|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$41,707.97 |
$41,707.97 |
$41,707.97 |
$7,744.96
|
|
Dentoalveolar/drain abs/cyst/hema 41800
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$460.50
|
|
Desmopressin 4 mcg/ml injection solution
|
$2,938.64 |
$2,938.64 |
$2,938.64 |
$121.30
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$71.82 |
$71.82 |
$71.82 |
$24.28
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$257.62 |
$257.62 |
$257.62 |
$57.07
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$257.62 |
$257.62 |
$257.62 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$66.53 |
$66.53 |
$66.53 |
$49.68
|
|
Dextrose 5 % IV bolus
|
$257.62 |
$257.62 |
$257.62 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$443.83 |
$443.83 |
$443.83 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$184.06 |
$184.06 |
$184.06 |
$78.41
|
|
Diagnostic anoscopy spx 46600
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$228.48
|
|
Diagnostic digital breast tomosynthesis unil
|
$200.65 |
$200.65 |
$200.65 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$2,237.96 |
$2,237.96 |
$2,237.96 |
$385.20
|
|
Dialysis one evaluation
|
$1,536.45 |
$1,536.45 |
$1,536.45 |
$827.97
|
|
Diatrizoate meglumine 18 % urethral solution
|
$558.36 |
$558.36 |
$558.36 |
$106.27
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$149.34 |
$149.34 |
$149.34 |
$70.87
|
|
Dicyclomine injection
|
$571.36 |
$571.36 |
$571.36 |
$211.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$69.88 |
$69.88 |
$69.88 |
$64.31
|
|
Digoxin total therapeutic drug level
|
$251.93 |
$251.93 |
$251.93 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$53.77 |
$53.77 |
$53.77 |
$25.12
|
|
Disaccharidases
|
$442.63 |
$442.63 |
$442.63 |
$223.80
|
|
Dna antibody native/double stranded
|
$141.31 |
$141.31 |
$141.31 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,035.99 |
$1,035.99 |
$1,035.99 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,720.30 |
$1,720.30 |
$1,720.30 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$328.18 |
$328.18 |
$328.18 |
$74.39
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,280.43 |
$2,280.43 |
$2,280.43 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,284.25 |
$1,284.25 |
$1,284.25 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$100,374.14 |
$100,374.14 |
$100,374.14 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$446.35 |
$446.35 |
$446.35 |
$264.42
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$18,432.12 |
$18,432.12 |
$18,432.12 |
$2,469.31
|
|
Drainage external ear simple 69000
|
$11,796.52 |
$11,796.52 |
$11,796.52 |
$809.25
|
|
Drain blood from under nail 11740
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$190.10
|
|
Drain cath image guided visceral pq
|
$27,071.34 |
$27,071.34 |
$27,071.34 |
$2,999.34
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$3,506.66 |
$3,506.66 |
$3,506.66 |
$407.19
|
|
Dress/debrid prtl-thick burn l 16030
|
$6,986.36 |
$6,986.36 |
$6,986.36 |
$530.40
|
|
Droperidol 2.5 mg/ml injection solution
|
$82.48 |
$82.48 |
$82.48 |
$36.32
|
|
Drug assay posaconazole
|
$541.26 |
$541.26 |
$541.26 |
$96.39
|
|
Drug assay voriconazole
|
$541.26 |
$541.26 |
$541.26 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,240.62 |
$1,240.62 |
$1,240.62 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$4,664.43 |
$4,664.43 |
$4,664.43 |
$673.00
|
|
Dup scan/hemodialysis access 93990
|
$2,213.93 |
$2,213.93 |
$2,213.93 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$4,664.43 |
$4,664.43 |
$4,664.43 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$110,208.74 |
$110,208.74 |
$110,208.74 |
$8,841.54
|
|
Ear irrigation 69209
|
$1,103.48 |
$1,103.48 |
$1,103.48 |
$158.40
|
|
Ecg 12 lead tracing only
|
$863.16 |
$863.16 |
$863.16 |
$245.30
|
|
Echocardiogram (Heart Ultrasound)
|
$5,826.94 |
$5,826.94 |
$5,826.94 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$747.22 |
$747.22 |
$747.22 |
$462.56
|
|
Echocardiography transthoracic 2d followup/limited
|
$4,664.43 |
$4,664.43 |
$4,664.43 |
$737.75
|
|
Echocardiograpy doppler follow up/limited study
|
$812.27 |
$812.27 |
$812.27 |
$353.46
