|
Drain cath image guided visceral pq
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$740.40 |
$740.40 |
$740.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$460.80 |
$460.80 |
$460.80 |
$419.00
|
|
Drain neck/chest lesion 21501
|
$3,301.20 |
$3,301.20 |
$3,301.20 |
$3,339.00
|
|
Drain thigh/knee lesion 27301
|
$6,279.60 |
$6,279.60 |
$6,279.60 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$700.20 |
$700.20 |
$700.20 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$600.00 |
$600.00 |
$600.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$798.00 |
$798.00 |
$798.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$32,557.04 |
$32,557.04 |
$32,557.04 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$5,064.60 |
$5,064.60 |
$5,064.60 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,839.54
|
|
Drng of finger abscess comp 26011
|
$3,687.00 |
$3,687.00 |
$3,687.00 |
$1,943.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drop lock knee
|
$204.95 |
$204.95 |
$204.95 |
$204.95
|
|
Drop lock retainer each
|
$70.12 |
$70.12 |
$70.12 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,822.97 |
$6,822.97 |
$6,822.97 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,523.50 |
$4,523.50 |
$4,523.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,303.94 |
$18,303.94 |
$18,303.94 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,277.66 |
$4,277.66 |
$4,277.66 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,588.77 |
$25,588.77 |
$25,588.77 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,446.01 |
$36,446.01 |
$36,446.01 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$25,691.11 |
$25,691.11 |
$25,691.11 |
$400.98
|
|
Drug assay caffeine
|
$67.80 |
$67.80 |
$67.80 |
$83.40
|
|
Drug assay posaconazole
|
$79.80 |
$79.80 |
$79.80 |
$96.75
|
|
Drug assay rufinamide
|
$169.20 |
$169.20 |
$169.20 |
$85.80
|
|
Drug assay vedolizumab
|
$77.40 |
$77.40 |
$77.40 |
$152.79
|
|
Drug assay voriconazole
|
$72.60 |
$72.60 |
$72.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$234.60 |
$234.60 |
$234.60 |
$66.43
|
|
Drug of abuse screen urine
|
$127.20 |
$127.20 |
$127.20 |
$63.75
|
|
Drug screen quant tiagabine
|
$133.20 |
$133.20 |
$133.20 |
$114.62
|
|
Drug test def 1-7 classes
|
$223.80 |
$223.80 |
$223.80 |
$250.52
|
|
Drug test prsmv instrmnt
|
$187.80 |
$187.80 |
$187.80 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$141.60 |
$141.60 |
$141.60 |
$278.85
|
|
Drvvt confirm - quest
|
$109.80 |
$109.80 |
$109.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$8,905.42 |
$8,905.42 |
$8,905.42 |
$3,020.80
|
|
Ductogram sgl duct
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$463.10
|
|
Duragen 1x1 5ea/bx
|
$17,796.20 |
$17,796.20 |
$17,796.20 |
$10,163.72
|
|
Dxa bone density axl vrt fx
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$36,792.17 |
$36,792.17 |
$36,792.17 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$36,792.17 |
$36,792.17 |
$36,792.17 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$11,104.91 |
$11,104.91 |
$11,104.91 |
$2,322.60
|
|
Echo exam of fetal heart
|
$471.00 |
$471.00 |
$471.00 |
$524.55
|
|
Echo exam of fetal heart
|
$221.40 |
$221.40 |
$221.40 |
$323.40
|
|
Echo exam uterus 76831-
|
$804.60 |
$804.60 |
$804.60 |
$523.71
|
|
Echograp trans r pros study
|
$466.20 |
$466.20 |
$466.20 |
$459.40
|
|
Echo guidance radiotherapy
|
$669.00 |
$669.00 |
$669.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$595.80 |
$595.80 |
$595.80 |
$456.30
|
|
Echo guide for artery repair
|
$2,725.80 |
$2,725.80 |
$2,725.80 |
$664.00
|
|
Ecmo/ecls initiation artery 33947
|
$57,647.40 |
$57,647.40 |
$57,647.40 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$10,070.40 |
$10,070.40 |
$10,070.40 |
$3,468.27
