|
Drainage of mouth lesion
|
$635.70 |
$635.70 |
$1,576.20 |
$535.20
|
|
Drainage of mouth lesion
|
$3,021.62 |
$3,021.62 |
$3,021.62 |
$2,320.03
|
|
Drainage of mouth lesion
|
$2,295.40 |
$2,295.40 |
$3,261.15 |
$3,837.72
|
|
Drainage of mouth lesion
|
$583.82 |
$583.82 |
$583.82 |
$905.30
|
|
Drainage of mouth lesion
|
$6,781.90 |
$6,781.90 |
$6,781.90 |
$6,781.90
|
|
Drainage of mouth lesion
|
$1,914.30 |
$1,914.30 |
$2,412.60 |
$3,459.00
|
|
Drainage of mouth lesion
|
$1,304.89 |
$1,304.89 |
$1,304.89 |
$1,752.89
|
|
Drainage of nose lesion int 30000
|
$424.80 |
$424.80 |
$901.48 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$781.44 |
$781.44 |
$781.44 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$2,668.63 |
$2,668.63 |
$3,863.70 |
$3,863.70
|
|
Drainage of prostate abscess
|
$2,260.09 |
$2,260.09 |
$2,260.09 |
$3,863.60
|
|
Drainage of rectal abscess
|
$1,020.15 |
$1,020.15 |
$2,299.90 |
$2,135.10
|
|
Drainage of rectal abscess 45020
|
$4,168.80 |
$4,168.80 |
$4,168.80 |
$3,816.64
|
|
Drainage of urethra abscess 53060
|
$2,167.36 |
$2,167.36 |
$3,933.90 |
$2,424.12
|
|
Drain bladder by trocar/cath
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,203.94
|
|
Drain blood from under nail 11740
|
$97.35 |
$97.35 |
$190.33 |
$182.40
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,693.50 |
$2,693.50 |
$4,171.50 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,839.24 |
$3,207.15 |
$6,778.62 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$1,045.65 |
$1,045.65 |
$1,192.95 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$258.15 |
$258.15 |
$522.25 |
$428.40
|
|
Drain lower leg lesion 27603
|
$4,191.30 |
$4,191.30 |
$4,588.15 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,689.60 |
$1,689.60 |
$2,727.07 |
$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 |
$2,244.20
|
|
Drain thigh/knee lesion 27301
|
$3,606.86 |
$3,606.86 |
$4,191.30 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$235.35 |
$235.35 |
$560.63 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$235.35 |
$235.35 |
$473.02 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$449.25 |
$449.25 |
$597.49 |
$541.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$306.77 |
$388.88 |
$516.00 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$1,911.50 |
$1,911.50 |
$4,488.60 |
$1,485.75
|
|
Drng of eyelid abscess 67700
|
$360.45 |
$360.45 |
$1,770.43 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$1,051.50 |
$1,051.50 |
$2,475.83 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$732.01 |
$732.01 |
$732.01 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,552.95 |
$1,552.95 |
$1,746.68 |
$1,350.97
|
|
Drng of pelvic abscess transrectal 45000
|
$1,614.45 |
$1,614.45 |
$2,635.50 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$2,635.12 |
$2,635.12 |
$2,635.12 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$1,051.50 |
$1,051.50 |
$1,997.89 |
$1,997.89
|
|
Drng peritoneal abscess open 49020
|
$1,600.76 |
$1,600.76 |
$1,600.76 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$3,113.71 |
$3,113.71 |
$3,113.71 |
$2,039.50
|
|
Dronabinol 2.5mg oral
|
$6.84 |
$6.84 |
$6.84 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$9.12 |
$34.85 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,275.80 |
$2,275.80 |
$9,216.00 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$11.75 |
$11.75 |
$11.75 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$22.37 |
$22.37 |
$53.27 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11.75 |
$11.75 |
$289.05 |
$193.15
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$19.10 |
$19.10 |
$19.10 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$122.50 |
$122.50 |
$122.50 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$174.00 |
$174.00 |
