|
Drainage of nose lesion int 30000
|
$213.20 |
$270.00 |
$422.45 |
|
|
Drainage of nose lesion sept 30020
|
$112.25 |
$503.35 |
$1,117.50 |
|
|
Drainage of pelvis bursa
|
$1,166.40 |
$2,077.25 |
$4,121.80 |
|
|
Drainage of pelvis lesion 26990
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
|
|
Drainage of rectal abscess
|
$525.10 |
$525.10 |
$525.10 |
|
|
Drain bladder by trocar/cath
|
$255.10 |
$255.10 |
$255.10 |
|
|
Drain blood from under nail 11740
|
$56.85 |
$128.25 |
$290.15 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,730.65 |
$6,730.65 |
$6,730.65 |
|
|
Drain cath image guided visceral pq
|
$794.15 |
$3,911.45 |
$4,233.40 |
|
|
Drain cerebro spinal fluid 62272
|
$147.05 |
$573.60 |
$1,390.15 |
|
|
Drain finger abscess;simple 26010
|
$223.25 |
$574.95 |
$885.60 |
|
|
Drain lower leg lesion 27603
|
$1,006.90 |
$1,006.90 |
$4,636.10 |
|
|
Drain neck/chest lesion 21501
|
$1,403.75 |
$4,636.10 |
$8,016.40 |
|
|
Drain shoulder lesion
|
$842.20 |
$842.20 |
$842.20 |
|
|
Drain thigh/knee lesion 27301
|
$453.25 |
$1,502.25 |
$4,186.75 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$271.20 |
$315.85 |
$608.65 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$175.50 |
$417.90 |
$582.95 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$301.50 |
$390.05 |
$1,020.35 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$2,776.01 |
$2,776.01 |
$2,776.01 |
|
|
Drill hole implt ventricular cath/device 61107
|
$2,244.55 |
$2,244.55 |
$2,244.55 |
|
|
Drng hand tendon sheath 26020
|
$5,652.55 |
$5,652.55 |
$5,652.55 |
|
|
Drng of eyelid abscess 67700
|
$203.10 |
$613.05 |
$1,012.40 |
|
|
Drng of finger abscess comp 26011
|
$252.30 |
$1,841.35 |
$2,793.85 |
|
|
Drng of mouth lesion 40801
|
$660.00 |
$764.30 |
$1,646.85 |
|
|
Drng of scrotum abscess 55100
|
$309.05 |
$977.15 |
$2,641.30 |
|
|
Drng salivary gland simple 42300
|
$354.75 |
$2,010.10 |
$3,988.50 |
|
|
Drng salivary gland submax/subling 42310
|
$207.90 |
$207.90 |
$207.90 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$53.55 |
$81.99 |
$137.94 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$277.17 |
$299.36 |
$729.42 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$336.20 |
$336.20 |
$336.20 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$2,580.30 |
$2,812.27 |
$5,503.50 |
|
|
Drug admin & hemodynmic meas
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
|
|
Drug assay posaconazole
|
$131.55 |
$154.40 |
$207.20 |
|
|
Drug assay vedolizumab
|
$96.40 |
$96.40 |
$487.60 |
|
|
Drug assay voriconazole
|
$111.05 |
$153.75 |
$296.60 |
|
|
Drug asy hydroxychloroquine
|
$557.60 |
$557.60 |
$557.60 |
|
|
Drug of abuse screen urine
|
$15.00 |
$32.75 |
$46.65 |
|
|
Drug test prsmv instrmnt
|
$50.90 |
$66.10 |
$126.45 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$156.10 |
$189.40 |
$315.15 |
|
|
Dry needling (97799)
|
$750.65 |
$750.65 |
$750.65 |
|
|
Dstrj nulyt agt gnclr nrv
|
$5,074.65 |
$5,074.65 |
$5,515.95 |
|
|
Ductogram sgl duct
|
$487.05 |
$576.35 |
$1,409.90 |
|
|
Duplex scan bilateral study 93985
|
$738.30 |
$738.30 |
$738.30 |
|
|
Dup scan/hemodialysis access 93990
|
$1,042.35 |
$1,042.35 |
$1,042.35 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$568.20 |
$1,233.10 |
$1,233.10 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$310.85 |
$975.95 |
$1,453.60 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,053.71 |
$11,082.75 |
$13,446.50 |
|
|
Dxa bone density axl vrt fx
|
$384.65 |
$397.65 |
$956.80 |
|
|
Dx aly aud oi snd prcsr 1st
|
$127.50 |
$127.50 |
$225.20 |
|
|
Dx aly aud oi snd prcsr each
|
$32.80 |
$32.80 |
