|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$583.71 |
$583.71 |
$583.71 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$335.00 |
$335.00 |
$335.00 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$810.75 |
$810.75 |
$810.75 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$19.90 |
$19.90 |
$19.90 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.58 |
$25.58 |
$25.58 |
$17.75
|
|
Disability dlco
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$282.40
|
|
Disaccharidases
|
$180.00 |
$180.00 |
$180.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$44.00 |
$44.00 |
$44.00 |
$97.50
|
|
Dna gardnerella
|
$110.50 |
$110.50 |
$110.50 |
$62.50
|
|
Dna trichomonas
|
$84.00 |
$84.00 |
$84.00 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$228.38 |
$228.38 |
$228.38 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$275.05 |
$275.05 |
$275.05 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$134.30 |
$134.30 |
$134.30 |
$65.40
|
|
Doppler echo complete
|
$514.00 |
$514.00 |
$514.00 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$874.00 |
$874.00 |
$874.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$579.00 |
$579.00 |
$579.00 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$48,698.50 |
$48,698.50 |
$48,698.50 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$28,933.80 |
$28,933.80 |
$28,933.80 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$619.80 |
$619.80 |
$619.80 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$299.92 |
$299.92 |
$299.92 |
$1,718.24
|
|
Drainage of kidney lesion
|
$2,052.00 |
$2,052.00 |
$2,052.00 |
$1,506.00
|
|
Drain cath image guided visceral pq
|
$3,622.00 |
$3,622.00 |
$3,622.00 |
$2,850.35
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$887.00 |
$887.00 |
$887.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$373.00 |
$373.00 |
$373.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$987.00 |
$987.00 |
$987.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$16,171.00 |
$16,171.00 |
$16,171.00 |
$8,131.20
|
|
Dronabinol 2.5mg oral
|
$17.00 |
$17.00 |
$17.00 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$62.12 |
$62.12 |
$62.12 |
$31.07
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$16,014.00 |
$16,014.00 |
$16,014.00 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$13,304.50 |
$13,304.50 |
$13,304.50 |
$400.98
|
|
Drug assay posaconazole
|
$79.00 |
$79.00 |
$79.00 |
$96.75
|
|
Drug assay vedolizumab
|
$151.00 |
$151.00 |
$151.00 |
$152.79
|
|
Drug assay voriconazole
|
$71.00 |
$71.00 |
$71.00 |
$96.75
|
|
Drug test def 15-21 classes
|
$447.00 |
$447.00 |
$447.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$149.00 |
$149.00 |
$149.00 |
$250.52
|
|
Drug test def 22+ classes
|
$595.50 |
$595.50 |
$595.50 |
$423.00
|
|
Drug test def 8-14 classes
|
$298.00 |
$298.00 |
$298.00 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$115.00 |
$115.00 |
$115.00 |
$278.85
|
|
Drvvt confirm - quest
|
$40.50 |
$40.50 |
$40.50 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$264.00 |
$264.00 |
$264.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$923.00 |
$923.00 |
$923.00 |
$887.25
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$8,149.00 |
$8,149.00 |
$8,149.00 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$28,477.76 |
$28,477.76 |
$28,477.76 |
$7,973.90
|
|
Ecallantide injection
|
$41,575.76 |
$41,575.76 |
$41,575.76 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$197.00 |
$197.00 |
$197.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$158.50 |
$158.50 |
$158.50 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$763.50 |
$763.50 |
$763.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$840.00 |
$840.00 |
$840.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$421.00 |
$421.00 |
$421.00 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,677.50 |
$1,677.50 |
$1,677.50 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$415.50 |
$415.50 |
$415.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,756.50 |
$1,756.50 |
$1,756.50 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$535.00 |
$535.00 |
$535.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$566.00 |
$566.00 |
$566.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$361.00 |
$361.00 |
$361.00 |
$362.50
|
|
Echo exam of fetal heart
|
$381.50 |
$381.50 |
$381.50 |
$939.00
|
|
Echo exam of fetal heart
|
$381.50 |
$381.50 |
$381.50 |
$431.41
|
|
Echo exam uterus 76831-
|
$460.00 |
$460.00 |
$460.00 |
$523.71
|
|
Echo guide for amniocentesis
|
$616.50 |
$616.50 |
$616.50 |
$456.30
|
|
Echo guide for artery repair
|
$642.00 |
$642.00 |
$642.00 |
$664.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$1,849.50
|
|
Echo transesophageal
|
$970.50 |
$970.50 |
$970.50 |
$1,087.90
|
|
Echo transthoracic
|
$933.50 |
$933.50 |
$933.50 |
$1,361.75
|
|
Echo transthoracic
|
$691.00 |
$691.00 |
$691.00 |
$953.10
|
|
Eculizumab injection
|
$16,330.48 |
$16,330.48 |
$16,330.48 |
$17,032.68
|
|
Eeg 41-60 minutes 95812-26
|
$836.00 |
$836.00 |
$836.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,028.50 |
$1,028.50 |
$1,028.50 |
$1,000.42
|
|
Eeg during surgery
|
$2,087.50 |
$2,087.50 |
$2,087.50 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$695.50 |
$695.50 |
$695.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$915.50 |
$915.50 |
$915.50 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$757.50 |
$757.50 |
$757.50 |
$907.80
|
|
E equine encephalitis igg
|
$92.00 |
$92.00 |
$92.00 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$15,501.95 |
$15,501.95 |
$15,501.95 |
$12,999.80
|
|
EKG tracing for initial prev
|
$197.00 |
$197.00 |
$197.00 |
$81.76
|
|
Electrd sq emblem s-icd
|
$15,092.00 |
$15,092.00 |
$15,092.00 |
$10,243.24
|
|
Electrolyte panel
|
$34.00 |
$34.00 |
$34.00 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$983.41
|
|
Elosulfase alfa, injection
|
$2,653.85 |
$2,653.85 |
$2,653.85 |
$2,635.83
|
|
Elotuzumab 300 mg intravenous solution
|
$7,477.60 |
$7,477.60 |
$7,477.60 |
$5,523.02
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$32,652.80 |
$32,652.80 |
$32,652.80 |
$16,066.72
|
|
Encephalitis, california igg/igm
|
$105.50 |
$105.50 |
$105.50 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$92.00 |
$92.00 |
$92.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$92.00 |
$92.00 |
$92.00 |
$53.10
|
|
Endo cath bile duct s&i
|
$263.00 |
$263.00 |
$263.00 |
$694.06
|
|
Endoscopy swallow (fees) vid
|
$226.50 |
$226.50 |
$226.50 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$10,559.75 |
$10,559.75 |
$10,559.75 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$250.40 |
$250.40 |
$250.40 |
$109.71
|
|
Enzyme histochemistry
|
$485.50 |
$485.50 |
$485.50 |
$471.60
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$39,626.90 |
$39,626.90 |
$39,626.90 |
$30,598.85
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$192.59 |
$192.59 |
$192.59 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$885.70 |
$885.70 |
$885.70 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,329.09 |
$1,329.09 |
$1,329.09 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$219.26 |
$219.26 |
$219.26 |
$129.30
|
|
Epstein barr early antigen antibody
|
$105.50 |
$105.50 |
$105.50 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$65.50 |
$65.50 |
$65.50 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$79.50 |
$79.50 |
$79.50 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$126.72 |
$126.72 |
$126.72 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,595.58 |
$4,595.58 |
$4,595.58 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,551.00 |
$3,551.00 |
$3,551.00 |
$2,488.75
|
