|
Diazepam 5 mg/ml injection solution (wrapper)
|
$27.62 |
$27.62 |
$27.62 |
$70.87
|
|
Dicyclomine injection
|
$61.21 |
$61.21 |
$61.21 |
$211.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$41.00 |
$41.00 |
$41.00 |
$64.31
|
|
Digoxin total therapeutic drug level
|
$49.45 |
$49.45 |
$49.45 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$37.26 |
$37.26 |
$37.26 |
$308.90
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.54 |
$5.54 |
$5.54 |
$25.12
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$32.35 |
$32.35 |
$32.35 |
$110.48
|
|
Disaccharidases
|
$34.50 |
$34.50 |
$34.50 |
$223.80
|
|
Dna antibody native/double stranded
|
$82.49 |
$82.49 |
$82.49 |
$101.40
|
|
Dna probe chlamydia
|
$25.20 |
$25.20 |
$25.20 |
$82.20
|
|
Dna probe gc
|
$25.20 |
$25.20 |
$25.20 |
$88.67
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$130.18 |
$130.18 |
$130.18 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$466.80 |
$466.80 |
$466.80 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$74.39
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$315.60 |
$315.60 |
$315.60 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$373.60 |
$373.60 |
$373.60 |
$482.03
|
|
Dornase alfa non-comp unit
|
$76.59 |
$76.59 |
$76.59 |
$495.28
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$3.68 |
$3.68 |
$3.68 |
$264.42
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.12 |
$0.12 |
$0.12 |
$89.34
|
|
Drainage of rectal abscess
|
$2,971.20 |
$2,971.20 |
$2,971.20 |
$2,299.90
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$643.80 |
$643.80 |
$643.80 |
$4,069.80
|
|
Droperidol 2.5 mg/ml injection solution
|
$36.19 |
$36.19 |
$36.19 |
$36.32
|
|
Drug assay voriconazole
|
$24.60 |
$24.60 |
$24.60 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$31.24 |
$31.24 |
$31.24 |
$83.85
|
|
Drug screen quant tiagabine
|
$30.35 |
$30.35 |
$30.35 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$78.00 |
$78.00 |
$78.00 |
$278.85
|
|
Drvvt confirm - quest
|
$29.96 |
$29.96 |
$29.96 |
$101.66
|
|
Ductogram sgl duct
|
$242.00 |
$242.00 |
$242.00 |
$382.80
|
|
Dup scan/hemodialysis access 93990
|
$904.80 |
$904.80 |
$904.80 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$329.20 |
$329.20 |
$329.20 |
$755.30
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$590.00 |
$590.00 |
$590.00 |
$887.25
|
|
Dxa bone density axl vrt fx
|
$329.60 |
$329.60 |
$329.60 |
$374.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,470.80 |
$2,470.80 |
$2,470.80 |
$2,049.45
|
|
Echocardiography transthoracic 2d followup/limited
|
$1,210.40 |
$1,210.40 |
$1,210.40 |
$737.75
|
|
Echo exam of eye thickness
|
$8.74 |
$8.74 |
$8.74 |
$32.37
|
|
Echo exam of fetal heart
|
$147.20 |
$147.20 |
$147.20 |
$431.41
|
|
Echo exam uterus 76831-
|
$332.40 |
$332.40 |
$332.40 |
$536.40
|
|
Echo guide for amniocentesis
|
$579.60 |
$579.60 |
$579.60 |
$377.11
|
|
Echo guide for artery repair
|
$506.80 |
$506.80 |
$506.80 |
$680.28
|
|
Egfr gene com variants
|
$177.20 |
$177.20 |
$177.20 |
$619.04
|
|
Electrolyte panel
|
$31.43 |
$31.43 |
$31.43 |
$88.78
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$20.31 |
$20.31 |
$20.31 |
$116.08
|
|
Entamoeba histolytica ag eia - sendout
|
$5.77 |
$5.77 |
$5.77 |
$66.47
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$66.42 |
$66.42 |
$66.42 |
$195.23
|
|
Epoetin alfa, 100 units esrd
|
$8.40 |
$8.40 |
$8.40 |
$41.32
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$75.82 |
$75.82 |
$75.82 |
$799.45
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$38.92 |
$38.92 |
$38.92 |
$135.20
|
|
Epstein barr early antigen antibody
|
$43.23 |
$43.23 |
$43.23 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$50.50 |
$50.50 |
$50.50 |
$79.95
|
|