$56.30 |
|
|
Dx bronchoscope/wash 31622
|
$483.40 |
$780.80 |
$4,843.05 |
|
|
Ear irrigation 69209
|
$30.40 |
$48.60 |
$209.80 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$70.20 |
$106.70 |
$192.55 |
|
|
Ecg < 30 days transmission & analysis
|
$306.20 |
$306.20 |
$441.40 |
|
|
Ecg external < 48 hours recording
|
$135.00 |
$326.65 |
$734.25 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$163.10 |
$480.45 |
$1,349.70 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$43.00 |
$173.40 |
$460.15 |
|
|
Ecg external >7 days up to 15 days recording
|
$43.00 |
$173.40 |
$460.15 |
|
|
Ecg/review interpret only
|
$331.55 |
$331.55 |
$331.55 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,780.25 |
$2,275.60 |
$2,494.20 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$620.85 |
$1,017.35 |
$1,457.70 |
|
|
Echocardiography doppler color flow mapping
|
$382.45 |
$475.10 |
$777.00 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,780.25 |
$1,983.50 |
$2,727.70 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$620.85 |
$1,007.60 |
$1,052.60 |
|
|
Echocardiograpy doppler follow up/limited study
|
$313.10 |
$425.20 |
$553.00 |
|
|
Echo exam of eye
|
$114.00 |
$114.00 |
$114.00 |
|
|
Echo exam of eye
|
$140.00 |
$140.00 |
$152.00 |
|
|
Echo exam of eye thickness
|
$28.00 |
$28.00 |
$29.00 |
|
|
Echo exam of fetal heart
|
$2.70 |
$2.70 |
$2.70 |
|
|
Echo exam uterus 76831-
|
$620.05 |
$919.55 |
$924.60 |
|
|
Echograp trans r pros study
|
$770.75 |
$770.75 |
$770.75 |
|
|
Echo guidance radiotherapy
|
$175.00 |
$175.00 |
$175.00 |
|
|
Echo guide for amniocentesis
|
$164.00 |
$384.65 |
$1,155.80 |
|
|
Echo guide for artery repair
|
$784.25 |
$784.25 |
$784.25 |
|
|
Echo guide ova aspiration
|
$51.00 |
$51.00 |
$51.00 |
|
|
Echo stress
|
$240.35 |
$556.85 |
$1,736.30 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,370.75 |
$2,213.30 |
$3,794.65 |
|
|
Echo transesophageal
|
$2,011.00 |
$2,011.00 |
$2,011.00 |
|
|
Echo transthoracic
|
$1,090.60 |
$1,633.30 |
$3,397.20 |
|
|
Echo transthoracic
|
$1,633.30 |
$1,633.30 |
$1,633.30 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$939.60 |
$1,000.95 |
$1,116.25 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,169.82 |
$17,169.82 |
$17,169.82 |
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$156.55 |
$156.55 |
$156.55 |
|
|
Eeg 41-60 minutes 95812-26
|
$494.00 |
$494.00 |
$494.00 |
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,497.10 |
$1,497.10 |
$1,497.10 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,208.15 |
$1,208.15 |
$1,208.15 |
|
|
Eeg over 1 hour 95813 - 26
|
$641.10 |
$641.10 |
$641.10 |
|
|
Eeg/record in coma or sleep only 95822
|
$3,739.20 |
$3,739.20 |
$3,739.20 |
|
|
Eeg recording awake and asleep
|
$875.90 |
$1,532.20 |
$1,532.20 |
|
|
Eeg without vid 2-12 hr unmntr
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
|
|
Eeg without vid ea 12-26hr cont
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
|
|
Eeg without vid ea 12-26hr intmt
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
|
|
Eeg wo vid 2-12hr intmt mntr
|
$671.00 |
$671.00 |
$671.00 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,289.00 |
$1,289.00 |
$2,681.85 |
|
|
E equine encephalitis igg
|
$31.35 |
$83.20 |
$127.20 |
|
|
Egd control bleeding any
|
$3,050.30 |
$3,050.30 |
$3,050.30 |
|
|
Egd/insert intraluminal tube/cath 43241
|
$131.05 |
$131.05 |
$131.05 |
|
|
Egd remove foreign body
|
$1,588.55 |
$1,588.55 |
$1,588.55 |
|
|
Ehrlicha chaffeensis amp prb
|
$107.30 |
$130.95 |
$378.85 |
|
|
EKG (Electrocardiogram)
|
$180.25 |
$180.25 |
$180.25 |
|