|
Dress/debride pt-thick burn/<5% bs 16020
|
$642.62 |
$642.62 |
$642.62 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,342.12 |
$1,342.12 |
$1,342.12 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$169.02 |
$169.02 |
$169.02 |
$9,390.80
|
|
Drill hole implt ventricular cath/device 61107
|
$1,159.03 |
$1,159.03 |
$1,159.03 |
$1,594.26
|
|
Drng of eyelid abscess 67700
|
$3,124.53 |
$3,124.53 |
$3,124.53 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,048.00
|
|
Drng of mouth lesion 40801
|
$10,354.21 |
$10,354.21 |
$10,354.21 |
$1,145.97
|
|
Drng of scrotum abscess 55100
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$117.61 |
$117.61 |
$117.61 |
$39.60
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$94.65 |
$94.65 |
$94.65 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$101.41 |
$101.41 |
$101.41 |
$318.13
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,026.39 |
$1,026.39 |
$1,026.39 |
$18,384.03
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$351.54 |
$351.54 |
$351.54 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$373.54 |
$373.54 |
$373.54 |
$528.50
|
|
Drug assay posaconazole
|
$418.45 |
$418.45 |
$418.45 |
$96.39
|
|
Drug assay vedolizumab
|
$141.75 |
$141.75 |
$141.75 |
$164.16
|
|
Drug assay voriconazole
|
$418.45 |
$418.45 |
$418.45 |
$96.75
|
|
Drug of abuse screen urine
|
$194.48 |
$194.48 |
$194.48 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,128.29 |
$1,128.29 |
$1,128.29 |
$278.85
|
|
Drvvt confirm - quest
|
$277.53 |
$277.53 |
$277.53 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$6,574.59 |
$6,574.59 |
$6,574.59 |
$3,390.00
|
|
Duplex scan bilateral study 93985
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$2,124.85 |
$2,124.85 |
$2,124.85 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,788.71 |
$2,788.71 |
$2,788.71 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$52,053.60 |
$52,053.60 |
$52,053.60 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$427.91 |
$427.91 |
$427.91 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$17,485.67 |
$17,485.67 |
$17,485.67 |
$2,780.40
|
|
Ear irrigation 69209
|
$670.29 |
$670.29 |
$670.29 |
$165.42
|
|
Ecg 12 lead tracing only
|
$747.05 |
$747.05 |
$747.05 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$670.29 |
$670.29 |
$670.29 |
$129.83
|
|
Ecg external < 48 hours recording
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$3,964.88 |
$3,964.88 |
$3,964.88 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$986.65 |
$986.65 |
$986.65 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,224.85 |
$2,224.85 |
$2,224.85 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$659.36 |
$659.36 |
$659.36 |
$353.46
|
|
Echo exam of fetal heart
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$855.38
|
|
Echo exam of fetal heart
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$323.40
|
|
Echograp trans r pros study
|
$1,344.82 |
$1,344.82 |
$1,344.82 |
$459.40
|
|
Echo guidance radiotherapy
|
$2,063.30 |
$2,063.30 |
$2,063.30 |
$774.80
|
|
Echo guide for artery repair
|
$2,194.29 |
$2,194.29 |
$2,194.29 |
$680.28
|
|
Echo stress
|
$5,551.89 |
$5,551.89 |
$5,551.89 |
$1,582.75
|
|
Echo tee guidance
|
$9,177.95 |
$9,177.95 |
$9,177.95 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$1,871.10
|
|
Echo transthoracic
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$1,492.50
|
|
Echo transthoracic
|
$5,928.41 |
$5,928.41 |
$5,928.41 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$3,206.60 |
$3,206.60 |
$3,206.60 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,560.67 |
$2,560.67 |
$2,560.67 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,560.67 |
$2,560.67 |
$2,560.67 |
$4,324.50
|
|
Eeg 41-60 minutes 95812-26
|
$1,442.90 |
$1,442.90 |
$1,442.90 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,680.14 |
$1,680.14 |
$1,680.14 |
$1,049.59
|
|
Eeg during surgery
|
