|
Drainage of salivary gland
|
$1,208.34 |
$1,208.34 |
$1,208.34 |
$3,819.23
|
|
Drainage of salivary gland
|
$180.81 |
$180.81 |
$180.81 |
$602.63
|
|
Drain blood from under nail 11740
|
$66.47 |
$66.47 |
$66.47 |
$182.95
|
|
Drain cath image guided visceral pq
|
$2,269.75 |
$2,269.75 |
$2,269.75 |
$2,996.80
|
|
Drain finger abscess;simple 26010
|
$177.66 |
$177.66 |
$177.66 |
$490.80
|
|
Drain lower leg bursa
|
$1,786.37 |
$1,786.37 |
$1,786.37 |
$3,721.84
|
|
Drain thigh/knee lesion 27301
|
$793.80 |
$793.80 |
$793.80 |
$3,606.86
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$102.06 |
$102.06 |
$102.06 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$78.09 |
$78.09 |
$78.09 |
$359.20
|
|
Dress/debrid prtl-thick burn l 16030
|
$205.70 |
$205.70 |
$205.70 |
$515.45
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$136.71 |
$136.71 |
$136.71 |
$2,458.05
|
|
Drng of eyelid abscess 67700
|
$684.81 |
$684.81 |
$684.81 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$481.01 |
$481.01 |
$481.01 |
$1,917.33
|
|
Drng of mouth lesion 40801
|
$399.74 |
$399.74 |
$399.74 |
$1,274.04
|
|
Drng of scrotum abscess 55100
|
$692.06 |
$692.06 |
$692.06 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$378.00 |
$378.00 |
$378.00 |
$1,863.20
|
|
Drng salivary gland submax/subling 42310
|
$180.81 |
$180.81 |
$180.81 |
$573.64
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$479.96 |
$479.96 |
$479.96 |
$843.34
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$54.03 |
$54.03 |
$78.93 |
$203.46
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$18.01 |
$18.01 |
$18.01 |
$327.39
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$34.92 |
$34.92 |
$34.92 |
$280.18
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$245.13 |
$245.13 |
$245.13 |
$5,085.77
|
|
Drug admin & hemodynmic meas
|
$378.32 |
$378.32 |
$378.32 |
$537.47
|
|
Drug of abuse screen urine
|
$154.67 |
$154.67 |
$154.67 |
$63.75
|
|
Drug test def 15-21 classes
|
$59.50 |
$59.50 |
$59.50 |
$142.17
|
|
Drug test def 1-7 classes
|
$236.60 |
$236.60 |
$3,030.33 |
$263.86
|
|
Drug test def 22+ classes
|
$77.00 |
$77.00 |
$77.00 |
$246.92
|
|
Drug test def 8-14 classes
|
$44.10 |
$44.10 |
$44.10 |
$172.25
|
|
Drug test prsmv instrmnt
|
$154.67 |
$154.67 |
$346.11 |
$78.65
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$156.10 |
$156.10 |
$2,745.75 |
$278.85
|
|
Drvvt confirm - quest
|
$62.65 |
$62.65 |
$62.65 |
$102.30
|
|
Ductogram sgl duct
|
$319.10 |
$319.10 |
$319.10 |
$382.80
|
|
Duplex scan bilateral study 93985
|
$4,876.39 |
$4,876.39 |
$4,876.39 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$582.44 |
$582.44 |
$4,026.27 |
$392.15
|
|
Dup scan/hemodialysis access 93990
|
$210.42 |
$210.42 |
$210.42 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,389.50 |
$1,389.50 |
$1,389.50 |
$885.87
|
|
Dxa bone density axl vrt fx
|
$182.35 |
$182.35 |
$182.35 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$1,410.26 |
$1,410.26 |
$1,410.26 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,655.64 |
$1,655.64 |
$1,655.64 |
$2,626.00
|
|
Dx bronchoscope/wash 31622
|
$2,466.80 |
$2,466.80 |
$2,466.80 |
$2,447.43
|
|
Ecg 12 lead tracing only
|
$469.35 |
$469.35 |
$469.35 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$95.55 |
$95.55 |
$95.55 |
$129.83
|
|
Ecg external < 48 hours recording
|
$260.19 |
$260.19 |
$260.19 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$908.78 |
$908.78 |
$908.78 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$3,033.80 |
$3,033.80 |
$3,033.80 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$327.95 |
$327.95 |
$327.95 |
$462.56
|
|
Echocardiography transthoracic 2d followup/limited
|
$404.25 |
$404.25 |
$4,351.93 |
$773.50
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$493.50 |
$493.50 |
$493.50 |
$691.20
|
|
Echocardiograpy doppler follow up/limited study
|
$349.30 |
$349.30 |
$349.30 |
$354.90
|
|
Echo exam uterus 76831-
