|
Drainage of nose lesion int 30000
|
$867.75 |
$867.75 |
$867.75 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$3,863.70
|
|
Drainage of prostate abscess
|
$1,947.40 |
$1,947.40 |
$1,947.40 |
$4,081.37
|
|
Drainage of prostate abscess
|
$2,009.80 |
$2,009.80 |
$2,009.80 |
$3,863.60
|
|
Drainage of rectal abscess
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$3,816.64
|
|
Drainage of spinal cyst
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$5,137.60
|
|
Drainage of spinal cyst
|
$6,320.60 |
$6,320.60 |
$6,320.60 |
$2,631.26
|
|
Drainage of urethra abscess 53060
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$314.60 |
$314.60 |
$314.60 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$742.95 |
$742.95 |
$742.95 |
$428.40
|
|
Drain lower leg bursa
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,339.00
|
|
Drain open lung lesion 32200
|
$4,856.80 |
$4,856.80 |
$4,856.80 |
$2,765.60
|
|
Drain ovarn cyst abd
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,786.00
|
|
Drain pancreatic pseudocyst 48510
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$2,690.40
|
|
Drain penis lesion
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$3,345.60
|
|
Drain shoulder lesion
|
$902.20 |
$902.20 |
$902.20 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$10,696.40 |
$10,696.40 |
$10,696.40 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$4,813.90 |
$4,813.90 |
$4,813.90 |
$1,752.89
|
|
Drain to peritoneal cavity
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$484.25 |
$484.25 |
$484.25 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$484.25 |
$484.25 |
$484.25 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$974.35 |
$974.35 |
$974.35 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$223.60 |
$223.60 |
$223.60 |
$755.08
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$10,825.10 |
$10,825.10 |
$10,825.10 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$7,042.10 |
$7,042.10 |
$7,042.10 |
$1,485.75
|
|
Drng appendix abscess open 44900
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,903.85 |
$1,903.85 |
$1,903.85 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$3,474.84
|
|
Drng of pelvic abscess transrectal 45000
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$756.60 |
$756.60 |
$756.60 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$4,817.80 |
$4,817.80 |
$4,817.80 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$3,070.60 |
$3,070.60 |
$3,070.60 |
$2,279.50
|
|
Drng peritoneal abscess open 49020
|
$6,934.20 |
$6,934.20 |
$6,934.20 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$514.80 |
$514.80 |
$514.80 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$39.00 |
$39.00 |
$39.00 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$12.44 |
$12.44 |
$90.00 |
$31.25
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1.00 |
$1.00 |
$78.00 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1.00 |
$1.00 |
$82.69 |
$193.15
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$135.72
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$3,680.95 |
$3,680.95 |
$3,680.95 |
$569.75
|
|
Drug assay caffeine
|
$151.45 |
$151.45 |
$151.45 |
$80.00
|
|
Drug assay posaconazole
|
$149.50 |
$149.50 |
$149.50 |
$96.75
|
|
Drug assay rufinamide
|
$182.65 |
$182.65 |
$182.65 |
$87.10
|
|
Drug assay vedolizumab
|
$440.70 |
$440.70 |
$440.70 |
$154.00
|
|
Drug assay voriconazole
|
$64.00 |
$64.00 |
$156.65 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$252.20 |
$252.20 |
$252.20 |
$66.43
|
|
Drug of abuse screen urine
|
$147.55 |
$147.55 |
$147.55 |
$67.89
|
|
Drug screen quant tiagabine
|
$61.10 |
$61.10 |
$61.10 |
$107.59
|
|
Drug test def 15-21 classes
|
$837.20 |
$837.20 |
$837.20 |
$322.50
|
|
Drug test def 1-7 classes
|
$482.30 |
$482.30 |
$482.30 |
$263.25
|
|
Drug test def 22+ classes
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$426.24
|
|
Drug test def 8-14 classes
|
$659.75 |
$659.75 |
$659.75 |
$289.80
|
|
Drug test prsmv instrmnt
|
$53.95 |
$53.95 |
$53.95 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$311.35 |
$311.35 |
$311.35 |
$278.85
|
|
Drvvt confirm - quest
|
$95.55 |
$95.55 |
$95.55 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$2,980.00
|
|
Ductogram sgl duct
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$469.80
|
|
Duodenal exclusion
|
$7,898.80 |
$7,898.80 |
$7,898.80 |
$4,393.60
|
|
Duodenal motility study
|
$374.40 |
$374.40 |
$374.40 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$626.60 |
$626.60 |
$626.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$626.60 |
$626.60 |
$626.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$861.25 |
$861.25 |
$2,958.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,339.94 |
$1,339.94 |
$1,339.94 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$85.80 |
$85.80 |
$619.00 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$6,445.40 |
$6,445.40 |
$6,445.40 |
$2,410.50
|
|
Dx dark adaptation exam i&r
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$472.21
|
|
Dx laryngoscopy w/oper scope
|
$668.20 |
$668.20 |
$668.20 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$1,028.30 |
$1,028.30 |
$1,028.30 |
$558.11
|
|
Dynamic fine wire emg
|
$46.80 |
$46.80 |
$46.80 |
$374.29
|
|
Dynamic surface emg
|
$117.00 |
$117.00 |
$117.00 |
$368.50
|
|
Ear and throat examination
|
$392.60 |
$392.60 |
$392.60 |
$602.63
|
|
Ear canal biopsy 69105
|
$4,813.90 |
$4,813.90 |
$4,813.90 |
$1,889.50
|
|
Ear irrigation 69209
|
$193.70 |
$193.70 |
$193.70 |
$154.70
|
|
Ear protector evaluation
|
$78.65 |
$78.65 |
$78.65 |
$112.56
|
|
Ecallantide injection
|
$13,353.39 |
$13,353.39 |
$13,353.39 |
$13,357.14
|
|
Ecg/1-3 leads/interp & report only 93042
|
$42.90 |
$42.90 |
$42.90 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$278.20 |
$278.20 |
$278.20 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$429.00 |
$429.00 |
$429.00 |
$412.88
|
