|
Dexrazoxane hcl 250 mg intravenous solution
|
$81.59 |
$81.59 |
$81.59 |
$858.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$34.50 |
$34.50 |
$34.50 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$37.95 |
$37.95 |
$37.95 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$27.60 |
$27.60 |
$27.60 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$41.40 |
$41.40 |
$41.40 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$65.10 |
$65.10 |
$65.10 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$41.40 |
$41.40 |
$41.40 |
$79.20
|
|
Diagnostic digital breast tomosynthesis bil
|
$15.75 |
$15.75 |
$15.75 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$15.75 |
$15.75 |
$15.75 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$79.65 |
$79.65 |
$79.65 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$117.75 |
$117.75 |
$117.75 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$93.90 |
$93.90 |
$93.90 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$55.20 |
$55.20 |
$55.20 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$1,613.25 |
$1,613.25 |
$1,613.25 |
$5,419.00
|
|
Dialysis one evaluation
|
$235.50 |
$235.50 |
$235.50 |
$919.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$69.32 |
$69.32 |
$69.32 |
$74.76
|
|
Dicyclomine injection
|
$40.59 |
$40.59 |
$40.59 |
$153.29
|
|
Diffusing capacity
|
$65.85 |
$65.85 |
$65.85 |
$332.00
|
|
Digital analysis of eeg
|
$132.00 |
$132.00 |
$132.00 |
$605.60
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$3.27 |
$3.27 |
$3.27 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$58.65 |
$58.65 |
$58.65 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$136.70 |
$136.70 |
$136.70 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$366.00 |
$366.00 |
$366.00 |
$1,866.73
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$853.05 |
$853.05 |
$853.05 |
$3,033.08
|
|
Dilate ic vasospasm ea add vsl same territory
|
$812.55 |
$812.55 |
$812.55 |
$1,931.80
|
|
Dilate ic vasospasm init
|
$2,411.55 |
$2,411.55 |
$2,411.55 |
$5,250.40
|
|
Dilate urethra stricture
|
$54.30 |
$54.30 |
$54.30 |
$490.00
|
|
Dilation/urethral strict/male/ini 53620
|
$398.25 |
$398.25 |
$398.25 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$49.65 |
$49.65 |
$49.65 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$913.95 |
$913.95 |
$913.95 |
$4,061.71
|
|
Dilat xst trc new access rcs
|
$1,537.95 |
$1,537.95 |
$1,537.95 |
$4,213.20
|
|
Dimenhydrinate injection
|
$6.05 |
$6.05 |
$6.05 |
$30.48
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.09 |
$0.09 |
$0.09 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$11.97 |
$11.97 |
$11.97 |
$17.75
|
|
Dipyridamole injection
|
$19.58 |
$19.58 |
$19.58 |
$47.87
|
|
Disability dlco
|
$47.55 |
$47.55 |
$47.55 |
$282.40
|
|
Disaccharidases
|
$119.25 |
$119.25 |
$119.25 |
$216.00
|
|
Dise eval slp do brth flx dx
|
$77.25 |
$77.25 |
$77.25 |
$1,120.00
|
|
Dna antibody native/double stranded
|
$60.30 |
$60.30 |
$60.30 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$40.22 |
$40.22 |
$40.22 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$209.58 |
$209.58 |
$209.58 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$23.63 |
$23.63 |
$23.63 |
$65.40
|
|
Doppler echo complete
|
$163.95 |
$163.95 |
$163.95 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,507.50 |
$1,507.50 |
$1,507.50 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$222.75 |
$222.75 |
$222.75 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$202.50 |
$202.50 |
$202.50 |
$471.17
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$104.02 |
$104.02 |
$104.02 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$520.37 |
$520.37 |
$520.37 |
$1,718.24
|
|
Dpyd gene common variants
|
$127.50 |
$127.50 |
$127.50 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$142.80 |
