|
Digital analysis of eeg
|
$468.00 |
$468.00 |
$1,111.20 |
$605.60
|
|
Digoxin total therapeutic drug level
|
$78.00 |
$78.00 |
$317.40 |
$102.00
|
|
Dilate biliary duct/ampulla
|
$3,639.60 |
$3,639.60 |
$3,639.60 |
$1,866.73
|
|
Dilate esophagus
|
$5,016.00 |
$5,016.00 |
$5,016.00 |
$2,142.40
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$5,250.40
|
|
Dilation of cervical canal 57800
|
$7,365.60 |
$7,365.60 |
$7,365.60 |
$4,376.00
|
|
Dilation of salivary duct
|
$2,113.20 |
$2,113.20 |
$2,113.20 |
$741.60
|
|
Dilat xst trc ndurlgc px
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$4,213.20
|
|
Disability dlco
|
$621.00 |
$621.00 |
$621.00 |
$282.40
|
|
Disaccharidases
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$216.00
|
|
Discography cerv/thor spine
|
$5,913.60 |
$5,913.60 |
$5,913.60 |
$2,565.00
|
|
Dlyd plmt xtn prosth ea addl
|
$10,597.80 |
$10,597.80 |
$10,597.80 |
$1,582.68
|
|
Dna antibody native/double stranded
|
$304.20 |
$304.20 |
$304.20 |
$97.50
|
|
Dna gardnerella
|
$69.00 |
$69.00 |
$69.00 |
$62.50
|
|
Dna trichomonas
|
$69.00 |
$69.00 |
$69.00 |
$67.80
|
|
Doppler echo complete
|
$439.20 |
$439.20 |
$972.00 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$2,822.40 |
$2,822.40 |
$2,822.40 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$548.40 |
$548.40 |
$1,663.80 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$324.00 |
$324.00 |
$688.20 |
$471.17
|
|
Dpyd gene common variants
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$470.40 |
$470.40 |
$470.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$914.34
|
|
Drainage external ear simple 69000
|
$663.00 |
$663.00 |
$663.00 |
$789.60
|
|
Drainage mouth roof lesion
|
$686.40 |
$686.40 |
$686.40 |
$390.39
|
|
Drainage of arm bursa 23931
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$2,197.48
|
|
Drainage of kidney lesion
|
$7,422.60 |
$7,422.60 |
$7,422.60 |
$1,506.00
|
|
Drainage of mouth lesion
|
$5,193.60 |
$5,193.60 |
$5,193.60 |
$3,900.60
|
|
Drainage of pelvis lesion 26990
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$3,958.50
|
|
Drain blood from under nail 11740
|
$162.00 |
$162.00 |
$162.00 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,923.60 |
$4,923.60 |
$4,923.60 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$8,048.40 |
$8,048.40 |
$8,048.40 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$189.00 |
$189.00 |
$189.00 |
$419.00
|
|
Drain lower leg lesion 27603
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$3,858.40
|
|
Drain ovarn cyst abd
|
$8,377.20 |
$8,377.20 |
$8,377.20 |
$3,964.27
|
|
Drain thigh/knee lesion 27301
|
$5,538.00 |
$5,538.00 |
$5,538.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$709.80 |
$709.80 |
$709.80 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$349.80 |
$349.80 |
$438.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$523.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$330.60 |
$330.60 |
$330.60 |
$1,667.40
|
|
Drill hole implt ventricular cath/device 61107
|
$1,991.40 |
$1,991.40 |
$1,991.40 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$976.20 |
$976.20 |
$976.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,553.40 |
$1,553.40 |
$1,553.40 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,972.20 |
$1,972.20 |
$1,972.20 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$1,936.20 |
$1,936.20 |
$1,936.20 |
$1,924.00
|
|
Drng ovary abscess perqt 58822
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$2,161.64
|
|
Drng peritoneal abscess open 49020
|
$1,936.20 |
$1,936.20 |
$1,936.20 |
$2,520.00
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$59.40 |
