|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.29 |
$9.29 |
$9.29 |
$9.29
|
|
Disability dlco
|
$287.30 |
$287.30 |
$287.30 |
$289.08
|
|
Disaccharidases
|
$352.30 |
$352.30 |
$352.30 |
$224.58
|
|
Discography cerv/thor spine
|
$1,330.55 |
$1,330.55 |
$1,330.55 |
$2,161.44
|
|
Dise eval slp do brth flx dx
|
$2,157.90 |
$2,157.90 |
$2,157.90 |
$288.80
|
|
Dna antibody native/double stranded
|
$144.30 |
$144.30 |
$144.30 |
$101.40
|
|
Dna gardnerella
|
$37.70 |
$37.70 |
$37.70 |
$67.68
|
|
Dna probe chlamydia
|
$70.85 |
$70.85 |
$70.85 |
$98.40
|
|
Dna probe gc
|
$113.75 |
$113.75 |
$113.75 |
$88.67
|
|
Dna trichomonas
|
$37.70 |
$37.70 |
$37.70 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$123.50 |
$123.50 |
$123.50 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$996.12 |
$996.12 |
$996.12 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$60.98 |
$60.98 |
$60.98 |
$60.21
|
|
Doppler echo complete
|
$645.45 |
$645.45 |
$645.45 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$822.90 |
$822.90 |
$822.90 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$432.90 |
$432.90 |
$432.90 |
$463.20
|
|
Doripenem 50 mg/ml inj 10 ml
|
$118.35 |
$118.35 |
$118.35 |
$70.91
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$27,922.75 |
$27,922.75 |
$27,922.75 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$604.90 |
$604.90 |
$604.90 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,030.25 |
$1,030.25 |
$1,030.25 |
$715.22
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$49.40 |
$49.40 |
$49.40 |
$81.30
|
|
Drainage external ear complex 69005
|
$3,255.75 |
$3,255.75 |
$3,255.75 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$3,618.21 |
$3,618.21 |
$3,618.21 |
$800.00
|
|
Drainage of kidney lesion
|
$5,664.22 |
$5,664.22 |
$5,664.22 |
$1,578.89
|
|
Drain cath image guided visceral pq
|
$5,664.22 |
$5,664.22 |
$5,664.22 |
$2,999.34
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$306.80 |
$306.80 |
$306.80 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$270.40 |
$270.40 |
$270.40 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$352.30 |
$352.30 |
$352.30 |
$515.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$32.82 |
$32.82 |
$32.82 |
$32.82
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$146.25 |
$146.25 |
$146.25 |
$57.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$11.05 |
$11.05 |
$11.05 |
$983.03
|
|
Drug admin & hemodynmic meas
|
$586.30 |
$586.30 |
$586.30 |
$612.15
|
|
Drug assay caffeine
|
$113.10 |
$113.10 |
$113.10 |
$89.17
|
|
Drug assay posaconazole
|
$175.50 |
$175.50 |
$175.50 |
$96.75
|
|
Drug assay vedolizumab
|
$220.35 |
$220.35 |
$220.35 |
$172.90
|
|
Drug assay voriconazole
|
$14.30 |
$14.30 |
$14.30 |
$96.75
|
|
Drug of abuse screen urine
|
$58.50 |
$58.50 |
$58.50 |
$58.50
|
|
Drug test prsmv instrmnt
|
$85.80 |
$85.80 |
$85.80 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$346.45 |
$346.45 |
$346.45 |
$278.85
|
|
Drvvt confirm - quest
|
$108.55 |
$108.55 |
$108.55 |
$108.55
|
|
Dstrj nulyt agt gnclr nrv
|
$2,314.49 |
$2,314.49 |
$2,314.49 |
$2,834.84
|
|
Ductogram sgl duct
|
$216.45 |
$216.45 |
$216.45 |
$346.42
|
|
Duplex scan bilateral study 93985
|
$824.20 |
$824.20 |
$824.20 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$598.00 |
$598.00 |
$598.00 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$488.80 |
$488.80 |
$488.80 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$542.75 |
$542.75 |
$542.75 |
$740.80
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$530.40 |
$530.40 |
$530.40 |
$852.57
|
|
Durvalumab 50 mg/ml intravenous solution
|
$10,021.12 |
$10,021.12 |
$10,021.12 |
$137.19
|
|
Dx bronchoscope/brush 31623
|
$13,312.56 |
$13,312.56 |
$13,312.56 |
$2,283.00
|
|
Dx bronchoscope/lavage 31624
