|
Drain cerebro spinal fluid 62272
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$451.80 |
$451.80 |
$451.80 |
$435.32
|
|
Drain lower leg lesion 27603
|
$654.00 |
$654.00 |
$654.00 |
$3,994.09
|
|
Drain thigh/knee lesion 27301
|
$3,877.80 |
$3,877.80 |
$3,877.80 |
$3,638.88
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$610.20 |
$610.20 |
$610.20 |
$394.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$552.00 |
$552.00 |
$552.00 |
$351.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$604.20 |
$604.20 |
$604.20 |
$530.40
|
|
Dressing change not for burn w/anes 15852
|
$337.20 |
$337.20 |
$337.20 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$2,109.60 |
$2,109.60 |
$2,109.60 |
$1,503.60
|
|
Drng hand tendon sheath 26020
|
$808.80 |
$808.80 |
$808.80 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$833.40 |
$833.40 |
$833.40 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$2,857.20 |
$2,857.20 |
$2,857.20 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$1,182.60 |
$1,182.60 |
$1,182.60 |
$854.50
|
|
Drng of scrotum abscess 55100
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$1,977.60
|
|
Drng open retroperitoneal abscess 49060
|
$945.60 |
$945.60 |
$945.60 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$945.60 |
$945.60 |
$945.60 |
$2,520.00
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$61.20 |
$61.20 |
$61.20 |
$112.48
|
|
Drug admin & hemodynmic meas
|
$259.20 |
$259.20 |
$259.20 |
$590.00
|
|
Drug assay posaconazole
|
$162.00 |
$162.00 |
$162.00 |
$96.00
|
|
Drug assay rufinamide
|
$107.40 |
$107.40 |
$107.40 |
$78.00
|
|
Drug assay vedolizumab
|
$369.00 |
$369.00 |
$369.00 |
$157.00
|
|
Drug assay voriconazole
|
$135.00 |
$135.00 |
$135.00 |
$96.75
|
|
Drug test prsmv instrmnt
|
$335.40 |
$335.40 |
$335.40 |
$87.84
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$278.85
|
|
Drvvt confirm - quest
|
$216.00 |
$216.00 |
$216.00 |
$109.20
|
|
Ductogram sgl duct
|
$744.00 |
$744.00 |
$744.00 |
$481.80
|
|
Duplex scan bilateral study 93985
|
$486.60 |
$486.60 |
$486.60 |
$680.50
|
|
Duplex scan unilateral study 93986
|
$324.00 |
$324.00 |
$324.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$687.00 |
$687.00 |
$687.00 |
$479.81
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$890.55
|
|
Dx aly aud oi snd prcsr 1st
|
$350.40 |
$350.40 |
$350.40 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$87.60 |
$87.60 |
$87.60 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,798.80 |
$1,798.80 |
$1,798.80 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,347.80
|
|
Ear irrigation 69209
|
$380.40 |
$380.40 |
$380.40 |
$150.00
|
|
Ecg 12 lead tracing only
|
$269.40 |
$269.40 |
$269.40 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$341.40 |
$341.40 |
$341.40 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$636.60 |
$636.60 |
$636.60 |
$477.75
|
|
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)
|
$3,190.80 |
$3,190.80 |
$3,190.80 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$460.20 |
$460.20 |
$460.20 |
$475.10
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,312.20 |
$1,312.20 |
$1,312.20 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$742.20 |
$742.20 |
$742.20 |
$363.22
|
|
Echo exam of fetal heart
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$904.62
|
|
Echo exam of fetal heart
|
$589.20 |
$589.20 |
$589.20 |
$524.55
|
|
Echo exam of fetal heart
|
$873.60 |
$873.60 |
$873.60 |
$431.41
|
|
Echo exam of fetal heart
|
$630.00 |
