|
Dress/debrid prtl-thick burn l 16030
|
$294.83 |
$294.83 |
$369.66 |
$515.00
|
|
Dressing change not for burn w/anes 15852
|
$62.26 |
$62.26 |
$73.02 |
$724.37
|
|
Drng of eyelid abscess 67700
|
$265.91 |
$265.91 |
$333.40 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$820.63 |
$820.63 |
$962.43 |
$1,917.33
|
|
Drng of ovarian cyst(s) 58800
|
$2,739.43 |
$2,739.43 |
$2,739.43 |
$3,474.84
|
|
Drng of pelvic abscess transrectal 45000
|
$468.76 |
$468.76 |
$549.76 |
$1,614.45
|
|
Drng of scrotum abscess 55100
|
$608.54 |
$608.54 |
$762.99 |
$1,997.89
|
|
Drng peritoneal abscess open 49020
|
$3,766.51 |
$3,766.51 |
$3,766.51 |
$2,782.55
|
|
Drng salivary gland submax/subling 42310
|
$232.57 |
$232.57 |
$291.60 |
$573.64
|
|
Dronabinol 2.5mg oral
|
$192.17 |
$192.17 |
$240.95 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$30.69 |
$30.69 |
$38.48 |
$33.99
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$116.23 |
$116.23 |
$145.72 |
$843.34
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.67 |
$15.67 |
$18.38 |
$189.68
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$327.39 |
$327.39 |
$410.47 |
$327.39
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$14.06 |
$14.06 |
$16.49 |
$280.18
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,671.01 |
$1,671.01 |
$2,095.10 |
$5,085.77
|
|
Drug admin & hemodynmic meas
|
$620.99 |
$620.99 |
$728.30 |
$542.23
|
|
Drug assay caffeine
|
$27.72 |
$27.72 |
$32.51 |
$86.45
|
|
Drug assay posaconazole
|
$27.32 |
$27.32 |
$32.04 |
$96.39
|
|
Drug assay vedolizumab
|
$107.65 |
$107.65 |
$135.48 |
$169.26
|
|
Drug assay voriconazole
|
$200.84 |
$200.84 |
$251.81 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$20.09 |
$20.09 |
$23.56 |
$83.85
|
|
Drug of abuse screen urine
|
$28.93 |
$28.93 |
$36.27 |
$63.75
|
|
Drug screen quant tiagabine
|
$176.34 |
$176.34 |
$221.09 |
$90.75
|
|
Drug test def 1-7 classes
|
$119.30 |
$119.30 |
$149.58 |
$263.86
|
|
Drug test def 8-14 classes
|
$104.04 |
$104.04 |
$126.92 |
$172.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$304.07 |
$304.07 |
$513.01 |
$278.85
|
|
Drvvt confirm - quest
|
$125.33 |
$125.33 |
$157.13 |
$102.30
|
|
Dstrj nulyt agt gnclr nrv
|
$793.71 |
$793.71 |
$793.71 |
$3,268.20
|
|
Ductogram sgl duct
|
$135.77 |
$135.77 |
$159.23 |
$382.80
|
|
Duplex scan bilateral study 93985
|
$243.08 |
$243.08 |
$262.30 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$140.39 |
$140.39 |
$303.27 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$409.31 |
$409.31 |
$539.40 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$927.07 |
$927.07 |
$1,087.26 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$706.55 |
$706.55 |
$885.87 |
$885.60
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,058.47 |
$10,058.47 |
$12,611.26 |
$6,529.68
|
|
Dxa bone density axl vrt fx
|
$143.03 |
$143.03 |
$155.85 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,710.34 |
$1,710.34 |
$2,144.41 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,687.84 |
$1,687.84 |
$2,116.21 |
$2,626.00
|
|
Dx bronchoscope/wash 31622
|
$1,603.49 |
$1,603.49 |
$1,880.57 |
$2,447.43
|
|
Ear irrigation 69209
|
$110.47 |
$110.47 |
$138.50 |
$154.70
|
|
Ecg 12 lead tracing only
|
$185.58 |
$185.58 |
$232.68 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$47.80 |
$47.80 |
$59.94 |
$129.83
|
|
Ecg external > 48 hours up to 7 days recording
|
$30.53 |
$30.53 |
$35.81 |
$146.90
|
|
Echocardiogram (Heart Ultrasound)
|
$1,877.03 |
$1,877.03 |
$2,001.17 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$633.85 |
$633.85 |
$694.38 |
$461.61
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,877.03 |
$1,877.03 |
$2,001.17 |
$1,818.05
|
|
Echocardiography transthoracic 2d followup/limited
|
$382.00 |
$382.00 |
$435.63 |
$773.30
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$382.00 |
$382.00 |
$488.99 |
$686.88
|
|
Echocardiograpy doppler follow up/limited study
