|
Drain neck/chest lesion 21501
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$7.86 |
$7.86 |
$7.86 |
$8.80
|
|
Drain penis lesion
|
$1,611.00 |
$1,611.00 |
$1,611.00 |
$2,112.60
|
|
Drain thigh/knee lesion 27301
|
$4,191.30 |
$4,191.30 |
$4,191.30 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$235.35 |
$235.35 |
$235.35 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$235.35 |
$235.35 |
$235.35 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$449.25 |
$449.25 |
$449.25 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$388.88 |
$388.88 |
$388.88 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$360.45 |
$360.45 |
$360.45 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,943.50
|
|
Drng of mouth lesion 40801
|
$1,552.95 |
$1,552.95 |
$1,552.95 |
$1,262.76
|
|
Drng of pelvic abscess transrectal 45000
|
$2,635.50 |
$2,635.50 |
$2,635.50 |
$2,111.46
|
|
Drng of scrotum abscess 55100
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,917.33
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$2,068.50 |
$2,068.50 |
$2,068.50 |
$1,800.00
|
|
Drng salivary gland simple 42300
|
$1,476.90 |
$1,476.90 |
$1,476.90 |
$2,133.48
|
|
Dronabinol 2.5mg oral
|
$6.84 |
$6.84 |
$6.84 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$9,216.00 |
$9,216.00 |
$9,216.00 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$53.27 |
$53.27 |
$53.27 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$289.05 |
$289.05 |
$289.05 |
$289.05
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$19.10 |
$19.10 |
$19.10 |
$19.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$409.86 |
$409.86 |
$409.86 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$3.11 |
$3.11 |
$3.11 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$400.98 |
$400.98 |
$400.98 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$1,087.65 |
$1,087.65 |
$1,087.65 |
$569.75
|
|
Drug assay caffeine
|
$99.15 |
$99.15 |
$99.15 |
$83.40
|
|
Drug assay posaconazole
|
$140.25 |
$140.25 |
$140.25 |
$96.75
|
|
Drug assay voriconazole
|
$130.20 |
$130.20 |
$130.20 |
$96.75
|
|
Drug test def 15-21 classes
|
$442.80 |
$442.80 |
$442.80 |
$263.25
|
|
Drug test def 1-7 classes
|
$396.00 |
$396.00 |
$396.00 |
$250.52
|
|
Drug test def 8-14 classes
|
$405.90 |
$405.90 |
$405.90 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$234.00 |
$234.00 |
$234.00 |
$278.85
|
|
Drvvt confirm - quest
|
$98.85 |
$98.85 |
$98.85 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$652.20 |
$652.20 |
$652.20 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$985.20 |
$985.20 |
$985.20 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$95.40 |
$95.40 |
$95.40 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,973.90 |
$7,973.90 |
$7,973.90 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$2,137.05 |
$2,137.05 |
$2,137.05 |
$2,322.60
|
|
Ear irrigation 69209
|
$111.30 |
$111.30 |
$111.30 |
$149.76
|
|
Ecallantide injection
|
$32,909.78 |
$32,909.78 |
$32,909.78 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$294.90 |
$294.90 |
$294.90 |
$226.50
|
|
Ecg external < 48 hours recording
|
$832.50 |
$832.50 |
$832.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$529.20 |
$529.20 |
$529.20 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$756.00 |
$756.00 |
$756.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$488.55 |
$488.55 |
$488.55 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,375.05 |
$1,375.05 |
$1,375.05 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$466.80 |
$466.80 |
$466.80 |
$362.50
|
|
Echo guide for amniocentesis
|
$568.35 |
$568.35 |
$568.35 |
$456.30
|
|
Echo guide for artery repair
|
$610.80 |
$610.80 |
$610.80 |
$664.00
|
|
Echo stress
|
$2,122.65 |
$2,122.65 |
$2,122.65 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,849.50
|
|
Echo transesophageal
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,559.35
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$1,332.45 |
$1,361.75
|
|
Echo transthoracic
|
$1,332.45 |
$1,332.45 |
$1,332.45 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$379.20 |
$379.20 |
$379.20 |
$985.15
|
|
Eculizumab injection
|
$12,915.54 |
$12,915.54 |
$12,915.54 |
$17,032.68
|
|
Eeg 41-60 minutes 95812-26
|
$2,239.80 |
$2,239.80 |
$2,239.80 |
$920.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$914.10 |
$914.10 |
$914.10 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$2,239.80 |
$2,239.80 |
$2,239.80 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,317.15 |
$1,317.15 |
$1,317.15 |
$907.80
|
|
Eeg recording awake and asleep
|
$914.10 |
$914.10 |
$914.10 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$462.30 |
$462.30 |
$462.30 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$554.70 |
$554.70 |
$554.70 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$886.80 |
$886.80 |
$886.80 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$886.80 |
$886.80 |
$886.80 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$462.30 |
$462.30 |
$462.30 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$886.80 |
$886.80 |
$886.80 |
$1,502.40
|
|
E equine encephalitis igg
|
$116.40 |
$116.40 |
$116.40 |
$49.92
|
|
Egd balloon dil esoph30 mm/>
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd control bleeding any
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,553.75
|
|
Egd dilate stricture
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd endo mucosal resection
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,430.40
|
|
Egd endoscopic stent place
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$3,774.00
|
|
Egd esophagogastrc fndoplsty
|
$6,991.95 |
$6,991.95 |
$6,991.95 |
$7,229.60
|
|
Egd guide wire insertion
|
$731.70 |
$731.70 |
$731.70 |
$1,664.00
|
|
Egd injection varices
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd/insert intraluminal tube/cath 43241
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,237.95
|
|
Egd lesion ablation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd remove foreign body
|
$731.70 |
$731.70 |
$731.70 |
$1,505.50
|
|
Egd remove lesion snare
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$3,218.80
|
|
Egd varices ligation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd w/thrml txmnt gerd
|
$2,282.85 |
$2,282.85 |
$2,282.85 |
$4,502.13
|
|
Egd w/transmural drain cyst
|
$3,571.80 |
$3,571.80 |
$3,571.80 |
$4,379.25
|
|
Egfr gene com variants
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$657.00
|
|
EKG tracing for initial prev
|
$82.50 |
$82.50 |
$82.50 |
$81.76
|
|
Electrd sq emblem s-icd
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$10,243.24
|
|
Electrolyte panel
|
$193.35 |
$193.35 |
$193.35 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,102.50 |
$1,102.50 |
$1,102.50 |
$983.41
|
|
Electrophysiology evaluation
|
$6,281.55 |
$6,281.55 |
$6,281.55 |
$10,233.60
|
|
Electrophysiology evaluation
|
$4,394.70 |
$4,394.70 |
$4,394.70 |
$6,760.00
|