$630.00 |
$630.00 |
$318.34
|
|
Echo exam uterus 76831-
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$560.50
|
|
Echograp trans r pros study
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$812.00
|
|
Echo guide for amniocentesis
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$455.57
|
|
Echo guide for artery repair
|
$952.80 |
$952.80 |
$952.80 |
$687.35
|
|
Echo guide for heart biopsy
|
$1,714.20 |
$1,714.20 |
$1,714.20 |
$666.40
|
|
Echo stress
|
$2,656.80 |
$2,656.80 |
$2,656.80 |
$1,607.45
|
|
Echo tee guidance
|
$2,826.00 |
$2,826.00 |
$2,826.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,403.80 |
$3,403.80 |
$3,403.80 |
$1,885.56
|
|
Echo transesophageal
|
$4,362.60 |
$4,362.60 |
$4,362.60 |
$1,650.00
|
|
Echo transesophageal
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
$603.20
|
|
Echo transesophageal intraop
|
$3,403.80 |
$3,403.80 |
$3,403.80 |
$1,608.71
|
|
Echo transthoracic
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$979.80
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$1,002.00
|
|
Eeg 41-60 minutes 95812-26
|
$1,235.40 |
$1,235.40 |
$1,235.40 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,606.20 |
$1,606.20 |
$1,606.20 |
$1,007.40
|
|
Eeg during surgery
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,086.80
|
|
Eeg/record in coma or sleep only 95822
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$871.00
|
|
Eeg recording awake and asleep
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$4,283.40 |
$4,283.40 |
$4,283.40 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$4,283.40 |
$4,283.40 |
$4,283.40 |
$655.55
|
|
Eeg without vid ea 12-26hr cont
|
$4,563.60 |
$4,563.60 |
$4,563.60 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$4,563.60 |
$4,563.60 |
$4,563.60 |
$1,502.40
|
|
Eeg wo vid 2-12hr intmt mntr
|
$4,283.40 |
$4,283.40 |
$4,283.40 |
$673.20
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,563.60 |
$4,563.60 |
$4,563.60 |
$1,591.10
|
|
E equine encephalitis igg
|
$46.20 |
$46.20 |
$46.20 |
$50.88
|
|
Egd remove foreign body
|
$1,254.60 |
$1,254.60 |
$1,254.60 |
$1,473.45
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$2,392.00
|
|
Egfr gene com variants
|
$5,593.80 |
$5,593.80 |
$5,593.80 |
$672.10
|
|
Ehrlicha chaffeensis amp prb
|
$37.80 |
$37.80 |
$37.80 |
$93.00
|
|
Elec analys infus pump w/reprog 62368
|
$418.80 |
$418.80 |
$418.80 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$407.40 |
$407.40 |
$407.40 |
$551.50
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$760.20 |
$760.20 |
$760.20 |
$618.80
|
|
Electrical stimulation/unattended 97014
|
$52.80 |
$52.80 |
$52.80 |
$77.70
|
|
Electrocorticography durng sx
|
$3,510.60 |
$3,510.60 |
$3,510.60 |
$1,660.52
|
|
Electrode stimulation brain
|
$640.80 |
$640.80 |
$640.80 |
$1,137.75
|
|
Electrolyte panel
|
$152.40 |
$152.40 |
$152.40 |
$80.01
|
|
Electron microscopy diagnostic
|
$2,432.40 |
$2,432.40 |
$2,432.40 |
$983.41
|
|
Electrophysiologic study
|
$5,799.60 |
$5,799.60 |
$5,799.60 |
$7,493.20
|
|
Electrophysiology evaluation
|
$5,799.60 |
$5,799.60 |
$5,799.60 |
$9,087.60
|
|
Electrophysiology evaluation
|
$5,799.60 |
$5,799.60 |
$5,799.60 |
$10,940.80
|
|
Electrophysiology evaluation
|
$4,630.80 |
$4,630.80 |
$4,630.80 |
$6,760.00
|
|
Electrophysiology evaluation
|
$4,715.40 |
$4,715.40 |
$4,715.40 |
$5,682.05
|
|
Electrophysiology evaluation
|
$3,757.20 |
$3,757.20 |
$3,757.20 |
$2,559.70
|
|
Electrophysiology evaluation
|
$3,712.20 |
$3,712.20 |
$3,712.20 |
$2,997.60
|
