|
Drng hand tendon sheath 26020
|
$2,889.70 |
$2,889.70 |
$2,889.70 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$531.28 |
$531.28 |
$531.28 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,169.64 |
$2,169.64 |
$2,169.64 |
$2,079.50
|
|
Drng of hydrocele 55000
|
$784.40 |
$784.40 |
$784.40 |
$867.90
|
|
Drng of mouth lesion 40801
|
$1,350.97 |
$1,350.97 |
$1,350.97 |
$1,350.97
|
|
Drng of ovarian cyst(s) 58800
|
$3,091.88 |
$3,091.88 |
$3,091.88 |
$3,474.84
|
|
Drng of palm multi bursas 26030
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Drng of palm single bursa 26025
|
$2,444.37 |
$2,444.37 |
$2,444.37 |
$3,839.54
|
|
Drng of pelvic abscess transrectal 45000
|
$3,070.50 |
$3,070.50 |
$3,070.50 |
$2,295.30
|
|
Drng of salivary cyst 42409
|
$3,575.45 |
$3,575.45 |
$3,575.45 |
$3,819.23
|
|
Drng of scrotum abscess 55100
|
$2,437.31 |
$2,437.31 |
$2,437.31 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$1,710.96 |
$1,710.96 |
$1,710.96 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$482.86 |
$482.86 |
$482.86 |
$799.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$34.85 |
$34.85 |
$34.85 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,275.80 |
$2,275.80 |
$2,275.80 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$27.00 |
$27.00 |
$27.00 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$56.67 |
$56.67 |
$56.67 |
$193.15
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$321.43 |
$321.43 |
$321.43 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$458.72 |
$458.72 |
$458.72 |
$569.75
|
|
Drug assay caffeine
|
$81.61 |
$81.61 |
$81.61 |
$80.00
|
|
Drug assay posaconazole
|
$96.75 |
$96.75 |
$96.75 |
$96.75
|
|
Drug assay rufinamide
|
$100.32 |
$100.32 |
$100.32 |
$87.10
|
|
Drug assay vedolizumab
|
$327.60 |
$327.60 |
$327.60 |
$154.00
|
|
Drug assay voriconazole
|
$96.75 |
$96.75 |
$96.75 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$85.78 |
$85.78 |
$85.78 |
$67.89
|
|
Drug screening tapentadol
|
$95.93 |
$95.93 |
$95.93 |
$47.03
|
|
Drug screen quant tiagabine
|
$114.62 |
$114.62 |
$114.62 |
$107.59
|
|
Drug test def 15-21 classes
|
$402.75 |
$402.75 |
$402.75 |
$322.50
|
|
Drug test def 1-7 classes
|
$330.00 |
$330.00 |
$330.00 |
$263.25
|
|
Drug test def 22+ classes
|
$526.27 |
$526.27 |
$526.27 |
$426.24
|
|
Drug test def 8-14 classes
|
$298.34 |
$298.34 |
$298.34 |
$289.80
|
|
Drug test prsmv instrmnt
|
$457.25 |
$457.25 |
$457.25 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$278.85
|
|
Drvvt confirm - quest
|
$136.45 |
$136.45 |
$136.45 |
$109.20
|
|
Dry needling (97799)
|
$184.57 |
$184.57 |
$184.57 |
$114.27
|
|
Dstrj extensive retinopathy
|
$3,521.44 |
$3,521.44 |
$3,521.44 |
$4,462.45
|
|
Dstrj nulyt agt gnclr nrv
|
$2,834.84 |
$2,834.84 |
$2,834.84 |
$2,980.00
|
|
Dstr mal les s/n/h/f/g >4.0
|
$604.09 |
$604.09 |
$604.09 |
$664.50
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$683.48 |
$683.48 |
$683.48 |
$603.20
|
|
Dstr mal ls f/e/e/n/l/m3.1-4
|
$602.32 |
$602.32 |
$602.32 |
$724.37
|
|
Dstr mal ls f/e/e/n/l/m>4.0
|
$512.61 |
$512.61 |
$512.61 |
$886.40
|
|
Ductogram sgl duct
|
$346.42 |
$346.42 |
$346.42 |
$469.80
|
|
Duplex scan bilateral study 93985
|
$332.18 |
$332.18 |
$332.18 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$134.48 |
$134.48 |
$134.48 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$467.33 |
$467.33 |
$467.33 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$610.51 |
$610.51 |
$610.51 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$838.98 |
$838.98 |
$838.98 |
$904.78
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$23,767.23 |
$23,767.23 |
$23,767.23 |
