|
Drain ovarn cyst abd
|
$43,483.59 |
$43,483.59 |
$43,483.59 |
$3,786.00
|
|
Drain thigh/knee lesion 27301
|
$3,035.00 |
$3,035.00 |
$5,505.50 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$442.50 |
$442.50 |
$679.70 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$337.50 |
$337.50 |
$597.10 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$515.00 |
$515.00 |
$1,060.50 |
$541.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$100.14 |
$100.14 |
$3,215.13 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,912.40 |
$1,912.40 |
$1,912.40 |
$1,485.75
|
|
Drng hand tendon sheath 26020
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,466.50 |
$1,790.00 |
$1,790.00 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$960.00 |
$960.00 |
$14,593.79 |
$867.90
|
|
Drng of mouth lesion 40801
|
$800.00 |
$800.00 |
$800.00 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,172.50 |
$1,800.00 |
$1,800.00 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$31.33 |
$31.33 |
$31.33 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$35.62 |
$70.90 |
$397.42 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$892.58 |
$1,318.98 |
$2,431.93 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$7.97 |
$7.97 |
$7.97 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$22.52 |
$22.52 |
$40.56 |
$193.15
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$268.88 |
$268.88 |
$268.88 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$280.85 |
$280.85 |
$12,134.85 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$237.50 |
$237.50 |
$1,859.90 |
$569.75
|
|
Drug assay caffeine
|
$39.27 |
$80.00 |
$184.80 |
$80.00
|
|
Drug assay posaconazole
|
$100.00 |
$100.00 |
$329.00 |
$96.75
|
|
Drug assay rufinamide
|
$144.20 |
$170.00 |
$170.00 |
$87.10
|
|
Drug assay vedolizumab
|
$272.50 |
$272.50 |
$509.60 |
$154.00
|
|
Drug assay voriconazole
|
$102.50 |
$102.50 |
$198.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$367.50 |
$66.43
|
|
Drug of abuse screen urine
|
$81.90 |
$81.90 |
$81.90 |
$67.89
|
|
Drug screening tapentadol
|
$85.14 |
$85.14 |
$112.00 |
$47.03
|
|
Drug screen quant tiagabine
|
$39.27 |
$100.80 |
$115.00 |
$107.59
|
|
Drug test def 15-21 classes
|
$322.50 |
$322.50 |
$322.50 |
$322.50
|
|
Drug test def 1-7 classes
|
$392.70 |
$392.70 |
$392.70 |
$263.25
|
|
Drug test def 22+ classes
|
$140.00 |
$140.00 |
$405.30 |
$426.24
|
|
Drug test def 8-14 classes
|
$289.80 |
$289.80 |
$289.80 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$85.14 |
$380.00 |
$693.70 |
$278.85
|
|
Drvvt confirm - quest
|
$43.56 |
$43.56 |
$102.20 |
$109.20
|
|
Dstrj extensive retinopathy
|
$74,736.62 |
$74,736.62 |
$74,736.62 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$3,125.00 |
$3,390.00 |
$12,315.14 |
$2,980.00
|
|
Ductogram sgl duct
|
$253.11 |
$670.00 |
$670.00 |
$469.80
|
|
Duodenal motility study
|
$1,143.10 |
$1,143.10 |
$1,143.10 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$322.08 |
$750.00 |
$750.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$154.77 |
$500.00 |
$500.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$176.55 |
$605.00 |
$683.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$740.00 |
$901.56 |
$1,139.60 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$780.00 |
$780.00 |
$1,732.50 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$10,564.87 |
$10,564.87 |
$10,564.87 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$172.11 |
$206.78 |
$5,501.43 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$477.50 |
$550.20 |
$568.92 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$2,993.20 |
$2,993.20 |
$2,993.20 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$17,828.43 |