$409.86 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$3.11 |
$3.11 |
$3.11 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$122.25 |
$122.25 |
$400.98 |
$376.50
|
|
Drug admin & hemodynmic meas
|
$1,087.65 |
$1,667.83 |
$2,322.82 |
$569.75
|
|
Drug assay caffeine
|
$21.50 |
$97.19 |
$1,363.42 |
$80.00
|
|
Drug assay posaconazole
|
$48.00 |
$48.00 |
$726.08 |
$96.75
|
|
Drug assay rufinamide
|
$100.32 |
$118.00 |
$1,066.53 |
$87.10
|
|
Drug assay vedolizumab
|
$365.25 |
$365.25 |
$365.25 |
$154.00
|
|
Drug assay voriconazole
|
$48.50 |
$96.75 |
$416.28 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$64.50 |
$71.83 |
$1,156.88 |
$67.89
|
|
Drug screening tapentadol
|
$183.77 |
$183.77 |
$183.77 |
$47.03
|
|
Drug screen quant tiagabine
|
$65.50 |
$65.50 |
$1,016.52 |
$107.59
|
|
Drug test def 15-21 classes
|
$203.97 |
$442.80 |
$1,552.21 |
$322.50
|
|
Drug test def 1-7 classes
|
$346.50 |
$522.97 |
$748.67 |
$263.25
|
|
Drug test def 22+ classes
|
$479.60 |
$479.60 |
$2,012.05 |
$426.24
|
|
Drug test def 8-14 classes
|
$405.90 |
$405.90 |
$1,150.43 |
$289.80
|
|
Drug test prsmv instrmnt
|
$28.50 |
$71.83 |
$1,458.62 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$71.83 |
$722.00 |
$1,400.54 |
$278.85
|
|
Drvvt confirm - quest
|
$105.50 |
$105.50 |
$311.41 |
$109.20
|
|
Dry needling (97799)
|
$132.19 |
$132.19 |
$132.19 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$2,600.42 |
$2,600.42 |
$3,138.15 |
$2,980.00
|
|
Ductogram sgl duct
|
$295.75 |
$534.00 |
$646.65 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$403.69 |
$512.10 |
$1,635.50 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$181.18 |
$256.35 |
$1,307.50 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$499.72 |
$925.00 |
$937.32 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$307.00 |
$865.58 |
$3,316.19 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$985.20 |
$1,587.50 |
$3,698.50 |
$904.78
|
|
Duragen 1x1 5ea/bx
|
$95.40 |
$95.40 |
$95.40 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$35.71 |
$35.71 |
$23,767.23 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,973.90 |
$7,973.90 |
$7,973.90 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$365.14 |
$365.14 |
$731.08 |
$401.20
|
|
Dx bronchoscope/brush 31623
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,120.32
|
|
Dx bronchoscope/lavage 31624
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$2,137.05 |
$2,137.05 |
$2,137.05 |
$2,410.50
|
|
Dx gastr intub w/asp spec
|
$310.25 |
$310.25 |
$310.25 |
$441.60
|
|
Dx intraop epcar Ultrasound chd i&r
|
$558.11 |
$558.11 |
$558.11 |
$465.29
|
|
Dx intraop epicar car Ultrasound chd
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dx intraop thoracic aorta Ultrasound
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dx laryngoscopy w/oper scope
|
$1,867.86 |
$1,867.86 |
$1,867.86 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Dynamic fine wire emg
|
$374.29 |
$374.29 |
$374.29 |
$374.29
|
|
Dynamic surface emg
|
$711.79 |
$711.79 |
$711.79 |
$368.50
|
|
Ear irrigation 69209
|
$111.30 |
$111.30 |
$215.33 |
$154.70
|
|
Ecallantide injection
|
$29,917.98 |
$29,917.98 |
$32,909.78 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$145.26 |
$164.55 |
$383.46 |
$132.08
|
|
Ecg external < 48 hours recording
|
$131.00 |
$598.24 |
$2,786.00 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$529.20 |
$1,112.50 |
$2,786.00 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$64.50 |
$64.50 |
$520.72 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$64.50 |
$64.50 |
$520.72 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,859.40 |
$2,564.00 |
$7,097.19 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$379.20 |
$1,088.00 |
$4,329.17 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$702.59 |
$786.24 |
$7,132.02 |
$511.55
|
