|
Drainage of rectal abscess
|
$464.16 |
$712.80 |
$1,047.90 |
|
|
Drainage of rectal abscess 45020
|
$1,140.00 |
$1,409.60 |
$1,409.60 |
|
|
Drainage of salivary gland
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
|
|
Drainage of salivary gland
|
$629.60 |
$629.60 |
$629.60 |
|
|
Drainage of throat abscess
|
$1,998.40 |
$1,998.40 |
$1,998.40 |
|
|
Drainage of urethra abscess
|
$988.00 |
$988.00 |
$988.00 |
|
|
Drainage of urethra abscess 53060
|
$463.20 |
$463.20 |
$523.80 |
|
|
Drainage of urinary leakage
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
|
|
Drainage of urinary leakage
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
|
|
Drain bladder by trocar/cath
|
$167.50 |
$349.60 |
$1,275.16 |
|
|
Drain blood from under nail 11740
|
$77.28 |
$133.00 |
$470.28 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,293.00 |
$1,779.20 |
$4,463.95 |
|
|
Drain cath image guided visceral pq
|
$371.80 |
$2,162.40 |
$5,241.60 |
|
|
Drain cerebro spinal fluid 62272
|
$272.00 |
$655.04 |
$1,712.36 |
|
|
Drain chest lesion
|
$1,234.40 |
$1,234.40 |
$1,234.40 |
|
|
Drain chst dry seal exp thorastat
|
$92.37 |
$138.44 |
$212.98 |
|
|
Drain finger abscess;simple 26010
|
$296.10 |
$736.80 |
$13,250.87 |
|
|
Drain lower leg bursa
|
$630.60 |
$2,348.80 |
$6,340.68 |
|
|
Drain lower leg lesion 27603
|
$942.00 |
$2,617.60 |
$4,941.45 |
|
|
Drain neck/chest lesion 21501
|
$818.40 |
$1,144.80 |
$16,649.99 |
|
|
Drain open lung lesion 32200
|
$1,659.00 |
$2,765.60 |
$2,765.60 |
|
|
Drain ovarn cyst abd
|
$870.00 |
$1,043.20 |
$1,697.00 |
|
|
Drain ovary abscess open
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
|
|
Drain pancreatic pseudocyst 48510
|
$1,626.00 |
$2,690.40 |
$2,690.40 |
|
|
Drain penis lesion
|
$772.00 |
$772.00 |
$772.00 |
|
|
Drain shoulder bone lesion
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
|
|
Drain shoulder bursa 23031
|
$742.80 |
$1,976.00 |
$1,976.00 |
|
|
Drain shoulder lesion
|
$782.40 |
$1,062.40 |
$1,062.40 |
|
|
Drain thigh/knee lesion 27301
|
$1,158.24 |
$3,307.20 |
$12,094.00 |
|
|
Drain thyroid/tongue cyst
|
$429.60 |
$429.60 |
$622.44 |
|
|
Drain to peritoneal cavity
|
$1,325.40 |
$1,880.00 |
$2,748.00 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$216.96 |
$376.80 |
$450.68 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$149.28 |
$325.43 |
$1,145.00 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$296.52 |
$474.40 |
$824.15 |
|
|
Dressing change not for burn w/anes 15852
|
$116.00 |
$116.00 |
$1,218.02 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$67.92 |
$978.05 |
$1,504.70 |
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$1,588.20 |
$1,667.40 |
$1,667.40 |
|
|
Drill hole implt ventricular cath/device 61107
|
$113.82 |
$736.00 |
$2,422.31 |
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$242.40 |
$242.40 |
$242.40 |
|
|
Drm agrft t/a/l ea addl
|
$244.80 |
$244.80 |
$244.80 |
|
|
Drng appendix abscess open 44900
|
$1,013.76 |
$1,916.80 |
$1,916.80 |
|
|
Drng hand tendon sheath 26020
|
$880.20 |
$1,364.00 |
$2,461.01 |
|
|
Drng of eyelid abscess 67700
|
$232.68 |
$1,364.80 |
$1,364.80 |
|
|
Drng of finger abscess comp 26011
|
$969.00 |
$1,426.84 |
$6,903.77 |
|
|
Drng of hydrocele 55000
|
$141.60 |
$587.20 |
$27,411.79 |
|
|
Drng of mouth lesion 40801
|
$574.20 |
$744.00 |
$1,616.38 |
|
|
Drng of ovarian cyst(s) 58800
|
$590.40 |
$856.80 |
$856.80 |
|
|
Drng of palm multi bursas 26030
|
$904.20 |
$2,416.00 |
$2,416.00 |
|
|
Drng of palm single bursa 26025
|
$895.20 |
$2,070.40 |
