|
Drainage of urethra abscess 53060
|
$2,959.55 |
$2,959.55 |
$2,959.55 |
$2,459.34
|
|
Drain blood from under nail 11740
|
$209.55 |
$209.55 |
$209.55 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,191.30 |
$1,191.30 |
$1,191.30 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$3,722.40 |
$3,722.40 |
$3,722.40 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,486.65 |
$1,486.65 |
$1,486.65 |
$1,113.06
|
|
Drain chst dry seal exp thorastat
|
$119.43 |
$119.43 |
$119.43 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$627.55 |
$627.55 |
$627.55 |
$492.81
|
|
Drain lower leg lesion 27603
|
$2,368.30 |
$2,368.30 |
$2,368.30 |
$3,631.18
|
|
Drain ovarn cyst abd
|
$2,715.90 |
$2,715.90 |
$2,715.90 |
$3,762.53
|
|
Drain penis lesion
|
$2,651.00 |
$2,651.00 |
$2,651.00 |
$2,005.32
|
|
Drain shoulder lesion
|
$2,368.30 |
$2,368.30 |
$2,368.30 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$2,389.75 |
$2,389.75 |
$2,389.75 |
$3,620.47
|
|
Drain thyroid/tongue cyst
|
$1,310.10 |
$1,310.10 |
$1,310.10 |
$1,744.44
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$627.55 |
$627.55 |
$627.55 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$546.70 |
$546.70 |
$546.70 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$744.15 |
$744.15 |
$744.15 |
$554.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,789.86 |
$3,789.86 |
$3,789.86 |
$9,390.80
|
|
Drill hole implt ventricular cath/device 61107
|
$836.55 |
$836.55 |
$836.55 |
$1,594.26
|
|
Drng hand tendon sheath 26020
|
$2,687.85 |
$2,687.85 |
$2,687.85 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$495.55 |
$495.55 |
$495.55 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,414.05 |
$1,414.05 |
$1,414.05 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$190.65 |
$190.65 |
$190.65 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,145.97
|
|
Drng of ovarian cyst(s) 58800
|
$2,715.90 |
$2,715.90 |
$2,715.90 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$2,069.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$454.09 |
$454.09 |
$454.09 |
$1,778.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$388.01 |
$388.01 |
$388.01 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,208.86 |
$1,208.86 |
$1,208.86 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$10.05 |
$10.05 |
$10.05 |
$318.13
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$5,085.77 |
$5,085.77 |
$5,085.77 |
$18,384.03
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$1,281.98 |
$1,281.98 |
$1,281.98 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$195.25 |
$195.25 |
$195.25 |
$528.50
|
|
Drug assay caffeine
|
$65.45 |
$65.45 |
$65.45 |
$81.61
|
|
Drug assay posaconazole
|
$84.70 |
$84.70 |
$84.70 |
$96.39
|
|
Drug assay rufinamide
|
$51.15 |
$51.15 |
$51.15 |
$93.60
|
|
Drug assay vedolizumab
|
$312.95 |
$312.95 |
$312.95 |
$164.16
|
|
Drug assay voriconazole
|
$64.35 |
$64.35 |
$64.35 |
$96.75
|
|
Drug of abuse screen urine
|
$26.40 |
$26.40 |
$26.40 |
$63.75
|
|
Drug screen quant tiagabine
|
$95.70 |
$95.70 |
$95.70 |
$91.80
|
|
Drug test def 1-7 classes
|
$275.55 |
$275.55 |
$275.55 |
$250.52
|
|
Drug test prsmv instrmnt
|
$90.75 |
$90.75 |
$90.75 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$453.75 |
$453.75 |
$453.75 |
$278.85
|
|
Drvvt confirm - quest
|
$31.35 |
$31.35 |
$31.35 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$8,136.70 |
$8,136.70 |
$8,136.70 |
$3,390.00
|
|
Ductogram sgl duct
|
$463.10 |
$463.10 |
$463.10 |
$413.91
|
|
Duodenal motility study
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$627.89
|
|
Duplex scan bilateral study 93985
|
$1,524.05 |
$1,524.05 |
$1,524.05 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$762.30 |
$762.30 |
$762.30 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$580.80 |
