|
Dress/debride pt-thick burn/<5% bs 16020
|
$347.20 |
$347.20 |
$347.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$226.40 |
$226.40 |
$226.40 |
$524.04
|
|
Dressing change not for burn w/anes 15852
|
$72.80 |
$72.80 |
$72.80 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$191.20 |
$191.20 |
$191.20 |
$6,501.85
|
|
Drill hole implt ventricular cath/device 61107
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$1,503.60
|
|
Drng hand tendon sheath 26020
|
$946.40 |
$946.40 |
$946.40 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$178.40 |
$178.40 |
$178.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
$1,994.16
|
|
Drng of hydrocele 55000
|
$140.00 |
$140.00 |
$140.00 |
$854.50
|
|
Drng of mouth lesion 40801
|
$840.80 |
$840.80 |
$840.80 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
$1,956.40
|
|
Drng open retroperitoneal abscess 49060
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$2,795.20 |
$2,795.20 |
$2,795.20 |
$2,520.00
|
|
Dronabinol 2.5mg oral
|
$10.10 |
$10.10 |
$10.10 |
$11.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$4.37 |
$4.37 |
$4.37 |
$31.25
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$745.40 |
$745.40 |
$745.40 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$250.40 |
$250.40 |
$250.40 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$289.05
|
|
Drug assay rufinamide
|
$81.60 |
$81.60 |
$81.60 |
$80.64
|
|
Drug assay vedolizumab
|
$640.00 |
$640.00 |
$640.00 |
$157.00
|
|
Drug assay voriconazole
|
$191.20 |
$191.20 |
$191.20 |
$96.75
|
|
Drug test def 15-21 classes
|
$256.00 |
$256.00 |
$256.00 |
$274.26
|
|
Drug test def 1-7 classes
|
$321.60 |
$321.60 |
$321.60 |
$263.25
|
|
Drug test def 22+ classes
|
$197.60 |
$197.60 |
$197.60 |
$426.24
|
|
Drug test def 8-14 classes
|
$245.60 |
$245.60 |
$245.60 |
$282.00
|
|
Drug test prsmv instrmnt
|
$40.00 |
$40.00 |
$40.00 |
$89.05
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$338.40 |
$338.40 |
$338.40 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$7,358.40 |
$7,358.40 |
$7,358.40 |
$2,967.48
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$68.00 |
$68.00 |
$68.00 |
$890.55
|
|
Durvalumab 50 mg/ml intravenous solution
|
$29,720.88 |
$29,720.88 |
$29,720.88 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$218.40 |
$218.40 |
$218.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$221.60 |
$221.60 |
$221.60 |
$2,333.10
|
|
Dx bronchoscope/wash 31622
|
$221.60 |
$221.60 |
$221.60 |
$2,293.80
|
|
Dx gastr intub w/asp spec
|
$83.20 |
$83.20 |
$83.20 |
$441.60
|
|
Dx laryngoscopy newborn
|
$612.00 |
$612.00 |
$612.00 |
$707.25
|
|
Ear irrigation 69209
|
$174.40 |
$174.40 |
$174.40 |
$150.00
|
|
Ecg 12 lead tracing only
|
$243.20 |
$243.20 |
$243.20 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$12.80 |
$12.80 |
$12.80 |
$16.00
|
|
Ecg external < 48 hours recording
|
$252.00 |
$252.00 |
$252.00 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$79.20 |
$79.20 |
$79.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$129.60 |
$129.60 |
$129.60 |
$161.85
|
|
Ecg/review interpret only
|
$42.40 |
$42.40 |
$42.40 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$196.00 |
$196.00 |
$196.00 |
$485.25
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,984.00 |
$1,984.00 |
$1,984.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$502.40 |
$502.40 |
$502.40 |
$711.00
|
|
Echocardiograpy doppler follow up/limited study
|
$693.60 |
$693.60 |
$693.60 |
$362.50
|
|
Echo exam of eye
|
$52.80 |
$52.80 |
$52.80 |
$172.00
|
|
Echo exam of eye
|
$145.60 |
$145.60 |
$145.60 |
$168.00
|
|
Echo exam of eye thickness
|
$13.60 |
$13.60 |
$13.60 |
$50.91
|
|
Echo exam uterus 76831-
|
$62.40 |
$62.40 |
$62.40 |
$552.03
|
|
Echo stress
|
$120.80 |
$120.80 |