$59.40 |
$59.40 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$4,757.40 |
$4,757.40 |
$4,757.40 |
$569.75
|
|
Drug assay posaconazole
|
$196.20 |
$196.20 |
$196.20 |
$96.75
|
|
Drug assay rufinamide
|
$112.80 |
$112.80 |
$112.80 |
$85.80
|
|
Drug assay vedolizumab
|
$448.80 |
$448.80 |
$448.80 |
$152.79
|
|
Drug assay voriconazole
|
$164.40 |
$164.40 |
$164.40 |
$96.75
|
|
Drug test prsmv instrmnt
|
$413.40 |
$413.40 |
$413.40 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$61.20 |
$61.20 |
$739.20 |
$278.85
|
|
Drvvt confirm - quest
|
$227.40 |
$227.40 |
$227.40 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$7,545.60 |
$7,545.60 |
$7,545.60 |
$3,020.80
|
|
Ductogram sgl duct
|
$411.00 |
$411.00 |
$598.80 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$687.60 |
$687.60 |
$4,284.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$421.80 |
$421.80 |
$1,334.40 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$627.60 |
$627.60 |
$1,537.80 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$722.40 |
$722.40 |
$1,883.40 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$270.60 |
$270.60 |
$270.60 |
$392.60
|
|
Dx aly aud oi snd prcsr 1st
|
$252.00 |
$252.00 |
$252.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$63.00 |
$63.00 |
$63.00 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$3,663.00 |
$3,663.00 |
$3,663.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$3,663.00 |
$3,663.00 |
$3,663.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,893.00 |
$1,893.00 |
$3,813.60 |
$2,322.60
|
|
Ear irrigation 69209
|
$325.80 |
$325.80 |
$325.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$150.00 |
$150.00 |
$394.80 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$108.00 |
$108.00 |
$177.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$636.60 |
$636.60 |
$636.60 |
$487.60
|
|
Ecg external < 48 hours recording
|
$636.60 |
$636.60 |
$636.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$636.60 |
$636.60 |
$636.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$225.00 |
$225.00 |
$225.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$374.40 |
$374.40 |
$374.40 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,411.80 |
$1,411.80 |
$3,679.80 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$303.60 |
$303.60 |
$720.60 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$444.00 |
$444.00 |
$1,552.80 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$275.40 |
$275.40 |
$720.60 |
$362.50
|
|
Echo exam of eye
|
$399.00 |
$399.00 |
$399.00 |
$168.00
|
|
Echo exam of fetal heart
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$939.00
|
|
Echo exam of fetal heart
|
$756.00 |
$756.00 |
$756.00 |
$524.55
|
|
Echo exam of fetal heart
|
$756.00 |
$756.00 |
$756.00 |
$431.41
|
|
Echo exam of fetal heart
|
$683.40 |
$683.40 |
$683.40 |
$323.40
|
|
Echo exam uterus 76831-
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$523.71
|
|
Echograp trans r pros study
|
$2,797.80 |
$2,797.80 |
$2,797.80 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$747.60 |
$747.60 |
$747.60 |
$456.30
|
|
Echo guide for artery repair
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$664.00
|
|
Echo guide for heart biopsy
|
$2,311.80 |
$2,311.80 |
$2,311.80 |
$666.40
|
|
Echo guide for transfusion
|
$833.40 |
$833.40 |
$833.40 |
$324.60
|
|
Echo stress
|
$1,201.20 |
$1,201.20 |
$2,297.40 |
$1,592.05
|
|
Echo tee guidance
|
$4,426.20 |
$4,426.20 |
$4,426.20 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,441.80 |
$1,441.80 |
$3,348.60 |
$1,849.50
|
|
Echo transesophageal
|
$1,360.80 |
$1,360.80 |
$1,435.80 |
$1,087.90
|
