|
Drain blood from under nail 11740
|
$169.60 |
$173.60 |
$215.20 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
|
|
Drain cath image guided visceral pq
|
$6,008.80 |
$6,008.80 |
$6,008.80 |
|
|
Drain cerebro spinal fluid 62272
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
|
|
Drain finger abscess;simple 26010
|
$410.40 |
$450.40 |
$607.20 |
|
|
Drain neck/chest lesion 21501
|
$3,631.20 |
$3,631.20 |
$5,098.40 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$196.80 |
$375.20 |
$500.00 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$220.00 |
$339.20 |
$454.40 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$440.00 |
$547.20 |
$588.80 |
|
|
Dressing change not for burn w/anes 15852
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$382.40 |
$382.40 |
$382.40 |
|
|
Drill hole implt ventricular cath/device 61107
|
$8,888.00 |
$8,888.00 |
$8,888.00 |
|
|
Drng hand tendon sheath 26020
|
$5,048.80 |
$5,048.80 |
$5,048.80 |
|
|
Drng of eyelid abscess 67700
|
$474.40 |
$494.40 |
$662.40 |
|
|
Drng of finger abscess comp 26011
|
$1,860.80 |
$1,860.80 |
$2,204.00 |
|
|
Drng of hydrocele 55000
|
$918.40 |
$918.40 |
$918.40 |
|
|
Drng of scrotum abscess 55100
|
$1,914.40 |
$1,914.40 |
$2,069.60 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$65.08 |
$65.79 |
$316.15 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,592.00 |
$2,189.60 |
$4,511.20 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$108.80 |
$108.80 |
$108.80 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$416.80 |
$416.80 |
$416.80 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$242.40 |
$242.40 |
$242.40 |
|
|
Drsg sht 5.625x4.625in std
|
$7.28 |
$7.28 |
$7.28 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$68.00 |
$68.00 |
$68.00 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$414.40 |
$414.40 |
$414.40 |
|
|
Drug admin & hemodynmic meas
|
$1,431.20 |
$1,431.20 |
$1,455.20 |
|
|
Drug assay rufinamide
|
$84.00 |
$84.00 |
$84.00 |
|
|
Drug assay vedolizumab
|
$132.80 |
$176.80 |
$204.80 |
|
|
Drug assay voriconazole
|
$71.20 |
$71.20 |
$71.20 |
|
|
Drug of abuse screen urine
|
$49.60 |
$58.40 |
$71.20 |
|
|
Drug test prsmv instrmnt
|
$53.60 |
$53.60 |
$80.80 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$195.20 |
$230.40 |
$269.60 |
|
|
Drvvt confirm - quest
|
$124.00 |
$124.00 |
$152.80 |
|
|
Dry needling (97799)
|
$107.20 |
$107.20 |
$107.20 |
|
|
Dstrj nulyt agt gnclr nrv
|
$3,841.60 |
$3,841.60 |
$3,864.80 |
|
|
Duplex scan bilateral study 93985
|
$858.40 |
$860.00 |
$874.40 |
|
|
Duplex scan unilateral study 93986
|
$536.00 |
$536.00 |
$556.80 |
|
|
Dup scan/hemodialysis access 93990
|
$676.80 |
$701.60 |
$772.00 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$914.40 |
$976.00 |
$1,099.20 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,112.00 |
$1,175.20 |
$1,427.20 |
|
|
Duragen 1x1 5ea/bx
|
$100.80 |
$100.80 |
$100.80 |
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,630.77 |
$4,630.77 |
$4,630.77 |
|
|
Dx bronchoscope/wash 31622
|
$3,754.40 |
$3,754.40 |
$3,754.40 |
|
|
Ear irrigation 69209
|
$85.60 |
$168.00 |
$197.60 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$136.80 |
$147.20 |
$152.80 |
|
|
Ecg external < 48 hours recording
|
$452.80 |
$488.00 |
$620.80 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$472.00 |
$668.80 |
$1,255.20 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$181.60 |
$181.60 |
$200.00 |
|
|
Ecg external >7 days up to 15 days recording
|
$218.40 |
$230.40 |
$240.80 |
|
|
Ecg record/review
|
$376.00 |
$376.00 |
$376.00 |
|
|
