|
Drainage of urethra abscess 53060
|
$877.35 |
$877.35 |
$877.35 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$40.95 |
$40.95 |
$40.95 |
$171.50
|
|
Drain cath image guided visceral pq
|
$1,161.30 |
$1,161.30 |
$1,161.30 |
$2,839.24
|
|
Drain cerebro spinal fluid 62272
|
$363.60 |
$363.60 |
$363.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$130.95 |
$130.95 |
$130.95 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$228.60 |
$228.60 |
$228.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$75.90 |
$75.90 |
$75.90 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$102.00 |
$102.00 |
$102.00 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$267.30 |
$267.30 |
$267.30 |
$1,497.00
|
|
Drng of eyelid abscess 67700
|
$205.50 |
$205.50 |
$205.50 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$709.80 |
$709.80 |
$709.80 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$313.20 |
$313.20 |
$313.20 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$356.25 |
$356.25 |
$356.25 |
$1,956.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.93 |
$2.93 |
$2.93 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.50 |
$4.50 |
$4.50 |
$143.50
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$217.53 |
$217.53 |
$217.53 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$0.15 |
$0.15 |
$0.15 |
$3.11
|
|
Drug assay posaconazole
|
$21.30 |
$21.30 |
$21.30 |
$96.39
|
|
Drug assay rufinamide
|
$34.80 |
$34.80 |
$34.80 |
$78.00
|
|
Drug assay vedolizumab
|
$33.45 |
$33.45 |
$33.45 |
$149.50
|
|
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 |
$36.00
|
|
Drug test def 15-21 classes
|
$213.00 |
$213.00 |
$213.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$102.60 |
$102.60 |
$102.60 |
$256.00
|
|
Drug test def 22+ classes
|
$276.30 |
$276.30 |
$276.30 |
$423.00
|
|
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 |
$102.30
|
|
Dstrj nulyt agt gnclr nrv
|
$831.60 |
$831.60 |
$831.60 |
$2,995.44
|
|
Ductogram sgl duct
|
$153.90 |
$153.90 |
$153.90 |
$453.75
|
|
Duplex scan bilateral study 93985
|
$476.25 |
$476.25 |
$476.25 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$317.55 |
$317.55 |
$317.55 |
$362.70
|
|
Dup scan/hemodialysis access 93990
|
$229.50 |
$229.50 |
$229.50 |
$493.35
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$229.50 |
$229.50 |
$229.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$344.25 |
$344.25 |
$344.25 |
$885.87
|
|
Dx bronchoscope/brush 31623
|
$710.40 |
$710.40 |
$710.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$784.20 |
$784.20 |
$784.20 |
$2,372.92
|
|
Dx bronchoscope/wash 31622
|
$531.15 |
$531.15 |
$531.15 |
$2,322.60
|
|
Ear irrigation 69209
|
$48.30 |
$48.30 |
$48.30 |
$149.76
|
|
Ecg 12 lead tracing only
|
$70.95 |
$70.95 |
$70.95 |
$226.50
|
|
Ecg external < 48 hours recording
|
$247.50 |
$247.50 |
$247.50 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$247.50 |
$247.50 |
$247.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$161.85 |
$161.85 |
$161.85 |
$146.90
|
|
Ecg external >7 days up to 15 days recording
|
$161.85 |
$161.85 |
$161.85 |
$161.25
|
|
Echocardiogram (Heart Ultrasound)
|
$448.35 |
$448.35 |
$448.35 |
$2,000.60
|
|
Echocardiography doppler color flow mapping
|
$112.20 |
$112.20 |
$112.20 |
$463.50
|
|
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 |
$702.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$289.50 |
$289.50 |
$289.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$103.50 |
$103.50 |
$103.50 |
$360.00
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$930.96
|
|
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 |
$323.40
|
|
Echo guide for amniocentesis
|
$101.55 |
$101.55 |
$101.55 |
$446.60
|
|
Echo guide for artery repair
|
$166.35 |
$166.35 |
$166.35 |
$664.00
|
|
Echo stress
|
$448.35 |
$448.35 |
$448.35 |
$1,593.60
|
|
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 |
$1,849.50
|
|
Echo transesophageal
|
$293.10 |
$293.10 |
$293.10 |
$1,530.42
|
|
Echo transthoracic
|
$448.35 |
$448.35 |
$448.35 |
$1,361.75
|
|
Echo transthoracic
|
$209.55 |
$209.55 |
$209.55 |
$950.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$306.45 |
$306.45 |
$306.45 |
$977.20
|
|
Ecmo/ecls daily mgmt artery 33949
|
$413.40 |
$413.40 |
$413.40 |
$2,560.67
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$413.40 |
$413.40 |
$413.40 |
$2,560.67
|
|
Ecmo/ecls initiation artery 33947
|
$826.95 |
$826.95 |
$826.95 |
$3,066.75
|
|
Ecmo/ecls initiation venous 33946
|
$257.10 |
$257.10 |
$257.10 |
$3,468.27
|
|
Ecmo/ecls insj cent cannula 0-5yrs 33955
|
$463.05 |
$463.05 |
$463.05 |
$1,158.70
|
|
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 |
$925.55
|
|
Ecmo/ecls insj prph cannula 0-5yrs perq 33951
|
$463.05 |
$463.05 |
$463.05 |
$925.55
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$463.05 |
$463.05 |
$463.05 |
$1,176.00
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$463.05 |
$463.05 |
$463.05 |
$2,908.29
|
|
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 |
$1,240.00
|
|
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 |
$1,045.20
|
|
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 |
$87.84
|
|
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 |
$994.15
|
|
Eeg during surgery
|
$184.80 |
$184.80 |
$184.80 |
$795.00
|
|
Eeg monitoring/giving drugs
|
$232.95 |
$232.95 |
$232.95 |
$809.86
|
|
Eeg monitor/record/awake/drowsy 95816
|
$205.50 |
$205.50 |
$205.50 |
$834.60
|
|
Eeg over 1 hour 95813 - 26
|
$386.85 |
$386.85 |
$386.85 |
$1,099.95
|
|
Eeg/record in coma or sleep only 95822
|
$282.45 |
$282.45 |
$282.45 |
$907.80
|
|
Eeg recording awake and asleep
|
$213.45 |
$213.45 |
$213.45 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$318.75 |
$318.75 |
$318.75 |
$776.58
|
|
Eeg without vid 2-12 hr unmntr
|
$263.55 |
$263.55 |
$263.55 |
$598.17
|
|
Eeg without vid ea 12-26hr cont
|
$505.35 |
$505.35 |
$505.35 |
$1,456.65
|