$120.80 |
$1,607.45
|
|
Echo tee probe placement image acquisition interpretation & report
|
$188.00 |
$188.00 |
$188.00 |
$1,889.20
|
|
Echo transesophageal
|
$220.80 |
$220.80 |
$220.80 |
$1,600.32
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$76.80 |
$76.80 |
$76.80 |
$1,002.00
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$113.60 |
$113.60 |
$113.60 |
$90.00
|
|
Eeg monitor/record/awake/drowsy 95816
|
$100.00 |
$100.00 |
$100.00 |
$835.00
|
|
Eeg phy/qhp ea incr w/veeg
|
$313.60 |
$313.60 |
$313.60 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$204.00 |
$204.00 |
$204.00 |
$586.80
|
|
Eeg/record in coma or sleep only 95822
|
$100.80 |
$100.80 |
$100.80 |
$871.00
|
|
Eeg recording awake and asleep
|
$584.80 |
$584.80 |
$584.80 |
$931.20
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$44,570.74 |
$44,570.74 |
$44,570.74 |
$12,393.28
|
|
Egd balloon dil esoph30 mm/>
|
$378.40 |
$378.40 |
$378.40 |
$2,101.52
|
|
Egd control bleeding any
|
$323.20 |
$323.20 |
$323.20 |
$2,501.40
|
|
Egd dilate stricture
|
$288.80 |
$288.80 |
$288.80 |
$2,244.82
|
|
Egd endoscopic stent place
|
$353.60 |
$353.60 |
$353.60 |
$3,705.00
|
|
Egd guide wire insertion
|
$270.40 |
$270.40 |
$270.40 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$232.00 |
$232.00 |
$232.00 |
$2,107.20
|
|
Egd lesion ablation
|
$361.60 |
$361.60 |
$361.60 |
$2,244.82
|
|
Egd remove foreign body
|
$313.60 |
$313.60 |
$313.60 |
$1,473.45
|
|
Egd remove lesion snare
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$2,476.20
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$280.80 |
$280.80 |
$280.80 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$372.80 |
$372.80 |
$372.80 |
$2,392.00
|
|
Egd varices ligation
|
$393.60 |
$393.60 |
$393.60 |
$2,202.85
|
|
Egfr gene com variants
|
$44.80 |
$44.80 |
$44.80 |
$659.52
|
|
Ehrlicha chaffeensis amp prb
|
$233.60 |
$233.60 |
$233.60 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$60.80 |
$60.80 |
$60.80 |
$77.70
|
|
Electroconvulsive therapy 90870
|
$836.00 |
$836.00 |
$836.00 |
$1,226.40
|
|
Electrolyte panel
|
$18.40 |
$18.40 |
$18.40 |
$80.88
|
|
Electron microscopy diagnostic
|
$1,792.00 |
$1,792.00 |
$1,792.00 |
$974.55
|
|
Elotuzumab 300 mg intravenous solution
|
$18,205.28 |
$18,205.28 |
$18,205.28 |
$5,523.02
|
|
Emb w/colposcopy 58110
|
$67.20 |
$67.20 |
$67.20 |
$290.55
|
|
Emb without cervical dilation 58100
|
$104.80 |
$104.80 |
$104.80 |
$378.00
|
|
Encephalitis, california igg/igm
|
$28.80 |
$28.80 |
$28.80 |
$58.00
|
|
Endo abl/incom vein/ext/laser/#1 36478
|
$472.00 |
$472.00 |
$472.00 |
$4,980.03
|
|
Endocerv curettage w/scope 57456
|
$168.00 |
$168.00 |
$168.00 |
$474.65
|
|
Endocervical curettage 57505
|
$175.20 |
$175.20 |
$175.20 |
$1,059.00
|
|
Endome abla/them without hystero guide 58353
|
$373.60 |
$373.60 |
$373.60 |
$4,317.40
|
|
Endoscopic injection/implant
|
$328.00 |
$328.00 |
$328.00 |
$4,846.99
|
|
Endoscopy bowel pouch/biop
|
$147.20 |
$147.20 |
$147.20 |
$1,983.09
|
|
Endoscopy of bowel pouch 44385
|
$122.40 |
$122.40 |
$122.40 |
$1,899.00
|
|
Endo, single, pulmonary
|
$3,860.00 |
$3,860.00 |
$3,860.00 |
$1,046.66
|
|
Endovasc visc aorta 1 graft
|
$2,064.80 |
$2,064.80 |
$2,064.80 |
$8,078.85
|
|
Endovasc visc aorta 3 graft
|
$2,431.20 |
$2,431.20 |
$2,431.20 |
$7,311.20
|
|
Endovasc visc aorta 4 graft
|
$2,614.40 |
$2,614.40 |
$2,614.40 |
$6,219.85
|
|
Endovas iliac a device addon
|
$356.80 |
$356.80 |
$356.80 |
$880.00
|
|
Endovenous laser vein addon 36479
|
$228.80 |
$228.80 |
$228.80 |
$2,616.29
|
|
Endovenous mchnchem 1st vein
|
$304.80 |
$304.80 |
$304.80 |
$4,845.93
|
|
Endovenous mchnchem add-on
|
$151.20 |
$151.20 |
$151.20 |
$2,203.63
|
|
Endoven ther chem adhes 1st 36482
|
$305.60 |
$305.60 |
$305.60 |
$5,988.54
|