Echocardiogram (Heart Ultrasound)
|
$2,103.20 |
$2,229.60 |
$2,845.60 |
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$841.60 |
$976.80 |
$1,074.40 |
|
|
Echocardiography doppler color flow mapping
|
$600.80 |
$656.80 |
$828.80 |
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,157.60 |
$2,540.80 |
$3,057.60 |
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,191.20 |
$1,200.00 |
$1,328.00 |
|
|
Echocardiograpy doppler follow up/limited study
|
$380.00 |
$467.20 |
$521.60 |
|
|
Echo exam of fetal heart
|
$1,566.40 |
$1,566.40 |
$1,863.20 |
|
|
Echo exam of fetal heart
|
$1,081.60 |
$1,081.60 |
$1,388.80 |
|
|
Echo exam of fetal heart
|
$706.40 |
$706.40 |
$745.60 |
|
|
Echo exam of fetal heart
|
$340.00 |
$444.00 |
$502.40 |
|
|
Echo exam uterus 76831-
|
$877.60 |
$877.60 |
$908.00 |
|
|
Echograp trans r pros study
|
$1,686.40 |
$1,686.40 |
$1,686.40 |
|
|
Echo guide for amniocentesis
|
$693.60 |
$696.80 |
$879.20 |
|
|
Echo guide for artery repair
|
$750.40 |
$750.40 |
$1,760.00 |
|
|
Echo guide for transfusion
|
$517.60 |
$540.80 |
$892.80 |
|
|
Echo guide villus sampling
|
$511.20 |
$511.20 |
$511.20 |
|
|
Echo stress
|
$1,927.20 |
$2,113.60 |
$2,222.40 |
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$3,330.40 |
$3,330.40 |
$3,330.40 |
|
|
Echo tee guidance
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,676.00 |
$2,965.60 |
$3,366.40 |
|
|
Echo transesophageal
|
$1,963.20 |
$1,963.20 |
$1,963.20 |
|
|
Echo transesophageal
|
$1,780.80 |
$1,780.80 |
$3,330.40 |
|
|
Echo transesophageal intraop
|
$1,902.40 |
$1,902.40 |
$2,710.40 |
|
|
Echo transthoracic
|
$1,820.00 |
$2,040.00 |
$2,374.40 |
|
|
Echo transthoracic
|
$1,304.80 |
$1,428.00 |
$1,621.60 |
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,255.20 |
$1,612.80 |
$1,631.20 |
|
|
Ecmo/ecls initiation artery 33947
|
$4,242.40 |
$4,242.40 |
$4,242.40 |
|
|
Ecmo/ecls initiation venous 33946
|
$4,419.20 |
$4,419.20 |
$4,419.20 |
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$3,966.40 |
$3,966.40 |
$3,966.40 |
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,384.12 |
$18,384.12 |
$18,384.12 |
|
|
Edetate calcium disodium inj
|
$463.20 |
$463.20 |
$463.20 |
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$105.60 |
$105.60 |
$105.60 |
|
|
Eeg 41-60 minutes 95812-26
|
$1,232.80 |
$1,280.80 |
$1,304.80 |
|
|
Eeg during surgery
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
|
|
Eeg monitor/record/awake/drowsy 95816
|
$987.20 |
$1,083.20 |
$1,171.20 |
|
|
Eeg over 1 hour 95813 - 26
|
$1,541.60 |
$1,541.60 |
$1,682.40 |
|
|
Eeg/record in coma or sleep only 95822
|
$997.60 |
$997.60 |
$1,244.80 |
|
|
Eeg recording awake and asleep
|
$1,184.80 |
$1,245.60 |
$1,336.00 |
|
|
Eeg without vid 2-12 hr unmntr
|
$1,800.80 |
$1,800.80 |
$1,800.80 |
|
|
Eeg wo vid ea 12-26hr unmntr
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
|
|
Egd guide wire insertion
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
|
|
Egd remove foreign body
|
$2,748.80 |
$2,748.80 |
$2,831.20 |
|
|
EKG tracing for initial prev
|
$69.60 |
$78.40 |
$113.60 |
|
|
EKG (Tracing Only)
|
$228.00 |
$253.60 |
$401.60 |
|
|
Elbow X-ray (2 views, both sides)
|
$239.20 |
$289.60 |
$352.80 |
|
|
Elbow X-ray (3 or more views, both sides)
|
$272.00 |
$380.00 |
$456.00 |
|
|
Elec analys infus pump w/reprog 62368
|
$695.20 |
$695.20 |
$695.20 |
|
|
Elect analysis of infusion pump 62367
|
$543.20 |
$543.20 |
$543.20 |
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$910.40 |
$910.40 |
$910.40 |
|
|
Electrd sq emblem s-icd
|
$12,960.00 |
$12,960.00 |
$12,960.00 |
|
