|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$21.15 |
$21.15 |
$21.15 |
$6,438.00
|
|
Drill hole implt ventricular cath/device 61107
|
$267.30 |
$267.30 |
$267.30 |
$1,503.60
|
|
Drng hand tendon sheath 26020
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$205.50 |
$205.50 |
$205.50 |
$656.88
|
|
Drng of finger abscess comp 26011
|
$709.80 |
$709.80 |
$709.80 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$313.20 |
$313.20 |
$313.20 |
$854.50
|
|
Drng of scrotum abscess 55100
|
$356.25 |
$356.25 |
$356.25 |
$1,977.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.06 |
$21.06 |
$21.06 |
$31.92
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.50 |
$4.50 |
$4.50 |
$112.48
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$217.53 |
$217.53 |
$217.53 |
$7,886.74
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$0.15 |
$0.15 |
$0.15 |
$3.11
|
|
Drug admin & hemodynmic meas
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$590.00
|
|
Drug assay posaconazole
|
$21.30 |
$21.30 |
$21.30 |
$96.00
|
|
Drug assay rufinamide
|
$34.80 |
$34.80 |
$34.80 |
$78.00
|
|
Drug assay vedolizumab
|
$33.45 |
$33.45 |
$33.45 |
$157.00
|
|
Drug assay voriconazole
|
$34.80 |
$34.80 |
$34.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.70 |
$14.70 |
$14.70 |
$66.43
|
|
Drug of abuse screen urine
|
$19.20 |
$19.20 |
$19.20 |
$63.75
|
|
Drug screening tapentadol
|
$14.70 |
$14.70 |
$14.70 |
$37.79
|
|
Drug/substance nos 4-6
|
$17.10 |
$17.10 |
$17.10 |
$72.14
|
|
Drug test def 15-21 classes
|
$213.00 |
$213.00 |
$213.00 |
$316.00
|
|
Drug test def 1-7 classes
|
$102.60 |
$102.60 |
$102.60 |
$263.25
|
|
Drug test def 22+ classes
|
$276.30 |
$276.30 |
$276.30 |
$426.24
|
|
Drug test def 8-14 classes
|
$157.80 |
$157.80 |
$157.80 |
$282.00
|
|
Drug test prsmv instrmnt
|
$25.65 |
$25.65 |
$25.65 |
$87.84
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$102.45 |
$102.45 |
$102.45 |
$278.85
|
|
Drvvt confirm - quest
|
$15.75 |
$15.75 |
$15.75 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$831.60 |
$831.60 |
$831.60 |
$2,979.74
|
|
Dstr mal les s/n/h/f/g >4.0
|
$134.55 |
$134.55 |
$134.55 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$111.15 |
$111.15 |
$111.15 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$122.25 |
$122.25 |
$122.25 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$134.55 |
$134.55 |
$134.55 |
$886.40
|
|
Ductogram sgl duct
|
$153.90 |
$153.90 |
$153.90 |
$481.80
|
|
Duplex scan bilateral study 93985
|
$476.25 |
$476.25 |
$476.25 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$317.55 |
$317.55 |
$317.55 |
$360.33
|
|
Dup scan/hemodialysis access 93990
|
$229.50 |
$229.50 |
$229.50 |
$479.81
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$229.50 |
$229.50 |
$229.50 |
$750.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$344.25 |
$344.25 |
$344.25 |
$890.55
|
|
Dxa bone density axl vrt fx
|
$63.90 |
$63.90 |
$63.90 |
$397.65
|
|
Dx bronchoscope/brush 31623
|
$710.40 |
$710.40 |
$710.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$784.20 |
$784.20 |
$784.20 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$531.15 |
$531.15 |
$531.15 |
$2,347.80
|
|
Dx gastr intub w/asp specs
|
$69.45 |
$69.45 |
$69.45 |
$308.70
|
|
Ear irrigation 69209
|
$48.30 |
$48.30 |
$48.30 |
$150.00
|
|
Ecg 12 lead tracing only
|
$70.95 |
$70.95 |
$70.95 |
$226.20
|
|
Ecg/1-3 leads/tracing only 93041
|
$247.50 |
$247.50 |
$247.50 |
$135.80
|
|
Ecg external < 48 hours recording
|
$247.50 |
$247.50 |
$247.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$247.50 |
$247.50 |
$247.50 |
$539.40
|
|
Ecg external > 48 hours up to 7 days recording
|
$161.85 |
$161.85 |
$161.85 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$161.85 |
$161.85 |
$161.85 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$448.35 |
$448.35 |
$448.35 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$112.20 |
