|
Drainage lymph node lesion 38300
|
$891.60 |
$891.60 |
$891.60 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$220.47 |
$220.47 |
$220.47 |
$405.60
|
|
Drainage of kidney lesion
|
$564.00 |
$564.00 |
$564.00 |
$1,506.00
|
|
Drainage of mouth lesion
|
$658.66 |
$658.66 |
$658.66 |
$2,320.03
|
|
Drainage of mouth lesion
|
$1,431.87 |
$1,431.87 |
$1,431.87 |
$3,837.72
|
|
Drainage of mouth lesion
|
$343.66 |
$343.66 |
$343.66 |
$905.30
|
|
Drainage of mouth lesion
|
$1,193.23 |
$1,193.23 |
$1,193.23 |
$3,459.00
|
|
Drainage of nose lesion int 30000
|
$453.60 |
$453.60 |
$453.60 |
$548.00
|
|
Drainage of nose lesion sept 30020
|
$291.18 |
$291.18 |
$291.18 |
$781.44
|
|
Drain bladder by trocar/cath
|
$597.60 |
$597.60 |
$597.60 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$177.04 |
$177.04 |
$177.04 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,902.85 |
$2,320.40 |
$2,320.40 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,087.20 |
$1,087.20 |
$1,813.21 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$461.48 |
$648.00 |
$648.00 |
$1,025.00
|
|
Drain chst dry seal exp thorastat
|
$187.60 |
$187.60 |
$187.60 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$239.08 |
$239.08 |
$239.08 |
$428.40
|
|
Drain neck/chest lesion 21501
|
$1,282.23 |
$1,282.23 |
$1,282.23 |
$3,301.20
|
|
Drain ostomy pouch w/flange
|
$9.20 |
$9.20 |
$9.20 |
$8.80
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$314.00 |
$314.00 |
$380.95 |
$394.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$260.40 |
$260.40 |
$362.82 |
$352.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$376.40 |
$376.40 |
$435.38 |
$540.80
|
|
Dressing change not for burn w/anes 15852
|
$325.46 |
$325.46 |
$325.46 |
$724.37
|
|
Drill hole implt ventricular cath/device 61107
|
$892.80 |
$892.80 |
$957.36 |
$1,485.75
|
|
Drng of finger abscess comp 26011
|
$736.67 |
$736.67 |
$736.67 |
$2,029.60
|
|
Drng of hydrocele 55000
|
$297.46 |
$297.46 |
$297.46 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$870.28 |
$870.28 |
$870.28 |
$1,997.89
|
|
Dronabinol 2.5mg oral
|
$99.40 |
$99.40 |
$99.40 |
$13.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$29.10 |
$41.74 |
$42.25 |
$31.26
|
|
Drop lock knee
|
$63.20 |
$63.20 |
$63.20 |
$204.95
|
|
Drop lock retainer each
|
$20.40 |
$20.40 |
$20.40 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$680.24 |
$1,375.20 |
$1,375.20 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,031.98 |
$4,031.98 |
$4,031.98 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$15.46 |
$15.46 |
$15.46 |
$58.20
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$653.19 |
$653.19 |
$653.19 |
$289.05
|
|
Drsg sht 5.625x4.625in std
|
$46.40 |
$46.40 |
$46.40 |
$123.24
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$6,943.60 |
$6,943.60 |
$6,943.60 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$11,106.55 |
$19,913.20 |
$19,913.20 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,360.80 |
$16,360.80 |
$16,360.80 |
$400.98
|
|
Drug admin & hemodynmic meas
|
$2,592.25 |
$3,292.40 |
$3,292.40 |
$578.59
|
|
Drug assay caffeine
|
$44.40 |
$44.40 |
$63.90 |
$81.61
|
|
Drug assay posaconazole
|
$37.60 |
$37.60 |
$37.60 |
$96.75
|
|
Drug assay rufinamide
|
$20.00 |
$20.00 |
$139.25 |
$85.80
|
|
Drug assay vedolizumab
|
$53.60 |
$53.60 |
$91.37 |
$157.00
|
|
Drug assay voriconazole
|
$21.60 |
$21.60 |
$49.84 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$54.40 |
$54.40 |
$54.40 |
$66.43
|
|
Drug of abuse screen urine
|
$44.40 |
$44.40 |
$44.40 |
$64.50
|
|
Drug screening tapentadol
|
$122.00 |
$122.00 |
$122.00 |
$44.25
|
|
Drug/substance nos 4-6
|
$124.00 |
$124.00 |
$124.00 |
$72.14
|
|
Drug test def 1-7 classes
|
$124.00 |
$124.00 |
$153.07 |
$263.25
|
|
Drug test def 22+ classes
|
