|
Dicyclomine injection
|
$184.79 |
$184.79 |
$184.79 |
$153.29
|
|
Diffusing capacity
|
$457.92 |
$457.92 |
$457.92 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$79.09 |
$79.09 |
$79.09 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$285.84 |
$285.84 |
$285.84 |
$102.00
|
|
Dilation salivary duct 42650
|
$3,199.68 |
$3,199.68 |
$3,199.68 |
$2,498.32
|
|
Dilator fascial 10fx20cm
|
$162.00 |
$162.00 |
$162.00 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$1.43 |
$1.43 |
$1.43 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$67.21 |
$67.21 |
$67.21 |
$17.75
|
|
Disaccharidases
|
$259.20 |
$259.20 |
$259.20 |
$216.00
|
|
Discography cerv/thor spine
|
$4,217.76 |
$4,217.76 |
$4,217.76 |
$2,565.00
|
|
#d/lmeth-l-methamphetamine
|
$229.68 |
$229.68 |
$229.68 |
$72.14
|
|
Dna antibody native/double stranded
|
$109.44 |
$109.44 |
$109.44 |
$97.50
|
|
Dna gardnerella
|
$126.72 |
$126.72 |
$126.72 |
$62.50
|
|
Dna trichomonas
|
$126.72 |
$126.72 |
$126.72 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$121.68 |
$121.68 |
$121.68 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.62 |
$4.62 |
$4.62 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$11.81 |
$11.81 |
$11.81 |
$65.40
|
|
Doppler echo complete
|
$563.04 |
$563.04 |
$563.04 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,871.44 |
$3,871.44 |
$3,871.44 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,219.68 |
$1,219.68 |
$1,219.68 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$471.17
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$364.15 |
$364.15 |
$364.15 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$88.63 |
$88.63 |
$88.63 |
$423.95
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.88 |
$1.88 |
$1.88 |
$84.80
|
|
Dpyd gene common variants
|
$921.60 |
$921.60 |
$921.60 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$914.34
|
|
Drainage external ear simple 69000
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$789.60
|
|
Drainage mouth roof lesion
|
$501.84 |
$501.84 |
$501.84 |
$390.39
|
|
Drainage of arm bursa 23931
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,197.48
|
|
Drainage of kidney lesion
|
$2,440.08 |
$2,440.08 |
$2,440.08 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,199.68 |
$3,199.68 |
$3,199.68 |
$1,752.89
|
|
Drainage of urethra abscess 53060
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$305.28 |
$305.28 |
$305.28 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,856.48 |
$5,856.48 |
$5,856.48 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$4,122.72 |
$4,122.72 |
$4,122.72 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$614.88 |
$614.88 |
$614.88 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$771.12 |
$771.12 |
$771.12 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$429.12 |
$429.12 |
$429.12 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$980.64 |
$980.64 |
$980.64 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$1,064.16 |
$1,064.16 |
$1,064.16 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,943.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$100.33 |
$100.33 |
$100.33 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$25.20 |
$25.20 |
$25.20 |
$127.14
|
|
Drug admin & hemodynmic meas
|
$1,229.04 |
$1,229.04 |
$1,229.04 |
$569.75
|
|
Drug assay posaconazole
|
$162.00 |
$162.00 |
$162.00 |
$96.75
|
|
Drug assay vedolizumab
|
$371.52 |
$371.52 |
$371.52 |
$152.79
|
|
Drug screening tapentadol
|
$17.28 |
$17.28 |
$17.28 |
$36.00
|
|
Drug test def 15-21 classes
|
$956.16 |
$956.16 |
$956.16 |
$263.25
|
|
Drug test def 1-7 classes
|
$392.40 |
$392.40 |
$392.40 |
$250.52
|
|
