|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$69.16 |
$69.16 |
$69.16 |
$30.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$278.42 |
$278.42 |
$278.42 |
$60.00
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$278.42 |
$278.42 |
$278.42 |
$68.93
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$74.23 |
$74.23 |
$74.23 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$278.42 |
$278.42 |
$278.42 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$77.81 |
$77.81 |
$77.81 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$180.17 |
$180.17 |
$180.17 |
$78.03
|
|
Diagnostic digital breast tomosynthesis bil
|
$278.87 |
$278.87 |
$278.87 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$161.30 |
$161.30 |
$161.30 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$625.29 |
$625.29 |
$625.29 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$584.93 |
$584.93 |
$584.93 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$16,469.84 |
$16,469.84 |
$16,469.84 |
$7,145.00
|
|
Dialysis one evaluation
|
$1,512.78 |
$1,512.78 |
$1,512.78 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$200.50 |
$200.50 |
$200.50 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$142.04 |
$142.04 |
$142.04 |
$72.34
|
|
Dicyclomine injection
|
$551.34 |
$551.34 |
$551.34 |
$211.81
|
|
Diffusing capacity
|
$953.39 |
$953.39 |
$953.39 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$67.25 |
$67.25 |
$67.25 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$243.97 |
$243.97 |
$243.97 |
$102.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$51.37 |
$51.37 |
$51.37 |
$26.87
|
|
Disability dlco
|
$907.58 |
$907.58 |
$907.58 |
$307.58
|
|
Disaccharidases
|
$237.22 |
$237.22 |
$237.22 |
$223.80
|
|
Dna antibody native/double stranded
|
$48.09 |
$48.09 |
$48.09 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$1,214.05 |
$1,214.05 |
$1,214.05 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,688.52 |
$1,688.52 |
$1,688.52 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$355.49 |
$355.49 |
$355.49 |
$84.30
|
|
Doppler echo complete
|
$1,072.97 |
$1,072.97 |
$1,072.97 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$3,578.74 |
$3,578.74 |
$3,578.74 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$2,323.34 |
$2,323.34 |
$2,323.34 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$995.12 |
$995.12 |
$995.12 |
$482.03
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$98,320.36 |
$98,320.36 |
$98,320.36 |
$32,490.15
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$435.74 |
$435.74 |
$435.74 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$18,115.19 |
$18,115.19 |
$18,115.19 |
$2,417.38
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$2,124.64 |
$2,124.64 |
$2,124.64 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$900.80
|
|
Drainage external ear complex 69005
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,967.58
|
|
Drainage external ear simple 69000
|
$2,124.65 |
$2,124.65 |
$2,124.65 |
$809.25
|
|
Drainage mouth roof lesion
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$474.39
|
|
Drainage of arm bursa 23931
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,419.30
|
|
Drainage of mouth lesion
|
$6,330.58 |
$6,330.58 |
$6,330.58 |
$1,022.40
|
|
Drainage of nose lesion sept 30020
|
$6,330.58 |
$6,330.58 |
$6,330.58 |
$755.95
|
|
Drain blood from under nail 11740
|
$389.59 |
$389.59 |
$389.59 |
$190.33
|
|
Drain cath image guided visceral pq
|
$6,374.81 |
$6,374.81 |
$6,374.81 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$492.81
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$642.62 |
$642.62 |
$642.62 |
$365.60
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$172.22 |
$172.22 |
$172.22 |
$9,390.80
|
|
Drng of finger abscess comp 26011
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,048.00
|
|
Drng of scrotum abscess 55100
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,069.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$79.67 |
