|
Drain blood from under nail 11740
|
$257.25 |
$257.25 |
$257.25 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$2,693.50
|
|
Drain cath image guided visceral pq
|
$3,255.75 |
$3,255.75 |
$3,255.75 |
$2,999.34
|
|
Drain cerebro spinal fluid 62272
|
$1,416.75 |
$1,416.75 |
$1,416.75 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$228.75 |
$228.75 |
$228.75 |
$478.20
|
|
Drain lower leg lesion 27603
|
$3,269.25 |
$3,269.25 |
$3,269.25 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$3,293.25 |
$3,293.25 |
$3,293.25 |
$3,206.78
|
|
Drain ovarn cyst abd
|
$4,305.75 |
$4,305.75 |
$4,305.75 |
$3,519.29
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$350.25 |
$350.25 |
$350.25 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$338.25 |
$338.25 |
$338.25 |
$387.40
|
|
Dress/debrid prtl-thick burn l 16030
|
$417.00 |
$417.00 |
$417.00 |
$558.97
|
|
Dressing change not for burn w/anes 15852
|
$716.25 |
$716.25 |
$716.25 |
$720.88
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,875.23 |
$9,875.23 |
$9,875.23 |
$9,875.23
|
|
Drng of eyelid abscess 67700
|
$335.25 |
$335.25 |
$335.25 |
$770.40
|
|
Drng of finger abscess comp 26011
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$2,149.20
|
|
Drng of ovarian cyst(s) 58800
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$2,930.00
|
|
Drng of scrotum abscess 55100
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$596.25 |
$596.25 |
$596.25 |
$573.64
|
|
Dronabinol 2.5mg oral
|
$1,907.03 |
$1,907.03 |
$1,907.03 |
$1,907.03
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,956.48 |
$1,956.48 |
$1,956.48 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$530.83 |
$530.83 |
$530.83 |
$530.83
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$983.03 |
$983.03 |
$983.03 |
$983.03
|
|
Drsg sht 5.625x4.625in std
|
$639.00 |
$639.00 |
$639.00 |
$95.08
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$26,932.05 |
$26,932.05 |
$26,932.05 |
$26,932.05
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$22,027.50 |
$22,027.50 |
$22,027.50 |
$448.16
|
|
Drug admin & hemodynmic meas
|
$3,098.25 |
$3,098.25 |
$3,098.25 |
$687.00
|
|
Drug assay caffeine
|
$59.25 |
$59.25 |
$59.25 |
$88.83
|
|
Drug assay posaconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug assay rufinamide
|
$135.75 |
$135.75 |
$135.75 |
$100.32
|
|
Drug assay vedolizumab
|
$949.50 |
$949.50 |
$949.50 |
$172.90
|
|
Drug assay voriconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$531.75 |
$531.75 |
$531.75 |
$83.85
|
|
Drug of abuse screen urine
|
$63.75 |
$63.75 |
$63.75 |
$58.40
|
|
Drug screen quant tiagabine
|
$260.25 |
$260.25 |
$260.25 |
$114.62
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$732.00 |
$732.00 |
$732.00 |
$278.85
|
|
Drvvt confirm - quest
|
$255.75 |
$255.75 |
$255.75 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$1,746.75 |
$1,746.75 |
$1,746.75 |
$2,834.84
|
|
Ductogram sgl duct
|
$515.25 |
$515.25 |
$515.25 |
$450.06
|
|
Duodenal motility study
|
$1,729.50 |
$1,729.50 |
$1,729.50 |
$619.82
|
|
Duplex scan bilateral study 93985
|
$657.75 |
$657.75 |
$657.75 |
$657.75
|
|
Duplex scan unilateral study 93986
|
$124.50 |
$124.50 |
$124.50 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$835.50 |
$835.50 |
$835.50 |
$496.60
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$963.75 |
$963.75 |
$963.75 |
$797.40
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$782.25 |
$782.25 |
$782.25 |
$838.98
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,482.80 |
$23,482.80 |
$23,482.80 |
$23,482.80
|
|
Dxa bone density axl vrt fx
|
$591.75 |
$591.75 |
$591.75 |
$365.14
|
|
Dx aly aud oi snd prcsr 1st
|
$183.00 |
$183.00 |
$183.00 |
$186.40
|
|
Dx bronchoscope/brush 31623
|
$2,283.00 |
$2,283.00 |
$2,283.00 |
$2,447.43
|
|
Dx bronchoscope/lavage 31624
|
$2,886.75 |
$2,886.75 |
$2,886.75 |
$2,886.75
|
|
Dx bronchoscope/wash 31622
|
$2,734.50 |
$2,734.50 |
$2,734.50 |
$2,626.00
|
|
Ear and throat examination
|
$579.00 |
