|
Drainage ext aud canal abscess 69020
|
$276.78 |
$276.78 |
$566.95 |
|
|
Drainage external ear complex 69005
|
$220.58 |
$220.58 |
$220.58 |
|
|
Drainage external ear simple 69000
|
$204.17 |
$304.92 |
$447.10 |
|
|
Drainage lymph node lesion 38300
|
$1,494.36 |
$1,494.36 |
$1,494.36 |
|
|
Drainage mouth roof lesion
|
$117.29 |
$283.08 |
$411.68 |
|
|
Drainage of arm bursa 23931
|
$262.81 |
$959.28 |
$1,593.00 |
|
|
Drainage of bladder abscess
|
$1,465.80 |
$1,465.80 |
$2,185.00 |
|
|
Drainage of eye
|
$624.22 |
$624.22 |
$1,145.50 |
|
|
Drainage of kidney lesion
|
$562.50 |
$771.96 |
$771.96 |
|
|
Drainage of mouth lesion
|
$1,981.14 |
$1,981.14 |
$2,780.50 |
|
|
Drainage of mouth lesion
|
$864.00 |
$2,061.36 |
$2,061.36 |
|
|
Drainage of nose lesion int 30000
|
$110.29 |
$156.24 |
$228.75 |
|
|
Drainage of nose lesion sept 30020
|
$111.19 |
$323.40 |
$657.05 |
|
|
Drainage of prostate abscess
|
$2,693.00 |
$2,693.00 |
$2,693.00 |
|
|
Drainage of rectal abscess
|
$812.28 |
$1,047.90 |
$1,047.90 |
|
|
Drainage of urethra abscess
|
$2,737.50 |
$2,737.50 |
$2,737.50 |
|
|
Drain blood from under nail 11740
|
$35.30 |
$83.58 |
$136.85 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,495.11 |
$2,407.02 |
$3,430.39 |
|
|
Drain cath image guided visceral pq
|
$1,602.72 |
$1,602.72 |
$2,967.04 |
|
|
Drain cerebro spinal fluid 62272
|
$393.30 |
$449.82 |
$832.49 |
|
|
Drain chst dry seal exp thorastat
|
$92.37 |
$101.17 |
$186.94 |
|
|
Drain finger abscess;simple 26010
|
$155.84 |
$296.10 |
$842.35 |
|
|
Drain lower leg lesion 27603
|
$1,677.62 |
$1,832.04 |
$3,062.55 |
|
|
Drain neck/chest lesion 21501
|
$226.78 |
$1,559.46 |
$3,008.15 |
|
|
Drain thigh/knee lesion 27301
|
$1,741.09 |
$2,221.38 |
$2,226.89 |
|
|
Drain thyroid/tongue cyst
|
$622.44 |
$622.44 |
$920.47 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$124.89 |
$280.98 |
$419.98 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$61.36 |
$257.88 |
$287.18 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$150.95 |
$296.52 |
$626.65 |
|
|
Dressing change not for burn w/anes 15852
|
$354.66 |
$372.12 |
$675.62 |
|
|
Drill hole implt ventricular cath/device 61107
|
$113.82 |
$113.82 |
$505.50 |
|
|
Drng appendix abscess open 44900
|
$1,752.96 |
$1,774.08 |
$1,795.20 |
|
|
Drng hand tendon sheath 26020
|
$1,325.52 |
$1,325.52 |
$1,325.52 |
|
|
Drng of eyelid abscess 67700
|
$193.31 |
$232.68 |
$691.90 |
|
|
Drng of finger abscess comp 26011
|
$978.18 |
$978.18 |
$1,270.63 |
|
|
Drng of hydrocele 55000
|
$247.80 |
$247.80 |
$250.75 |
|
|
Drng of mouth lesion 40801
|
$191.00 |
$191.00 |
$191.00 |
|
|
Drng of ovarian cyst(s) 58800
|
$1,951.00 |
$1,951.00 |
$1,951.00 |
|
|
Drng of scrotum abscess 55100
|
$188.42 |
$1,063.02 |
$1,462.78 |
|
|
Drng open retroperitoneal abscess 49060
|
$704.34 |
$704.34 |
$704.34 |
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
|
|
Drng peritoneal abscess open 49020
|
$1,286.88 |
$1,286.88 |
$1,837.50 |
|
|
Drng salivary gland simple 42300
|
$684.40 |
$684.40 |
$684.40 |
|
|
Dronabinol 2.5mg oral
|
$1.47 |
$680.07 |
$1,376.32 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$1.94 |
$41.79 |
$84.58 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$502.43 |
$665.75 |
$6,161.23 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$15.32 |
$15.32 |
$15.32 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$1,951.90 |
$2,137.80 |
$3,950.28 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,540.42 |
$1,687.13 |
$3,117.52 |
|
|
Drsg sht 5.625x4.625in std
