|
Drainage mouth roof lesion
|
$460.68 |
$460.68 |
$460.68 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$2,197.48
|
|
Drainage of kidney lesion
|
$1,085.00 |
$1,384.02 |
$1,384.02 |
$1,506.00
|
|
Drainage of mouth lesion
|
$167.64 |
$167.64 |
$167.64 |
$3,900.60
|
|
Drainage of nose lesion int 30000
|
$345.84 |
$345.84 |
$345.84 |
$491.40
|
|
Drainage of urethra abscess 53060
|
$2,366.10 |
$2,366.10 |
$2,366.10 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$75.00 |
$149.16 |
$149.16 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$2,220.24 |
$2,220.24 |
$2,540.00 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,871.10 |
$1,871.10 |
$2,785.00 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$819.72 |
$819.72 |
$910.00 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$160.00 |
$160.00 |
$160.00 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$395.34 |
$395.34 |
$395.34 |
$419.00
|
|
Drain neck/chest lesion 21501
|
$8,647.98 |
$8,647.98 |
$8,647.98 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$3,672.24 |
$3,672.24 |
$3,672.24 |
$3,964.27
|
|
Drain thigh/knee lesion 27301
|
$5,360.52 |
$5,360.52 |
$5,360.52 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$207.50 |
$434.28 |
$434.28 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$295.00 |
$374.88 |
$374.88 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$252.50 |
$524.04 |
$524.04 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$318.78 |
$318.78 |
$318.78 |
$1,515.00
|
|
Drng hand tendon sheath 26020
|
$7,792.62 |
$7,792.62 |
$7,792.62 |
$3,839.54
|
|
Drng of eyelid abscess 67700
|
$513.48 |
$513.48 |
$513.48 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,873.54 |
$3,873.54 |
$3,873.54 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$1,917.33
|
|
Drng salivary gland simple 42300
|
$1,582.02 |
$1,582.02 |
$1,582.02 |
$2,133.48
|
|
Droperidol 2.5 mg/ml injection solution
|
$51.81 |
$51.81 |
$51.81 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,402.36 |
$1,402.36 |
$1,402.36 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$23.10 |
$23.10 |
$23.10 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$366.20 |
$366.20 |
$2,544.61 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$397.32 |
$397.32 |
$397.32 |
$569.75
|
|
Drug assay caffeine
|
$80.00 |
$125.40 |
$125.40 |
$83.40
|
|
Drug assay posaconazole
|
$100.00 |
$130.02 |
$130.02 |
$96.75
|
|
Drug assay rufinamide
|
$135.00 |
$135.00 |
$135.00 |
$85.80
|
|
Drug assay vedolizumab
|
$272.50 |
$308.88 |
$308.88 |
$152.79
|
|
Drug assay voriconazole
|
$100.98 |
$100.98 |
$137.50 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$345.00 |
$345.00 |
$345.00 |
$66.43
|
|
Drug of abuse screen urine
|
$120.78 |
$120.78 |
$120.78 |
$63.75
|
|
Drug screening tapentadol
|
$36.30 |
$36.30 |
$36.30 |
$36.00
|
|
Drug screen quant tiagabine
|
$83.82 |
$83.82 |
$115.00 |
$114.62
|
|
Drug/substance nos 4-6
|
$49.50 |
$49.50 |
$49.50 |
$72.14
|
|
Drug test def 15-21 classes
|
$244.86 |
$244.86 |
$322.50 |
$263.25
|
|
Drug test def 1-7 classes
|
$230.34 |
$230.34 |
$230.34 |
$250.52
|
|
Drug test def 22+ classes
|
$140.00 |
$699.60 |
$699.60 |
$423.00
|
|
Drug test def 8-14 classes
|
$188.76 |
$188.76 |
$188.76 |
$282.00
|
|
Drug test prsmv instrmnt
|
$209.88 |
$209.88 |
$209.88 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$258.72 |
$258.72 |
$352.50 |
$278.85
|
|
Dry needling (97799)
|
$152.50 |
$152.50 |
$258.72 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$3,020.80
|
|
Ductogram sgl duct
|
$691.68 |
$691.68 |
$691.68 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$552.42 |
$552.42 |
$1,090.00 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$149.82 |
$149.82 |