$2,070.40 |
|
|
Drng of pelvic abscess transrectal 45000
|
$763.80 |
$1,056.80 |
$1,056.80 |
|
|
Drng of salivary cyst 42409
|
$625.20 |
$894.40 |
$894.40 |
|
|
Drng of scrotum abscess 55100
|
$463.80 |
$1,201.15 |
$3,386.16 |
|
|
Drng open retroperitoneal abscess 49060
|
$704.34 |
$2,708.80 |
$2,708.80 |
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,286.88 |
$2,461.60 |
$2,461.60 |
|
|
Drng ovary abscess perqt 58822
|
$1,350.00 |
$3,547.20 |
$3,547.20 |
|
|
Drng peritoneal abscess open 49020
|
$1,286.88 |
$3,915.20 |
$5,698.00 |
|
|
Drng salivary gland simple 42300
|
$393.00 |
$524.80 |
$2,466.88 |
|
|
Drng salivary gland submax/subling 42310
|
$304.20 |
$433.60 |
$1,160.12 |
|
|
Dronabinol 2.5mg oral
|
$2.10 |
$21.02 |
$793.41 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.30 |
$44.55 |
$87.04 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$502.43 |
$2,015.40 |
$5,886.99 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$156.82 |
$156.82 |
$241.26 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$24.80 |
$34.84 |
$2,277.22 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$33.44 |
$41.79 |
$1,797.16 |
|
|
Drsg sht 5.625x4.625in std
|
$80.11 |
$80.11 |
$123.24 |
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$0.47 |
$0.47 |
$1.90 |
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$94.94 |
$94.94 |
$146.06 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$46.92 |
$46.92 |
$72.19 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$388.70 |
$6,228.55 |
$9,582.38 |
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$13.39 |
$16.74 |
$25.75 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$247.88 |
$247.88 |
$448.16 |
|
|
Drug admin & hemodynmic meas
|
$222.40 |
$550.24 |
$2,235.35 |
|
|
Drug assay caffeine
|
$16.80 |
$77.60 |
$93.60 |
|
|
Drug assay posaconazole
|
$53.30 |
$66.43 |
$495.00 |
|
|
Drug assay rufinamide
|
$61.10 |
$66.43 |
$132.00 |
|
|
Drug assay vedolizumab
|
$66.43 |
$66.43 |
$390.00 |
|
|
Drug assay voriconazole
|
$66.43 |
$97.02 |
$239.00 |
|
|
Drug asy hydroxychloroquine
|
$66.43 |
$66.43 |
$66.43 |
|
|
Drug of abuse screen urine
|
$12.60 |
$72.14 |
$168.00 |
|
|
Drug screening tapentadol
|
$36.00 |
$36.00 |
$36.00 |
|
|
Drug screen quant tiagabine
|
$66.43 |
$66.43 |
$135.24 |
|
|
Drug/substance nos 4-6
|
$72.14 |
$72.14 |
$72.14 |
|
|
Drug test def 15-21 classes
|
$397.60 |
$397.60 |
$397.60 |
|
|
Drug test def 1-7 classes
|
$96.18 |
$229.60 |
$950.00 |
|
|
Drug test def 22+ classes
|
$494.40 |
$494.40 |
$494.40 |
|
|
Drug test def 8-14 classes
|
$313.60 |
$313.60 |
$313.60 |
|
|
Drug test def simple all cl
|
$124.80 |
$124.80 |
$124.80 |
|
|
Drug test prsmv instrmnt
|
$26.88 |
$72.14 |
$170.52 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$127.20 |
$211.00 |
$21,627.71 |
|
|
Drvvt confirm - quest
|
$45.60 |
$45.60 |
$234.00 |
|
|
Dry needling (97799)
|
$14.70 |
$14.70 |
$23.42 |
|
|
Dstrj extensive retinopathy
|
$2,158.40 |
$2,158.40 |
$2,158.40 |
|
|
Dstrj nulyt agt gnclr nrv
|
$1,375.20 |
$3,576.45 |
$7,528.59 |
|
|
Dstr mal les s/n/h/f/g >4.0
|
$670.00 |
$702.40 |
$779.35 |
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$94.25 |
$603.20 |
$603.20 |
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$688.00 |
$688.00 |
$688.00 |
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$886.40 |
$886.40 |
$886.40 |
|
|
Ductogram sgl duct
|
$131.20 |
$376.56 |
$688.71 |
|
|
Duodenal exclusion
|
$4,393.60 |
$4,393.60 |
$4,393.60 |
|
|
Duodenal motility study
|
$367.20 |
$367.20 |
$367.20 |
|
