|
Drainage of mouth lesion
|
$553.00 |
$553.00 |
$553.00 |
$962.40
|
|
Drainage of mouth lesion
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$3,544.29
|
|
Drainage of mouth lesion
|
$1,847.50 |
$1,847.50 |
$1,847.50 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$620.00 |
$620.00 |
$620.00 |
$781.44
|
|
Drainage of rectal abscess
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$2,111.46
|
|
Drainage of urethra abscess 53060
|
$1,524.50 |
$1,524.50 |
$1,524.50 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$164.50 |
$164.50 |
$164.50 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,992.50 |
$1,992.50 |
$1,992.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$74.52 |
$74.52 |
$74.52 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$156.00 |
$156.00 |
$156.00 |
$419.00
|
|
Drain lower leg lesion 27603
|
$3,251.50 |
$3,251.50 |
$3,251.50 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$2,284.50 |
$2,284.50 |
$2,284.50 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$325.00 |
$325.00 |
$325.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$325.00 |
$325.00 |
$325.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$517.50 |
$517.50 |
$517.50 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$697.50 |
$697.50 |
$697.50 |
$755.08
|
|
Drill hole implt ventricular cath/device 61107
|
$3,683.50 |
$3,683.50 |
$3,683.50 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$4,589.50 |
$4,589.50 |
$4,589.50 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$543.50 |
$543.50 |
$543.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,070.50 |
$1,070.50 |
$1,070.50 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$984.00 |
$984.00 |
$984.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,392.50 |
$1,392.50 |
$1,392.50 |
$1,262.76
|
|
Drng of ovarian cyst(s) 58800
|
$2,410.00 |
$2,410.00 |
$2,410.00 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,917.33
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,800.00
|
|
Drng peritoneal abscess open 49020
|
$2,389.50 |
$2,389.50 |
$2,389.50 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$1,542.00 |
$1,542.00 |
$1,542.00 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$620.00 |
$620.00 |
$620.00 |
$741.60
|
|
Drop lock knee
|
$79.18 |
$79.18 |
$79.18 |
$204.95
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$785.56 |
$785.56 |
$785.56 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16.04 |
$16.04 |
$16.04 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$18.63 |
$18.63 |
$18.63 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$34.16 |
$34.16 |
$34.16 |
$572.00
|
|
Drug admin & hemodynmic meas
|
$261.50 |
$261.50 |
$261.50 |
$569.75
|
|
Drug assay caffeine
|
$25.50 |
$25.50 |
$25.50 |
$83.40
|
|
Drug assay posaconazole
|
$141.50 |
$141.50 |
$141.50 |
$96.75
|
|
Drug assay rufinamide
|
$73.00 |
$73.00 |
$73.00 |
$85.80
|
|
Drug assay vedolizumab
|
$157.00 |
$157.00 |
$157.00 |
$152.79
|
|
Drug assay voriconazole
|
$148.50 |
$148.50 |
$148.50 |
$96.75
|
|
Drug of abuse screen urine
|
$9.00 |
$9.00 |
$9.00 |
$63.75
|
|
Drug screen quant tiagabine
|
$183.00 |
$183.00 |
$183.00 |
$114.62
|
|
Drug test def 1-7 classes
|
$230.00 |
$230.00 |
$230.00 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$554.50 |
$554.50 |
$554.50 |
$278.85
|
|
Drvvt confirm - quest
|
$150.00 |
$150.00 |
$150.00 |
$109.20
|
|
Dry needling (97799)
|
$122.00 |
$122.00 |
$122.00 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$2,411.00 |
$2,411.00 |
$2,411.00 |
$3,020.80
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$576.50 |
$576.50 |
$576.50 |
$603.20
|
|
Ductogram sgl duct
|
$452.50 |
$452.50 |
$452.50 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$328.00 |
$328.00 |
$328.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$158.00 |
$158.00 |
$158.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$468.50 |
$468.50 |
$468.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$702.50 |
$702.50 |
$702.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,037.50 |
$1,037.50 |
$1,037.50 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$179.00 |
$179.00 |
$179.00 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$2,322.60
|
|
Ear canal biopsy 69105
|
$1,643.00 |
$1,643.00 |
$1,643.00 |
$1,889.50
|
|
Ear irrigation 69209
|
$96.00 |
$96.00 |
$96.00 |
$149.76
|
|
Ecg 12 lead tracing only
|
$226.50 |
$226.50 |
$226.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$106.00 |
$106.00 |
$106.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$389.00 |
$389.00 |
$389.00 |
$487.60
|
|
Ecg external < 48 hours recording
|
$209.00 |
$209.00 |
$209.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$336.00 |
$336.00 |
$336.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$294.50 |
$294.50 |
$294.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$294.50 |
$294.50 |
$294.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,643.50 |
$1,643.50 |
$1,643.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$392.00 |
$392.00 |
$392.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$567.00 |
$567.00 |
$567.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,059.50 |
$1,059.50 |
$1,059.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$410.00 |
$410.00 |
$410.00 |
$362.50
|
|
Echo exam of eye
|
$412.00 |
$412.00 |
$412.00 |
$172.00
|
|
Echo exam of eye
|
$251.00 |
$251.00 |
$251.00 |
$168.00
|
|
Echo exam of fetal heart
|
$1,114.50 |
$1,114.50 |
$1,114.50 |
$939.00
|
|
Echo exam of fetal heart
|
$299.50 |
$299.50 |
$299.50 |
$524.55
|
|
Echo exam of fetal heart
|
$142.00 |
$142.00 |
$142.00 |
$431.41
|
|
Echo exam of fetal heart
|
$142.00 |
$142.00 |
$142.00 |
$323.40
|
|
Echo exam uterus 76831-
|
$615.00 |
$615.00 |
$615.00 |
$523.71
|
|
Echograp trans r pros study
|
$588.50 |
$588.50 |
$588.50 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$812.00
|
|
Echo guide for amniocentesis
|
$853.50 |
$853.50 |
$853.50 |
$456.30
|
|
Echo guide for artery repair
|
$472.50 |
$472.50 |
$472.50 |
$664.00
|
|
Echo guide for transfusion
|
$285.00 |
$285.00 |
$285.00 |
$324.60
|
|
Echo stress
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$1,592.05
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,478.50 |
$1,478.50 |
$1,478.50 |
$751.34
|
|
Echo tee guidance
|
$1,847.00 |
$1,847.00 |
$1,847.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$1,849.50
|
|
Echo transesophageal
|
$1,478.50 |
$1,478.50 |
$1,478.50 |
$1,087.90
|
|
Echo transesophageal
|
$982.50 |
$982.50 |
$982.50 |
$1,559.35
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$823.50 |
$823.50 |
$823.50 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,560.67
|
|
Eeg 41-60 minutes 95812-26
|
$283.00 |
$283.00 |
$283.00 |
$920.00
|
