|
Drainage ext aud canal abscess 69020
|
$820.50 |
$820.50 |
$820.50 |
$970.90
|
|
Drainage external ear complex 69005
|
$4,074.75 |
$4,074.75 |
$4,074.75 |
$2,900.80
|
|
Drainage external ear simple 69000
|
$709.50 |
$709.50 |
$709.50 |
$794.82
|
|
Drainage mouth roof lesion
|
$282.00 |
$282.00 |
$282.00 |
$408.80
|
|
Drainage of arm bursa 23931
|
$2,638.50 |
$2,638.50 |
$2,638.50 |
$2,271.01
|
|
Drainage of eye
|
$2,667.75 |
$2,667.75 |
$2,667.75 |
$2,415.65
|
|
Drainage of eye
|
$2,702.25 |
$2,702.25 |
$2,702.25 |
$3,170.00
|
|
Drainage of kidney lesion
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,537.43
|
|
Drainage of mouth lesion
|
$3,731.25 |
$3,731.25 |
$3,731.25 |
$3,837.72
|
|
Drainage of mouth lesion
|
$4,603.50 |
$4,603.50 |
$4,603.50 |
$6,781.90
|
|
Drainage of mouth lesion
|
$3,946.50 |
$3,946.50 |
$3,946.50 |
$3,496.05
|
|
Drainage of nose lesion int 30000
|
$283.50 |
$283.50 |
$283.50 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$637.50 |
$637.50 |
$637.50 |
$781.44
|
|
Drain blood from under nail 11740
|
$247.50 |
$247.50 |
$247.50 |
$182.95
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,246.00 |
$3,246.00 |
$3,246.00 |
$2,967.04
|
|
Drain cerebro spinal fluid 62272
|
$1,416.75 |
$1,416.75 |
$1,416.75 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$696.00 |
$696.00 |
$696.00 |
$429.12
|
|
Drain lower leg lesion 27603
|
$4,359.75 |
$4,359.75 |
$4,359.75 |
$3,980.80
|
|
Drain neck/chest lesion 21501
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$4,284.75 |
$4,284.75 |
$4,284.75 |
$3,762.53
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$423.75 |
$423.75 |
$423.75 |
$399.60
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$342.75 |
$342.75 |
$342.75 |
$349.80
|
|
Dress/debrid prtl-thick burn l 16030
|
$639.75 |
$639.75 |
$639.75 |
$542.50
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$9,875.23 |
$9,875.23 |
$9,875.23 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,034.25 |
$1,034.25 |
$1,034.25 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$747.00 |
$747.00 |
$747.00 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$2,080.80
|
|
Drng of ovarian cyst(s) 58800
|
$2,044.50 |
$2,044.50 |
$2,044.50 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$2,531.25 |
$2,531.25 |
$2,531.25 |
$1,997.89
|
|
Drng salivary gland submax/subling 42310
|
$596.25 |
$596.25 |
$596.25 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$1,907.03 |
$1,907.03 |
$1,907.03 |
$17.00
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,956.48 |
$1,956.48 |
$1,956.48 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$530.83 |
$530.83 |
$530.83 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$983.03 |
$983.03 |
$983.03 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$639.00 |
$639.00 |
$639.00 |
$123.24
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$26,932.05 |
$26,932.05 |
$26,932.05 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$22,027.50 |
$22,027.50 |
$22,027.50 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$3,587.25 |
$3,587.25 |
$3,587.25 |
$568.64
|
|
Drug assay caffeine
|
$60.75 |
$60.75 |
$60.75 |
$80.00
|
|
Drug assay posaconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug assay rufinamide
|
$135.75 |
$135.75 |
$135.75 |
$87.10
|
|
Drug assay vedolizumab
|
$949.50 |
$949.50 |
$949.50 |
$154.00
|
|
Drug assay voriconazole
|
$186.00 |
$186.00 |
$186.00 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$531.75 |
$531.75 |
$531.75 |
$66.43
|
|
Drug of abuse screen urine
|
$54.00 |
$54.00 |
$54.00 |
$67.50
|
|
Drug screening tapentadol
|
$62.25 |
$62.25 |
$62.25 |
$47.03
|
|
Drug screen quant tiagabine
|
$276.00 |
$276.00 |
$276.00 |
$107.59
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$732.00 |
$732.00 |
$732.00 |
$278.85
|
|
Drvvt confirm - quest
|
$366.75 |
