|
Diag laparo separate proc 49320
|
$689.31 |
$689.31 |
$689.31 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$240.84 |
$240.84 |
$240.84 |
$190.68
|
|
Diagnostic laryngoscopy 31505
|
$104.76 |
$104.76 |
$104.76 |
$236.60
|
|
Diagnostic laryngoscopy 31575
|
$267.84 |
$267.84 |
$267.84 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$169.02 |
$169.02 |
$169.02 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$137.16 |
$137.16 |
$137.16 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$64.59 |
$64.59 |
$64.59 |
$74.76
|
|
Dicyclomine injection
|
$56.59 |
$56.59 |
$56.59 |
$153.29
|
|
Diffusing capacity
|
$25.38 |
$25.38 |
$25.38 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$21.06 |
$21.06 |
$21.06 |
$69.03
|
|
Dilate esophagus 1/mult pass
|
$360.45 |
$360.45 |
$360.45 |
$1,484.17
|
|
Dilate urethra stricture
|
$185.76 |
$185.76 |
$185.76 |
$490.00
|
|
Dilate urethra stricture
|
$180.90 |
$180.90 |
$180.90 |
$200.80
|
|
Dilation of cervical canal 57800
|
$426.06 |
$426.06 |
$426.06 |
$4,376.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$25.92 |
$25.92 |
$25.92 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$21.06 |
$21.06 |
$21.06 |
$17.75
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$9.18 |
$9.18 |
$9.18 |
$91.53
|
|
Disability dlco
|
$30.78 |
$30.78 |
$30.78 |
$282.40
|
|
Division of fallopian tube 58605
|
$700.38 |
$700.38 |
$700.38 |
$832.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$19.72 |
$19.72 |
$19.72 |
$904.81
|
|
Doppler echo complete
|
$54.81 |
$54.81 |
$54.81 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$74.52 |
$74.52 |
$74.52 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$41.58 |
$41.58 |
$41.58 |
$471.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$9.07 |
$9.07 |
$9.07 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$666.90 |
$666.90 |
$666.90 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$55.58 |
$55.58 |
$55.58 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$430.38 |
$430.38 |
$430.38 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$303.48 |
$303.48 |
$303.48 |
$914.34
|
|
Drainage external ear complex 69005
|
$340.20 |
$340.20 |
$340.20 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$386.64 |
$386.64 |
$386.64 |
$789.60
|
|
Drainage of arm bursa 23931
|
$629.64 |
$629.64 |
$629.64 |
$2,197.48
|
|
Drainage of kidney lesion
|
$277.56 |
$277.56 |
$277.56 |
$1,506.00
|
|
Drainage of mouth lesion
|
$555.66 |
$555.66 |
$555.66 |
$3,900.60
|
|
Drainage of mouth lesion
|
$726.30 |
$726.30 |
$726.30 |
$3,544.29
|
|
Drainage of nose lesion sept 30020
|
$555.66 |
$555.66 |
$555.66 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$1,429.38 |
$1,429.38 |
$1,429.38 |
$3,958.50
|
|
Drainage of rectal abscess 45020
|
$1,308.69 |
$1,308.69 |
$1,308.69 |
$3,769.20
|
|
Drainage of urethra abscess 53060
|
$396.36 |
$396.36 |
$396.36 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$122.04 |
$122.04 |
$122.04 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$703.62 |
$703.62 |
$703.62 |
$419.00
|
|
Drain lower leg lesion 27603
|
$819.18 |
$819.18 |
$819.18 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$715.50 |
$715.50 |
$715.50 |
$3,339.00
|
|
Drain shoulder lesion
|
$818.10 |
$818.10 |
$818.10 |
$3,904.61
|
|
Drain thigh/knee lesion 27301
|
$1,412.10 |
$1,412.10 |
$1,412.10 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$326.70 |
$326.70 |
$326.70 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$179.82 |
$179.82 |
$179.82 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$413.64 |
$413.64 |
$413.64 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$93.42 |
$93.42 |
$93.42 |
$755.08
|
|
Drng hand tendon sheath 26020
|
$1,188.54 |
$1,188.54 |
$1,188.54 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$581.04 |
$581.04 |