|
$50.31 |
$50.31 |
$50.31 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$4.12 |
$4.12 |
$4.12 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$280.63 |
$7,003.93 |
$12,942.05 |
|
|
Drug admin & hemodynmic meas
|
$501.00 |
$670.74 |
$1,798.14 |
|
|
Drug assay caffeine
|
$16.80 |
$16.80 |
$83.30 |
|
|
Drug assay posaconazole
|
$72.33 |
$72.33 |
$72.33 |
|
|
Drug assay vedolizumab
|
$194.32 |
$194.32 |
$194.32 |
|
|
Drug assay voriconazole
|
$77.85 |
$105.00 |
$216.55 |
|
|
Drug of abuse screen urine
|
$23.29 |
$90.00 |
$204.85 |
|
|
Drug screening tapentadol
|
$34.33 |
$34.33 |
$34.33 |
|
|
Drug screen quant tiagabine
|
$135.24 |
$135.24 |
$223.55 |
|
|
Drug test def 1-7 classes
|
$96.18 |
$96.18 |
$187.00 |
|
|
Drug test prsmv instrmnt
|
$31.88 |
$47.60 |
$170.52 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$275.24 |
$401.10 |
$606.05 |
|
|
Drvvt confirm - quest
|
$22.41 |
$159.60 |
$274.55 |
|
|
Dry needling (97799)
|
$14.70 |
$14.70 |
$31.54 |
|
|
Dstrj nulyt agt gnclr nrv
|
$1,464.18 |
$1,530.06 |
$2,435.25 |
|
|
Dstr mal les s/n/h/f/g >4.0
|
$191.20 |
$191.20 |
$191.20 |
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$162.27 |
$162.27 |
$162.27 |
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$189.39 |
$189.39 |
$189.39 |
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$256.74 |
$256.74 |
$256.74 |
|
|
Ductogram sgl duct
|
$354.48 |
$564.48 |
$564.48 |
|
|
Duplex scan bilateral study 93985
|
$217.50 |
$1,744.26 |
$3,205.35 |
|
|
Duplex scan unilateral study 93986
|
$91.56 |
$105.00 |
$880.84 |
|
|
Dup scan/hemodialysis access 93990
|
$402.50 |
$415.38 |
$748.85 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$502.52 |
$592.00 |
$1,298.80 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$517.00 |
$706.86 |
$1,184.41 |
|
|
Duragen 1x1 5ea/bx
|
$1,338.12 |
$1,465.56 |
$2,708.10 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$193.69 |
$8,841.95 |
$17,894.42 |
|
|
Dxa bone density axl vrt fx
|
$106.68 |
$174.72 |
$457.50 |
|
|
Dx bronchoscope/brush 31623
|
$931.98 |
$931.98 |
$1,906.51 |
|
|
Dx bronchoscope/lavage 31624
|
$478.85 |
$1,239.00 |
$1,632.00 |
|
|
Dx bronchoscope/wash 31622
|
$478.85 |
$903.84 |
$1,770.50 |
|
|
Ear canal biopsy 69105
|
$87.24 |
$87.24 |
$87.24 |
|
|
Ear irrigation 69209
|
$67.85 |
$93.24 |
$253.15 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$74.52 |
$111.30 |
$163.51 |
|
|
Ecg < 30 days transmission & analysis
|
$363.72 |
$368.05 |
$1,020.90 |
|
|
Ecg external < 48 hours recording
|
$227.70 |
$311.22 |
$603.50 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$482.03 |
$545.58 |
$1,502.30 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$27.60 |
$90.72 |
$675.55 |
|
|
Ecg external >7 days up to 15 days recording
|
$46.00 |
$122.50 |
$675.55 |
|
|
Echocardiogram (Heart Ultrasound)
|
$1,422.78 |
$1,486.00 |
$2,282.62 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$449.57 |
$750.96 |
$971.55 |
|
|
Echocardiography doppler color flow mapping
|
$294.50 |
$394.38 |
$445.91 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$561.20 |
$1,659.00 |
$3,479.90 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$553.50 |
$953.40 |
$1,515.55 |
|
|
Echocardiograpy doppler follow up/limited study
|
$179.50 |
$204.96 |
$548.32 |
|
|
Echo exam of fetal heart
|
$437.46 |
$437.64 |
$914.76 |
|
|
Echo exam of fetal heart
|
$416.64 |
$416.64 |
$683.50 |
|
|
Echo exam of fetal heart
|
$121.90 |
$146.16 |
$431.97 |
|
|
Echo exam of fetal heart
|
$80.22 |
$80.22 |
$96.50 |
|