Epstein barr viral capsid antigen antibody igm
|
$59.92 |
$59.92 |
$59.92 |
$91.01
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$41.90 |
$41.90 |
$41.90 |
$357.88
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$25.04 |
$25.04 |
$25.04 |
$6,313.52
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$76.86 |
$76.86 |
$76.86 |
$334.75
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$65.40 |
$65.40 |
$65.40 |
$247.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$0.46 |
$0.46 |
$0.46 |
$547.14
|
|
Estradiol total
|
$236.06 |
$236.06 |
$236.06 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$5.54 |
$5.54 |
$5.54 |
$55.79
|
|
Estrogens total-sendout
|
$43.89 |
$43.89 |
$43.89 |
$84.27
|
|
Ethylene glycol -sendout
|
$7.99 |
$7.99 |
$7.99 |
$70.49
|
|
Etoposide 20 mg/ml intravenous solution
|
$20.43 |
$20.43 |
$20.43 |
$213.17
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$163.32 |
$163.32 |
$163.32 |
$219.60
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$144.00 |
$144.00 |
$144.00 |
$454.35
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$194.74 |
$194.74 |
$194.74 |
$102.50
|
|
F-18 fluciclovine per mci
|
$7,624.40 |
$7,624.40 |
$7,624.40 |
$1,243.96
|
|
Facial bones <3
|
$388.00 |
$388.00 |
$388.00 |
$242.74
|
|
Factor ix
|
$213.10 |
$213.10 |
$213.10 |
$138.60
|
|
Factor viii
|
$286.37 |
$286.37 |
$286.37 |
$144.30
|
|
Factor viii recombinant nos
|
$2.33 |
$2.33 |
$2.33 |
$5.91
|
|
Fat/lipids feces qualitative
|
$5.65 |
$5.65 |
$5.65 |
$36.75
|
|
Fatty acids nonesterified
|
$12.29 |
$12.29 |
$12.29 |
$56.70
|
|
#fecal-sodium
|
$5.08 |
$5.08 |
$5.08 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$11.69 |
$11.69 |
$11.69 |
$114.66
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.86 |
$1.86 |
$1.86 |
$1,583.01
|
|
Ferritin
|
$151.22 |
$151.22 |
$151.22 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.75 |
$1.75 |
$1.75 |
$2,031.35
|
|
Fetal hemoglobin (kleihauer betke)
|
$134.26 |
$134.26 |
$134.26 |
$85.80
|
|
Fetal hemoglobin rosette
|
$22.26 |
$22.26 |
$22.26 |
$78.00
|
|
Fibrin degradation d dimer quantitative
|
$56.01 |
$56.01 |
$56.01 |
$112.20
|
|
Fibrin degradation products
|
$52.54 |
$52.54 |
$52.54 |
$59.24
|
|
Fibrin degrade semiquant
|
$17.22 |
$17.22 |
$17.22 |
$90.35
|
|
Fibrinogen activity
|
$52.20 |
$52.20 |
$52.20 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$15.13 |
$15.13 |
$15.13 |
$58.85
|
|
Fibrinolytic plasminogen
|
$22.32 |
$22.32 |
$22.32 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$8.80 |
$8.80 |
$8.80 |
$60.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.50 |
$2.50 |
$2.50 |
$1,411.44
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.36 |
$1.36 |
$1.36 |
$973.70
|
|
Flebogamma injection
|
$66.42 |
$66.42 |
$66.42 |
$430.91
|
|
Flow cytometry marker each additional
|
$73.40 |
$73.40 |
$73.40 |
$102.00
|
|
Flow cytometry one marker technical component
|
$342.80 |
$342.80 |
$342.80 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$30.00 |
$30.00 |
$30.00 |
$202.15
|
|
Flt3 gene
|
$84.00 |
$84.00 |
$84.00 |
$352.95
|
|
Flt3 gene analysis
|
$150.80 |
$150.80 |
$150.80 |
$243.35
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$12.27 |
$12.27 |
$12.27 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$599.46 |
$599.46 |
$599.46 |
$599.46
|
|
Fluorescent antibody titer dna
|
$44.64 |
$44.64 |
$44.64 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$568.00 |
$568.00 |
$568.00 |
$507.00
|
|
Fluoroguide needle placement
|
$350.80 |
$350.80 |
$350.80 |
$539.38
|
|
Fluoroscopy up to 1 hour
|
$445.20 |
$445.20 |
$445.20 |
$490.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$15.18 |
$15.18 |
$15.18 |
$103.14
|
|
Folic acid
|
$104.71 |
$104.71 |
$104.71 |
$87.50
|
