|
Drain lower leg lesion 27603
|
$3,421.04 |
$3,421.04 |
$3,421.04 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$189.28 |
$189.28 |
$189.28 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$137.20 |
$137.20 |
$137.20 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$259.84 |
$259.84 |
$259.84 |
$515.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$2,099.44 |
$2,099.44 |
$2,099.44 |
$5,715.36
|
|
Drill hole implt ventricular cath/device 61107
|
$2,291.52 |
$2,291.52 |
$2,291.52 |
$1,737.06
|
|
Drng of finger abscess comp 26011
|
$2,511.04 |
$2,511.04 |
$2,511.04 |
$1,908.09
|
|
Drng open retroperitoneal abscess 49060
|
$5,189.52 |
$5,189.52 |
$5,189.52 |
$2,708.80
|
|
Drng peritoneal abscess open 49020
|
$7,416.08 |
$7,416.08 |
$7,416.08 |
$2,856.00
|
|
Dronabinol 2.5mg oral
|
$4.83 |
$4.83 |
$4.83 |
$3.39
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$845.60 |
$845.60 |
$845.60 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.12 |
$15.12 |
$15.12 |
$57.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$21.84 |
$21.84 |
$21.84 |
$983.03
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,853.60 |
$1,853.60 |
$1,853.60 |
$12,735.45
|
|
Drug admin & hemodynmic meas
|
$436.80 |
$436.80 |
$436.80 |
$612.15
|
|
Drug assay caffeine
|
$16.67 |
$16.67 |
$16.67 |
$89.17
|
|
Drug of abuse screen urine
|
$33.60 |
$33.60 |
$33.60 |
$58.50
|
|
Drug test def 1-7 classes
|
$196.00 |
$196.00 |
$196.00 |
$316.80
|
|
Drug test def 22+ classes
|
$290.64 |
$290.64 |
$290.64 |
$291.76
|
|
Drug test def 8-14 classes
|
$187.60 |
$187.60 |
$187.60 |
$249.10
|
|
Drug test prsmv instrmnt
|
$15.12 |
$15.12 |
$15.12 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$72.80 |
$72.80 |
$72.80 |
$278.85
|
|
Drvvt confirm - quest
|
$23.52 |
$23.52 |
$23.52 |
$108.55
|
|
Ductogram sgl duct
|
$172.48 |
$172.48 |
$172.48 |
$346.42
|
|
Dup scan/hemodialysis access 93990
|
$183.12 |
$183.12 |
$183.12 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$908.88 |
$908.88 |
$908.88 |
$852.57
|
|
Dxa bone density axl vrt fx
|
$126.56 |
$126.56 |
$126.56 |
$365.14
|
|
Ecg 12 lead tracing only
|
$46.48 |
$46.48 |
$46.48 |
$222.30
|
|
Ecg < 30 days transmission & analysis
|
$191.52 |
$191.52 |
$191.52 |
$404.21
|
|
Ecg external < 48 hours recording
|
$141.12 |
$141.12 |
$141.12 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$191.52 |
$191.52 |
$191.52 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$2,445.52 |
$2,445.52 |
$2,445.52 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$431.20 |
$431.20 |
$431.20 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,445.52 |
$2,445.52 |
$2,445.52 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$344.96 |
$344.96 |
$344.96 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$868.56 |
$868.56 |
$868.56 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$283.92 |
$283.92 |
$283.92 |
$348.80
|
|
Echo exam of fetal heart
|
$482.72 |
$482.72 |
$482.72 |
$855.38
|
|
Echo exam of fetal heart
|
$328.72 |
$328.72 |
$328.72 |
$481.55
|
|
Echo exam of fetal heart
|
$122.08 |
$122.08 |
$122.08 |
$429.87
|
|
Echo exam of fetal heart
|
$122.08 |
$122.08 |
$122.08 |
$318.34
|
|
Echo stress
|
$185.36 |
$185.36 |
$185.36 |
$1,401.00
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$748.72 |
$748.72 |
$748.72 |
$688.43
|
|
Echo tee guidance
|
$1,409.52 |
$1,409.52 |
$1,409.52 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$1,946.10
|
|
Echo transesophageal
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$637.97
|
|
Echo transesophageal
|
$259.84 |
$259.84 |
$259.84 |
$564.80
|
|
Echo transesophageal intraop
|
$908.88 |
$908.88 |
$908.88 |
$1,571.70
|
|
Echo transthoracic
|
$748.72 |
$748.72 |
$748.72 |
$1,361.75
|
|
Echo transthoracic
|
$635.04 |
$635.04 |
$635.04 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$999.60 |
$999.60 |
$999.60 |
$997.40
|
|
Ecmo/ecls initiation artery 33947
|
$1,737.12 |
$1,737.12 |
$1,737.12 |
$3,151.20
