|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$583.20 |
$583.20 |
$583.20 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$501.00 |
$501.00 |
$501.00 |
$914.34
|
|
Drainage external ear complex 69005
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$679.80 |
$679.80 |
$679.80 |
$789.60
|
|
Drainage mouth roof lesion
|
$787.80 |
$787.80 |
$787.80 |
$390.39
|
|
Drainage of arm bursa 23931
|
$2,633.40 |
$2,633.40 |
$2,633.40 |
$2,197.48
|
|
Drainage of kidney lesion
|
$2,239.20 |
$2,239.20 |
$2,239.20 |
$1,506.00
|
|
Drainage of mouth lesion
|
$4,940.40 |
$4,940.40 |
$4,940.40 |
$3,900.60
|
|
Drainage of mouth lesion
|
$802.20 |
$802.20 |
$802.20 |
$962.40
|
|
Drainage of nose lesion sept 30020
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$781.44
|
|
Drainage of rectal abscess
|
$2,283.60 |
$2,283.60 |
$2,283.60 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$156.00 |
$156.00 |
$156.00 |
$170.50
|
|
Drain cath image guided visceral pq
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$872.40 |
$872.40 |
$872.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$558.00 |
$558.00 |
$558.00 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$571.20 |
$571.20 |
$571.20 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$569.40 |
$569.40 |
$569.40 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$801.60 |
$801.60 |
$801.60 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$39,333.16 |
$39,333.16 |
$39,333.16 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$6,384.00 |
$6,384.00 |
$6,384.00 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$685.80 |
$685.80 |
$685.80 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,129.00 |
$3,129.00 |
$3,129.00 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$789.60 |
$789.60 |
$789.60 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$11,929.50 |
$11,929.50 |
$11,929.50 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$19.98 |
$19.98 |
$19.98 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$31.07
|
|
Drop lock knee
|
$136.86 |
$136.86 |
$136.86 |
$204.95
|
|
Drop lock retainer each
|
$78.23 |
$78.23 |
$78.23 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$8,243.04 |
$8,243.04 |
$8,243.04 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$5,464.98 |
$5,464.98 |
$5,464.98 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$22,113.54 |
$22,113.54 |
$22,113.54 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$5,167.97 |
$5,167.97 |
$5,167.97 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$30,914.57 |
$30,914.57 |
$30,914.57 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$44,031.53 |
$44,031.53 |
$44,031.53 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$31,038.22 |
$31,038.22 |
$31,038.22 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$107.40 |
$107.40 |
$107.40 |
$569.75
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$83.40
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$63.60 |
$63.60 |
$63.60 |
$152.79
|
|
Drug assay voriconazole
|
$58.20 |
$58.20 |
$58.20 |
$96.75
|
|
Drug of abuse screen urine
|
$292.80 |
$292.80 |
$292.80 |
$63.75
|
|
Drug screen quant tiagabine
|
$126.00 |
$126.00 |
$126.00 |
$114.62
|
|
Drug test def 1-7 classes
|
$322.80 |
$322.80 |
$322.80 |
$250.52
|
|
Drug test prsmv instrmnt
|
$31.80 |
$31.80 |
$31.80 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$278.85
|
|
Drvvt confirm - quest
|
$66.00 |
$66.00 |
$66.00 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$7,765.86 |
$7,765.86 |
$7,765.86 |
$3,020.80
|
|
Ductogram sgl duct
|
$516.00 |
$516.00 |
$516.00 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$945.00 |
$945.00 |
$945.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$472.80 |
$472.80 |
$472.80 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$229.80 |
$229.80 |
$229.80 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$21,500.13 |
$21,500.13 |
$21,500.13 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,631.28 |
$13,631.28 |
$13,631.28 |
$7,973.90
|
|
Dx bronchoscope/lavage 31624
|
$19,654.38 |
$19,654.38 |
$19,654.38 |
$2,365.20
|
|
Ear irrigation 69209
|
$363.00 |
$363.00 |
$363.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$315.00 |
$315.00 |
$315.00 |
$226.50
|
|
Ecg external < 48 hours recording
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$885.60 |
$885.60 |
$885.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$186.60 |
$186.60 |
$186.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$186.60 |
$186.60 |
$186.60 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$504.60 |
$504.60 |
$504.60 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$606.00 |
$606.00 |
$606.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$433.80 |
$433.80 |
$433.80 |
$362.50
|
|
Echo exam uterus 76831-
|
$676.20 |
$676.20 |
$676.20 |
$523.71
|
|
Echo guide for amniocentesis
|
$316.20 |
$316.20 |
$316.20 |
$456.30
|
|
Echo stress
|
$1,804.20 |
$1,804.20 |
$1,804.20 |
$1,592.05
|
|
Echo tee guidance
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,849.50
|
|
Echo transesophageal
|
$924.60 |
$924.60 |
$924.60 |
$1,559.35
|
|
Echo transthoracic
|
$869.40 |
$869.40 |
$869.40 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$985.15
|
|
E coli 0157 ag ia
|
$154.80 |
$154.80 |
$154.80 |
$72.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$19,177.62 |
$19,177.62 |
$19,177.62 |
$18,199.20
|
|
Eeg 41-60 minutes 95812-26
|
$634.80 |
$634.80 |
$634.80 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$571.20 |
$571.20 |
$571.20 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$935.40 |
$935.40 |
$935.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$776.40 |
$776.40 |
$776.40 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$569.40 |
$569.40 |
$569.40 |
$907.80
|
|
Eeg recording awake and asleep
|
$935.40 |
$935.40 |
$935.40 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$601.30
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$1,502.40
|
|
E equine encephalitis igg
|
$141.00 |
$141.00 |
$141.00 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$18,199.74 |
$18,199.74 |
$18,199.74 |
$12,999.80
|
|
Egd control bleeding any
|
$12,601.35 |
$12,601.35 |
$12,601.35 |
$2,553.75
|
|
Egd dilate stricture
|
$5,316.32 |
$5,316.32 |
$5,316.32 |
$2,244.82
|
|
Egd endo mucosal resection
|
$4,838.83 |
$4,838.83 |
$4,838.83 |
$2,430.40
|
|
Egd endoscopic stent place
|
$17,830.13 |
$17,830.13 |
$17,830.13 |
$3,774.00
|
|
Egd guide wire insertion
|
$7,308.30 |
$7,308.30 |
$7,308.30 |
$1,664.00
|
|
Egd lesion ablation
|
$9,348.84 |
$9,348.84 |
$9,348.84 |
$2,244.82
|
|
Egd remove foreign body
|
$2,889.60 |
$2,889.60 |
$2,889.60 |
$1,505.50
|
|
Egd remove lesion snare
|
$10,085.26 |
$10,085.26 |
$10,085.26 |
$2,597.25
|
|
Egd Ultrasound exam duodenum/jejunum
|
$6,432.72 |
$6,432.72 |
$6,432.72 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$5,248.14 |
$5,248.14 |
$5,248.14 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$14,052.32 |
$14,052.32 |
$14,052.32 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$4,862.40 |
$4,862.40 |
$4,862.40 |
$3,218.80
|
|
Egd varices ligation
|
$6,842.66 |
$6,842.66 |
$6,842.66 |
$2,244.82
|
