|
Drainage of mouth lesion
|
$5,448.02 |
$5,448.02 |
$5,448.02 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$905.30
|
|
Drainage of mouth lesion
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$1,008.80
|
|
Drainage of mouth lesion
|
$1,124.80 |
$1,124.80 |
$1,124.80 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$615.20 |
$615.20 |
$615.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$621.60 |
$621.60 |
$621.60 |
$781.44
|
|
Drainage of pelvis bursa
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$3,863.70
|
|
Drainage of prostate abscess
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$4,081.37
|
|
Drainage of prostate abscess
|
$1,140.80 |
$1,140.80 |
$1,140.80 |
$3,863.60
|
|
Drainage of prostate abscess
|
$1,496.80 |
$1,496.80 |
$1,496.80 |
$4,081.37
|
|
Drainage of rectal abscess
|
$712.80 |
$712.80 |
$712.80 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$1,409.60 |
$1,409.60 |
$1,409.60 |
$3,816.64
|
|
Drainage of salivary gland
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$4,560.40
|
|
Drainage of salivary gland
|
$629.60 |
$629.60 |
$629.60 |
$890.76
|
|
Drainage of throat abscess
|
$1,998.40 |
$1,998.40 |
$1,998.40 |
$6,499.33
|
|
Drainage of urethra abscess
|
$988.00 |
$988.00 |
$988.00 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$463.20 |
$463.20 |
$463.20 |
$2,424.12
|
|
Drainage of urinary leakage
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
$2,308.48
|
|
Drainage of urinary leakage
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$349.60 |
$349.60 |
$349.60 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$132.00 |
$132.00 |
$132.00 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,779.20 |
$1,779.20 |
$1,779.20 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,999.34 |
$2,999.34 |
$2,999.34 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$842.52 |
$842.52 |
$842.52 |
$1,044.00
|
|
Drain chest lesion
|
$1,234.40 |
$1,234.40 |
$1,234.40 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$852.50 |
$852.50 |
$852.50 |
$428.40
|
|
Drain lower leg bursa
|
$2,348.80 |
$2,348.80 |
$2,348.80 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$2,617.60 |
$2,617.60 |
$2,617.60 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$3,339.00
|
|
Drain open lung lesion 32200
|
$2,765.60 |
$2,765.60 |
$2,765.60 |
$2,765.60
|
|
Drain ovarn cyst abd
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$3,786.00
|
|
Drain ovary abscess open
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
$3,762.53
|
|
Drain pancreatic pseudocyst 48510
|
$2,690.40 |
$2,690.40 |
$2,690.40 |
$2,690.40
|
|
Drain penis lesion
|
$772.00 |
$772.00 |
$772.00 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$3,322.80
|
|
Drain shoulder lesion
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$429.60 |
$429.60 |
$429.60 |
$1,752.89
|
|
Drain to peritoneal cavity
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$430.80 |
$430.80 |
$430.80 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$430.80 |
$430.80 |
$430.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$474.40 |
$474.40 |
$474.40 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$116.00 |
$116.00 |
$116.00 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$736.00 |
$736.00 |
$736.00 |
$1,485.75
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$242.40 |
$242.40 |
$242.40 |
$3,808.00
|
|
Drm agrft t/a/l ea addl
|
$244.80 |
$244.80 |
$244.80 |
$1,793.59
|
|
Drng appendix abscess open 44900
|
$1,916.80 |
$1,916.80 |
$1,916.80 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$1,364.80 |
$1,364.80 |
$1,364.80 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$6,903.77 |
$6,903.77 |
$6,903.77 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$587.20 |
$587.20 |
$587.20 |
$867.90
|
|
Drng of mouth lesion 40801
|
$744.00 |
$744.00 |
$744.00 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$856.80 |
$856.80 |
$856.80 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$2,416.00 |
$2,416.00 |
$2,416.00 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$2,070.40 |
$2,070.40 |
$2,070.40 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$894.40 |
$894.40 |
$894.40 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$1,840.38 |
$1,840.38 |
$1,840.38 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$2,461.60 |
$2,461.60 |
$2,461.60 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$3,547.20 |
$3,547.20 |
$3,547.20 |
$2,279.50
|
|
Drng peritoneal abscess open 49020
|
$3,915.20 |
$3,915.20 |
$3,915.20 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$524.80 |
$524.80 |
$524.80 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$433.60 |
$433.60 |
$433.60 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$77.11 |
$77.11 |
$77.11 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,817.00 |
$1,817.00 |
$1,817.00 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$24.80 |
$24.80 |
$24.80 |
$53.60
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$448.16 |
$448.16 |
$448.16 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$529.81 |
$529.81 |
$529.81 |
$569.75
|
|
Drug assay caffeine
|
$77.60 |
$77.60 |
$77.60 |
$80.00
|
|
Drug assay posaconazole
|
$66.43 |
$66.43 |
$66.43 |
$96.75
|
|
Drug assay rufinamide
|
$66.43 |
$66.43 |
$66.43 |
$87.10
|
|
Drug assay vedolizumab
|
$66.43 |
$66.43 |
$66.43 |
$154.00
|
|
Drug assay voriconazole
|
$66.43 |
$66.43 |
$66.43 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
Drug of abuse screen urine
|
$72.14 |
$72.14 |
$72.14 |
$67.89
|
|
Drug screening tapentadol
|
$36.00 |
$36.00 |
$36.00 |
$47.03
|
|
Drug screen quant tiagabine
|
$66.43 |
$66.43 |
$66.43 |
$107.59
|
|
Drug/substance nos 4-6
|
$72.14 |
$72.14 |
$72.14 |
$72.14
|
|
Drug test def 15-21 classes
|
$397.60 |
$397.60 |
$397.60 |
$322.50
|
|
Drug test def 1-7 classes
|
$229.60 |
$229.60 |
$229.60 |
$263.25
|
|
Drug test def 22+ classes
|
$494.40 |
$494.40 |
$494.40 |
$426.24
|
|
Drug test def 8-14 classes
|
$313.60 |
$313.60 |
$313.60 |
$289.80
|
|
Drug test def simple all cl
|
$124.80 |
$124.80 |
$124.80 |
$68.35
|
|
Drug test prsmv instrmnt
|
$72.14 |
$72.14 |
$72.14 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$127.20 |
$127.20 |
$127.20 |
$278.85
|
|
Drvvt confirm - quest
|
$45.60 |
$45.60 |
$45.60 |
$109.20
|
|
Dstrj extensive retinopathy
|
$2,158.40 |
$2,158.40 |
$2,158.40 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$3,576.45 |
$3,576.45 |
$3,576.45 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$702.40 |
$702.40 |
$702.40 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$603.20 |
$603.20 |
$603.20 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$688.00 |
$688.00 |
$688.00 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$886.40 |
$886.40 |
$886.40 |
$886.40
|
|
Ductogram sgl duct
|
$376.56 |
$376.56 |
$376.56 |
$469.80
|
|
Duodenal exclusion
|
$4,393.60 |
$4,393.60 |
$4,393.60 |
$4,393.60
|
|
Duodenal motility study
|
$367.20 |
$367.20 |
$367.20 |
$1,143.10
|