|
Drainage of pelvis lesion 26990
|
$707.00 |
$707.00 |
$707.00 |
$3,863.70
|
|
Drainage of rectal abscess
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$250.00 |
$250.00 |
$250.00 |
$173.21
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$214.00 |
$214.00 |
$214.00 |
$2,658.46
|
|
Drain cath image guided visceral pq
|
$200.50 |
$200.50 |
$200.50 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$624.00 |
$624.00 |
$624.00 |
$1,045.65
|
|
Drain finger abscess;simple 26010
|
$448.50 |
$448.50 |
$448.50 |
$428.40
|
|
Drain lower leg lesion 27603
|
$405.50 |
$405.50 |
$405.50 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$353.50 |
$353.50 |
$353.50 |
$3,339.00
|
|
Drain ovary abscess open
|
$352.00 |
$352.00 |
$352.00 |
$3,762.53
|
|
Drain shoulder lesion
|
$269.00 |
$269.00 |
$269.00 |
$3,638.88
|
|
Drain thigh/knee lesion 27301
|
$560.50 |
$560.50 |
$560.50 |
$3,638.88
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$348.00 |
$348.00 |
$348.00 |
$394.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$462.50 |
$462.50 |
$462.50 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$141.00 |
$141.00 |
$141.00 |
$524.04
|
|
Dressing change not for burn w/anes 15852
|
$813.00 |
$813.00 |
$813.00 |
$755.08
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$916.50 |
$916.50 |
$916.50 |
$1,532.85
|
|
Drng hand tendon sheath 26020
|
$607.50 |
$607.50 |
$607.50 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$121.00 |
$121.00 |
$121.00 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$200.50 |
$200.50 |
$200.50 |
$1,994.16
|
|
Drng of hydrocele 55000
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$854.50
|
|
Drng of mouth lesion 40801
|
$206.00 |
$206.00 |
$206.00 |
$1,350.97
|
|
Drng of scrotum abscess 55100
|
$175.50 |
$175.50 |
$175.50 |
$1,956.40
|
|
Drng open retroperitoneal abscess 49060
|
$1,229.00 |
$1,229.00 |
$1,229.00 |
$1,924.00
|
|
Drng peritoneal abscess open 49020
|
$1,708.50 |
$1,708.50 |
$1,708.50 |
$2,520.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.73 |
$2.73 |
$2.73 |
$31.25
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$289.05
|
|
Drug assay rufinamide
|
$51.00 |
$51.00 |
$51.00 |
$85.80
|
|
Drug assay vedolizumab
|
$455.00 |
$455.00 |
$455.00 |
$157.00
|
|
Drug assay voriconazole
|
$119.50 |
$119.50 |
$119.50 |
$97.02
|
|
Drug of abuse screen urine
|
$31.50 |
$31.50 |
$31.50 |
$68.04
|
|
Drug screening tapentadol
|
$37.79 |
$37.79 |
$37.79 |
$36.00
|
|
Drug test def 15-21 classes
|
$160.00 |
$160.00 |
$160.00 |
$274.26
|
|
Drug test def 1-7 classes
|
$415.71 |
$415.71 |
$415.71 |
$263.25
|
|
Drug test def 22+ classes
|
$423.00 |
$423.00 |
$423.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$415.69 |
$415.69 |
$415.69 |
$282.00
|
|
Drug test prsmv instrmnt
|
$130.00 |
$130.00 |
$130.00 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$349.00 |
$349.00 |
$349.00 |
$286.55
|
|
Dstrj nulyt agt gnclr nrv
|
$4,011.50 |
$4,011.50 |
$4,011.50 |
$2,980.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$488.50 |
$488.50 |
$488.50 |
$903.00
|
|
Dx bronchoscope/brush 31623
|
$135.00 |
$135.00 |
$135.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$144.50 |
$144.50 |
$144.50 |
$2,329.60
|
|
Dx bronchoscope/wash 31622
|
$144.50 |
$144.50 |
$144.50 |
$2,238.00
|
|
Dx gastr intub w/asp spec
|
$419.00 |
$419.00 |
$419.00 |
$441.60
|
|
Dx laryngoscopy newborn
|
$364.00 |
$364.00 |
$364.00 |
$707.25
|
|
Ear irrigation 69209
|
$129.00 |
$129.00 |
$129.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$216.00 |
$216.00 |
$216.00 |
$226.50
|
|
