|
Dress/debride pt-thick burn/<5% bs 16020
|
$127.80 |
$127.80 |
$127.80 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$444.60 |
$444.60 |
$444.60 |
$524.04
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$57,466.31 |
$57,466.31 |
$57,466.31 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$368.40 |
$368.40 |
$368.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$1,994.16
|
|
Drng of scrotum abscess 55100
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$1,956.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$31.25
|
|
Drop lock knee
|
$361.76 |
$361.76 |
$361.76 |
$204.95
|
|
Drop lock retainer each
|
$123.77 |
$123.77 |
$123.77 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$12,043.20 |
$12,043.20 |
$12,043.20 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$7,984.41 |
$7,984.41 |
$7,984.41 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$32,308.20 |
$32,308.20 |
$32,308.20 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$7,550.48 |
$7,550.48 |
$7,550.48 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$45,166.63 |
$45,166.63 |
$45,166.63 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$64,330.70 |
$64,330.70 |
$64,330.70 |
$7,721.16
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$45,347.28 |
$45,347.28 |
$45,347.28 |
$400.98
|
|
Drug assay caffeine
|
$75.00 |
$75.00 |
$75.00 |
$83.30
|
|
Drug assay posaconazole
|
$184.20 |
$184.20 |
$184.20 |
$96.39
|
|
Drug assay rufinamide
|
$62.40 |
$62.40 |
$62.40 |
$85.80
|
|
Drug assay vedolizumab
|
$460.20 |
$460.20 |
$460.20 |
$157.00
|
|
Drug assay voriconazole
|
$90.60 |
$90.60 |
$90.60 |
$97.02
|
|
Drug asy hydroxychloroquine
|
$127.80 |
$127.80 |
$127.80 |
$66.43
|
|
Drug of abuse screen urine
|
$43.20 |
$43.20 |
$43.20 |
$68.04
|
|
Drug test def 1-7 classes
|
$600.60 |
$600.60 |
$600.60 |
$263.25
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$235.20 |
$235.20 |
$235.20 |
$286.55
|
|
Drvvt confirm - quest
|
$45.60 |
$45.60 |
$45.60 |
$109.20
|
|
Duplex scan bilateral study 93985
|
$456.60 |
$456.60 |
$456.60 |
$687.60
|
|
Duplex scan unilateral study 93986
|
$201.00 |
$201.00 |
$201.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$249.60 |
$249.60 |
$249.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$594.60 |
$594.60 |
$594.60 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$613.80 |
$613.80 |
$613.80 |
$903.00
|
|
Duragen 1x1 5ea/bx
|
$31,412.00 |
$31,412.00 |
$31,412.00 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,267.19 |
$4,267.19 |
$4,267.19 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$8,893.68 |
$8,893.68 |
$8,893.68 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$9,823.80 |
$9,823.80 |
$9,823.80 |
$2,329.60
|
|
Ear irrigation 69209
|
$142.80 |
$142.80 |
$142.80 |
$150.00
|
|
Ecg 12 lead tracing only
|
$216.60 |
$216.60 |
$216.60 |
$226.50
|
|
Ecg < 30 days transmission & analysis
|
$231.60 |
$231.60 |
$231.60 |
$487.60
|
|
Ecg external < 48 hours recording
|
$978.00 |
$978.00 |
$978.00 |
$472.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$374.40 |
$374.40 |
$374.40 |
$545.58
|
|
Ecg external >7 days up to 15 days recording
|
$76.20 |
$76.20 |
$76.20 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$2,030.14
|
|
Echocardiography doppler color flow mapping
|
$874.80 |
$874.80 |
$874.80 |
$490.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,758.80 |
$2,758.80 |
$2,758.80 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$772.20 |
$772.20 |
$772.20 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,415.40 |
$1,415.40 |
$1,415.40 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$372.60 |
$372.60 |
$372.60 |
$371.25
|
|
Echo stress
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,369.40 |
$2,369.40 |
$2,369.40 |
$1,885.56
|
|
Echo transesophageal
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,088.33
|
|
Echo transesophageal
|
$1,047.60 |
$1,047.60 |
$1,047.60 |
$1,608.10
|
|
Echo transesophageal intraop