$17,828.43 |
$17,828.43 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,095.00 |
$2,095.00 |
$20,861.84 |
$2,410.50
|
|
Dx laryngoscopy newborn
|
$408.80 |
$408.80 |
$408.80 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$15,597.27 |
$15,597.27 |
$15,597.27 |
$2,755.53
|
|
Ear canal biopsy 69105
|
$60,480.97 |
$60,480.97 |
$60,480.97 |
$1,889.50
|
|
Ear irrigation 69209
|
$81.90 |
$150.00 |
$150.00 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$177.50 |
$177.50 |
$177.50 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$750.42 |
$750.42 |
$750.42 |
$412.88
|
|
Ecg external < 48 hours recording
|
$565.95 |
$565.95 |
$1,341.90 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$234.50 |
$234.50 |
$962.28 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$919.80 |
$919.80 |
$919.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$595.70 |
$595.70 |
$595.70 |
$173.40
|
|
Ecg record/review
|
$681.45 |
$681.45 |
$681.45 |
$371.28
|
|
Echocardiogram (Heart Ultrasound)
|
$1,160.00 |
$1,165.00 |
$3,278.10 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$225.39 |
$465.00 |
$1,305.50 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$217.50 |
$217.50 |
$863.80 |
$511.55
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,383.90 |
$1,383.90 |
$1,383.90 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$100.65 |
$255.00 |
$877.80 |
$371.25
|
|
Echo exam of eye thickness
|
$80.00 |
$80.00 |
$80.00 |
$40.30
|
|
Echo exam of fetal heart
|
$1,115.00 |
$1,170.40 |
$1,966.80 |
$904.80
|
|
Echo exam of fetal heart
|
$835.00 |
$952.00 |
$1,408.44 |
$538.27
|
|
Echo exam of fetal heart
|
$466.62 |
$580.00 |
$987.70 |
$431.41
|
|
Echo exam of fetal heart
|
$217.47 |
$387.80 |
$437.50 |
$318.34
|
|
Echo exam uterus 76831-
|
$610.00 |
$610.00 |
$1,399.30 |
$561.00
|
|
Echograp trans r pros study
|
$381.48 |
$381.48 |
$2,104.90 |
$468.00
|
|
Echo guidance radiotherapy
|
$568.26 |
$568.26 |
$655.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$173.25 |
$215.00 |
$1,050.70 |
$455.57
|
|
Echo guide for artery repair
|
$637.56 |
$721.00 |
$1,040.00 |
$696.30
|
|
Echo guide for heart biopsy
|
$781.20 |
$781.20 |
$781.20 |
$666.40
|
|
Echo guide for transfusion
|
$472.50 |
$472.50 |
$472.50 |
$332.39
|
|
Echo guide villus sampling
|
$302.50 |
$302.50 |
$963.20 |
$362.88
|
|
Echo stress
|
$1,030.00 |
$1,244.10 |
$3,127.60 |
$1,609.44
|
|
Echo tee guidance
|
$1,180.00 |
$1,180.00 |
$5,871.60 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$636.90 |
$1,250.00 |
$2,572.50 |
$1,913.60
|
|
Echo transesophageal intraop
|
$702.90 |
$702.90 |
$702.90 |
$1,578.00
|
|
Echo transthoracic
|
$1,175.00 |
$1,225.00 |
$2,471.70 |
$1,361.75
|
|
Echo transthoracic
|
$354.09 |
$665.00 |
$1,957.90 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$455.73 |
$880.00 |
$1,997.10 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,032.50 |
$1,032.50 |
$1,032.50 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$5,866.00 |
$5,866.00 |
$5,866.00 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,922.50 |
$2,922.50 |
$2,922.50 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,356.60 |
$1,356.60 |
$9,740.00 |
$2,660.16
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$1,660.50
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$835.10 |
$835.10 |
$835.10 |
$1,518.60
|
|
Ecp ciliary body destruction
|
$21,829.69 |
$21,829.69 |
$21,829.69 |
$2,698.92
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$82,430.60 |
$82,430.60 |
$82,430.60 |
$19,540.29
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$62.50 |
$62.50 |
$62.50 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$274.89 |
$795.00 |
$1,010.80 |
$934.05
|