|
$1,240.75 |
$1,240.75 |
$1,240.75 |
$547.23
|
|
Echograp trans r pros study
|
$1,475.26 |
$1,475.26 |
$1,475.26 |
$445.25
|
|
Echo guide for artery repair
|
$1,881.52 |
$1,881.52 |
$1,881.52 |
$677.60
|
|
Echo tee guidance
|
$2,999.50 |
$2,999.50 |
$2,999.50 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,953.70 |
$1,953.70 |
$1,953.70 |
$1,946.10
|
|
Echo transesophageal
|
$14,369.20 |
$14,369.20 |
$14,369.20 |
$913.33
|
|
Echo transesophageal intraop
|
$1,608.71 |
$1,608.71 |
$1,608.71 |
$1,571.70
|
|
Echo transthoracic
|
$13,277.63 |
$13,277.63 |
$13,277.63 |
$1,475.25
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,346.41 |
$1,346.41 |
$1,346.41 |
$1,022.30
|
|
E coli 0157 ag ia
|
$22.03 |
$22.03 |
$22.03 |
$32.00
|
|
Eeg 41-60 minutes 95812-26
|
$556.92 |
$556.92 |
$556.92 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$768.29 |
$768.29 |
$2,140.00 |
$1,048.30
|
|
Eeg during surgery
|
$497.07 |
$497.07 |
$497.07 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$823.90 |
$823.90 |
$823.90 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$720.72 |
$720.72 |
$720.72 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$332.01 |
$332.01 |
$1,810.80 |
$911.00
|
|
Eeg recording awake and asleep
|
$1,420.65 |
$1,420.65 |
$1,420.65 |
$1,030.27
|
|
E equine encephalitis igg
|
$49.14 |
$49.14 |
$49.14 |
$48.73
|
|
Egd balloon dil esoph30 mm/>
|
$383.67 |
$383.67 |
$383.67 |
$2,244.82
|
|
Egd control bleeding any
|
$980.70 |
$980.70 |
$980.70 |
$2,553.75
|
|
Egd dilate stricture
|
$877.10 |
$877.10 |
$877.10 |
$2,775.20
|
|
Egd endoscopic stent place
|
$2,249.73 |
$2,249.73 |
$2,249.73 |
$4,379.25
|
|
Egd guide wire insertion
|
$727.97 |
$727.97 |
$727.97 |
$2,318.75
|
|
Egd injection varices
|
$672.84 |
$672.84 |
$672.84 |
$2,244.82
|
|
Egd lesion ablation
|
$521.49 |
$521.49 |
$521.49 |
$2,805.40
|
|
Egd remove foreign body
|
$815.85 |
$815.85 |
$815.85 |
$1,609.92
|
|
Egd remove lesion snare
|
$836.80 |
$836.80 |
$836.80 |
$2,571.00
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$688.59 |
$688.59 |
$688.59 |
$2,475.85
|
|
Egd varices ligation
|
$993.72 |
$993.72 |
$993.72 |
$2,576.75
|
|
Electrd sq emblem s-icd
|
$8,732.54 |
$8,732.54 |
$8,732.54 |
$8,589.60
|
|
Electrical stimulation/unattended 97014
|
$95.90 |
$95.90 |
$95.90 |
$82.20
|
|
Electroconvulsive therapy 90870
|
$2,237.00 |
$2,237.00 |
$2,237.00 |
$1,130.00
|
|
Electrocorticography durng sx
|
$437.54 |
$437.54 |
$437.54 |
$1,660.52
|
|
Electrolyte panel
|
$154.00 |
$154.00 |
$1,945.87 |
$86.33
|
|
Electrophysiologic study
|
$28,578.83 |
$28,578.83 |
$28,578.83 |
$6,758.40
|
|
Electrophysiology evaluation
|
$43,434.77 |
$43,434.77 |
$43,434.77 |
$9,067.30
|
|
Electrophysiology evaluation
|
$51,439.64 |
$51,439.64 |
$51,439.64 |
$8,393.40
|
|
Electrophysiology evaluation
|
$61,734.59 |
$61,734.59 |
$61,734.59 |
$6,516.00
|
|
Electrophysiology evaluation
|
$617.72 |
$617.72 |
$20,583.52 |
$2,845.10
|
|
Electrophysiology evaluation
|
$20,583.52 |
$20,583.52 |
$20,583.52 |
$2,630.40
|
|
Electrophysiology evaluation
|
$7,586.00 |
$7,586.00 |
$7,586.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$29,754.98 |
$29,754.98 |
$29,754.98 |
$6,534.00
|
|
Embolization s&i
|
$729.86 |
$729.86 |
$19,132.28 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$3,363.89 |
$3,363.89 |
$40,866.83 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$4,973.85 |
$4,973.85 |
$27,708.38 |
$15,027.40
|
|
Embo or occlude vascular venous s&i
|
$3,578.72 |
$3,578.72 |
$3,578.72 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$240.35 |
$240.35 |
$1,944.55 |
$434.00
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$2,430.32 |
$2,430.32 |
$2,430.32 |
$512.85
|
|
Emg cranial nerve bilateral
|
$2,040.28 |
$2,040.28 |
$2,040.28 |
$518.00
|
|
Emg needle test 1-extremity
|
$1,465.92 |
$1,465.92 |
$1,465.92 |
$340.80
|
|
Emg needle test 4-extremities
|
$2,717.51 |
$2,717.51 |
$2,717.51 |
$547.00
|