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$1,571.70
|
|
Echo transthoracic
|
$2,668.20 |
$2,668.20 |
$2,668.20 |
$1,361.75
|
|
Echo transthoracic
|
$873.60 |
$873.60 |
$873.60 |
$1,017.54
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$30,331.91 |
$30,331.91 |
$30,331.91 |
$18,199.20
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$100.80 |
$100.80 |
$100.80 |
$91.56
|
|
Eeg monitor/record/awake/drowsy 95816
|
$754.20 |
$754.20 |
$754.20 |
$837.80
|
|
Eeg over 1 hour 95813 - 26
|
$380.40 |
$380.40 |
$380.40 |
$1,125.32
|
|
Eeg/record in coma or sleep only 95822
|
$907.80 |
$907.80 |
$907.80 |
$907.80
|
|
Eeg recording awake and asleep
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$937.95
|
|
E equine encephalitis igg
|
$130.20 |
$130.20 |
$130.20 |
$51.84
|
|
Egd control bleeding any
|
$5,272.10 |
$5,272.10 |
$5,272.10 |
$2,501.40
|
|
Egd dilate stricture
|
$7,531.16 |
$7,531.16 |
$7,531.16 |
$2,244.82
|
|
Egd guide wire insertion
|
$3,661.57 |
$3,661.57 |
$3,661.57 |
$1,664.00
|
|
Egd remove foreign body
|
$4,310.38 |
$4,310.38 |
$4,310.38 |
$1,473.45
|
|
Egd remove lesion snare
|
$4,476.60 |
$4,476.60 |
$4,476.60 |
$2,506.40
|
|
Egd varices ligation
|
$4,802.05 |
$4,802.05 |
$4,802.05 |
$2,202.85
|
|
Egfr gene com variants
|
$937.80 |
$937.80 |
$937.80 |
$672.10
|
|
Electrd sq emblem s-icd
|
$24,966.48 |
$24,966.48 |
$24,966.48 |
$10,617.22
|
|
Electrical stimulation/unattended 97014
|
$128.40 |
$128.40 |
$128.40 |
$79.20
|
|
Electron microscopy diagnostic
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$981.50
|
|
Electrophysiology evaluation
|
$11,646.60 |
$11,646.60 |
$11,646.60 |
$10,724.84
|
|
Electrophysiology evaluation
|
$8,376.60 |
$8,376.60 |
$8,376.60 |
$6,816.01
|
|
Electrophys map 3d add-on
|
$7,719.00 |
$7,719.00 |
$7,719.00 |
$6,386.99
|
|
Elotuzumab 300 mg intravenous solution
|
$9,609.65 |
$9,609.65 |
$9,609.65 |
$5,523.02
|
|
Embolization s&i
|
$3,173.40 |
$3,173.40 |
$3,173.40 |
$3,215.00
|
|
Embo or occlude vascular hemorrhage s&i
|
$12,931.20 |
$12,931.20 |
$12,931.20 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$12,931.20 |
$12,931.20 |
$12,931.20 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$11,154.00 |
$11,154.00 |
$11,154.00 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$136.80 |
$136.80 |
$136.80 |
$58.00
|
|
Encephalitis, st louis igg/igm
|
$136.80 |
$136.80 |
$136.80 |
$50.00
|
|
Endo ak/hip alignable system
|
$2,057.30 |
$2,057.30 |
$2,057.30 |
$1,165.55
|
|
Endo below knee alignable sy
|
$1,414.29 |
$1,414.29 |
$1,414.29 |
$611.88
|
|
Endo bk ultra-light material
|
$1,944.93 |
$1,944.93 |
$1,944.93 |
$1,012.80
|
|
Endo cath bile duct s&i
|
$20,357.11 |
$20,357.11 |
$20,357.11 |
$714.50
|
|
Endo knee-shin frct swg & st
|
$2,191.86 |
$2,191.86 |
$2,191.86 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$2,827.84 |
$2,827.84 |
$2,827.84 |
$1,602.08
|
|
Endoluminl ivus oct c 1st
|
$3,950.40 |
$3,950.40 |
$3,950.40 |
$3,315.00
|
|
Endoluminl ivus oct c ea
|
$2,775.00 |
$2,775.00 |
$2,775.00 |
$2,224.00
|
|
Endoscopy maxillary sinus
|
$22,834.62 |
$22,834.62 |
$22,834.62 |
$7,307.50
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$44,942.98 |
$44,942.98 |
$44,942.98 |
$2,756.52
|
|
Endo, single, pulmonary
|
$14,359.20 |
$14,359.20 |
$14,359.20 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,936.69 |
$1,936.69 |
$1,936.69 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$267.21 |
$267.21 |
$267.21 |
$109.71
|
|
Enzyme histochemistry
|
$210.00 |
$210.00 |
$210.00 |
$456.30
|
|
Eo, adj lock joint prefab ot
|
$1,900.88 |
$1,900.88 |
$1,900.88 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$542.73 |
$542.73 |
$542.73 |
$145.60
|
|
Ep & ablate supravent arrhyt
|
$24,188.40 |
$24,188.40 |
$24,188.40 |
$27,241.90
|
|
Epilepsy gen seq alys panel
|
$7,713.00 |
$7,713.00 |
$7,713.00 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$4,363.73 |
$4,363.73 |
$4,363.73 |
$25.30
|