$258.53 |
$687.60 |
$687.60 |
$423.00
|
|
Drug test def 8-14 classes
|
$124.06 |
$313.20 |
$313.20 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$71.20 |
$71.20 |
$185.43 |
$280.95
|
|
Drvvt confirm - quest
|
$45.20 |
$45.20 |
$64.57 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$2,182.08 |
$4,592.80 |
$4,592.80 |
$2,967.48
|
|
Ductogram sgl duct
|
$490.15 |
$661.20 |
$661.20 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$767.60 |
$767.60 |
$902.69 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$369.20 |
$369.20 |
$453.25 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$369.20 |
$369.20 |
$380.89 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$474.56 |
$544.00 |
$544.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$651.98 |
$743.60 |
$743.60 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$3,769.20 |
$3,769.20 |
$11,670.39 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$3,873.20 |
$3,873.20 |
$3,873.20 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$658.48 |
$658.48 |
$11,403.15 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$363.60 |
$363.60 |
$634.72 |
$410.25
|
|
Dx bronchoscope/brush 31623
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,400.95
|
|
Dx bronchoscope/wash 31622
|
$895.53 |
$2,912.00 |
$2,912.00 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$185.36 |
$185.36 |
$185.36 |
$441.60
|
|
Dynamic surface emg
|
$447.20 |
$447.20 |
$447.20 |
$368.50
|
|
Ear irrigation 69209
|
$163.20 |
$163.20 |
$163.20 |
$150.00
|
|
Ear protector evaluation
|
$105.20 |
$105.20 |
$105.20 |
$112.56
|
|
Ecg 12 lead tracing only
|
$142.00 |
$142.00 |
$169.73 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$80.77 |
$85.20 |
$85.20 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$340.00 |
$340.00 |
$340.00 |
$466.20
|
|
Ecg external < 48 hours recording
|
$220.97 |
$289.60 |
$289.60 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$410.40 |
$410.40 |
$491.71 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,708.40 |
$1,708.40 |
$1,841.40 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$581.60 |
$732.40 |
$732.40 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,043.95 |
$2,043.95 |
$2,043.95 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$632.10 |
$792.40 |
$792.40 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$828.05 |
$828.05 |
$828.05 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$261.72 |
$308.40 |
$308.40 |
$371.25
|
|
Echo exam of fetal heart
|
$619.58 |
$1,254.00 |
$1,254.00 |
$904.80
|
|
Echo exam of fetal heart
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$538.27
|
|
Echo exam of fetal heart
|
$340.00 |
$340.00 |
$340.00 |
$431.41
|
|
Echo exam of fetal heart
|
$312.00 |
$312.00 |
$312.00 |
$319.00
|
|
Echo exam uterus 76831-
|
$377.60 |
$377.60 |
$505.87 |
$552.50
|
|
Echograp trans r pros study
|
$468.00 |
$468.00 |
$563.98 |
$466.20
|
|
Echo guidance radiotherapy
|
$270.40 |
$270.40 |
$683.38 |
$812.00
|
|
Echo guide for amniocentesis
|
$107.20 |
$107.20 |
$382.52 |
$446.60
|
|
Echo guide for artery repair
|
$552.47 |
$719.60 |
$719.60 |
$687.35
|
|
Echo guide for heart biopsy
|
$326.70 |
$326.70 |
$326.70 |
$666.40
|
|
Echo guide for transfusion
|
$298.40 |
$298.40 |
$298.40 |
$332.39
|
|
Echo guide ova aspiration
|
$105.10 |
$105.10 |
$105.10 |
$214.40
|
|
Echo stress
|
$696.68 |
$1,257.60 |
$1,257.60 |
$1,606.44
|
|
Echo tee guidance
|
$1,123.24 |
$1,583.60 |
$1,583.60 |
$1,847.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,676.75 |
$1,889.20 |
$1,889.20 |
$1,889.20
|
|
Echo transesophageal
|
$854.12 |
$1,428.00 |
$1,428.00 |
$1,599.50
|
|
Echo transesophageal intraop
|
$1,333.05 |
$1,947.60 |
$1,947.60 |
$1,578.00
|
|
Echo transthoracic
|
$826.18 |
$1,558.40 |
$1,558.40 |
$1,361.75
|
