|
Dist revas ligation hemo
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,988.54
|
|
Diverticulectomy/hypophar/esoph 43130
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,817.32
|
|
Dlyd plmt xtn prosth ea addl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$306.90 |
$306.90 |
$306.90 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$150.70 |
$150.70 |
$150.70 |
$318.75
|
|
Dna antibody native/double stranded
|
$15.11 |
$15.11 |
$15.11 |
$102.60
|
|
Dna gardnerella
|
$22.06 |
$22.06 |
$22.06 |
$67.68
|
|
Dna probe chlamydia
|
$25.03 |
$25.03 |
$25.03 |
$82.20
|
|
Dna probe gc
|
$29.57 |
$29.57 |
$29.57 |
$88.67
|
|
Dna trichomonas
|
$22.06 |
$22.06 |
$22.06 |
$68.75
|
|
Doppler echo complete
|
$507.01 |
$507.01 |
$507.01 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$382.44 |
$382.44 |
$382.44 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$245.72 |
$245.72 |
$245.72 |
$482.03
|
|
Dornhoffer fixed part w/window
|
$14,600.42 |
$14,600.42 |
$14,600.42 |
$28,091.95
|
|
Dpyd gene common variants
|
$192.29 |
$192.29 |
$192.29 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$900.80
|
|
Drainage external ear complex 69005
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$809.25
|
|
Drainage lymph node lesion 38300
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,170.64
|
|
Drainage lymph node lesion 38305
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,167.89
|
|
Drainage mouth roof lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$474.39
|
|
Drainage of arm bursa 23931
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,419.30
|
|
Drainage of bladder abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,167.89
|
|
Drainage of eye
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,503.62
|
|
Drainage of eye
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,702.25
|
|
Drainage of eye
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,172.80
|
|
Drainage of forearm bursa
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,893.86
|
|
Drainage of kidney lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,706.65
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$455.56
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,752.89
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,320.03
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,986.00
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,022.40
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$799.40
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,547.81
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Drainage of mouth lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,357.20
|
|
Drainage of nose lesion int 30000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$755.95
|
|
Drainage of pelvis bursa
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,893.86
|
|
Drainage of pelvis lesion 26990
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,969.00
|
|
Drainage of prostate abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,891.34
|
|
Drainage of prostate abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,786.00
|
|
Drainage of prostate abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,081.37
|
|
Drainage of rectal abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,299.90
|
|
Drainage of rectal abscess 45020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,245.23
|
|
Drainage of salivary gland
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,837.72
|
|
Drainage of salivary gland
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$629.60
|
|
Drainage of throat abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,499.33
|
|
Drainage of urethra abscess
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,820.84
|
|
Drainage of urethra abscess 53060
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,459.34
|
|
Drainage of urinary leakage
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,057.60
|
|
Drainage of urinary leakage
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,126.11
|
|
Drain blood from under nail 11740
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,113.06
|
|
Drain chest lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Drain finger abscess;simple 26010
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$492.81
|
|
Drain lower leg bursa
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Drain lower leg lesion 27603
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,386.84
|
|
Drain ovarn cyst abd
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,762.53
|
|
Drain ovary abscess open
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,762.53
|
|
Drain penis lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,005.32
|
|
Drain shoulder bone lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,206.33
|
|
Drain shoulder bursa 23031
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,719.83
|
|
Drain shoulder lesion
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,571.53
|
|
Drain thigh/knee lesion 27301
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,620.47
|
|
Drain thyroid/tongue cyst
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,744.44
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$554.40
|
|
Dressing change not for burn w/anes 15852
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$790.56
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$525.70 |
$525.70 |
$525.70 |
$9,390.80
|
|
Drng hand tendon sheath 26020
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,981.06
|
|
Drng of eyelid abscess 67700
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,145.97
|
|
Drng of ovarian cyst(s) 58800
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,591.33
|
|
Drng of palm single bursa 26025
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,545.97
|
|
Drng of pelvic abscess transrectal 45000
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,614.45
|
|
Drng of salivary cyst 42409
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,575.45
|
|
Drng of scrotum abscess 55100
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,069.60
|
|
Drng salivary gland simple 42300
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$602.63
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$305.47 |
$305.47 |
$305.47 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11.02 |
$11.02 |
$11.02 |
$318.13
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$3,081.54 |
$3,081.54 |
$3,081.54 |
$18,384.03
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$54.24 |
$54.24 |
$54.24 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$105.37 |
$105.37 |
$105.37 |
$528.50
|
|
Drug assay caffeine
|
$42.43 |
$42.43 |
$42.43 |
$81.61
|
|
Drug assay posaconazole
|
$29.82 |
$29.82 |
$29.82 |
$96.39
|
|
Drug assay rufinamide
|
$29.82 |
$29.82 |
$29.82 |
$93.60
|
|
Drug assay vedolizumab
|
$42.43 |
$42.43 |
$42.43 |
$164.16
|
|
Drug assay voriconazole
|
$29.82 |
$29.82 |
$29.82 |
$96.75
|