$579.00 |
$579.00 |
$556.55
|
|
Ear canal biopsy 69105
|
$1,768.50 |
$1,768.50 |
$1,768.50 |
$1,745.72
|
|
Ear irrigation 69209
|
$216.75 |
$216.75 |
$216.75 |
$154.70
|
|
Ecg 12 lead tracing only
|
$292.50 |
$292.50 |
$292.50 |
$243.20
|
|
Ecg < 30 days transmission & analysis
|
$624.75 |
$624.75 |
$624.75 |
$466.20
|
|
Ecg external < 48 hours recording
|
$500.25 |
$500.25 |
$500.25 |
$481.65
|
|
Ecg external < 48 hours scanning analysis w/report
|
$567.00 |
$567.00 |
$567.00 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$238.50 |
$238.50 |
$238.50 |
$146.90
|
|
Ecg external >7 days up to 15 days recording
|
$238.50 |
$238.50 |
$238.50 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$2,030.14
|
|
Echocardiography doppler color flow mapping
|
$407.25 |
$407.25 |
$407.25 |
$432.25
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,126.25 |
$2,126.25 |
$2,126.25 |
$2,126.25
|
|
Echocardiography transthoracic 2d followup/limited
|
$939.00 |
$939.00 |
$939.00 |
$714.35
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$939.00 |
$939.00 |
$939.00 |
$939.00
|
|
Echocardiograpy doppler follow up/limited study
|
$350.25 |
$350.25 |
$350.25 |
$325.00
|
|
Echo exam of fetal heart
|
$644.25 |
$644.25 |
$644.25 |
$855.38
|
|
Echo exam of fetal heart
|
$480.75 |
$480.75 |
$480.75 |
$481.55
|
|
Echo exam of fetal heart
|
$576.75 |
$576.75 |
$576.75 |
$431.41
|
|
Echo exam of fetal heart
|
$300.75 |
$300.75 |
$300.75 |
$318.34
|
|
Echo exam uterus 76831-
|
$825.75 |
$825.75 |
$825.75 |
$585.61
|
|
Echo guide for amniocentesis
|
$680.25 |
$680.25 |
$680.25 |
$377.11
|
|
Echo guide for artery repair
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$687.35
|
|
Echo guide for transfusion
|
$317.25 |
$317.25 |
$317.25 |
$303.00
|
|
Echo guide villus sampling
|
$693.75 |
$693.75 |
$693.75 |
$316.00
|
|
Echo stress
|
$1,949.25 |
$1,949.25 |
$1,949.25 |
$1,643.00
|
|
Echo tee guidance
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,282.25 |
$2,282.25 |
$2,282.25 |
$1,959.70
|
|
Echo transesophageal
|
$1,826.25 |
$1,826.25 |
$1,826.25 |
$1,794.00
|
|
Echo transesophageal intraop
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,737.60
|
|
Echo transthoracic
|
$1,922.25 |
$1,922.25 |
$1,922.25 |
$1,361.75
|
|
Echo transthoracic
|
$1,341.75 |
$1,341.75 |
$1,341.75 |
$854.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,278.75 |
$1,278.75 |
$1,278.75 |
$950.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$4,409.25 |
$4,409.25 |
$4,409.25 |
$6,110.90
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$6,110.90
|
|
Ecmo/ecls initiation artery 33947
|
$3,066.75 |
$3,066.75 |
$3,066.75 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$4,324.50 |
$4,324.50 |
$4,324.50 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$15,762.00 |
$15,762.00 |
$15,762.00 |
$3,321.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$22,430.49 |
$22,430.49 |
$22,430.49 |
$268.80
|
|
Edetate calcium disodium inj
|
$20,833.61 |
$20,833.61 |
$20,833.61 |
$20,833.61
|
|
Eeg 41-60 minutes 95812-26
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$993.85
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,116.75 |
$1,116.75 |
$1,116.75 |
$1,060.00
|
|
Eeg during surgery
|
$1,512.75 |
$1,512.75 |
$1,512.75 |
$826.80
|
|
Eeg monitoring/function test
|
$2,747.25 |
$2,747.25 |
$2,747.25 |
$1,569.43
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,099.50 |
$1,099.50 |
$1,099.50 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,523.25 |
$1,523.25 |
$1,523.25 |
$1,197.00
|
|
Eeg/record in coma or sleep only 95822
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$1,091.25
|
|
Eeg recording awake and asleep
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$951.60
|
|
Eeg without vid 2-12hr cont mntr
|
$2,025.00 |
$2,025.00 |
$2,025.00 |
$965.00
|
|
Eeg without vid 2-12 hr unmntr
|
$364.50 |
$364.50 |
$364.50 |
$826.15
|
|
Eeg without vid ea 12-26hr cont
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$1,584.70
|