|
Duplex scan bilateral study 93985
|
$219.05 |
$620.00 |
$1,847.79 |
|
|
Duplex scan unilateral study 93986
|
$87.36 |
$357.60 |
$435.00 |
|
|
Dup scan/hemodialysis access 93990
|
$244.40 |
$413.74 |
$1,518.00 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$302.40 |
$586.98 |
$1,274.09 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$440.80 |
$735.52 |
$1,889.00 |
|
|
Duragen 1x1 5ea/bx
|
$142.32 |
$1,503.57 |
$2,313.19 |
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$171.82 |
$171.82 |
$1,370.79 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$133.09 |
$13,206.10 |
$13,206.10 |
|
|
Dxa bone density axl vrt fx
|
$99.84 |
$100.00 |
$345.00 |
|
|
Dx aly aud oi snd prcsr 1st
|
$186.40 |
$186.40 |
$186.40 |
|
|
Dx aly aud oi snd prcsr each
|
$48.00 |
$48.00 |
$48.00 |
|
|
Dx bronchoscope/brush 31623
|
$616.80 |
$931.98 |
$37,329.90 |
|
|
Dx bronchoscope/lavage 31624
|
$580.80 |
$2,512.54 |
$57,750.03 |
|
|
Dx bronchoscope/wash 31622
|
$578.40 |
$2,512.54 |
$19,408.65 |
|
|
Dx duod intub w/asp spec 43756
|
$429.00 |
$608.80 |
$608.80 |
|
|
Dx duod intub w/asp specs
|
$837.60 |
$837.60 |
$837.60 |
|
|
Dx gastr intub w/asp spec
|
$441.60 |
$441.60 |
$441.60 |
|
|
Dx gastr intub w/asp specs
|
$421.60 |
$421.60 |
$421.60 |
|
|
Dx intraop epcar Ultrasound chd i&r
|
$64.00 |
$64.00 |
$64.00 |
|
|
Dx intraop epicar car Ultrasound chd
|
$171.20 |
$171.20 |
$171.20 |
|
|
Dx intraop thoracic aorta Ultrasound
|
$55.20 |
$55.20 |
$55.20 |
|
|
Dx laryngoscopy newborn
|
$385.60 |
$385.60 |
$823.80 |
|
|
Dx laryngoscopy w/oper scope
|
$387.20 |
$387.20 |
$506.67 |
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$108.80 |
$108.80 |
$108.80 |
|
|
Dynamic cavernosometry
|
$354.40 |
$354.40 |
$354.40 |
|
|
Dynamic surface emg
|
$49.60 |
$49.60 |
$49.60 |
|
|
Ear and throat examination
|
$172.80 |
$210.40 |
$10,998.25 |
|
|
Ear canal biopsy 69105
|
$262.80 |
$688.00 |
$688.00 |
|
|
Ear cartilage graft
|
$1,344.60 |
$1,787.20 |
$22,387.69 |
|
|
Ear irrigation 69209
|
$52.65 |
$132.00 |
$24,035.82 |
|
|
Ear protector evaluation
|
$71.50 |
$141.60 |
$141.60 |
|
|
Ecallantide injection
|
$9,539.70 |
$10,119.91 |
$10,119.91 |
|
|
Ecg/1-3 leads/interp & report only 93042
|
$14.30 |
$16.00 |
$22.00 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$12.00 |
$85.75 |
$210.76 |
|
|
Ecg < 30 days transmission & analysis
|
$201.50 |
$377.60 |
$1,199.46 |
|
|
Ecg external < 48 hours recording
|
$212.68 |
$451.10 |
$1,737.00 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$88.00 |
$536.50 |
$1,737.00 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$33.60 |
$92.00 |
$921.00 |
|
|
Ecg external >7 days up to 15 days recording
|
$46.40 |
$125.13 |
$921.00 |
|
|
Ecg record/review
|
$180.80 |
$469.60 |
$469.60 |
|
|
Ecg/review interpret only
|
$48.00 |
$57.60 |
$80.00 |
|
|
Echocardiogram (Heart Ultrasound)
|
$994.20 |
$1,527.50 |
$2,697.00 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$355.22 |
$640.36 |
$1,400.00 |
|
|
Echocardiography doppler color flow mapping
|
$240.48 |
$394.38 |
$4,205.60 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$698.10 |
$1,943.50 |
$3,587.00 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$572.65 |
$866.87 |
$1,692.44 |
|
|
Echocardiograpy doppler follow up/limited study
|
$132.96 |
$292.50 |
$647.00 |
|
|
Echo exam of eye
|
$140.80 |
$140.80 |
$140.80 |
|
|
Echo exam of eye
|
$172.00 |
$172.00 |
$172.00 |
|
|
Echo exam of eye
|
$168.00 |
$168.00 |
$196.43 |
|
|
Echo exam of eye thickness
|
$29.60 |
$29.60 |
$29.60 |
|
|
Echo exam of fetal heart
