|
Drng of eyelid abscess 67700
|
$918.99 |
$918.99 |
$918.99 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,079.50
|
|
Drng of mouth lesion 40801
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$1,350.97
|
|
Drng of palm multi bursas 26030
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$6,184.83 |
$6,184.83 |
$6,184.83 |
$3,839.54
|
|
Drng of scrotum abscess 55100
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$1,997.89
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$28.17 |
$28.17 |
$28.17 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$19.24 |
$19.24 |
$19.24 |
$193.15
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$90.64 |
$90.64 |
$90.64 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$121.80 |
$121.80 |
$121.80 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$265.94 |
$265.94 |
$265.94 |
$569.75
|
|
Drug assay caffeine
|
$113.07 |
$113.07 |
$113.07 |
$80.00
|
|
Drug assay posaconazole
|
$75.69 |
$75.69 |
$75.69 |
$96.75
|
|
Drug assay rufinamide
|
$63.86 |
$63.86 |
$63.86 |
$87.10
|
|
Drug assay vedolizumab
|
$80.18 |
$80.18 |
$80.18 |
$154.00
|
|
Drug assay voriconazole
|
$75.69 |
$75.69 |
$75.69 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$43.91 |
$43.91 |
$43.91 |
$66.43
|
|
Drug of abuse screen urine
|
$35.17 |
$35.17 |
$35.17 |
$67.89
|
|
Drug screening tapentadol
|
$99.11 |
$99.11 |
$99.11 |
$47.03
|
|
Drug/substance nos 4-6
|
$671.32 |
$671.32 |
$671.32 |
$72.14
|
|
Drug test def 15-21 classes
|
$582.56 |
$582.56 |
$582.56 |
$322.50
|
|
Drug test def 1-7 classes
|
$186.98 |
$186.98 |
$186.98 |
$263.25
|
|
Drug test def 22+ classes
|
$723.78 |
$723.78 |
$723.78 |
$426.24
|
|
Drug test def 8-14 classes
|
$459.01 |
$459.01 |
$459.01 |
$289.80
|
|
Drug test def simple all cl
|
$210.55 |
$210.55 |
$210.55 |
$68.35
|
|
Drug test prsmv instrmnt
|
$52.64 |
$52.64 |
$52.64 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$121.92 |
$121.92 |
$121.92 |
$278.85
|
|
Drvvt confirm - quest
|
$65.05 |
$65.05 |
$65.05 |
$109.20
|
|
Dstrj extensive retinopathy
|
$9,033.15 |
$9,033.15 |
$9,033.15 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$4,556.99 |
$4,556.99 |
$4,556.99 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$886.40
|
|
Ductogram sgl duct
|
$579.34 |
$579.34 |
$579.34 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$646.80 |
$646.80 |
$646.80 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$312.03 |
$312.03 |
$312.03 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$425.45 |
$425.45 |
$425.45 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$482.35 |
$482.35 |
$482.35 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$875.65 |
$875.65 |
$875.65 |
$904.78
|
|
Dx aly aud oi snd prcsr 1st
|
$328.15 |
$328.15 |
$328.15 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$164.07 |
$164.07 |
$164.07 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$4,480.42 |
$4,480.42 |
$4,480.42 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$4,480.42 |
$4,480.42 |
$4,480.42 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$4,480.42 |
$4,480.42 |
$4,480.42 |
$2,410.50
|
|
Dx gastr intub w/asp spec
|
$870.76 |
$870.76 |
$870.76 |
$441.60
|
|
Dx laryngoscopy w/oper scope
|
$3,404.45 |
$3,404.45 |
$3,404.45 |
$2,755.53
|
|
Ear canal biopsy 69105
|
$3,239.40 |
$3,239.40 |
$3,239.40 |
$1,889.50
|
|
Ear irrigation 69209
|
$192.19 |
$192.19 |
$192.19 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$192.19 |
$192.19 |
$192.19 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$410.43 |
$410.43 |
$410.43 |
$412.88
|
|
Ecg external < 48 hours recording
|
$335.52 |
$335.52 |