|
|
Ecmo/ecls initiation venous 33946
|
$868.56 |
$868.56 |
$868.56 |
$4,324.50
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$2,602.88 |
$2,602.88 |
$2,602.88 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$1,014.72 |
$1,014.72 |
$1,014.72 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$954.24 |
$954.24 |
$954.24 |
$3,321.00
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$5,184.48 |
$5,184.48 |
$5,184.48 |
$1,394.09
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$3,661.84 |
$3,661.84 |
$3,661.84 |
$1,419.60
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$6,559.28 |
$6,559.28 |
$6,559.28 |
$1,898.66
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$4,905.04 |
$4,905.04 |
$4,905.04 |
$1,128.60
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$5,868.24 |
$5,868.24 |
$5,868.24 |
$953.40
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$3,274.32 |
$3,274.32 |
$3,274.32 |
$1,780.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$449.12 |
$449.12 |
$449.12 |
$970.07
|
|
Eeg during surgery
|
$368.48 |
$368.48 |
$368.48 |
$775.45
|
|
Eeg over 1 hour 95813 - 26
|
$864.08 |
$864.08 |
$864.08 |
$1,072.93
|
|
Eeg/record in coma or sleep only 95822
|
$718.48 |
$718.48 |
$718.48 |
$892.52
|
|
Eeg recording awake and asleep
|
$470.96 |
$470.96 |
$470.96 |
$937.95
|
|
E equine encephalitis igg
|
$6.72 |
$6.72 |
$6.72 |
$49.92
|
|
Egfr gene com variants
|
$205.13 |
$205.13 |
$205.13 |
$619.04
|
|
Electrd sq emblem s-icd
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$12,127.50
|
|
Electrical stimulation/unattended 97014
|
$52.08 |
$52.08 |
$52.08 |
$79.20
|
|
Electroacous eval hear aid/biaural 92595
|
$44.24 |
$44.24 |
$44.24 |
$97.50
|
|
Electroconvulsive therapy 90870
|
$320.32 |
$320.32 |
$320.32 |
$1,052.70
|
|
Electrode stimulation brain
|
$921.76 |
$921.76 |
$921.76 |
$1,127.09
|
|
Electrolyte panel
|
$12.32 |
$12.32 |
$12.32 |
$68.56
|
|
Electron microscopy diagnostic
|
$360.64 |
$360.64 |
$360.64 |
$1,107.84
|
|
Electrophysiology evaluation
|
$8,682.80 |
$8,682.80 |
$8,682.80 |
$8,636.37
|
|
Electrophysiology evaluation
|
$10,218.88 |
$10,218.88 |
$10,218.88 |
$11,266.40
|
|
Electrophysiology evaluation
|
$3,358.32 |
$3,358.32 |
$3,358.32 |
$8,605.71
|
|
Electrophysiology evaluation
|
$1,449.28 |
$1,449.28 |
$1,449.28 |
$6,516.00
|
|
Electrophysiology evaluation
|
$5,844.72 |
$5,844.72 |
$5,844.72 |
$2,845.10
|
|
Electrophysiology evaluation
|
$5,787.60 |
$5,787.60 |
$5,787.60 |
$2,630.40
|
|
Electrophysiology evaluation
|
$5,787.60 |
$5,787.60 |
$5,787.60 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$3,578.96 |
$3,578.96 |
$3,578.96 |
$6,534.00
|
|
Elotuzumab 300 mg intravenous solution
|
$16.79 |
$16.79 |
$16.79 |
$7,188.13
|
|
Embolization s&i
|
$1,033.76 |
$1,033.76 |
$1,033.76 |
$2,869.75
|
|
Embo or occlude vascular arterial s&i
|
$12,979.68 |
$12,979.68 |
$12,979.68 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,979.68 |
$12,979.68 |
$12,979.68 |
$15,266.94
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$16,398.48 |
$16,398.48 |
$16,398.48 |
$16,381.78
|
|
Embo or occlude vascular venous s&i
|
$12,979.68 |
$12,979.68 |
$12,979.68 |
$15,873.70
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$207.20 |
$207.20 |
$207.20 |
$447.50
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$258.16 |
$258.16 |
$258.16 |
$482.30
|
|
Emg cranial nerve bilateral
|
$296.24 |
$296.24 |
$296.24 |
$494.13
|
|
Emg needle test 1-extremity
|
$162.96 |
$162.96 |
$162.96 |
$362.25
|
|
Emg needle test 4-extremities
|
$310.24 |
$310.24 |
$310.24 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$198.24 |
$198.24 |
$198.24 |
$309.83
|
|
Encephalitis, california igg/igm
|
$6.72 |
$6.72 |
$6.72 |
$49.92
|
|
Encephalitis, st louis igg/igm
|
$6.72 |
$6.72 |
$6.72 |
$55.75
|
|
Encephalitis, western equine igg/igm
|
$6.72 |
$6.72 |
$6.72 |
$55.25
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$2,755.76 |
$2,755.76 |
$2,755.76 |
$5,206.19
|
