|
Drainage of urethra abscess 53060
|
$523.80 |
$523.80 |
$523.80 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$145.20 |
$145.20 |
$145.20 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,256.60 |
$2,256.60 |
$2,256.60 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$375.00 |
$375.00 |
$375.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$144.60 |
$144.60 |
$144.60 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$490.80 |
$490.80 |
$490.80 |
$428.40
|
|
Drain lower leg bursa
|
$630.60 |
$630.60 |
$630.60 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$989.40 |
$989.40 |
$989.40 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$859.20 |
$859.20 |
$859.20 |
$3,339.00
|
|
Drain open lung lesion 32200
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$2,765.60
|
|
Drain ovarn cyst abd
|
$913.80 |
$913.80 |
$913.80 |
$3,786.00
|
|
Drain pancreatic pseudocyst 48510
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$2,690.40
|
|
Drain shoulder bursa 23031
|
$780.00 |
$780.00 |
$780.00 |
$3,322.80
|
|
Drain shoulder lesion
|
$821.40 |
$821.40 |
$821.40 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$3,986.00
|
|
Drain to peritoneal cavity
|
$1,391.40 |
$1,391.40 |
$1,391.40 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$279.00 |
$279.00 |
$279.00 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$304.80 |
$304.80 |
$304.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$343.20 |
$343.20 |
$343.20 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$144.00 |
$144.00 |
$144.00 |
$755.08
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,667.40 |
$1,667.40 |
$1,667.40 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$775.80 |
$775.80 |
$775.80 |
$1,485.75
|
|
Drng appendix abscess open 44900
|
$1,453.80 |
$1,453.80 |
$1,453.80 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$924.00 |
$924.00 |
$924.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$496.20 |
$496.20 |
$496.20 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,352.40 |
$1,352.40 |
$1,352.40 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$231.00 |
$231.00 |
$231.00 |
$867.90
|
|
Drng of mouth lesion 40801
|
$603.00 |
$603.00 |
$603.00 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$619.80 |
$619.80 |
$619.80 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$949.20 |
$949.20 |
$949.20 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$940.20 |
$940.20 |
$940.20 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$802.20 |
$802.20 |
$802.20 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$656.40 |
$656.40 |
$656.40 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$487.20 |
$487.20 |
$487.20 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$2,085.60 |
$2,085.60 |
$2,085.60 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$1,417.80 |
$1,417.80 |
$1,417.80 |
$2,279.50
|
|
Drng peritoneal abscess open 49020
|
$2,998.80 |
$2,998.80 |
$2,998.80 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$412.80 |
$412.80 |
$412.80 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$319.20 |
$319.20 |
$319.20 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$21.02 |
$21.02 |
$21.02 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$31.25 |
$31.25 |
$31.25 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,015.40 |
$2,015.40 |
$2,015.40 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$432.60 |
$432.60 |
$432.60 |
$53.60
|
|
Drug assay posaconazole
|
$370.20 |
$370.20 |
$370.20 |
$96.75
|
|
Drug assay vedolizumab
|
$200.40 |
$200.40 |
$200.40 |
$154.00
|
|
Drug assay voriconazole
|
$142.20 |
$142.20 |
$142.20 |
$96.75
|
|
Drug of abuse screen urine
|
$12.60 |
$12.60 |
$12.60 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$543.00 |
$543.00 |
$543.00 |
$278.85
|
|
Drvvt confirm - quest
|
$133.20 |
$133.20 |
$133.20 |
$109.20
|
|
Ductogram sgl duct
|
$469.80 |
$469.80 |
$469.80 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$490.80 |
$490.80 |
$490.80 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$306.60 |
$306.60 |
$306.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$306.60 |
$306.60 |
$306.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$302.40 |
$302.40 |
$302.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$703.80 |
$703.80 |
$703.80 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,619.12 |
$7,619.12 |
$7,619.12 |
$8,445.90
|
|
Dx bronchoscope/brush 31623
|
$647.40 |
$647.40 |
$647.40 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$609.60 |
$609.60 |
$609.60 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$607.20 |
$607.20 |
$607.20 |
$2,410.50
|
|
Dx duod intub w/asp spec 43756
|
$450.60 |
$450.60 |
$450.60 |
$1,075.20
|
|
Dx laryngoscopy w/oper scope
|
$432.00 |
$432.00 |
$432.00 |
$2,755.53
|
|
Ear and throat examination
|
$181.20 |
$181.20 |
$181.20 |
$602.63
|
|
Ear canal biopsy 69105
|
$276.00 |
$276.00 |
$276.00 |
$1,889.50
|
|
Ear cartilage graft
|
$1,411.80 |
$1,411.80 |
$1,411.80 |
$6,385.40
|
|
Ear irrigation 69209
|
$116.40 |
$116.40 |
$116.40 |
$154.70
|
|
Ecallantide injection
|
$10,119.91 |
$10,119.91 |
$10,119.91 |
$13,357.14
|
|
Ecg/1-3 leads/interp & report only 93042
|
$17.40 |
$17.40 |
$17.40 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$77.40 |
$77.40 |
$77.40 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$519.60 |
$519.60 |
$519.60 |
$412.88
|
|
Ecg external < 48 hours recording
|
$354.60 |
$354.60 |
$354.60 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$506.40 |
$506.40 |
$506.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$57.00 |
$57.00 |
$57.00 |
$147.28
|
|
Ecg/review interpret only
|
$50.40 |
$50.40 |
$50.40 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$491.40 |
$491.40 |
$491.40 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$352.20 |
$352.20 |
$352.20 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,683.60 |
$1,683.60 |
$1,683.60 |
$1,944.80
|
|
Echocardiograpy doppler follow up/limited study
|
$219.00 |
$219.00 |
$219.00 |
$371.25
|
|
Echo exam uterus 76831-
|
$309.60 |
$309.60 |
$309.60 |
$561.00
|
|
Echograp trans r pros study
|
$243.00 |
$243.00 |
$243.00 |
$468.00
|
|
Echo guidance radiotherapy
|
$465.60 |
$465.60 |
$465.60 |
$812.00
|
|
Echo guide for amniocentesis
|
$607.20 |
$607.20 |
$607.20 |
$455.57
|
|
Echo guide for artery repair
|
$490.80 |
$490.80 |
$490.80 |
$696.30
|
|
Echo stress
|
$924.60 |
$924.60 |
$924.60 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$344.40 |
$344.40 |
$344.40 |
$751.34
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,306.20 |
$1,306.20 |
$1,306.20 |
$1,913.60
|
|
Echo transesophageal
|
$1,075.20 |
$1,075.20 |
$1,075.20 |
$1,075.20
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$345.60 |
$345.60 |
$345.60 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$515.40 |
$515.40 |
$515.40 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$530.40 |
$530.40 |
$530.40 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$742.80 |
$742.80 |
$742.80 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$672.00 |
$672.00 |
$672.00 |
$4,084.29
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,854.60 |
$1,854.60 |
$1,854.60 |
$2,055.20
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$970.80 |
$970.80 |
$970.80 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$944.40 |
$944.40 |
$944.40 |
$2,660.16
|
