|
Drainage of nose lesion sept 30020
|
$437.00 |
$437.00 |
$437.00 |
$781.44
|
|
Drainage of urethra abscess 53060
|
$2,084.50 |
$2,084.50 |
$2,084.50 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$560.50 |
$560.50 |
$560.50 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$69.00 |
$69.00 |
$69.00 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,250.50 |
$1,250.50 |
$1,250.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$519.50 |
$519.50 |
$519.50 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$100.00 |
$100.00 |
$100.00 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$205.00 |
$205.00 |
$205.00 |
$428.40
|
|
Drain lower leg lesion 27603
|
$1,979.50 |
$1,979.50 |
$1,979.50 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$1,455.50 |
$1,455.50 |
$1,455.50 |
$3,301.20
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$316.50 |
$316.50 |
$316.50 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$261.50 |
$261.50 |
$261.50 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$531.00 |
$531.00 |
$531.00 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$298.00 |
$298.00 |
$298.00 |
$724.37
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,878.50 |
$3,878.50 |
$3,878.50 |
$5,857.52
|
|
Drill hole implt ventricular cath/device 61107
|
$479.50 |
$479.50 |
$479.50 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$466.50 |
$466.50 |
$466.50 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$587.00 |
$587.00 |
$587.00 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$3,474.84
|
|
Drng of salivary cyst 42409
|
$2,947.50 |
$2,947.50 |
$2,947.50 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$1,997.89
|
|
Drng peritoneal abscess open 49020
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$2,039.50
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$7,319.00 |
$7,319.00 |
$7,319.00 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$76.50 |
$76.50 |
$76.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$25.50 |
$25.50 |
$25.50 |
$58.20
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$185.00 |
$185.00 |
$185.00 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$2.00 |
$2.00 |
$2.00 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$392.50 |
$392.50 |
$392.50 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$189.00 |
$189.00 |
$189.00 |
$578.59
|
|
Drug assay caffeine
|
$57.50 |
$57.50 |
$57.50 |
$81.61
|
|
Drug assay posaconazole
|
$125.50 |
$125.50 |
$125.50 |
$96.75
|
|
Drug assay vedolizumab
|
$398.50 |
$398.50 |
$398.50 |
$157.00
|
|
Drug assay voriconazole
|
$173.50 |
$173.50 |
$173.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$78.00 |
$78.00 |
$78.00 |
$66.43
|
|
Drug of abuse screen urine
|
$31.00 |
$31.00 |
$31.00 |
$64.50
|
|
Drug screen quant tiagabine
|
$145.00 |
$145.00 |
$145.00 |
$107.59
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$719.00 |
$719.00 |
$719.00 |
$280.95
|
|
Drvvt confirm - quest
|
$93.00 |
$93.00 |
$93.00 |
$109.20
|
|
Dstrj extensive retinopathy
|
$1,474.00 |
$1,474.00 |
$1,474.00 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$2,967.48
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$320.50 |
$320.50 |
$320.50 |
$603.20
|
|
Ductogram sgl duct
|
$248.00 |
$248.00 |
$248.00 |
$469.44
|
|
Duodenal motility study
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$1,143.10
|
|
Dup scan/hemodialysis access 93990
|
$203.50 |
$203.50 |
$203.50 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$596.50 |
$596.50 |
$596.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$510.00 |
$510.00 |
$510.00 |
$903.50
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$3,686.50 |