$730.00 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$489.72 |
$489.72 |
$600.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$745.00 |
$1,049.40 |
$1,049.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$710.00 |
$769.56 |
$769.56 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$163.26 |
$163.26 |
$185.21 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$457.50 |
$457.50 |
$457.50 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$2,970.00 |
$2,970.00 |
$2,970.00 |
$2,322.60
|
|
Dx gastr intub w/asp spec
|
$642.18 |
$642.18 |
$642.18 |
$441.60
|
|
Ear and throat examination
|
$2,455.00 |
$2,455.00 |
$2,455.00 |
$602.63
|
|
Ear irrigation 69209
|
$30.00 |
$122.10 |
$122.10 |
$149.76
|
|
Ecg 12 lead tracing only
|
$186.78 |
$186.78 |
$210.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$134.64 |
$134.64 |
$155.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$395.00 |
$675.18 |
$675.18 |
$487.60
|
|
Ecg external < 48 hours recording
|
$396.00 |
$396.00 |
$440.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$535.00 |
$582.12 |
$582.12 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$105.60 |
$105.60 |
$147.50 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$149.82 |
$149.82 |
$287.50 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$1,709.40 |
$1,709.40 |
$2,385.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$423.06 |
$423.06 |
$525.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,906.74 |
$1,906.74 |
$1,906.74 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$766.92 |
$766.92 |
$1,170.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$957.00 |
$957.00 |
$957.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$220.00 |
$418.44 |
$418.44 |
$362.50
|
|
Echo exam of eye
|
$169.62 |
$169.62 |
$169.62 |
$168.00
|
|
Echo exam of fetal heart
|
$690.00 |
$690.00 |
$690.00 |
$939.00
|
|
Echo exam uterus 76831-
|
$475.00 |
$489.72 |
$489.72 |
$523.71
|
|
Echograp trans r pros study
|
$482.46 |
$482.46 |
$670.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$83.82 |
$83.82 |
$515.00 |
$812.00
|
|
Echo guide for amniocentesis
|
$153.78 |
$153.78 |
$375.00 |
$456.30
|
|
Echo guide for artery repair
|
$660.00 |
$880.44 |
$880.44 |
$664.00
|
|
Echo guide for transfusion
|
$292.50 |
$292.50 |
$292.50 |
$324.60
|
|
Echo stress
|
$1,606.44 |
$1,606.44 |
$1,606.44 |
$1,592.05
|
|
Echo tee guidance
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,113.98 |
$2,113.98 |
$3,245.00 |
$1,849.50
|
|
Echo transesophageal intraop
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$1,571.70
|
|
Echo transthoracic
|
$1,500.00 |
$2,050.62 |
$2,050.62 |
$1,361.75
|
|
Echo transthoracic
|
$950.00 |
$1,530.54 |
$1,530.54 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,453.98 |
$1,453.98 |
$1,650.00 |
$985.15
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$117.10 |
$117.10 |
$117.10 |
$18,199.20
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$45.00 |
$45.00 |
$45.00 |
$87.84
|
|
Eeg 41-60 minutes 95812-26
|
$774.18 |
$774.18 |
$920.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$864.60 |
$864.60 |
$865.00 |
$1,000.42
|
|
Eeg during surgery
|
$1,712.04 |
$1,712.04 |
$1,712.04 |
$797.30
|
|
Eeg monitoring/function test
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,548.52
|
|
Eeg monitor/record/awake/drowsy 95816
|
$680.00 |
$787.38 |
$787.38 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,205.00 |
$1,404.48 |
$1,404.48 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$865.00 |
$1,081.08 |
$1,081.08 |
$907.80
|
|
Eeg recording awake and asleep
|
$740.00 |
$1,351.02 |
$1,351.02 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$1,180.00 |
$1,180.00 |
$3,153.48 |
$783.60
|