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$60,385.80 |
$60,385.80 |
$60,385.80 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$2,974.80 |
$2,974.80 |
$2,974.80 |
$1,282.40
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$2,974.80 |
$2,974.80 |
$2,974.80 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$2,974.80 |
$2,974.80 |
$2,974.80 |
$1,240.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$2,711.40 |
$2,711.40 |
$2,711.40 |
$1,220.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$2,711.40 |
$2,711.40 |
$2,711.40 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$2,711.40 |
$2,711.40 |
$2,711.40 |
$1,057.76
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$28,179.36 |
$28,179.36 |
$28,179.36 |
$18,199.20
|
|
E equine encephalitis igg
|
$70.20 |
$70.20 |
$70.20 |
$49.92
|
|
Egd balloon dil esoph30 mm/>
|
$7,924.86 |
$7,924.86 |
$7,924.86 |
$2,244.82
|
|
Egd control bleeding any
|
$10,473.26 |
$10,473.26 |
$10,473.26 |
$2,553.75
|
|
Egd dilate stricture
|
$5,861.86 |
$5,861.86 |
$5,861.86 |
$2,244.82
|
|
Egd endo mucosal resection
|
$13,861.40 |
$13,861.40 |
$13,861.40 |
$2,430.40
|
|
Egd guide wire insertion
|
$8,259.50 |
$8,259.50 |
$8,259.50 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$7,328.04 |
$7,328.04 |
$7,328.04 |
$2,237.95
|
|
Egd remove foreign body
|
$19,706.36 |
$19,706.36 |
$19,706.36 |
$1,505.50
|
|
Egd remove lesion snare
|
$7,601.28 |
$7,601.28 |
$7,601.28 |
$2,597.25
|
|
Egd Ultrasound exam duodenum/jejunum
|
$10,446.96 |
$10,446.96 |
$10,446.96 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$15,380.24 |
$15,380.24 |
$15,380.24 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$12,779.65 |
$12,779.65 |
$12,779.65 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$13,792.03 |
$13,792.03 |
$13,792.03 |
$3,218.80
|
|
Egd varices ligation
|
$15,341.16 |
$15,341.16 |
$15,341.16 |
$2,244.82
|
|
Egfr gene com variants
|
$639.00 |
$639.00 |
$639.00 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Eia hiv-1/hiv-2 screen
|
$16.80 |
$16.80 |
$16.80 |
$48.57
|
|
Electrd sq emblem s-icd
|
$14,144.54 |
$14,144.54 |
$14,144.54 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$123.00 |
$123.00 |
$123.00 |
$79.20
|
|
Electrolyte panel
|
$50.40 |
$50.40 |
$50.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$654.60 |
$654.60 |
$654.60 |
$983.41
|
|
Electrophysiology evaluation
|
$2,301.00 |
$2,301.00 |
$2,301.00 |
$1,869.13
|
|
Embolization s&i
|
$5,979.60 |
$5,979.60 |
$5,979.60 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$10,128.60 |
$10,128.60 |
$10,128.60 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$70.20 |
$70.20 |
$70.20 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$75.60 |
$75.60 |
$75.60 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$70.20 |
$70.20 |
$70.20 |
$53.10
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$42,088.82 |
$42,088.82 |
$42,088.82 |
$5,372.80
|
|
Endo ak/hip alignable system
|
$1,165.55 |
$1,165.55 |
$1,165.55 |
$1,165.55
|
|
Endo below knee alignable sy
|
$801.25 |
$801.25 |
$801.25 |
$611.88
|
|
Endo bk ultra-light material
|
$1,101.88 |
$1,101.88 |
$1,101.88 |
$1,012.80
|
|
Endo cath bile duct s&i
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$694.06
|
|
Endo cath panc duct s&i
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$672.43
|
|
Endo cholangiopancreatograph
|
$21,276.26 |
$21,276.26 |
$21,276.26 |
$4,217.20
|
|
Endo cholangiopancreatograph
|
$17,620.21 |
$17,620.21 |
$17,620.21 |
$4,214.73
|
|
Endo knee-shin frct swg & st
|
$1,241.78 |
$1,241.78 |
$1,241.78 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoscopic pancreatoscopy
|
$17,620.21 |
$17,620.21 |
$17,620.21 |
$2,635.20
|
|
Endoscopic Ultrasound exam esoph
|
$9,153.72 |
$9,153.72 |
$9,153.72 |
$2,557.50
|
