|
Drain cerebro spinal fluid 62272
|
$1,343.40 |
$1,343.40 |
$1,485.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$74.52 |
$74.52 |
$74.52 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$179.50 |
$179.50 |
$428.40 |
$419.00
|
|
Drain lower leg lesion 27603
|
$4,300.00 |
$4,300.00 |
$4,300.00 |
$3,858.40
|
|
Drain neck/chest lesion 21501
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$3,339.00
|
|
Drain ostomy pouch w/flange
|
$8.80 |
$8.80 |
$8.80 |
$8.80
|
|
Drain thigh/knee lesion 27301
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$374.00 |
$374.00 |
$441.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$127.80 |
$127.80 |
$374.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$444.60 |
$444.60 |
$684.00 |
$523.00
|
|
Dressing change not for burn w/anes 15852
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$53,558.30 |
$53,558.30 |
$53,558.30 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$3,883.50 |
$3,883.50 |
$3,883.50 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$5,278.00 |
$5,278.00 |
$5,278.00 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$368.40 |
$368.40 |
$755.00 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,231.00 |
$1,231.00 |
$2,083.80 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$1,131.50 |
$1,131.50 |
$1,131.50 |
$832.60
|
|
Drng of mouth lesion 40801
|
$1,935.00 |
$1,935.00 |
$1,935.00 |
$1,262.76
|
|
Drng of ovarian cyst(s) 58800
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$3,474.84
|
|
Drng of scrotum abscess 55100
|
$1,497.50 |
$1,497.50 |
$2,083.80 |
$1,917.33
|
|
Drng open subdiaphragmatic/subphrenic absc 49040
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$1,800.00
|
|
Drng ovary abscess perqt 58822
|
$1,874.00 |
$1,874.00 |
$1,874.00 |
$2,161.64
|
|
Drng peritoneal abscess open 49020
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$2,520.00
|
|
Drng salivary gland simple 42300
|
$2,039.50 |
$2,039.50 |
$2,039.50 |
$2,133.48
|
|
Drng salivary gland submax/subling 42310
|
$820.00 |
$820.00 |
$820.00 |
$741.60
|
|
Dronabinol 2.5mg oral
|
$48.94 |
$48.94 |
$48.94 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$31.07
|
|
Drop lock knee
|
$79.18 |
$79.18 |
$337.16 |
$204.95
|
|
Drop lock retainer each
|
$115.35 |
$115.35 |
$115.35 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,047.89 |
$1,047.89 |
$11,224.20 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$7,441.43 |
$7,441.43 |
$7,441.43 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$16.04 |
$16.04 |
$30,111.08 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$18.63 |
$18.63 |
$7,037.01 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$34.16 |
$34.16 |
$34.16 |
$572.00
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$3.86 |
$3.86 |
$3.86 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$69.27 |
$69.27 |
$42,095.07 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$90.10 |
$90.10 |
$59,955.88 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$42,263.43 |
$42,263.43 |
$42,263.43 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$1,851.00 |
$1,851.00 |
$1,851.00 |
$569.75
|
|
Drug assay caffeine
|
$25.50 |
$25.50 |
$25.50 |
$83.40
|
|
Drug assay posaconazole
|
$141.50 |
$141.50 |
$141.50 |
$96.75
|
|
Drug assay rufinamide
|
$73.00 |
$73.00 |
$73.00 |
$85.80
|
|
Drug assay vedolizumab
|
$157.00 |
$157.00 |
$157.00 |
$152.79
|
|
Drug assay voriconazole
|
$148.50 |
$148.50 |
$148.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$127.80 |
$127.80 |
$127.80 |
$66.43
|
|
Drug of abuse screen urine
|
$9.00 |
$9.00 |
$43.20 |
$63.75
|
|
Drug screen quant tiagabine
|
$183.00 |
$183.00 |
$183.00 |
$114.62
|
|
Drug test def 1-7 classes
|
$114.00 |
$114.00 |
$230.00 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$200.50 |