$3,869.06 |
$3,869.06 |
$3,869.06 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,179.34 |
$2,179.34 |
$2,179.34 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,195.17 |
$2,195.17 |
$2,195.17 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$936.00
|
|
Eeg recording awake and asleep
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$3,212.94 |
$3,212.94 |
$3,212.94 |
$586.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$5,546.51 |
$5,546.51 |
$5,546.51 |
$1,251.52
|
|
E equine encephalitis igg
|
$203.58 |
$203.58 |
$203.58 |
$48.73
|
|
Ehrlicha chaffeensis amp prb
|
$128.96 |
$128.96 |
$128.96 |
$105.00
|
|
Electrical stimulation/unattended 97014
|
$240.63 |
$240.63 |
$240.63 |
$81.75
|
|
Electrocorticography durng sx
|
$1,642.53 |
$1,642.53 |
$1,642.53 |
$1,660.52
|
|
Electrolyte panel
|
$494.60 |
$494.60 |
$494.60 |
$86.33
|
|
Electrophysiology evaluation
|
$15,945.81 |
$15,945.81 |
$15,945.81 |
$8,979.45
|
|
Electrophysiology evaluation
|
$21,906.42 |
$21,906.42 |
$21,906.42 |
$11,175.42
|
|
Electrophysiology evaluation
|
$27,820.68 |
$27,820.68 |
$27,820.68 |
$7,769.30
|
|
Electrophysiology evaluation
|
$13,826.18 |
$13,826.18 |
$13,826.18 |
$6,516.00
|
|
Electrophysiology evaluation
|
$8,060.12 |
$8,060.12 |
$8,060.12 |
$2,845.10
|
|
Electrophysiology evaluation
|
$7,105.02 |
$7,105.02 |
$7,105.02 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$6,567.10 |
$6,567.10 |
$6,567.10 |
$6,534.00
|
|
Embolization s&i
|
$6,974.40 |
$6,974.40 |
$6,974.40 |
$3,060.05
|
|
Embo or occlude vascular arterial s&i
|
$57,748.07 |
$57,748.07 |
$57,748.07 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$57,056.01 |
$57,056.01 |
$57,056.01 |
$15,027.40
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$57,239.33 |
$57,239.33 |
$57,239.33 |
$15,873.70
|
|
Embo or occlude vascular venous s&i
|
$57,239.33 |
$57,239.33 |
$57,239.33 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$2,411.73 |
$2,411.73 |
$2,411.73 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$2,680.19 |
$2,680.19 |
$2,680.19 |
$487.20
|
|
Emg cranial nerve bilateral
|
$1,036.17 |
$1,036.17 |
$1,036.17 |
$518.00
|
|
Emg needle test 1-extremity
|
$389.59 |
$389.59 |
$389.59 |
$342.24
|
|
Emg needle test 4-extremities
|
$3,685.65 |
$3,685.65 |
$3,685.65 |
$570.50
|
|
Emg thor paraspinal without t1/t2
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$309.83
|
|
Encephalitis, california igg/igm
|
$203.58 |
$203.58 |
$203.58 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$203.58 |
$203.58 |
$203.58 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$203.58 |
$203.58 |
$203.58 |
$50.70
|
|
Endoluminal bx biliary tree
|
$5,190.07 |
$5,190.07 |
$5,190.07 |
$2,476.50
|
|
Endoluminl ivus oct c 1st
|
$7,344.20 |
$7,344.20 |
$7,344.20 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$5,205.92 |
$5,205.92 |
$5,205.92 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$268.47 |
$268.47 |
$268.47 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$20,388.93 |
$20,388.93 |
$20,388.93 |
$10,604.25
|
|
Endovasc tempory vessel occl
|
$76,744.74 |
$76,744.74 |
$76,744.74 |
$11,261.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$805.65 |
$805.65 |
$805.65 |
$121.63
|
|
Entamoeba histolytica ag eia - sendout
|
$184.92 |
$184.92 |
$184.92 |
$66.47
|
|
Ep & ablate supravent arrhyt
|
$63,470.46 |
$63,470.46 |
$63,470.46 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$63,656.57 |
$63,656.57 |
$63,656.57 |
$30,975.00
|
|
Epidural/lumbar/sacral/ea add level64484
|
$5,909.49 |
$5,909.49 |
$5,909.49 |
$1,182.00
|
|
Ep induct arrhy by elect pacing
|
$13,705.37 |
$13,705.37 |
$13,705.37 |
$2,753.40
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$2,496.66 |
$2,496.66 |
$2,496.66 |
$918.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$5,907.96 |
$5,907.96 |
$5,907.96 |
$950.55
|
|
Epstein barr early antigen antibody
|
$70.08 |
$70.08 |
$70.08 |
$72.08
|