|
Drainage external ear complex 69005
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,888.03
|
|
Drainage external ear simple 69000
|
$832.60 |
$832.60 |
$832.60 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$274.80 |
$274.80 |
$274.80 |
$405.60
|
|
Drainage of arm bursa 23931
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,271.01
|
|
Drainage of bladder abscess
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,127.88
|
|
Drainage of bone lesion
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$2,854.40
|
|
Drainage of bone lesion
|
$3,342.87 |
$3,342.87 |
$3,342.87 |
$3,153.60
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$2,415.65
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$3,170.00
|
|
Drainage of eye
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$3,494.40
|
|
Drainage of forearm bursa
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,170.50
|
|
Drainage of kidney lesion
|
$832.60 |
$832.60 |
$832.60 |
$1,506.00
|
|
Drainage of mouth lesion
|
$274.80 |
$274.80 |
$274.80 |
$535.20
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,304.00
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,320.03
|
|
Drainage of mouth lesion
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,837.72
|
|
Drainage of mouth lesion
|
$602.63 |
$602.63 |
$602.63 |
$905.30
|
|
Drainage of mouth lesion
|
$602.63 |
$602.63 |
$602.63 |
$1,008.80
|
|
Drainage of mouth lesion
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,781.90
|
|
Drainage of mouth lesion
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$274.80 |
$274.80 |
$274.80 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$602.63 |
$602.63 |
$602.63 |
$781.44
|
|
Drainage of pelvis bursa
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,863.70
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$3,863.60
|
|
Drainage of prostate abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Drainage of rectal abscess
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$3,245.23 |
$3,245.23 |
$3,245.23 |
$3,816.64
|
|
Drainage of salivary gland
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$4,560.40
|
|
Drainage of salivary gland
|
$602.63 |
$602.63 |
$602.63 |
$890.76
|
|
Drainage of throat abscess
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,499.33
|
|
Drainage of urethra abscess
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$2,424.12
|
|
Drainage of urinary leakage
|
$789.86 |
$789.86 |
$789.86 |
$2,308.48
|
|
Drainage of urinary leakage
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$152.54 |
$152.54 |
$152.54 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$819.50 |
$819.50 |
$819.50 |
$1,044.00
|
|
Drain chest lesion
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$235.13 |
$235.13 |
$235.13 |
$428.40
|
|
Drain lower leg bursa
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,786.00
|
|
Drain ovary abscess open
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,762.53
|
|
Drain penis lesion
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,322.80
|
|
Drain shoulder lesion
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$3,386.84 |
$3,386.84 |
$3,386.84 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,752.89
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$235.13 |
$235.13 |
$235.13 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$235.13 |
$235.13 |
$235.13 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$472.79 |
$472.79 |
$472.79 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$755.08 |
$755.08 |
$755.08 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$3,789.86
|
|
Drng hand tendon sheath 26020
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$353.74 |
$353.74 |
$353.74 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$832.60 |
$832.60 |
$832.60 |
$867.90
|
|
Drng of mouth lesion 40801
|
$602.63 |
$602.63 |
$602.63 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$1,395.28 |
$1,395.28 |
$1,395.28 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$1,917.33 |
$1,917.33 |
$1,917.33 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$602.63 |
$602.63 |
$602.63 |
$799.40
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$193.15
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$376.50
|
|
Drug assay caffeine
|
$38.57 |
$38.57 |
$38.57 |
$80.00
|
|
Drug assay posaconazole
|
$27.11 |
$27.11 |
$27.11 |
$96.75
|
|
Drug assay rufinamide
|
$27.11 |
$27.11 |
$27.11 |
$87.10
|
|
Drug assay vedolizumab
|
$38.57 |
$38.57 |
$38.57 |
$154.00
|
|
Drug assay voriconazole
|
$27.11 |
$27.11 |
$27.11 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$18.64 |
$18.64 |
$18.64 |
$66.43
|
|
Drug of abuse screen urine
|
$12.60 |
$12.60 |
$12.60 |
$67.89
|
|
Drug screen quant tiagabine
|
$27.11 |
$27.11 |
$27.11 |
$107.59
|
|
Drug test def 15-21 classes
|
$198.74 |
$198.74 |
$198.74 |
$322.50
|
|
Drug test def 1-7 classes
|
$114.43 |
$114.43 |
$114.43 |
$263.25
|
|
Drug test def 22+ classes
|
$246.92 |
$246.92 |
$246.92 |
$426.24
|
|
Drug test def 8-14 classes
|
$156.59 |
$156.59 |
$156.59 |
$289.80
|
|
Drug test def simple all cl
|
$62.14 |
$62.14 |
$62.14 |
$68.35
|
|
Drug test prsmv instrmnt
|
$17.14 |
$17.14 |
$17.14 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$62.14 |
$62.14 |
$62.14 |
$278.85
|
|
Drvvt confirm - quest
|
$17.98 |
$17.98 |
$17.98 |
$109.20
|
|
Dstrj extensive retinopathy
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
$4,462.45
|