$200.50 |
$235.20 |
$278.85
|
|
Drvvt confirm - quest
|
$45.60 |
$45.60 |
$208.50 |
$109.20
|
|
Dry needling (97799)
|
$84.00 |
$84.00 |
$84.00 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$3,188.50 |
$3,188.50 |
$3,188.50 |
$3,020.80
|
|
Dstr mal ls f/e/e/n/l/m2.1-3
|
$663.00 |
$663.00 |
$663.00 |
$603.20
|
|
Ductogram sgl duct
|
$452.50 |
$452.50 |
$452.50 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$328.00 |
$328.00 |
$456.60 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$158.00 |
$158.00 |
$201.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$249.60 |
$249.60 |
$420.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$594.60 |
$594.60 |
$929.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$740.40 |
$740.40 |
$1,104.50 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$29,275.82 |
$29,275.82 |
$29,275.82 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$4,050.74 |
$4,050.74 |
$4,050.74 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$834.50 |
$834.50 |
$834.50 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$2,032.50 |
$2,032.50 |
$3,331.20 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,032.50 |
$2,032.50 |
$3,331.20 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$842.40 |
$842.40 |
$2,032.50 |
$2,322.60
|
|
Ear canal biopsy 69105
|
$1,889.50 |
$1,889.50 |
$1,889.50 |
$1,889.50
|
|
Ear irrigation 69209
|
$110.50 |
$110.50 |
$142.80 |
$149.76
|
|
Ecg 12 lead tracing only
|
$216.60 |
$216.60 |
$226.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$77.00 |
$77.00 |
$77.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$231.60 |
$231.60 |
$389.00 |
$487.60
|
|
Ecg external < 48 hours recording
|
$863.40 |
$863.40 |
$915.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$300.50 |
$300.50 |
$374.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$294.50 |
$294.50 |
$863.40 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$294.50 |
$294.50 |
$294.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,321.80 |
$1,321.80 |
$2,476.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$712.50 |
$712.50 |
$874.80 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,389.60 |
$1,389.60 |
$1,844.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$595.50 |
$595.50 |
$651.60 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,190.50 |
$1,190.50 |
$1,415.40 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$259.80 |
$259.80 |
$491.00 |
$362.50
|
|
Echo exam of eye
|
$407.00 |
$407.00 |
$407.00 |
$172.00
|
|
Echo exam of eye
|
$247.50 |
$247.50 |
$247.50 |
$168.00
|
|
Echo exam of eye thickness
|
$96.50 |
$96.50 |
$96.50 |
$50.91
|
|
Echo exam of fetal heart
|
$1,142.50 |
$1,142.50 |
$1,142.50 |
$939.00
|
|
Echo exam of fetal heart
|
$319.00 |
$319.00 |
$319.00 |
$524.55
|
|
Echo exam of fetal heart
|
$815.00 |
$815.00 |
$815.00 |
$431.41
|
|
Echo exam of fetal heart
|
$150.50 |
$150.50 |
$150.50 |
$323.40
|
|
Echo exam uterus 76831-
|
$655.00 |
$655.00 |
$655.00 |
$523.71
|
|
Echograp trans r pros study
|
$581.00 |
$581.00 |
$581.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$841.00 |
$841.00 |
$841.00 |
$456.30
|
|
Echo guide for artery repair
|
$437.00 |
$437.00 |
$437.00 |
$664.00
|
|
Echo guide for transfusion
|
$280.00 |
$280.00 |
$280.00 |
$324.60
|
|
Echo stress
|
$1,279.50 |
$1,279.50 |
$1,279.50 |
$1,592.05
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,661.50 |
$1,661.50 |
$1,661.50 |
$751.34
|
|
Echo tee guidance
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,849.50 |
$1,849.50 |
$1,849.50 |
$1,849.50
|
|
Echo transesophageal
|
$1,661.50 |
$1,661.50 |
$1,661.50 |
$1,087.90
|
|
Echo transesophageal
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,559.35
|
|
Echo transesophageal intraop
|
$1,048.80 |
$1,048.80 |
$1,792.50 |
$1,571.70
|