|
$13,360.41 |
$13,360.41 |
$13,360.41 |
$2,858.00
|
|
Dx bronchoscope/wash 31622
|
$2,861.18 |
$2,861.18 |
$2,861.18 |
$2,512.54
|
|
Dx laryngoscopy w/oper scope
|
$4,013.29 |
$4,013.29 |
$4,013.29 |
$1,867.86
|
|
Ecg 12 lead tracing only
|
$236.60 |
$236.60 |
$236.60 |
$222.30
|
|
Ecg/1-3 leads/tracing only 93041
|
$133.90 |
$133.90 |
$133.90 |
$129.83
|
|
Ecg external < 48 hours recording
|
$302.25 |
$302.25 |
$302.25 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$309.40 |
$309.40 |
$309.40 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$325.65 |
$325.65 |
$325.65 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$546.65 |
$546.65 |
$546.65 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$463.45 |
$463.45 |
$463.45 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,119.65 |
$2,119.65 |
$2,119.65 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$773.50 |
$773.50 |
$773.50 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,122.55 |
$1,122.55 |
$1,122.55 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$389.35 |
$389.35 |
$389.35 |
$348.80
|
|
Echo exam of fetal heart
|
$260.65 |
$260.65 |
$260.65 |
$429.87
|
|
Echo exam of fetal heart
|
$240.50 |
$240.50 |
$240.50 |
$318.34
|
|
Echo exam uterus 76831-
|
$323.70 |
$323.70 |
$323.70 |
$497.93
|
|
Echograp trans r pros study
|
$523.90 |
$523.90 |
$523.90 |
$406.33
|
|
Echo guide for amniocentesis
|
$282.10 |
$282.10 |
$282.10 |
$355.17
|
|
Echo guide for artery repair
|
$599.30 |
$599.30 |
$599.30 |
$687.35
|
|
Echo tee guidance
|
$2,145.65 |
$2,145.65 |
$2,145.65 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,076.10 |
$2,076.10 |
$2,076.10 |
$1,946.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$714.35 |
$714.35 |
$714.35 |
$997.40
|
|
E coli 0157 ag ia
|
$84.50 |
$84.50 |
$84.50 |
$32.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$14,846.31 |
$14,846.31 |
$14,846.31 |
$17,051.72
|
|
Eeg 41-60 minutes 95812-26
|
$662.35 |
$662.35 |
$662.35 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$808.60 |
$808.60 |
$808.60 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$743.60 |
$743.60 |
$743.60 |
$835.00
|
|
Eeg recording awake and asleep
|
$959.40 |
$959.40 |
$959.40 |
$937.95
|
|
E equine encephalitis igg
|
$54.60 |
$54.60 |
$54.60 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$14,371.30 |
$14,371.30 |
$14,371.30 |
$49.52
|
|
Egd balloon dil esoph30 mm/>
|
$1,781.65 |
$1,781.65 |
$1,781.65 |
$2,099.70
|
|
Egd control bleeding any
|
$4,764.45 |
$4,764.45 |
$4,764.45 |
$2,476.20
|
|
Egd dilate stricture
|
$3,157.83 |
$3,157.83 |
$3,157.83 |
$2,394.60
|
|
Egd guide wire insertion
|
$4,553.60 |
$4,553.60 |
$4,553.60 |
$1,247.13
|
|
Egd/insert intraluminal tube/cath 43241
|
$387.40 |
$387.40 |
$387.40 |
$2,105.22
|
|
Egd lesion ablation
|
$3,734.70 |
$3,734.70 |
$3,734.70 |
$2,608.80
|
|
Egd remove foreign body
|
$3,203.13 |
$3,203.13 |
$3,203.13 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,167.28 |
$4,167.28 |
$4,167.28 |
$2,200.46
|
|
Egd varices ligation
|
$3,272.23 |
$3,272.23 |
$3,272.23 |
$2,234.01
|
|
Egfr gene com variants
|
$721.50 |
$721.50 |
$721.50 |
$619.04
|
|
Ehrlicha chaffeensis amp prb
|
$274.30 |
$274.30 |
$274.30 |
$112.50
|
|
Elbow arthroscopy/surgery
|
$8,679.13 |
$8,679.13 |
$8,679.13 |
$3,594.44
|
|
Elbow arthroscopy/surgery
|
$8,679.13 |
$8,679.13 |
$8,679.13 |
$3,594.44
|
|
Electrical stimulation/unattended 97014
|
$61.75 |
$61.75 |
$61.75 |
$79.20
|
|
Electrolyte panel
|
$119.60 |
$119.60 |
$119.60 |
$68.56
|
|
Electronic analysis with brain program first 15 min 95983
|
$76.70 |
$76.70 |
$76.70 |
$160.00
|
|
Electron microscopy diagnostic
|
$7,056.20 |
$7,056.20 |
$7,056.20 |
$1,107.84
|
|
Electrophysiology evaluation
|
$7,388.55 |
$7,388.55 |
$7,388.55 |
$8,636.37
|
