|
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
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$978.05 |
$978.05 |
$978.05 |
$3,789.86
|
|
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 |
$1,933.00 |
$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
|
$969.00 |
$969.00 |
$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
|
$784.55 |
$784.55 |
$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
|
$22.30 |
$22.30 |
$78.00 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,817.00 |
$1,817.00 |
$3,826.54 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$156.82 |
$156.82 |
$156.82 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$24.80 |
$24.80 |
$34.84 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$41.79 |
$41.79 |
$41.79 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$80.11 |
$80.11 |
$80.11 |
$123.24
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$0.47 |
$0.47 |
$0.47 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$94.94 |
$94.94 |
$94.94 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$46.92 |
$46.92 |
$46.92 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,228.55 |
$6,228.55 |
$6,228.55 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$16.74 |
$16.74 |
$16.74 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$247.88 |
$247.88 |
$448.16 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$529.81 |
$529.81 |
$1,690.00 |
$569.75
|
|
Drug assay caffeine
|
$77.60 |
$77.60 |
$77.60 |
$80.00
|
|
Drug assay posaconazole
|
$53.30 |
$53.30 |
$66.43 |
$96.75
|
|
Drug assay rufinamide
|
$66.43 |
$66.43 |
$87.75 |
$87.10
|
|
Drug assay vedolizumab
|
$66.43 |
$66.43 |
$253.50 |
$154.00
|
|
Drug assay voriconazole
|
$66.43 |
$66.43 |
$121.55 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
Drug of abuse screen urine
|
$72.14 |
$72.14 |
$113.75 |
$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 |
$1,193.00 |
$278.85
|
|
Drvvt confirm - quest
|
$45.60 |
$45.60 |
$222.30 |
$109.20
|
|
Dstrj extensive retinopathy
|
$2,158.40 |
$2,158.40 |
$2,158.40 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$2,150.20 |
$2,150.20 |
$3,576.45 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$702.40 |
$702.40 |
$779.35 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$94.25 |
$94.25 |
$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
|
|
Duplex scan bilateral study 93985
|
$538.20 |
$538.20 |
$620.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$357.60 |
$357.60 |
$357.60 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$359.20 |
$359.20 |
$765.05 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$540.15 |
$540.15 |
$835.86 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$962.61 |
$962.61 |
$1,101.10 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$1,503.57 |
$1,503.57 |
$1,503.57 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$171.82 |
$171.82 |
$171.82 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$133.43 |
$133.43 |
$13,206.10 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$216.78 |
$216.78 |
$216.78 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$186.40 |
$186.40 |
$186.40 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$48.00 |
$48.00 |
$48.00 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$666.40 |
$666.40 |
$15,765.05 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$3,343.44 |
$3,343.44 |
$57,750.03 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$3,343.44 |
$3,343.44 |
$5,481.30 |
$2,410.50
|
|
Dx duod intub w/asp spec 43756
|
$608.80 |
$608.80 |
$608.80 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$837.60 |
$837.60 |
$837.60 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$441.60 |
$441.60 |
$441.60 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$421.60 |
$421.60 |
$421.60 |
$308.70
|
|
Dx intraop epcar Ultrasound chd i&r
|
$64.00 |
$64.00 |
$64.00 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$171.20 |
$171.20 |
$171.20 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$55.20 |
$55.20 |
$55.20 |
$558.11
|
|
Dx laryngoscopy newborn
|
$385.60 |
$385.60 |
$385.60 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$387.20 |
$387.20 |
$387.20 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$108.80 |
$108.80 |
$108.80 |
$558.11
|
|
Dynamic cavernosometry
|
$354.40 |
$354.40 |
$354.40 |
$3,442.40
|
|
Dynamic surface emg
|
$49.60 |
$49.60 |
$49.60 |
$368.50
|
|
Ear and throat examination
|
$210.40 |
$210.40 |
$285.00 |
$602.63
|
|
Ear canal biopsy 69105
|
$374.00 |
$374.00 |
$688.00 |
$1,889.50
|
|
Ear cartilage graft
|
$1,787.20 |
$1,787.20 |
$1,787.20 |
$6,385.40
|
|
Ear irrigation 69209
|
$152.50 |
$152.50 |
$423.00 |
$154.70
|
|
Ear protector evaluation
|
$71.50 |
$71.50 |
$141.60 |
$112.56
|
|
Ecg/1-3 leads/interp & report only 93042
|
$16.00 |
$16.00 |
$16.00 |
$16.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$98.17 |
$98.17 |
$183.95 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$377.60 |
$377.60 |
$477.75 |
$412.88
|
|
Ecg external < 48 hours recording
|
$212.68 |
$212.68 |
$642.85 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$193.32 |
$193.32 |
$642.85 |
$541.20
|