$79.67 |
$79.67 |
$39.60
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$358.20 |
$358.20 |
$358.20 |
$448.16
|
|
Drug assay vedolizumab
|
$135.00 |
$135.00 |
$135.00 |
$164.16
|
|
Drug assay voriconazole
|
$290.08 |
$290.08 |
$290.08 |
$96.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,818.59 |
$1,818.59 |
$1,818.59 |
$278.85
|
|
Drvvt confirm - quest
|
$192.39 |
$192.39 |
$192.39 |
$101.66
|
|
Duplex scan unilateral study 93986
|
$1,542.48 |
$1,542.48 |
$1,542.48 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$1,418.39 |
$1,418.39 |
$1,418.39 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,432.37 |
$2,432.37 |
$2,432.37 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$4,011.39 |
$4,011.39 |
$4,011.39 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$107,954.03 |
$107,954.03 |
$107,954.03 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$1,542.48 |
$1,542.48 |
$1,542.48 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$20,055.72 |
$20,055.72 |
$20,055.72 |
$2,780.40
|
|
Ear irrigation 69209
|
$768.81 |
$768.81 |
$768.81 |
$165.42
|
|
Ecg 12 lead tracing only
|
$627.53 |
$627.53 |
$627.53 |
$245.00
|
|
Ecg external < 48 hours recording
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$2,555.06 |
$2,555.06 |
$2,555.06 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$654.03 |
$654.03 |
$654.03 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$3,249.79 |
$3,249.79 |
$3,249.79 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$652.99 |
$652.99 |
$652.99 |
$353.46
|
|
Echo stress
|
$3,823.59 |
$3,823.59 |
$3,823.59 |
$1,582.75
|
|
Echo tee probe placement image acquisition interpretation & report
|
$6,799.76 |
$6,799.76 |
$6,799.76 |
$1,871.10
|
|
Eeg 41-60 minutes 95812-26
|
$3,685.18 |
$3,685.18 |
$3,685.18 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,475.21 |
$2,475.21 |
$2,475.21 |
$861.12
|
|
Eeg/record in coma or sleep only 95822
|
$3,685.18 |
$3,685.18 |
$3,685.18 |
$936.00
|
|
Eeg recording awake and asleep
|
$3,685.18 |
$3,685.18 |
$3,685.18 |
$1,030.27
|
|
E equine encephalitis igg
|
$141.13 |
$141.13 |
$141.13 |
$48.73
|
|
Ehrlicha chaffeensis amp prb
|
$122.82 |
$122.82 |
$122.82 |
$105.00
|
|
EKG tracing for initial prev
|
$349.42 |
$349.42 |
$349.42 |
$56.65
|
|
Electrical stimulation/unattended 97014
|
$175.28 |
$175.28 |
$175.28 |
$81.75
|
|
Electrolyte panel
|
$180.13 |
$180.13 |
$180.13 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,676.56 |
$2,676.56 |
$2,676.56 |
$966.69
|
|
Electrophysiology evaluation
|
$13,997.32 |
$13,997.32 |
$13,997.32 |
$11,175.42
|
|
Electrophysiology evaluation
|
$13,398.64 |
$13,398.64 |
$13,398.64 |
$7,769.30
|
|
Electrophysiology evaluation
|
$6,866.90 |
$6,866.90 |
$6,866.90 |
$2,845.10
|
|
Electrophysiology evaluation
|
$4,320.71 |
$4,320.71 |
$4,320.71 |
$2,803.20
|
|
Electrophys map 3d add-on
|
$9,479.29 |
$9,479.29 |
$9,479.29 |
$6,534.00
|
|
Embo or occlude vascular arterial s&i
|
$80,965.52 |
$80,965.52 |
$80,965.52 |
$16,060.54
|
|
Embo or occlude vascular hemorrhage s&i
|
$49,554.91 |
$49,554.91 |
$49,554.91 |
$15,027.40
|
|
Embo or occlude vascular venous s&i
|
$80,965.52 |
$80,965.52 |
$80,965.52 |
$15,038.25
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$1,437.68 |
$1,437.68 |
$1,437.68 |
$434.00
|
|
Emg cranial nerve bilateral
|
$1,958.81 |
$1,958.81 |
$1,958.81 |
$518.00
|
|
Encephalitis, california igg/igm
|
$141.13 |
$141.13 |
$141.13 |
$46.75
|
|
Encephalitis, st louis igg/igm
|
$141.13 |
$141.13 |
$141.13 |
$48.03
|
|
Encephalitis, western equine igg/igm
|
$141.13 |
$141.13 |
$141.13 |
$50.70
|
|
Endoluminl ivus oct c 1st
|
$7,273.18 |
$7,273.18 |
$7,273.18 |
$3,335.81
|
|
Endoluminl ivus oct c ea
|
$5,155.57 |
$5,155.57 |
$5,155.57 |
$2,367.97
|
|
Endoscopy swallow (fees) vid
|
$260.56 |
$260.56 |
$260.56 |
$402.35
|
|
Endovasc rpr a-biiliac endogft 34705
|
$20,191.73 |
$20,191.73 |
$20,191.73 |
$10,604.25
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$493.94 |
$493.94 |
$493.94 |
$121.63
|