Ecg/1-3 leads/interp & report only 93042
|
$7.00 |
$7.00 |
$7.00 |
$16.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$57.00 |
$57.00 |
$57.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$73.00 |
$73.00 |
$73.00 |
$161.85
|
|
Ecg/review interpret only
|
$24.50 |
$24.50 |
$24.50 |
$57.60
|
|
Echocardiogram (Heart Ultrasound)
|
$1,220.50 |
$1,220.50 |
$1,220.50 |
$2,030.14
|
|
Echocardiography doppler color flow mapping
|
$233.50 |
$233.50 |
$233.50 |
$490.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$468.50 |
$468.50 |
$468.50 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$468.50 |
$468.50 |
$468.50 |
$868.56
|
|
Echocardiograpy doppler follow up/limited study
|
$391.00 |
$391.00 |
$391.00 |
$371.25
|
|
Echo exam of eye
|
$30.50 |
$30.50 |
$30.50 |
$172.00
|
|
Echo exam of eye
|
$82.50 |
$82.50 |
$82.50 |
$168.00
|
|
Echo exam of eye thickness
|
$8.00 |
$8.00 |
$8.00 |
$50.91
|
|
Echo exam uterus 76831-
|
$35.00 |
$35.00 |
$35.00 |
$552.50
|
|
Echo stress
|
$69.50 |
$69.50 |
$69.50 |
$1,606.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$107.50 |
$107.50 |
$107.50 |
$1,885.56
|
|
Echo transesophageal
|
$134.50 |
$134.50 |
$134.50 |
$1,608.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$44.00 |
$44.00 |
$44.00 |
$1,003.08
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$43.00 |
$43.00 |
$43.00 |
$91.56
|
|
Eeg monitor/record/awake/drowsy 95816
|
$56.50 |
$56.50 |
$56.50 |
$837.80
|
|
Eeg over 1 hour 95813 - 26
|
$354.00 |
$354.00 |
$354.00 |
$1,125.32
|
|
Eeg phy/qhp ea incr w/veeg
|
$210.50 |
$210.50 |
$210.50 |
$1,103.70
|
|
Eeg phys/qhp 2-12 hr w/veeg
|
$137.00 |
$137.00 |
$137.00 |
$586.80
|
|
Eeg/record in coma or sleep only 95822
|
$56.50 |
$56.50 |
$56.50 |
$907.80
|
|
Eeg recording awake and asleep
|
$354.00 |
$354.00 |
$354.00 |
$937.95
|
|
E equine encephalitis igg
|
$8.00 |
$8.00 |
$8.00 |
$51.84
|
|
Egd balloon dil esoph30 mm/>
|
$238.50 |
$238.50 |
$238.50 |
$2,101.52
|
|
Egd control bleeding any
|
$216.00 |
$216.00 |
$216.00 |
$2,501.40
|
|
Egd dilate stricture
|
$788.67 |
$788.67 |
$788.67 |
$2,244.82
|
|
Egd endoscopic stent place
|
$225.00 |
$225.00 |
$225.00 |
$3,705.00
|
|
Egd guide wire insertion
|
$171.00 |
$171.00 |
$171.00 |
$1,664.00
|
|
Egd/insert intraluminal tube/cath 43241
|
$154.50 |
$154.50 |
$154.50 |
$2,107.20
|
|
Egd lesion ablation
|
$231.50 |
$231.50 |
$231.50 |
$2,244.82
|
|
Egd remove foreign body
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$1,473.45
|
|
Egd remove lesion snare
|
$606.67 |
$606.67 |
$606.67 |
$2,506.40
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$177.00 |
$177.00 |
$177.00 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$239.50 |
$239.50 |
$239.50 |
$2,392.00
|
|
Egd varices ligation
|
$251.50 |
$251.50 |
$251.50 |
$2,202.85
|
|
Egfr gene com variants
|
$28.00 |
$28.00 |
$28.00 |
$672.10
|
|
Ehrlicha chaffeensis amp prb
|
$201.06 |
$201.06 |
$201.06 |
$93.00
|
|
EKG (Electrocardiogram)
|
$127.00 |
$127.00 |
$127.00 |
$89.60
|
|
Electrical stimulation/unattended 97014
|
$94.50 |
$94.50 |
$94.50 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$497.50 |
$497.50 |
$497.50 |
$1,300.80
|
|
Electrolyte panel
|
$32.50 |
$32.50 |
$32.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$981.50
|
|
Emb w/colposcopy 58110
|
$43.00 |
$43.00 |
$43.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$378.00
|
|
Encephalitis, california igg/igm
|
$8.00 |
$8.00 |
$8.00 |
$58.00
|
|
Encephalitis, st louis igg/igm
|
$8.00 |
$8.00 |
$8.00 |
$50.00
|
|
Encephalitis, western equine igg/igm
|
$8.00 |
$8.00 |
$8.00 |
$55.20
|