$16,549.00
|
|
Dxa bone density axl vrt fx
|
$300.82 |
$300.82 |
$300.82 |
$401.20
|
|
Dx dark adaptation exam i&r
|
$319.04 |
$319.04 |
$319.04 |
$472.21
|
|
Dx duod intub w/asp spec 43756
|
$215.77 |
$215.77 |
$215.77 |
$1,075.20
|
|
Dx duod intub w/asp specs
|
$207.47 |
$207.47 |
$207.47 |
$1,406.58
|
|
Dx gastr intub w/asp spec
|
$248.83 |
$248.83 |
$248.83 |
$441.60
|
|
Dx gastr intub w/asp specs
|
$120.90 |
$120.90 |
$120.90 |
$308.70
|
|
Dx intraop epcar Ultrasound chd i&r
|
$465.29 |
$465.29 |
$465.29 |
$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 newborn
|
$623.70 |
$623.70 |
$623.70 |
$658.00
|
|
Dx laryngoscopy w/oper scope
|
$3,316.47 |
$3,316.47 |
$3,316.47 |
$2,755.53
|
|
Dx ntrop epcr Ultrasound chd img acq
|
$558.11 |
$558.11 |
$558.11 |
$558.11
|
|
Ear and throat examination
|
$774.02 |
$774.02 |
$774.02 |
$602.63
|
|
Ear canal biopsy 69105
|
$2,742.72 |
$2,742.72 |
$2,742.72 |
$1,889.50
|
|
Ear cartilage graft
|
$6,385.40 |
$6,385.40 |
$6,385.40 |
$6,385.40
|
|
Ear irrigation 69209
|
$123.74 |
$123.74 |
$123.74 |
$154.70
|
|
Ecallantide injection
|
$29,917.98 |
$29,917.98 |
$29,917.98 |
$13,357.14
|
|
Ecg/1-3 leads/tracing only 93041
|
$152.90 |
$152.90 |
$152.90 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$644.32 |
$644.32 |
$644.32 |
$412.88
|
|
Ecg external < 48 hours recording
|
$877.25 |
$877.25 |
$877.25 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$657.76 |
$657.76 |
$657.76 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$456.60 |
$456.60 |
$456.60 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$456.60 |
$456.60 |
$456.60 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$2,589.56 |
$2,589.56 |
$2,589.56 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$838.44 |
$838.44 |
$838.44 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$745.70 |
$745.70 |
$745.70 |
$511.55
|
|
Echocardiograpy doppler follow up/limited study
|
$490.82 |
$490.82 |
$490.82 |
$371.25
|
|
Echo exam of eye
|
$256.09 |
$256.09 |
$256.09 |
$143.75
|
|
Echo exam of eye
|
$421.57 |
$421.57 |
$421.57 |
$172.00
|
|
Echo exam of eye thickness
|
$100.69 |
$100.69 |
$100.69 |
$40.30
|
|
Echo exam of fetal heart
|
$805.36 |
$805.36 |
$805.36 |
$904.80
|
|
Echo exam of fetal heart
|
$767.01 |
$767.01 |
$767.01 |
$538.27
|
|
Echo exam of fetal heart
|
$306.05 |
$306.05 |
$306.05 |
$431.41
|
|
Echo exam of fetal heart
|
$284.85 |
$284.85 |
$284.85 |
$318.34
|
|
Echo exam uterus 76831-
|
$552.03 |
$552.03 |
$552.03 |
$561.00
|
|
Echograp trans r pros study
|
$531.67 |
$531.67 |
$531.67 |
$468.00
|
|
Echo guidance radiotherapy
|
$152.28 |
$152.28 |
$152.28 |
$812.00
|
|
Echo guide cardiocentesis
|
$269.33 |
$269.33 |
$269.33 |
$269.33
|
|
Echo guide for amniocentesis
|
$61.82 |
$61.82 |
$61.82 |
$455.57
|
|
Echo guide for artery repair
|
$612.68 |
$612.68 |
$612.68 |
$696.30
|
|
Echo guide for transfusion
|
$273.05 |
$273.05 |
$273.05 |
$332.39
|
|
Echo guide ova aspiration
|
$62.60 |
$62.60 |
$62.60 |
$174.20
|
|
Echo guide villus sampling
|
$313.71 |
$313.71 |
$313.71 |
$362.88
|
|
Echo stress
|
$2,350.85 |
$2,350.85 |
$2,350.85 |
$1,609.44
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,196.35 |
$1,196.35 |
$1,196.35 |
$751.34
|
|
Echo tee guidance
|
$3,773.93 |
$3,773.93 |
$3,773.93 |
$1,878.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,974.04 |
$2,974.04 |
$2,974.04 |
$1,913.60
|
|
Echo transesophageal
|
$913.33 |
$913.33 |
$913.33 |
$1,075.20
|
|
Echo transesophageal
|
$1,820.80 |
$1,820.80 |
$1,820.80 |
$1,650.00
|
|
Echo transthoracic
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,408.73 |
$1,408.73 |
$1,408.73 |
$1,052.40
|