$331.65 |
$331.65 |
$1,288.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$608.10 |
$608.10 |
$1,920.80 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$5,017.60 |
$5,017.60 |
$5,017.60 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,826.08 |
$1,826.08 |
$1,973.50 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$683.20 |
$683.20 |
$683.20 |
$410.25
|
|
Dx aly aud oi snd prcsr 1st
|
$386.40 |
$386.40 |
$386.40 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$51.52 |
$51.52 |
$51.52 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$118.80 |
$118.80 |
$5,639.20 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$1,758.90 |
$1,758.90 |
$4,877.60 |
$2,322.60
|
|
Dx dark adaptation exam i&r
|
$492.80 |
$492.80 |
$492.80 |
$472.21
|
|
Dx duod intub w/asp spec 43756
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$660.80 |
$660.80 |
$660.80 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$666.40 |
$666.40 |
$666.40 |
$308.70
|
|
Dx intraop epcar Ultrasound chd i&r
|
$49.84 |
$49.84 |
$49.84 |
$261.15
|
|
Dx intraop epicar car Ultrasound chd
|
$49.84 |
$49.84 |
$49.84 |
$351.20
|
|
Dx intraop thoracic aorta Ultrasound
|
$50.96 |
$50.96 |
$50.96 |
$558.11
|
|
Dx laryngoscopy newborn
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$5,448.80 |
$5,448.80 |
$5,448.80 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$49.84 |
$49.84 |
$49.84 |
$558.11
|
|
Dynamic cavernosometry
|
$6,115.20 |
$6,115.20 |
$6,115.20 |
$3,442.40
|
|
Dynamic surface emg
|
$767.20 |
$767.20 |
$767.20 |
$368.50
|
|
Ear and throat examination
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$602.63
|
|
Ear canal biopsy 69105
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$1,889.50
|
|
Ear cartilage graft
|
$11,883.20 |
$11,883.20 |
$11,883.20 |
$6,311.00
|
|
Ear irrigation 69209
|
$14.85 |
$14.85 |
$177.52 |
$150.00
|
|
Ear protector evaluation
|
$112.56 |
$112.56 |
$112.56 |
$112.56
|
|
Ecallantide injection
|
$9,973.33 |
$9,973.33 |
$9,973.33 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$170.25 |
$170.25 |
$380.80 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$53.55 |
$53.55 |
$144.48 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$503.10 |
$503.10 |
$1,030.40 |
$466.20
|
|
Ecg external < 48 hours recording
|
$290.25 |
$290.25 |
$621.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$226.95 |
$226.95 |
$873.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$19.20 |
$19.20 |
$147.28 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$31.80 |
$31.80 |
$241.92 |
$161.85
|
|
Ecg/review interpret only
|
$9.75 |
$9.75 |
$9.75 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,002.30 |
$1,002.30 |
$3,824.80 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$334.35 |
$334.35 |
$940.80 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,634.40 |
$3,634.40 |
$3,634.40 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$482.70 |
$482.70 |
$1,909.60 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$2,749.60 |
$2,749.60 |
$2,749.60 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$210.30 |
$210.30 |
$660.80 |
$371.25
|
|
Echo exam of eye
|
$296.80 |
$296.80 |
$296.80 |
$143.75
|
|
Echo exam of eye
|
$336.00 |
$336.00 |
$336.00 |
$172.00
|
|
Echo exam of eye
|
$610.40 |
$610.40 |
$610.40 |
$169.62
|
|
Echo exam of eye thickness
|
$71.12 |
$71.12 |
$71.12 |
$40.30
|
|
Echo exam of fetal heart
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$904.80
|
|
Echo exam of fetal heart
|
$756.00 |
$756.00 |
$756.00 |
$538.27
|
|
Echo exam of fetal heart
|
$744.80 |
$744.80 |
$744.80 |
$431.41
|
|
Echo exam of fetal heart
|
$420.00 |
$420.00 |
$420.00 |
$319.00
|
|
Echo exam uterus 76831-
|
$301.80 |
$301.80 |
$1,080.80 |
$552.50
|
|
Echograp trans r pros study
|
$457.95 |
$457.95 |
$694.40 |
$466.20
|
|
Echo guidance radiotherapy
|
$44.85 |
$44.85 |
$812.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$215.10 |
$215.10 |
$464.80 |
$446.60
|
|
Echo guide for artery repair
|
$819.45 |
$819.45 |
$1,456.00 |
$687.35
|
|
Echo guide for heart biopsy
|
$666.40 |
$666.40 |
$666.40 |
$666.40
|
|
Echo guide for transfusion
|
$784.00 |
$784.00 |
$784.00 |
$332.39
|
|
Echo guide ova aspiration
|
$599.20 |
$599.20 |
$599.20 |
$214.40
|
|
Echo guide villus sampling
|
$610.40 |
$610.40 |
$610.40 |
$362.88
|
|
Echo stress
|
$909.75 |
$909.75 |
$4,144.00 |
$1,606.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$751.34
|
|
Echo tee guidance
|
$750.40 |
$750.40 |
$1,596.90 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,346.85 |
$1,346.85 |
$3,802.40 |
$1,889.20
|
|
Echo transesophageal
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$1,075.20
|
|
Echo transesophageal
|
$1,131.20 |
$1,131.20 |
$1,131.20 |
$602.00
|
|
Echo transesophageal
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$1,599.50
|
|
Echo transesophageal
|
$55.05 |
$55.05 |
$856.80 |
$603.20
|
|
Echo transesophageal intraop
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$1,578.00
|
|
Echo transthoracic
|
$422.10 |
$422.10 |
$3,074.40 |
$1,361.75
|
|
Echo transthoracic
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$643.95 |
$643.95 |
$1,288.00 |
$1,022.30
|
|
Ecmo/ecls daily mgmt artery 33949
|
$588.00 |
$588.00 |
$588.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$610.40 |
$610.40 |
$610.40 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$845.60 |
$845.60 |
$845.60 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$767.20 |
$767.20 |
$767.20 |
$3,988.60
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,055.20 |
$2,055.20 |
$2,055.20 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$219.30 |
$219.30 |
$1,052.80 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$672.00 |
$672.00 |
$672.00 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$520.80 |
$520.80 |
$520.80 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$700.00 |
$700.00 |
$700.00 |
$1,057.76
|
