|
Drsg interceed 3x4in adh wnd barr absorb
|
$541.17 |
$541.17 |
$1,552.21 |
$1,778.40
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$7,196.43 |
$7,196.43 |
$7,196.43 |
$18,384.03
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$15,926.70 |
$15,926.70 |
$15,926.70 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$233.92 |
$233.92 |
$374.00 |
$528.50
|
|
Drug assay caffeine
|
$34.65 |
$34.65 |
$34.65 |
$81.61
|
|
Drug assay posaconazole
|
$78.65 |
$78.65 |
$166.10 |
$96.39
|
|
Drug assay rufinamide
|
$39.05 |
$39.05 |
$432.85 |
$93.60
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$164.16
|
|
Drug assay voriconazole
|
$127.60 |
$127.60 |
$166.10 |
$96.75
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test def 1-7 classes
|
$210.65 |
$210.65 |
$210.65 |
$250.52
|
|
Drug test prsmv instrmnt
|
$108.90 |
$108.90 |
$108.90 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$302.50 |
$302.50 |
$729.30 |
$278.85
|
|
Drvvt confirm - quest
|
$32.45 |
$32.45 |
$34.10 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$3,183.40 |
$3,183.40 |
$4,056.91 |
$3,390.00
|
|
Ductogram sgl duct
|
$891.55 |
$891.55 |
$891.55 |
$413.91
|
|
Duodenal motility study
|
$1,170.46 |
$1,170.46 |
$1,170.46 |
$627.89
|
|
Duplex scan bilateral study 93985
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$677.60 |
$677.60 |
$677.60 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$352.00 |
$352.00 |
$363.94 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$952.60 |
$952.60 |
$1,345.63 |
$903.00
|
|
Dxa bone density axl vrt fx
|
$464.75 |
$464.75 |
$1,032.35 |
$374.00
|
|
Dx aly aud oi snd prcsr 1st
|
$61.38 |
$61.38 |
$328.44 |
$185.15
|
|
Dx bronchoscope/brush 31623
|
$1,425.60 |
$1,425.60 |
$1,705.00 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,562.55 |
$1,562.55 |
$2,247.30 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,710.40 |
$2,710.40 |
$2,846.25 |
$2,587.60
|
|
Dx laryngoscopy newborn
|
$744.15 |
$744.15 |
$744.15 |
$619.08
|
|
Ear and throat examination
|
$556.13 |
$556.13 |
$1,013.10 |
$579.00
|
|
Ear canal biopsy 69105
|
$2,615.25 |
$2,615.25 |
$2,615.25 |
$1,768.50
|
|
Ear cartilage graft
|
$417.09 |
$417.09 |
$5,112.80 |
$5,741.00
|
|
Ear irrigation 69209
|
$319.00 |
$319.00 |
$379.50 |
$165.42
|
|
Ecg 12 lead tracing only
|
$255.20 |
$255.20 |
$270.60 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$152.35 |
$152.35 |
$152.35 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$211.20 |
$211.20 |
$1,322.20 |
$429.00
|
|
Ecg external < 48 hours recording
|
$451.00 |
$451.00 |
$784.85 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$520.30 |
$520.30 |
$1,301.85 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$80.30 |
$80.30 |
$80.30 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$130.35 |
$130.35 |
$130.35 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,398.00 |
$2,398.00 |
$2,585.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$899.47 |
$899.47 |
$1,056.55 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$3,080.00 |
$3,080.00 |
$3,080.00 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$445.50 |
$445.50 |
$773.85 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$543.40 |
$543.40 |
$1,092.52 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$362.45 |
$362.45 |
$363.22 |
$353.46
|
|
Echo exam of eye
|
$203.78 |
$203.78 |
$203.78 |
$125.84
|
|
Echo exam of eye
|
$81.18 |
$81.18 |
$289.58 |
$161.46
|
|
Echo exam of eye thickness
|
$3.30 |
$3.30 |
$97.24 |
$32.37
|
|
Echo exam of fetal heart
|
$1,766.05 |
$1,766.05 |
$1,766.05 |
$855.38
|
|
Echo exam of fetal heart
|
$1,261.26 |
$1,261.26 |
$1,261.26 |
$503.80
|
|
Echo exam of fetal heart
|
$656.37 |
$656.37 |
$656.37 |
$431.41
|
|
Echo exam of fetal heart
|
$496.92 |
$496.92 |
$496.92 |
$323.40
|
|
Echograp trans r pros study
|
$1,521.30 |
$1,521.30 |
$1,521.30 |
$459.40
|
|