Drug test def 22+ classes
|
$1,350.72 |
$1,350.72 |
$1,350.72 |
$423.00
|
|
Drug test def 8-14 classes
|
$675.36 |
$675.36 |
$675.36 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$324.00 |
$324.00 |
$324.00 |
$278.85
|
|
Drvvt confirm - quest
|
$228.96 |
$228.96 |
$228.96 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$4,217.76 |
$4,217.76 |
$4,217.76 |
$3,020.80
|
|
Ductogram sgl duct
|
$913.68 |
$913.68 |
$913.68 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$1,017.36 |
$1,017.36 |
$1,017.36 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$543.60 |
$543.60 |
$543.60 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$560.16 |
$560.16 |
$560.16 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,487.52 |
$1,487.52 |
$1,487.52 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,801.44 |
$1,801.44 |
$1,801.44 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$378.00 |
$378.00 |
$378.00 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$132.87 |
$132.87 |
$132.87 |
$7,973.90
|
|
Dx laryngoscopy newborn
|
$838.80 |
$838.80 |
$838.80 |
$707.25
|
|
Ear irrigation 69209
|
$349.92 |
$349.92 |
$349.92 |
$149.76
|
|
Ecg 12 lead tracing only
|
$324.72 |
$324.72 |
$324.72 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$208.08 |
$208.08 |
$208.08 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$487.60
|
|
Ecg external < 48 hours recording
|
$720.72 |
$720.72 |
$720.72 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$840.24 |
$840.24 |
$840.24 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,579.68 |
$1,579.68 |
$1,579.68 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$620.64 |
$620.64 |
$620.64 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,591.92 |
$1,591.92 |
$1,591.92 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$826.56 |
$826.56 |
$826.56 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$1,081.44 |
$1,081.44 |
$1,081.44 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$490.32 |
$490.32 |
$490.32 |
$362.50
|
|
Echo exam of fetal heart
|
$1,783.44 |
$1,783.44 |
$1,783.44 |
$939.00
|
|
Echo exam uterus 76831-
|
$908.64 |
$908.64 |
$908.64 |
$523.71
|
|
Echo guide for amniocentesis
|
$547.92 |
$547.92 |
$547.92 |
$456.30
|
|
Echo stress
|
$2,164.32 |
$2,164.32 |
$2,164.32 |
$1,592.05
|
|
Echo tee guidance
|
$4,266.72 |
$4,266.72 |
$4,266.72 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,829.60 |
$2,829.60 |
$2,829.60 |
$1,849.50
|
|
Echo transthoracic
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$1,361.75
|
|
Echo transthoracic
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,753.20 |
$1,753.20 |
$1,753.20 |
$985.15
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,146.24 |
$1,146.24 |
$1,146.24 |
$1,000.42
|
|
Eeg during surgery
|
$1,432.08 |
$1,432.08 |
$1,432.08 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$672.48 |
$672.48 |
$672.48 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,237.68 |
$1,237.68 |
$1,237.68 |
$907.80
|
|
Eeg recording awake and asleep
|
$923.04 |
$923.04 |
$923.04 |
$931.20
|
|
E equine encephalitis igg
|
$51.84 |
$51.84 |
$51.84 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$66.86 |
$66.86 |
$66.86 |
$12,999.80
|
|
Egfr gene com variants
|
$3,121.92 |
$3,121.92 |
$3,121.92 |
$657.00
|
|
Elec analys infus pump w/reprog 62368
|
$959.76 |
$959.76 |
$959.76 |
$616.11
|
|
Elect analysis of infusion pump 62367
|
$753.12 |
$753.12 |
$753.12 |
$563.20
|
|
Elect anlys sp inf pmp w/reprg&fill 62369
|
$930.96 |
$930.96 |
$930.96 |
$616.11
|
|
Electroconvulsive therapy 90870
|
$1,146.24 |
$1,146.24 |
$1,146.24 |
$1,180.80
|
|
Electrolyte panel
|
$169.92 |
$169.92 |
$169.92 |
$84.24
|
