|
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
|
|
Drng salivary gland submax/subling 42310
|
$418.60 |
$418.60 |
$418.60 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$12.44 |
$12.44 |
$12.44 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$5,460.00 |
$5,460.00 |
$5,460.00 |
$1,818.32
|
|
Drsg sht 5.625x4.625in std
|
$9.10 |
$9.10 |
$9.10 |
$123.24
|
|
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
|
$156.65 |
$156.65 |
$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
|
$27.95 |
$27.95 |
$27.95 |
$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(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
|
|
Dry needling (97799)
|
$428.35 |
$428.35 |
$428.35 |
$114.27
|
|
Dstrj extensive retinopathy
|
$910.00 |
$910.00 |
$910.00 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$10,947.95 |
$10,947.95 |
$10,947.95 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$845.00 |
$845.00 |
$845.00 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$974.35 |
$974.35 |
$974.35 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$832.00 |
$832.00 |
$832.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$886.40
|
|
Ductogram sgl duct
|
$1,448.85 |
$1,448.85 |
$1,448.85 |
$469.80
|
|
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 |
$861.25 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$31.85 |
$31.85 |
$31.85 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,339.94 |
$1,339.94 |
$1,339.94 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$682.50 |
$682.50 |
$682.50 |
$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 duod intub w/asp spec 43756
|
$220.35 |
$220.35 |
$220.35 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$117.00 |
$117.00 |
$117.00 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$244.40 |
$244.40 |
$244.40 |
$308.70
|
|
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 cavernosometry
|
$583.70 |
$583.70 |
$583.70 |
$3,442.40
|
|
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
|
$243.10 |
$243.10 |
$243.10 |
$1,889.50
|
|
Ear cartilage graft
|
$22,109.75 |
$22,109.75 |
$22,109.75 |
$6,385.40
|
|
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
|
$46.80 |
$46.80 |
$46.80 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$429.00 |
$429.00 |
$429.00 |
$412.88
|
|
Ecg external < 48 hours recording
|
$601.90 |
$601.90 |
$601.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$487.50 |
$487.50 |
$487.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$213.20 |
$213.20 |
$213.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$213.20 |
$213.20 |
$213.20 |
$173.40
|
|
Ecg record/review
|
$135.20 |
$135.20 |
$135.20 |
$371.28
|
|
Ecg/review interpret only
|
$135.20 |
$135.20 |
$135.20 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$2,978.95 |
$2,978.95 |
$2,978.95 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$1,281.15 |
$1,281.15 |
$1,281.15 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$886.60 |
$886.60 |
$886.60 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,691.35 |
$3,691.35 |
$3,691.35 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,667.90 |
$1,667.90 |
$1,667.90 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$530.40 |
$530.40 |
$530.40 |
$371.25
|
|
Echo exam of eye
|
$737.10 |
$737.10 |
$737.10 |
$172.00
|
|
Echo exam of eye thickness
|
$177.45 |
$177.45 |
$177.45 |
$40.30
|
|
Echo exam of fetal heart
|
$3,508.05 |
$3,508.05 |
$3,508.05 |
$904.80
|
|
Echo exam of fetal heart
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$538.27
|
|
Echo exam of fetal heart
|
$747.50 |
$747.50 |
$747.50 |
$431.41
|
|
Echo exam of fetal heart
|
$742.30 |
$742.30 |
$742.30 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,542.45 |
$1,542.45 |
$1,542.45 |
$561.00
|
|
Echograp trans r pros study
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,316.90 |
$1,316.90 |
$1,316.90 |
$812.00
|
|
Echo guide for amniocentesis
|
$396.50 |
$396.50 |
$396.50 |
$455.57
|
|
Echo guide for artery repair
|
$2,263.30 |
$2,263.30 |
$2,263.30 |
$696.30
|
|
Echo guide for heart biopsy
|
$680.55 |
$680.55 |
$680.55 |
$666.40
|
|
Echo guide for transfusion
|
$936.65 |
$936.65 |
$936.65 |
$332.39
|
|
Echo guide villus sampling
|
$368.55 |
$368.55 |
$368.55 |
$362.88
|
|
Echo stress
|
$2,978.95 |
$2,978.95 |
$2,978.95 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$751.34
|
|
Echo tee guidance
|
$3,289.00 |
$3,289.00 |
$3,289.00 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,219.45 |
$3,219.45 |
$3,219.45 |
$1,913.60
|
|
Echo transesophageal
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,075.20
|
|
Echo transesophageal
|
$2,346.50 |
$2,346.50 |
$2,346.50 |
$602.00
|
|
Echo transesophageal
|
$3,331.25 |
$3,331.25 |
$3,331.25 |
$1,650.00
|
|
Echo transesophageal
|
$1,002.95 |
$1,002.95 |
$1,002.95 |
$603.20
|
|
Echo transesophageal intraop
|
$3,176.55 |
$3,176.55 |
$3,176.55 |
$1,578.00
|
|
Echo transthoracic
|
$2,933.45 |
$2,933.45 |
$2,933.45 |
$1,361.75
|
|
Echo transthoracic
|
$2,561.65 |
$2,561.65 |
$2,561.65 |
$1,052.40
|
