|
Collar cerv adlt perfit ace extric
|
$56.85 |
$56.85 |
$56.85 |
$67.73
|
|
Collection blood specimen from completely implantable venous access device
|
$60.00 |
$60.00 |
$60.00 |
$162.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$1,433.60 |
$1,433.60 |
$1,433.60 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,720.80 |
$2,720.80 |
$2,720.80 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,837.60 |
$1,837.60 |
$1,837.60 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$969.60 |
$969.60 |
$969.60 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$568.00 |
$568.00 |
$568.00 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$725.60 |
$725.60 |
$725.60 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$537.00
|
|
Computed tomographic angiography head and neck with contrast
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$2,247.00
|
|
Condylomata destruction 56420
|
$490.40 |
$490.40 |
$490.40 |
$467.35
|
|
Control nosebleed pack+caut 30905
|
$468.80 |
$468.80 |
$468.80 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$440.00 |
$440.00 |
$440.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$391.20 |
$391.20 |
$391.20 |
$352.80
|
|
Counseling smoke cess interm >10mins
|
$60.00 |
$60.00 |
$60.00 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
CPAP or BiPAP Setup (first day)
|
$663.20 |
$663.20 |
$663.20 |
$584.50
|
|
CPR (Cardiopulmonary Resuscitation)
|
$430.40 |
$430.40 |
$430.40 |
$777.71
|
|
Critical care each additional 30 minutes
|
$870.40 |
$870.40 |
$870.40 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,949.60 |
$2,949.60 |
$2,949.60 |
$2,535.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,071.20 |
$4,071.20 |
$4,071.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,056.00 |
$3,056.00 |
$3,056.00 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,758.40 |
$2,758.40 |
$2,758.40 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,606.40 |
$2,606.40 |
$2,606.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$2,615.20 |
$2,615.20 |
$2,615.20 |
$1,881.75
|
|
CT limited or localized follow-up study
|
$992.80 |
$992.80 |
$992.80 |
$636.55
|
|
Ctrl nosebld postir subsq 30906
|
$496.00 |
$496.00 |
$496.00 |
$422.80
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,288.80 |
$4,288.80 |
$4,288.80 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,016.00 |
$4,016.00 |
$4,016.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$3,476.00 |
$3,476.00 |
$3,476.00 |
$2,272.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$53.80 |
$53.80 |
$53.80 |
$25.32
|
|
Cyclosporine modified 25 mg capsule
|
$5.64 |
$5.64 |
$5.64 |
$7.48
|
|
Cytopathology cellular enhancement technique non-gyn
|
$144.80 |
$144.80 |
$144.80 |
$159.90
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$97.60 |
$97.60 |
$97.60 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$70.40 |
$70.40 |
$70.40 |
$87.45
|
|
Cytopathology concentration technique smears & interpretation
|
$130.40 |
$130.40 |
$130.40 |
$135.20
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$122.40 |
$122.40 |
$122.40 |
$127.50
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$210.73 |
$210.73 |
$210.73 |
$171.19
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$1,241.69 |
$1,241.69 |
$1,241.69 |
$6,281.29
|
|
Darbepoetin alfa, esrd use
|
$1,807.56 |
$1,807.56 |
$1,807.56 |
$7.20
|
|
Debrid ecz/inf skin up tp 10% body 11000
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$668.55
|
|
Debride nail1-5 11720
|
$172.80 |
$172.80 |
$172.80 |
$149.60
|
|
Debride nail6 or more 11721
|
$189.60 |
$189.60 |
$189.60 |
$169.80
|
|
Debride/subq tissue/ea add 20sq cm 11045
|
$808.00 |
$808.00 |
$808.00 |
$663.30
|
|
Decalcification
|
$96.80 |
$96.80 |
$96.80 |
$68.34
|
|
Delivery of placenta 59414
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,912.46
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$115.20 |
$115.20 |
$115.20 |
$185.17
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$437.60 |
$437.60 |
$437.60 |
$401.60
|
|
Desmopressin 4 mcg/ml injection solution
|
$53.41 |
$53.41 |
$53.41 |
$91.84
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$284.00 |
$284.00 |
$284.00 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$5.36 |
$5.36 |
$5.36 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$50.32 |
$50.32 |
$50.32 |
$20.76
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$13.00 |
$13.00 |
$13.00 |
$36.05
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$15.60 |
$15.60 |
$15.60 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$14.00 |
$14.00 |
$14.00 |
$48.00
|
|
Diagnostic anoscopy spx 46600
|
$295.20 |
$295.20 |
$295.20 |
$195.50
|
|
Diagnostic laryngoscopy 31505
|
$350.40 |
$350.40 |
$350.40 |
$242.14
|
|
Diagnostic Mammogram (both breasts)
|
$588.00 |
$588.00 |
$588.00 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$458.40 |
$458.40 |
$458.40 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$311.20 |
$311.20 |
$311.20 |
$259.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$58.96 |
$58.96 |
$58.96 |
$79.71
|
|
Diffusing capacity
|
$362.40 |
$362.40 |
$362.40 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$51.03 |
$51.03 |
$51.03 |
$65.84
|
|
Diltiazem 5 mg/ml intravenous solution
|
$58.60 |
$58.60 |
$58.60 |
$45.60
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$4.84 |
$4.84 |
$4.84 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.81 |
$48.81 |
$48.81 |
$18.32
|
|
Disability dlco
|
$526.40 |
$526.40 |
$526.40 |
$293.76
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$51.00 |
$51.00 |
$51.00 |
$65.40
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$507.20 |
$507.20 |
$507.20 |
$481.65
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$65.31 |
$65.31 |
$65.31 |
$89.34
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$794.40 |
$794.40 |
$794.40 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$964.00
|
|
Drainage external ear complex 69005
|
$2,900.80 |
$2,900.80 |
$2,900.80 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$748.80 |
$748.80 |
$748.80 |
$790.40
|
|
Drain blood from under nail 11740
|
$193.60 |
$193.60 |
$193.60 |
$182.40
|
|
Drain finger abscess;simple 26010
|
$548.80 |
$548.80 |
$548.80 |
$428.40
|
|
Drain shoulder lesion
|
$8,096.80 |
$8,096.80 |
$8,096.80 |
$3,904.61
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$428.80 |
$428.80 |
$428.80 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$442.40 |
$442.40 |
$442.40 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$485.60 |
$485.60 |
$485.60 |
$541.00
|
|
Drng of finger abscess comp 26011
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$2,079.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$54.31 |
$54.31 |
$54.31 |
$31.25
|
|
Dry needling (97799)
|
$120.00 |
$120.00 |
$120.00 |
$114.27
|
|
Ear irrigation 69209
|
$158.40 |
$158.40 |
$158.40 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$196.80 |
$196.80 |
$196.80 |
$132.08
|
|
Ecg external < 48 hours recording
|
$552.00 |
$552.00 |
$552.00 |
$467.40
|
|
Ecg external > 48 hours up to 7 days recording
|
$412.00 |
$412.00 |
$412.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$432.80 |
$432.80 |
$432.80 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$992.00 |
$992.00 |
$992.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$741.60 |
$741.60 |
$741.60 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$504.00 |
$504.00 |
$504.00 |
$371.25
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$127.20 |
$127.20 |
$127.20 |
$94.32
|
|
EKG (Electrocardiogram)
|
$128.80 |
$128.80 |
$128.80 |
$89.60
|
|
EKG tracing for initial prev
|
$76.00 |
$76.00 |
$76.00 |
$81.76
|