$581.04 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$983.34 |
$983.34 |
$983.34 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$255.15 |
$255.15 |
$255.15 |
$832.60
|
|
Drng of ovarian cyst(s) 58800
|
$665.82 |
$665.82 |
$665.82 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$486.00 |
$486.00 |
$486.00 |
$1,917.33
|
|
Drng open retroperitoneal abscess 49060
|
$2,272.05 |
$2,272.05 |
$2,272.05 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$3,302.64 |
$3,302.64 |
$3,302.64 |
$2,520.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$26.01 |
$26.01 |
$26.01 |
$31.07
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$512.46 |
$512.46 |
$512.46 |
$603.20
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,564.03 |
$4,564.03 |
$4,564.03 |
$7,973.90
|
|
Dx laryngoscopy w/oper scope
|
$327.24 |
$327.24 |
$327.24 |
$2,607.00
|
|
Ear and throat examination
|
$174.96 |
$174.96 |
$174.96 |
$602.63
|
|
Ear irrigation 69209
|
$60.75 |
$60.75 |
$60.75 |
$149.76
|
|
Ecallantide injection
|
$5,916.58 |
$5,916.58 |
$5,916.58 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$17.82 |
$17.82 |
$17.82 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$18.90 |
$18.90 |
$18.90 |
$16.00
|
|
Ecg/review interpret only
|
$83.43 |
$83.43 |
$83.43 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$177.66 |
$177.66 |
$177.66 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$11.61 |
$11.61 |
$11.61 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$76.68 |
$76.68 |
$76.68 |
$703.25
|
|
Echo exam of fetal heart
|
$103.14 |
$103.14 |
$103.14 |
$431.41
|
|
Echo exam uterus 76831-
|
$128.52 |
$128.52 |
$128.52 |
$523.71
|
|
Echo guide for amniocentesis
|
$68.04 |
$68.04 |
$68.04 |
$456.30
|
|
Echo stress
|
$192.24 |
$192.24 |
$192.24 |
$1,592.05
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$130.68 |
$130.68 |
$130.68 |
$985.15
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$208.98 |
$208.98 |
$208.98 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$208.98 |
$208.98 |
$208.98 |
$835.00
|
|
Egd control bleeding any
|
$574.83 |
$574.83 |
$574.83 |
$2,553.75
|
|
Egd dilate stricture
|
$380.97 |
$380.97 |
$380.97 |
$2,244.82
|
|
Egd guide wire insertion
|
$373.68 |
$373.68 |
$373.68 |
$1,664.00
|
|
Egd injection varices
|
$554.04 |
$554.04 |
$554.04 |
$2,244.82
|
|
Egd remove foreign body
|
$416.61 |
$416.61 |
$416.61 |
$1,505.50
|
|
Egd remove lesion snare
|
$442.80 |
$442.80 |
$442.80 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$437.67 |
$437.67 |
$437.67 |
$2,244.82
|
|
EKG (Electrocardiogram)
|
$40.50 |
$40.50 |
$40.50 |
$89.60
|
|
Elotuzumab 300 mg intravenous solution
|
$3.44 |
$3.44 |
$3.44 |
$5,523.02
|
|
Emb w/colposcopy 58110
|
$103.68 |
$103.68 |
$103.68 |
$290.55
|
|
Emb without cervical dilation 58100
|
$215.19 |
$215.19 |
$215.19 |
$370.50
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$2,060.64 |
$2,060.64 |
$2,060.64 |
$5,372.80
|
|
Endocerv curettage w/scope 57456
|
$315.90 |
$315.90 |
$315.90 |
$470.25
|
|
Endocervical curettage 57505
|
$320.22 |
$320.22 |
$320.22 |
$1,035.00
|
|
Endome abla/them without hystero guide 58353
|
$2,287.17 |
$2,287.17 |
$2,287.17 |
$4,317.40
|
|
Endoscopy maxillary sinus
|
$1,350.81 |
$1,350.81 |
$1,350.81 |
$7,307.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$348.30 |
$348.30 |
$348.30 |
$2,756.52
|
|
Endovenous rf abl vein addl
|
$518.67 |
$518.67 |
$518.67 |
$3,226.73
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$4,585.70 |
$4,585.70 |
$4,585.70 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$25.92 |
$25.92 |
$25.92 |
$109.71
|
|
Enterectomy small intestine addl 44121
|
$511.65 |
$511.65 |
$511.65 |
$518.10
|
|
Enterectomy small intestine single 44120
|
$2,603.07 |
$2,603.07 |
$2,603.07 |
$2,170.64
|
|
Enteroenterostomy fusion 44130
|
$2,738.34 |
$2,738.34 |
$2,738.34 |
$2,464.80
|