$580.80 |
$580.80 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$664.40 |
$664.40 |
$664.40 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$1,627.05 |
$1,627.05 |
$1,627.05 |
$14,438.37
|
|
Dxa bone density axl vrt fx
|
$147.40 |
$147.40 |
$147.40 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,415.70 |
$1,415.70 |
$1,415.70 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,652.65 |
$2,652.65 |
$2,652.65 |
$2,587.60
|
|
Dx gastr intub w/asp spec
|
$338.80 |
$338.80 |
$338.80 |
$368.50
|
|
Dx laryngoscopy w/oper scope
|
$1,778.70 |
$1,778.70 |
$1,778.70 |
$2,040.67
|
|
Ear irrigation 69209
|
$581.90 |
$581.90 |
$581.90 |
$165.42
|
|
Ecg 12 lead tracing only
|
$245.30 |
$245.30 |
$245.30 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$100.65 |
$100.65 |
$100.65 |
$129.83
|
|
Ecg < 30 days transmission & analysis
|
$242.55 |
$242.55 |
$242.55 |
$429.00
|
|
Ecg external < 48 hours recording
|
$644.60 |
$644.60 |
$644.60 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$911.35 |
$911.35 |
$911.35 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$91.85 |
$91.85 |
$91.85 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$150.15 |
$150.15 |
$150.15 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$4,270.20 |
$4,270.20 |
$4,270.20 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$1,011.45 |
$1,011.45 |
$1,011.45 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$4,436.85 |
$4,436.85 |
$4,436.85 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$920.70 |
$920.70 |
$920.70 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$745.80 |
$745.80 |
$745.80 |
$353.46
|
|
Echo exam of fetal heart
|
$1,007.60 |
$1,007.60 |
$1,007.60 |
$855.38
|
|
Echo exam of fetal heart
|
$503.80 |
$503.80 |
$503.80 |
$503.80
|
|
Echo exam of fetal heart
|
$431.75 |
$431.75 |
$431.75 |
$431.41
|
|
Echo exam of fetal heart
|
$323.40 |
$323.40 |
$323.40 |
$323.40
|
|
Echo exam uterus 76831-
|
$561.00 |
$561.00 |
$561.00 |
$547.20
|
|
Echograp trans r pros study
|
$605.00 |
$605.00 |
$605.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$605.00 |
$605.00 |
$605.00 |
$774.80
|
|
Echo guide for amniocentesis
|
$446.60 |
$446.60 |
$446.60 |
$384.65
|
|
Echo guide for artery repair
|
$557.70 |
$557.70 |
$557.70 |
$680.28
|
|
Echo guide for transfusion
|
$1,007.60 |
$1,007.60 |
$1,007.60 |
$324.60
|
|
Echo guide villus sampling
|
$489.50 |
$489.50 |
$489.50 |
$355.80
|
|
Echo stress
|
$3,489.75 |
$3,489.75 |
$3,489.75 |
$1,582.75
|
|
Echo tee guidance
|
$3,268.65 |
$3,268.65 |
$3,268.65 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,263.70 |
$3,263.70 |
$3,263.70 |
$1,871.10
|
|
Echo transesophageal
|
$1,087.90 |
$1,087.90 |
$1,087.90 |
$913.33
|
|
Echo transesophageal
|
$2,523.95 |
$2,523.95 |
$2,523.95 |
$1,734.10
|
|
Echo transesophageal intraop
|
$884.95 |
$884.95 |
$884.95 |
$1,571.70
|
|
Echo transthoracic
|
$2,443.65 |
$2,443.65 |
$2,443.65 |
$1,492.50
|
|
Echo transthoracic
|
$1,384.90 |
$1,384.90 |
$1,384.90 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,681.90 |
$1,681.90 |
$1,681.90 |
$1,014.01
|
|
Ecmo/ecls initiation artery 33947
|
$3,950.10 |
$3,950.10 |
$3,950.10 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$3,988.60 |
$3,988.60 |
$3,988.60 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$4,928.55 |
$4,928.55 |
$4,928.55 |
$4,331.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$111.10 |
$111.10 |
$111.10 |
$81.90
|
|
Eeg 41-60 minutes 95812-26
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,138.50 |
$1,138.50 |
$1,138.50 |
$1,049.59
|
|
Eeg monitoring/function test
|
$1,789.70 |
$1,789.70 |
$1,789.70 |
$1,373.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$989.45 |
$989.45 |
$989.45 |
$861.12
|