|
$437.64 |
$1,145.78 |
$1,549.60 |
|
|
Echo exam of fetal heart
|
$296.00 |
$538.27 |
$1,096.80 |
|
|
Echo exam of fetal heart
|
$146.16 |
$252.67 |
$750.40 |
|
|
Echo exam of fetal heart
|
$80.22 |
$246.35 |
$571.20 |
|
|
Echo exam uterus 76831-
|
$163.80 |
$491.40 |
$1,501.50 |
|
|
Echograp trans r pros study
|
$231.00 |
$336.80 |
$936.61 |
|
|
Echo guidance radiotherapy
|
$227.22 |
$313.60 |
$1,178.47 |
|
|
Echo guidance radiotherapy
|
$322.40 |
$322.40 |
$322.40 |
|
|
Echo guide cardiocentesis
|
$197.40 |
$197.40 |
$197.40 |
|
|
Echo guide for amniocentesis
|
$88.00 |
$462.58 |
$1,053.01 |
|
|
Echo guide for artery repair
|
$456.54 |
$680.28 |
$1,366.79 |
|
|
Echo guide for heart biopsy
|
$192.80 |
$192.80 |
$1,733.76 |
|
|
Echo guide for transfusion
|
$150.36 |
$273.60 |
$273.60 |
|
|
Echo guide ova aspiration
|
$144.80 |
$144.80 |
$144.80 |
|
|
Echo guide villus sampling
|
$64.68 |
$191.20 |
$744.00 |
|
|
Echo stress
|
$448.80 |
$921.36 |
$2,176.20 |
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$65.60 |
$65.60 |
$1,940.00 |
|
|
Echo tee guidance
|
$517.60 |
$1,917.85 |
$48,915.61 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$577.60 |
$1,755.79 |
$8,185.85 |
|
|
Echo transesophageal
|
$99.20 |
$99.20 |
$1,287.00 |
|
|
Echo transesophageal
|
$347.34 |
$564.80 |
$1,605.00 |
|
|
Echo transesophageal
|
$1,312.80 |
$1,530.42 |
$1,963.66 |
|
|
Echo transesophageal
|
$603.20 |
$603.20 |
$603.20 |
|
|
Echo transesophageal intraop
|
$325.00 |
$1,251.20 |
$2,260.59 |
|
|
Echo transthoracic
|
$501.60 |
$1,185.52 |
$2,213.03 |
|
|
Echo transthoracic
|
$344.00 |
$875.55 |
$1,454.40 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$306.40 |
$823.20 |
$3,553.00 |
|
|
Ecmo/ecls daily mgmt artery 33949
|
$490.80 |
$580.00 |
$6,117.58 |
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$530.40 |
$599.20 |
$6,117.58 |
|
|
Ecmo/ecls initiation artery 33947
|
$707.40 |
$844.00 |
$6,117.58 |
|
|
Ecmo/ecls initiation venous 33946
|
$640.20 |
$761.60 |
$6,117.58 |
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$1,855.20 |
$1,948.20 |
$1,948.20 |
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$1,766.40 |
$2,040.80 |
$2,040.80 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$1,031.40 |
$1,083.00 |
$1,083.00 |
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$674.05 |
$924.60 |
$970.80 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,005.60 |
$1,165.60 |
$8,139.38 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$899.40 |
$1,050.40 |
$7,330.08 |
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$1,141.80 |
$1,198.80 |
$1,198.80 |
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$1,092.00 |
$1,280.00 |
$8,933.22 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$606.00 |
$667.20 |
$667.20 |
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$411.60 |
$432.00 |
$432.00 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$598.20 |
$694.40 |
$6,117.58 |
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$498.00 |
$581.60 |
$6,117.58 |
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$1,074.60 |
$6,110.90 |
$8,429.45 |
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$1,045.20 |
$1,097.40 |
$1,097.40 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$523.20 |
$549.60 |
$549.60 |
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$411.60 |
$432.00 |
$432.00 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$494.40 |
$572.80 |
$572.80 |
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$399.00 |
$452.00 |
$1,711.92 |
|