$335.52 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$335.52 |
$335.52 |
$335.52 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$89.86 |
$89.86 |
$89.86 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$143.86 |
$143.86 |
$143.86 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$875.65 |
$875.65 |
$875.65 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$246.02 |
$246.02 |
$246.02 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,086.62 |
$2,086.62 |
$2,086.62 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,383.57 |
$1,383.57 |
$1,383.57 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$625.88 |
$625.88 |
$625.88 |
$371.25
|
|
Echo exam of eye
|
$425.45 |
$425.45 |
$425.45 |
$143.75
|
|
Echo exam of eye
|
$425.45 |
$425.45 |
$425.45 |
$172.00
|
|
Echo exam of eye
|
$222.56 |
$222.56 |
$222.56 |
$169.62
|
|
Echo exam of eye thickness
|
$61.13 |
$61.13 |
$61.13 |
$40.30
|
|
Echo exam of fetal heart
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$904.80
|
|
Echo exam of fetal heart
|
$875.65 |
$875.65 |
$875.65 |
$538.27
|
|
Echo exam of fetal heart
|
$425.45 |
$425.45 |
$425.45 |
$431.41
|
|
Echo exam of fetal heart
|
$425.45 |
$425.45 |
$425.45 |
$318.34
|
|
Echo exam uterus 76831-
|
$875.65 |
$875.65 |
$875.65 |
$561.00
|
|
Echograp trans r pros study
|
$425.45 |
$425.45 |
$425.45 |
$468.00
|
|
Echo guidance radiotherapy
|
$693.49 |
$693.49 |
$693.49 |
$812.00
|
|
Echo guide for amniocentesis
|
$144.94 |
$144.94 |
$144.94 |
$455.57
|
|
Echo guide for artery repair
|
$637.83 |
$637.83 |
$637.83 |
$696.30
|
|
Echo guide villus sampling
|
$113.11 |
$113.11 |
$113.11 |
$362.88
|
|
Echo stress
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$1,609.44
|
|
Echo tee guidance
|
$1,413.99 |
$1,413.99 |
$1,413.99 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$1,913.60
|
|
Echo transesophageal
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$1,650.00
|
|
Echo transthoracic
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,734.50 |
$1,734.50 |
$1,734.50 |
$1,033.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$27,083.19 |
$27,083.19 |
$27,083.19 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$5,512.53 |
$5,512.53 |
$5,512.53 |
$3,099.00
|
|
Ecmo/ecls initiation artery 33947
|
$5,512.53 |
$5,512.53 |
$5,512.53 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$5,512.53 |
$5,512.53 |
$5,512.53 |
$4,084.29
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$9,589.94 |
$9,589.94 |
$9,589.94 |
$2,660.16
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$9,133.27 |
$9,133.27 |
$9,133.27 |
$1,362.00
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$9,133.27 |
$9,133.27 |
$9,133.27 |
$1,660.50
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$102.70 |
$102.70 |
$102.70 |
$94.32
|
|
Eeg 41-60 minutes 95812-26
|
$870.76 |
$870.76 |
$870.76 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,454.78 |
$1,454.78 |
$1,454.78 |
$994.15
|
|
Eeg monitoring/function test
|
$3,243.02 |
$3,243.02 |
$3,243.02 |
$1,557.60
|
|
Eeg monitor/record/awake/drowsy 95816
|
$870.76 |
$870.76 |
$870.76 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$870.76 |
$870.76 |
$870.76 |
$1,119.54
|
|
Eeg/record in coma or sleep only 95822
|
$870.76 |
$870.76 |
$870.76 |
$871.00
|
|
Eeg recording awake and asleep
|
$870.76 |
$870.76 |
$870.76 |
$931.20
|
|
Eeg without vid 2-12 hr unmntr
|
$692.70 |
$692.70 |
$692.70 |
$721.76
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,240.57 |
$1,240.57 |
$1,240.57 |
$1,632.95
|
|
E equine encephalitis igg
|
$31.06 |
$31.06 |
$31.06 |
$51.84
|
|
Egd endoscopic stent place
|
$8,205.35 |
$8,205.35 |
$8,205.35 |
$3,986.00
|