$3,686.50 |
$3,686.50 |
$23,482.80
|
|
Dxa bone density axl vrt fx
|
$351.00 |
$351.00 |
$351.00 |
$410.25
|
|
Dx bronchoscope/wash 31622
|
$999.00 |
$999.00 |
$999.00 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$334.50 |
$334.50 |
$334.50 |
$441.60
|
|
Dynamic surface emg
|
$199.00 |
$199.00 |
$199.00 |
$368.50
|
|
Ear and throat examination
|
$339.50 |
$339.50 |
$339.50 |
$602.63
|
|
Ear canal biopsy 69105
|
$966.50 |
$966.50 |
$966.50 |
$1,889.50
|
|
Ear cartilage graft
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$6,311.00
|
|
Ear irrigation 69209
|
$85.00 |
$85.00 |
$85.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$59.50 |
$59.50 |
$59.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$37.00 |
$37.00 |
$37.00 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$81.50 |
$81.50 |
$81.50 |
$466.20
|
|
Ecg external < 48 hours recording
|
$125.00 |
$125.00 |
$125.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$129.00 |
$129.00 |
$129.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$35.00 |
$35.00 |
$35.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$58.50 |
$58.50 |
$58.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$856.00 |
$856.00 |
$856.00 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$707.00 |
$707.00 |
$707.00 |
$499.20
|
|
Echocardiography transthoracic 2d followup/limited
|
$529.00 |
$529.00 |
$529.00 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$836.50 |
$836.50 |
$836.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$466.00 |
$466.00 |
$466.00 |
$371.25
|
|
Echo exam of eye
|
$304.00 |
$304.00 |
$304.00 |
$143.75
|
|
Echo exam of eye
|
$304.00 |
$304.00 |
$304.00 |
$172.00
|
|
Echo exam of eye thickness
|
$92.00 |
$92.00 |
$92.00 |
$40.30
|
|
Echo exam of fetal heart
|
$367.50 |
$367.50 |
$367.50 |
$904.80
|
|
Echo exam of fetal heart
|
$268.50 |
$268.50 |
$268.50 |
$538.27
|
|
Echo exam of fetal heart
|
$417.50 |
$417.50 |
$417.50 |
$431.41
|
|
Echo exam of fetal heart
|
$319.00 |
$319.00 |
$319.00 |
$319.00
|
|
Echo exam uterus 76831-
|
$331.50 |
$331.50 |
$331.50 |
$552.50
|
|
Echo guide for amniocentesis
|
$240.00 |
$240.00 |
$240.00 |
$446.60
|
|
Echo guide for artery repair
|
$123.00 |
$123.00 |
$123.00 |
$687.35
|
|
Echo guide for heart biopsy
|
$193.00 |
$193.00 |
$193.00 |
$666.40
|
|
Echo guide for transfusion
|
$146.00 |
$146.00 |
$146.00 |
$332.39
|
|
Echo guide villus sampling
|
$157.50 |
$157.50 |
$157.50 |
$362.88
|
|
Echo stress
|
$572.00 |
$572.00 |
$572.00 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,275.50 |
$1,275.50 |
$1,275.50 |
$1,889.20
|
|
Echo transesophageal
|
$588.00 |
$588.00 |
$588.00 |
$602.00
|
|
Echo transesophageal
|
$1,186.00 |
$1,186.00 |
$1,186.00 |
$1,599.50
|
|
Echo transesophageal
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$603.20
|
|
Echo transesophageal intraop
|
$993.50 |
$993.50 |
$993.50 |
$1,578.00
|
|
Echo transthoracic
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$1,361.75
|
|
Echo transthoracic
|
$788.50 |
$788.50 |
$788.50 |
$1,010.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$809.50 |
$809.50 |
$809.50 |
$1,022.30
|
|
Ecmo/ecls daily mgmt artery 33949
|
$9,440.00 |
$9,440.00 |
$9,440.00 |
$2,867.22
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$9,440.00 |
$9,440.00 |
$9,440.00 |
$3,099.00
|
|
Ecmo/ecls initiation venous 33946
|
$9,440.00 |
$9,440.00 |
$9,440.00 |
$3,988.60
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$2,825.34
|
|
Eeg 41-60 minutes 95812-26
|
$916.50 |
$916.50 |
$916.50 |
$923.88
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$970.07
|
|
Eeg during surgery
|
$726.50 |
$726.50 |
$726.50 |
$775.45
|