|
$408.51 |
$408.51 |
$430.57 |
$354.90
|
|
Echo exam of fetal heart
|
$439.44 |
$439.44 |
$515.37 |
$855.38
|
|
Echo exam of fetal heart
|
$228.96 |
$228.96 |
$268.52 |
$481.55
|
|
Echo exam of fetal heart
|
$205.66 |
$205.66 |
$284.54 |
$431.41
|
|
Echo exam of fetal heart
|
$106.85 |
$106.85 |
$146.98 |
$323.40
|
|
Echo guidance radiotherapy
|
$226.55 |
$226.55 |
$265.70 |
$769.18
|
|
Echo guide for amniocentesis
|
$128.54 |
$128.54 |
$128.54 |
$377.11
|
|
Echo guide for artery repair
|
$318.93 |
$318.93 |
$440.00 |
$676.80
|
|
Echo guide for transfusion
|
$147.02 |
$147.02 |
$147.02 |
$324.60
|
|
Echo guide villus sampling
|
$110.06 |
$110.06 |
$110.06 |
$355.80
|
|
Echo stress
|
$1,401.05 |
$1,401.05 |
$1,643.14 |
$1,607.45
|
|
Echo tee guidance
|
$1,186.95 |
$1,186.95 |
$1,392.06 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,029.90 |
$1,029.90 |
$1,271.46 |
$1,938.95
|
|
Echo transesophageal
|
$1,615.54 |
$1,615.54 |
$1,615.54 |
$913.33
|
|
Echo transthoracic
|
$473.58 |
$473.58 |
$522.44 |
$1,475.25
|
|
Echo transthoracic
|
$697.21 |
$697.21 |
$697.21 |
$944.14
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$288.41 |
$288.41 |
$305.27 |
$1,020.09
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,909.30 |
$1,909.30 |
$1,909.30 |
$4,324.50
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$114.88 |
$114.88 |
$144.04 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$653.53 |
$653.53 |
$766.46 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$477.60 |
$477.60 |
$560.12 |
$1,048.30
|
|
Eeg during surgery
|
$779.25 |
$779.25 |
$913.91 |
$775.45
|
|
Eeg monitoring/function test
|
$603.72 |
$603.72 |
$708.04 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$814.20 |
$814.20 |
$867.74 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$365.93 |
$365.93 |
$429.16 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$545.08 |
$545.08 |
$672.71 |
$911.00
|
|
Eeg recording awake and asleep
|
$843.52 |
$843.52 |
$902.60 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$283.19 |
$283.19 |
$332.12 |
$526.57
|
|
Eeg wo vid ea 12-26hr unmntr
|
$542.67 |
$542.67 |
$636.44 |
$1,139.40
|
|
E equine encephalitis igg
|
$35.75 |
$35.75 |
$41.93 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$1,732.43 |
$1,732.43 |
$2,031.79 |
$2,244.82
|
|
Egd endo mucosal resection
|
$1,732.43 |
$1,732.43 |
$2,172.11 |
$2,433.60
|
|
Egd remove foreign body
|
$1,205.03 |
$1,205.03 |
$1,510.86 |
$1,608.60
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,732.43 |
$1,732.43 |
$2,172.11 |
$2,475.85
|
|
Egfr gene com variants
|
$1,212.26 |
$1,212.26 |
$1,421.73 |
$646.75
|
|
Elec analys infus pump w/reprog 62368
|
$461.53 |
$461.53 |
$461.53 |
$624.96
|
|
Elect analysis of infusion pump 62367
|
$259.09 |
$259.09 |
$303.85 |
$524.40
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$185.98 |
$185.98 |
$185.98 |
$576.81
|
|
Electrical stimulation/unattended 97014
|
$87.17 |
$87.17 |
$102.23 |
$82.20
|
|
Electric stim/w chemodenervation 95873
|
$68.29 |
$68.29 |
$80.09 |
$125.00
|
|
Electrolyte panel
|
$64.67 |
$64.67 |
$81.09 |
$86.33
|
|
Electron microscopy diagnostic
|
$345.85 |
$345.85 |
$433.62 |
$1,006.20
|
|
Electrophysiologic study
|
$1,188.55 |
$1,188.55 |
$1,188.55 |
$6,758.40
|
|
Electrophysiology evaluation
|
$4,037.66 |
$4,037.66 |
$4,037.66 |
$8,979.45
|
|
Electrophysiology evaluation
|
$6,026.10 |
$6,026.10 |
$6,026.10 |
$11,542.01
|
|
Electrophysiology evaluation
|
$2,712.03 |
$2,712.03 |
$2,712.03 |
$8,393.40
|
|
Electrophysiology evaluation
|
$361.80 |
$361.80 |
$361.80 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,912.38 |
$1,912.38 |
$2,242.83 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,988.70 |
$1,988.70 |
$2,332.34 |
$2,630.40
|
|
Electrophysiology evaluation
|
$52.22 |
$52.22 |
$61.25 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$2,851.00 |
$2,851.00 |
$2,851.00 |
$6,534.00
|