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,894.93 |
$2,894.93 |
$2,894.93 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$5,289.34 |
$5,289.34 |
$5,289.34 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$5,289.34 |
$5,289.34 |
$5,289.34 |
$911.00
|
|
Eeg recording awake and asleep
|
$5,289.34 |
$5,289.34 |
$5,289.34 |
$1,030.27
|
|
Electrolyte panel
|
$139.96 |
$139.96 |
$139.96 |
$88.78
|
|
Endoscopy swallow (fees) vid
|
$353.95 |
$353.95 |
$353.95 |
$408.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$512.01 |
$512.01 |
$512.01 |
$116.08
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,608.50 |
$1,608.50 |
$1,608.50 |
$881.50
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,027.24 |
$4,027.24 |
$4,027.24 |
$799.45
|
|
Epstein barr early antigen antibody
|
$261.94 |
$261.94 |
$261.94 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$305.27 |
$305.27 |
$305.27 |
$79.95
|
|
Epstein barr viral capsid antigen antibody igm
|
$362.16 |
$362.16 |
$362.16 |
$91.01
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$853.87 |
$853.87 |
$853.87 |
$357.88
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$23,478.98 |
$23,478.98 |
$23,478.98 |
$6,313.52
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$16,189.76 |
$16,189.76 |
$16,189.76 |
$3,078.07
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$532.43 |
$532.43 |
$532.43 |
$334.75
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$446.25 |
$446.25 |
$446.25 |
$247.00
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$1,306.38 |
$1,306.38 |
$1,306.38 |
$755.59
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$951.95 |
$951.95 |
$951.95 |
$547.14
|
|
Ethylene glycol -sendout
|
$297.48 |
$297.48 |
$297.48 |
$70.49
|
|
Etoposide 20 mg/ml intravenous solution
|
$705.29 |
$705.29 |
$705.29 |
$213.17
|
|
Euflexxa inj per dose
|
$2,111.69 |
$2,111.69 |
$2,111.69 |
$727.80
|
|
Eval/fit voice prosthesis iii, st
|
$573.24 |
$573.24 |
$573.24 |
$370.41
|
|
Exchange drainage catheter
|
$7,664.92 |
$7,664.92 |
$7,664.92 |
$2,244.82
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,869.98 |
$2,869.98 |
$2,869.98 |
$454.35
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$357.98 |
$357.98 |
$357.98 |
$102.50
|
|
Facial bones <3
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$242.74
|
|
Factor ix
|
$380.14 |
$380.14 |
$380.14 |
$138.60
|
|
Factor viii
|
$357.38 |
$357.38 |
$357.38 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$55.60 |
$55.60 |
$55.60 |
$22.77
|
|
Fat/lipids feces qualitative
|
$101.83 |
$101.83 |
$101.83 |
$36.75
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$278.10 |
$278.10 |
$278.10 |
$114.66
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$638.02 |
$638.02 |
$638.02 |
$1,583.01
|
|
Ferritin
|
$269.09 |
$269.09 |
$269.09 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,250.38 |
$4,250.38 |
$4,250.38 |
$2,031.35
|
|
#_fet/norfentcnfrmur
|
$149.70 |
$149.70 |
$149.70 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$298.69 |
$298.69 |
$298.69 |
$112.20
|
|
Fibrin degradation products
|
$37.48 |
$37.48 |
$37.48 |
$59.24
|
|
Fibrinogen activity
|
$242.72 |
$242.72 |
$242.72 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$309.06 |
$309.06 |
$309.06 |
$66.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$6,435.95 |
$6,435.95 |
$6,435.95 |
$1,411.44
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,699.95 |
$2,699.95 |
$2,699.95 |
$973.70
|
|
Fl exam g/colon tube w contrast
|
$4,664.43 |
$4,664.43 |
$4,664.43 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$611.80 |
$611.80 |
$611.80 |
$208.80
|
|
Flow cytometry marker each additional
|
$28.11 |
$28.11 |
$28.11 |
$102.00
|
|
Flow cytometry one marker technical component
|
$5,414.72 |
$5,414.72 |
$5,414.72 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$156.22 |
$156.22 |
$156.22 |
$86.42
|
|
Fluorescent antibody titer dna
|
$240.58 |
$240.58 |
$240.58 |
$123.65
|
|
Fluoroscopy up to 1 hour
|
$2,160.57 |
$2,160.57 |
$2,160.57 |
$490.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,515.19 |
$2,515.19 |
$2,515.19 |
$103.14
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$142.87 |
$142.87 |
$142.87 |
$149.04
|