$366.75 |
$366.75 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,746.75 |
$1,746.75 |
$1,746.75 |
$2,995.44
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$721.50 |
$721.50 |
$721.50 |
$603.20
|
|
Ductogram sgl duct
|
$691.50 |
$691.50 |
$691.50 |
$469.80
|
|
Duodenal motility study
|
$1,729.50 |
$1,729.50 |
$1,729.50 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$657.75 |
$657.75 |
$657.75 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$124.50 |
$124.50 |
$124.50 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$806.25 |
$806.25 |
$806.25 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,385.25 |
$1,385.25 |
$1,385.25 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,146.75 |
$1,146.75 |
$1,146.75 |
$904.78
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,482.80 |
$23,482.80 |
$23,482.80 |
$16,549.00
|
|
Dxa bone density axl vrt fx
|
$591.75 |
$591.75 |
$591.75 |
$401.20
|
|
Dx aly aud oi snd prcsr 1st
|
$183.00 |
$183.00 |
$183.00 |
$186.40
|
|
Dx aly aud oi snd prcsr each
|
$45.75 |
$45.75 |
$45.75 |
$51.52
|
|
Dx bronchoscope/brush 31623
|
$2,382.00 |
$2,382.00 |
$2,382.00 |
$2,144.41
|
|
Dx bronchoscope/lavage 31624
|
$3,012.00 |
$3,012.00 |
$3,012.00 |
$2,447.43
|
|
Dx bronchoscope/wash 31622
|
$3,531.75 |
$3,531.75 |
$3,531.75 |
$2,410.50
|
|
Dx laryngoscopy w/oper scope
|
$2,907.75 |
$2,907.75 |
$2,907.75 |
$2,755.53
|
|
Ear and throat examination
|
$1,512.75 |
$1,512.75 |
$1,512.75 |
$602.63
|
|
Ear irrigation 69209
|
$193.50 |
$193.50 |
$193.50 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$897.00 |
$897.00 |
$897.00 |
$410.43
|
|
Ecg external < 48 hours recording
|
$672.00 |
$672.00 |
$672.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$814.50 |
$814.50 |
$814.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$238.50 |
$238.50 |
$238.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$238.50 |
$238.50 |
$238.50 |
$170.38
|
|
Echocardiogram (Heart Ultrasound)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,020.00
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$900.00 |
$900.00 |
$900.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$585.75 |
$585.75 |
$585.75 |
$520.50
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$900.00 |
$900.00 |
$900.00 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$472.50 |
$472.50 |
$472.50 |
$371.25
|
|
Echo exam of fetal heart
|
$561.00 |
$561.00 |
$561.00 |
$904.80
|
|
Echo exam of fetal heart
|
$543.00 |
$543.00 |
$543.00 |
$538.27
|
|
Echo exam of fetal heart
|
$651.00 |
$651.00 |
$651.00 |
$431.41
|
|
Echo exam of fetal heart
|
$416.25 |
$416.25 |
$416.25 |
$318.34
|
|
Echo exam uterus 76831-
|
$788.25 |
$788.25 |
$788.25 |
$561.00
|
|
Echograp trans r pros study
|
$1,309.50 |
$1,309.50 |
$1,309.50 |
$468.00
|
|
Echo guidance radiotherapy
|
$1,309.50 |
$1,309.50 |
$1,309.50 |
$812.00
|
|
Echo guide for amniocentesis
|
$695.25 |
$695.25 |
$695.25 |
$455.57
|
|
Echo guide for artery repair
|
$2,065.50 |
$2,065.50 |
$2,065.50 |
$698.70
|
|
Echo guide for transfusion
|
$358.50 |
$358.50 |
$358.50 |
$332.39
|
|
Echo guide ova aspiration
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$174.20
|
|
Echo guide villus sampling
|
$750.00 |
$750.00 |
$750.00 |
$362.88
|
|
Echo stress
|
$1,949.25 |
$1,949.25 |
$1,949.25 |
$1,609.44
|
|
Echo tee guidance
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,865.50
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,472.75 |
$2,472.75 |
$2,472.75 |
$1,907.26
|
|
Echo transesophageal
|
$2,101.50 |
$2,101.50 |
$2,101.50 |
$1,626.00
|
|
Echo transesophageal intraop
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,578.00
|
|
Echo transthoracic
|
$1,475.25 |
$1,475.25 |
$1,475.25 |
$1,361.75
|
|
Echo transthoracic
|
$1,250.25 |
$1,250.25 |
$1,250.25 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$1,033.00
|