Echo guide for amniocentesis
|
$513.37 |
$513.37 |
$513.37 |
$384.65
|
|
Echo guide for transfusion
|
$1,480.05 |
$1,480.05 |
$1,480.05 |
$324.60
|
|
Echo stress
|
$981.20 |
$981.20 |
$981.20 |
$1,582.75
|
|
Echo tee guidance
|
$531.30 |
$531.30 |
$4,839.12 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,712.60 |
$2,712.60 |
$3,186.04 |
$1,871.10
|
|
Echo transesophageal
|
$829.40 |
$829.40 |
$2,598.31 |
$1,734.10
|
|
Echo transesophageal intraop
|
$1,066.45 |
$1,066.45 |
$1,066.45 |
$1,571.70
|
|
Echo transthoracic
|
$829.40 |
$829.40 |
$1,637.35 |
$1,492.50
|
|
Echo transthoracic
|
$1,146.20 |
$1,146.20 |
$1,146.20 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$566.50 |
$566.50 |
$566.50 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,867.22 |
$2,867.22 |
$8,804.95 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$8,804.95 |
$8,804.95 |
$11,079.23 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$3,614.60 |
$3,614.60 |
$4,957.24 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$3,245.00 |
$3,245.00 |
$4,450.66 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$9,059.79 |
$9,059.79 |
$9,059.79 |
$925.55
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$5,708.13 |
$5,708.13 |
$5,708.13 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$9,059.79 |
$9,059.79 |
$9,059.79 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$2,078.45 |
$2,078.45 |
$5,708.13 |
$4,331.00
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$2,478.97 |
$2,478.97 |
$2,478.97 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$259.60 |
$259.60 |
$1,297.62 |
$1,898.66
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$3,988.35 |
$3,988.35 |
$3,988.35 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$259.60 |
$259.60 |
$3,988.35 |
$1,802.40
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$80.30 |
$80.30 |
$80.80 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$1,355.75 |
$1,355.75 |
$1,471.80 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,048.30 |
$1,048.30 |
$1,252.90 |
$1,049.59
|
|
Eeg during surgery
|
$1,038.95 |
$1,038.95 |
$1,038.95 |
$775.45
|
|
Eeg monitoring/function test
|
$1,659.90 |
$1,659.90 |
$1,742.95 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$787.60 |
$787.60 |
$891.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$2,512.95 |
$2,512.95 |
$2,518.45 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$883.85 |
$883.85 |
$1,258.95 |
$936.00
|
|
Eeg recording awake and asleep
|
$1,043.90 |
$1,043.90 |
$1,240.80 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$469.15 |
$469.15 |
$1,785.85 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$469.15 |
$469.15 |
$1,304.60 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$898.70 |
$898.70 |
$3,571.70 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$898.70 |
$898.70 |
$3,302.20 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$469.15 |
$469.15 |
$1,650.55 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$898.70 |
$898.70 |
$1,777.05 |
$1,251.52
|
|
E equine encephalitis igg
|
$41.25 |
$41.25 |
$57.75 |
$48.73
|
|
Egd control bleeding any
|
$1,959.10 |
$1,959.10 |
$1,959.10 |
$2,553.75
|
|
Egd dilate stricture
|
$931.70 |
$931.70 |
$931.70 |
$2,638.57
|
|
Egd remove foreign body
|
$1,656.60 |
$1,656.60 |
$1,961.30 |
$1,588.55
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,645.60 |
$1,645.60 |
$1,645.60 |
$2,664.75
|
|
Egd varices ligation
|
$2,576.75 |
$2,576.75 |
$2,576.75 |
$2,576.75
|
|
Egfr gene com variants
|
$1,177.55 |
$1,177.55 |
$1,177.55 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$105.60 |
$105.60 |
$105.60 |
$105.00
|
|
Elec analys infus pump w/reprog 62368
|
$71.46 |
$71.46 |
$750.04 |
$619.45
|
|
Elect analysis of infusion pump 62367
|
$40.95 |
$40.95 |
$617.76 |
$535.43
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$584.16 |
$584.16 |
$584.16 |
$576.81
|