$142.80 |
$142.80 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$142.80 |
$142.80 |
$142.80 |
$914.34
|
|
Drainage external ear complex 69005
|
$331.80 |
$331.80 |
$331.80 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$142.80 |
$142.80 |
$142.80 |
$789.60
|
|
Drainage mouth roof lesion
|
$80.10 |
$80.10 |
$80.10 |
$390.39
|
|
Drainage of arm bursa 23931
|
$546.90 |
$546.90 |
$546.90 |
$2,197.48
|
|
Drainage of eye
|
$1,050.90 |
$1,050.90 |
$1,050.90 |
$2,360.00
|
|
Drainage of kidney lesion
|
$378.75 |
$378.75 |
$378.75 |
$1,506.00
|
|
Drainage of mouth lesion
|
$1,233.90 |
$1,233.90 |
$1,233.90 |
$3,544.29
|
|
Drainage of nose lesion int 30000
|
$46.80 |
$46.80 |
$46.80 |
$491.40
|
|
Drainage of nose lesion sept 30020
|
$117.45 |
$117.45 |
$117.45 |
$781.44
|
|
Drainage of pelvis lesion 26990
|
$871.50 |
$871.50 |
$871.50 |
$3,958.50
|
|
Drain blood from under nail 11740
|
$26.85 |
$26.85 |
$26.85 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$550.35 |
$550.35 |
$550.35 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$550.35 |
$550.35 |
$550.35 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$197.40 |
$197.40 |
$197.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$62.70 |
$62.70 |
$62.70 |
$419.00
|
|
Drain thigh/knee lesion 27301
|
$568.80 |
$568.80 |
$568.80 |
$3,620.47
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$133.50 |
$133.50 |
$133.50 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$122.70 |
$122.70 |
$122.70 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$161.70 |
$161.70 |
$161.70 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$140.40 |
$140.40 |
$140.40 |
$1,515.00
|
|
Driver pneumatic vad, rep
|
$24,968.70 |
$24,968.70 |
$24,968.70 |
$107,185.12
|
|
Drng of eyelid abscess 67700
|
$65.55 |
$65.55 |
$65.55 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$345.00 |
$345.00 |
$345.00 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$102.75 |
$102.75 |
$102.75 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$345.00 |
$345.00 |
$345.00 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$17.03 |
$17.03 |
$17.03 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.77 |
$9.77 |
$9.77 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$142.95 |
$142.95 |
$142.95 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$5.25 |
$5.25 |
$5.25 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$78.15 |
$78.15 |
$78.15 |
$569.75
|
|
Drug assay caffeine
|
$55.65 |
$55.65 |
$55.65 |
$83.40
|
|
Drug assay posaconazole
|
$57.30 |
$57.30 |
$57.30 |
$96.75
|
|
Drug assay rufinamide
|
$11.55 |
$11.55 |
$11.55 |
$85.80
|
|
Drug assay vedolizumab
|
$21.15 |
$21.15 |
$21.15 |
$152.79
|
|
Drug assay voriconazole
|
$107.10 |
$107.10 |
$107.10 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$9.30 |
$9.30 |
$9.30 |
$66.43
|
|
Drug of abuse screen urine
|
$8.40 |
$8.40 |
$8.40 |
$63.75
|
|
Drug screen quant tiagabine
|
$58.50 |
$58.50 |
$58.50 |
$114.62
|
|
Drug test def 1-7 classes
|
$48.15 |
$48.15 |
$48.15 |
$250.52
|
|
Drug test prsmv instrmnt
|
$10.95 |
$10.95 |
$10.95 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$44.40 |
$44.40 |
$44.40 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$866.10 |
$866.10 |
$866.10 |
$3,020.80
|
|
Ductogram sgl duct
|
$97.05 |
$97.05 |
$97.05 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$117.45 |
$117.45 |
$117.45 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$88.50 |
$88.50 |
$88.50 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$153.45 |
$153.45 |
$153.45 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$93.90 |
$93.90 |
$93.90 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$158.10 |
$158.10 |
$158.10 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$36.15 |
$36.15 |
$36.15 |
$392.60
|