|
Drainage external ear simple 69000
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$790.40
|
|
Drainage lymph node lesion 38300
|
$613.60 |
$613.60 |
$613.60 |
$3,088.80
|
|
Drainage lymph node lesion 38305
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$3,170.64
|
|
Drainage mouth roof lesion
|
$694.20 |
$694.20 |
$694.20 |
$405.60
|
|
Drainage of abdomen
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$4,616.80
|
|
Drainage of arm bursa 23931
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,271.01
|
|
Drainage of bladder abscess
|
$1,744.60 |
$1,744.60 |
$1,744.60 |
$3,127.88
|
|
Drainage of bone lesion
|
$3,504.80 |
$3,504.80 |
$3,504.80 |
$2,854.40
|
|
Drainage of bone lesion
|
$2,243.80 |
$2,243.80 |
$2,243.80 |
$3,153.60
|
|
Drainage of eye
|
$6,819.15 |
$6,819.15 |
$6,819.15 |
$2,415.65
|
|
Drainage of eye
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$3,170.00
|
|
Drainage of eye
|
$6,819.15 |
$6,819.15 |
$6,819.15 |
$3,494.40
|
|
Drainage of forearm bursa
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$2,170.50
|
|
Drainage of kidney lesion
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,506.00
|
|
Drainage of mouth lesion
|
$694.20 |
$694.20 |
$694.20 |
$535.20
|
|
Drainage of mouth lesion
|
$868.40 |
$868.40 |
$868.40 |
$2,304.00
|
|
Drainage of mouth lesion
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,320.03
|
|
Drainage of mouth lesion
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Drainage of mouth lesion
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$905.30
|
|
Drainage of mouth lesion
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,008.80
|
|
Drainage of mouth lesion
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,781.90
|
|
Drainage of mouth lesion
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$694.20 |
$694.20 |
$694.20 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$781.44
|
|
Drainage of pelvis bursa
|
$1,835.60 |
$1,835.60 |
$1,835.60 |
$2,840.80
|
|
Drainage of pelvis lesion 26990
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$3,863.70
|
|
Drainage of prostate abscess
|
$1,947.40 |
$1,947.40 |
$1,947.40 |
$4,081.37
|
|
Drainage of prostate abscess
|
$10,312.25 |
$10,312.25 |
$10,312.25 |
$3,863.60
|
|
Drainage of prostate abscess
|
$2,874.30 |
$2,874.30 |
$2,874.30 |
$4,081.37
|
|
Drainage of rectal abscess
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$3,816.64
|
|
Drainage of salivary gland
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$4,560.40
|
|
Drainage of salivary gland
|
$624.00 |
$624.00 |
$624.00 |
$890.76
|
|
Drainage of spinal cyst
|
$5,137.60 |
$5,137.60 |
$5,137.60 |
$5,137.60
|
|
Drainage of spinal cyst
|
$6,320.60 |
$6,320.60 |
$6,320.60 |
$2,631.26
|
|
Drainage of throat abscess
|
$3,226.60 |
$3,226.60 |
$3,226.60 |
$6,499.33
|
|
Drainage of urethra abscess
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$4,081.37
|
|
Drainage of urethra abscess 53060
|
$627.25 |
$627.25 |
$6,124.95 |
$2,424.12
|
|
Drainage of urinary leakage
|
$2,906.80 |
$2,906.80 |
$2,906.80 |
$2,874.36
|
|
Drain bladder by trocar/cath
|
$265.20 |
$265.20 |
$265.20 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$251.55 |
$251.55 |
$251.55 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,044.00
|
|
Drain chest lesion
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$3,839.54
|
|
Drain finger abscess;simple 26010
|
$594.10 |
$594.10 |
$594.10 |
$428.40
|
|
Drain lower leg bursa
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$4,289.60
|
|
Drain lower leg lesion 27603
|
$1,359.80 |
$8,557.25 |
$8,557.25 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,034.80 |
$8,557.25 |
$8,557.25 |
$3,339.00
|
|
Drain open lung lesion 32200
|
$4,856.80 |
$4,856.80 |
$4,856.80 |
$2,765.60
|
|
Drain ovarn cyst abd
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$3,786.00
|
|
Drain ovary abscess open
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$3,762.53
|
|
Drain pancreatic pseudocyst 48510
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$2,690.40
|
|
Drain penis lesion
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$2,244.20
|
|
Drain shoulder bone lesion
|
$2,381.60 |
$2,381.60 |
$2,381.60 |
$3,345.60
|
|
Drain shoulder bursa 23031
|
$725.40 |
$725.40 |
$725.40 |
$3,322.80
|
|
Drain shoulder lesion
|
$902.20 |
$8,557.25 |
$8,557.25 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$8,557.25 |
$8,557.25 |
$8,557.25 |
$3,986.00
|
|
Drain thyroid/tongue cyst
|
$3,851.25 |
$3,851.25 |
$3,851.25 |
$1,752.89
|
|
Drain to peritoneal cavity
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$1,708.74
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$387.40 |
$387.40 |
$452.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$387.40 |
$387.40 |
$387.40 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$779.35 |
$779.35 |
$779.35 |
$541.00
|
|
Dressing change not for burn w/anes 15852
|
$223.60 |
$223.60 |
$223.60 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$28.02 |
$28.02 |
$28.02 |
$3,789.86
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$8,659.95 |
$8,659.95 |
$8,659.95 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$5,633.55 |
$5,633.55 |
$5,633.55 |
$1,485.75
|
|
Drm agrft f/s/n/h/f/g/m ea
|
$390.00 |
$390.00 |
$390.00 |
$3,808.00
|
|
Drm agrft t/a/l ea addl
|
$390.00 |
$390.00 |
$390.00 |
$1,793.59
|
|
Drng appendix abscess open 44900
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$1,752.96
|
|
Drng hand tendon sheath 26020
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$893.75 |
$893.75 |
$893.75 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$756.60 |
$756.60 |
$756.60 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$1,997.89
|
|
Drng open retroperitoneal abscess 49060
|
$4,817.80 |
$4,817.80 |
$4,817.80 |
$1,924.00
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$4,295.20 |
$4,295.20 |
$4,295.20 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$3,070.60 |
$3,070.60 |
$3,070.60 |
$2,279.50
|
|
Drng peritoneal abscess open 49020
|
$6,934.20 |
$6,934.20 |
$6,934.20 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$514.80 |
$514.80 |
$514.80 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$418.60 |
$418.60 |
$418.60 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$7.80 |
$7.80 |
$7.80 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$12.44 |
$12.44 |
$12.44 |
$31.25
|
|
Drop lock retainer each
|
$22.96 |
$22.96 |
$22.96 |
$63.89
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$3.72 |
$3.72 |
$3.72 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$11.27 |
$17.55 |
$17.55 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$15.60 |
$82.69 |
$82.69 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$9.75 |
$9.75 |
$9.75 |
$123.24
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$306.15 |
$4,519.45 |
$4,519.45 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$2,944.50 |
$2,944.50 |
$2,944.50 |
$569.75
|
|
Drug assay caffeine
|
$172.90 |
$172.90 |
$172.90 |
$80.00
|
|
Drug assay posaconazole
|
$121.55 |
$121.55 |
$121.55 |
$96.75
|
|
Drug assay rufinamide
|
$121.55 |
$121.55 |
$121.55 |
$87.10
|