$112.20 |
$112.20 |
$475.10
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$473.85 |
$473.85 |
$473.85 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$175.35 |
$175.35 |
$175.35 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$289.50 |
$289.50 |
$289.50 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$103.50 |
$103.50 |
$103.50 |
$366.50
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$904.62
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$524.55
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$431.41
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$318.34
|
|
Echo exam uterus 76831-
|
$99.00 |
$99.00 |
$99.00 |
$560.50
|
|
Echograp trans r pros study
|
$93.90 |
$93.90 |
$93.90 |
$459.40
|
|
Echo guidance radiotherapy
|
$167.55 |
$167.55 |
$167.55 |
$812.00
|
|
Echo guide for amniocentesis
|
$101.55 |
$101.55 |
$101.55 |
$455.57
|
|
Echo guide for artery repair
|
$166.35 |
$166.35 |
$166.35 |
$687.35
|
|
Echo stress
|
$448.35 |
$448.35 |
$448.35 |
$1,607.45
|
|
Echo tee guidance
|
$324.75 |
$324.75 |
$324.75 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$448.35 |
$448.35 |
$448.35 |
$1,885.56
|
|
Echo transesophageal
|
$293.10 |
$293.10 |
$293.10 |
$1,626.00
|
|
Echo transthoracic
|
$448.35 |
$448.35 |
$448.35 |
$1,361.75
|
|
Echo transthoracic
|
$209.55 |
$209.55 |
$209.55 |
$979.80
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$306.45 |
$306.45 |
$306.45 |
$1,002.00
|
|
Ecmo/ecls daily mgmt artery 33949
|
$413.40 |
$413.40 |
$413.40 |
$3,105.00
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$413.40 |
$413.40 |
$413.40 |
$3,105.00
|
|
Ecmo/ecls initiation artery 33947
|
$826.95 |
$826.95 |
$826.95 |
$3,152.98
|
|
Ecmo/ecls initiation venous 33946
|
$257.10 |
$257.10 |
$257.10 |
$3,988.60
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$463.05 |
$463.05 |
$463.05 |
$1,948.20
|
|
Ecmo/ecls insj cent cannula 6yrs&older 33956
|
$463.05 |
$463.05 |
$463.05 |
$2,040.80
|
|
Ecmo/ecls insj prph cannula 0-5yrs opn 33953
|
$463.05 |
$463.05 |
$463.05 |
$1,083.00
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$463.05 |
$463.05 |
$463.05 |
$970.80
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$463.05 |
$463.05 |
$463.05 |
$1,313.68
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$463.05 |
$463.05 |
$463.05 |
$2,825.34
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$296.40 |
$296.40 |
$296.40 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$296.40 |
$296.40 |
$296.40 |
$1,282.40
|
|
Ecmo/ecls remove perph cannula 0-5yrs opn 33969
|
$296.40 |
$296.40 |
$296.40 |
$667.20
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$296.40 |
$296.40 |
$296.40 |
$520.80
|
|
Ecmo/ecls remove prph cannula 6yrs&older open 33984
|
$296.40 |
$296.40 |
$296.40 |
$1,057.76
|
|
Ecmo/ecls remove prph cannula 6yrs&older perq 33966
|
$296.40 |
$296.40 |
$296.40 |
$1,362.00
|
|
Ecmo/ecls repos cent cnula 6yrs&older 33964
|
$370.50 |
$370.50 |
$370.50 |
$1,220.80
|
|
Ecmo/ecls repos cent/perph cnula 0-5yrs 33963
|
$370.50 |
$370.50 |
$370.50 |
$1,097.40
|
|
Ecmo/ecls repos perph cnula 0-5yrs opn 33959
|
$370.50 |
$370.50 |
$370.50 |
$576.80
|
|
Ecmo/ecls repos perph cnula 0-5yrs perq 33957
|
$370.50 |
$370.50 |
$370.50 |
$520.80
|
|
Ecmo/ecls repos perph cnula 6yrs&older opn 33962
|
$370.50 |
$370.50 |
$370.50 |
$925.55
|
|
Ecmo/ecls repos perph cnula 6yrs&older perq 33958
|
$370.50 |
$370.50 |
$370.50 |
$1,057.76
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$21.75 |
$21.75 |
$21.75 |
$90.89
|
|
Eeg 41-60 minutes 95812-26
|
$350.70 |
$350.70 |
$350.70 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$184.80 |
$184.80 |
$184.80 |
$1,007.40
|
|
Eeg during surgery
|
$184.80 |
$184.80 |
$184.80 |
$775.45
|
|
Eeg monitoring/giving drugs
|
$232.95 |
$232.95 |
$232.95 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$205.50 |
$205.50 |
$205.50 |
$835.00
|