|
Desmopressin 4 mcg/ml injection solution
|
$20.43 |
$20.43 |
$20.43 |
$37.26
|
|
Detect agnt mult dna direc
|
$237.60 |
$237.60 |
$237.60 |
$115.50
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$145.20 |
$145.20 |
$145.20 |
$220.43
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$319.80 |
$319.80 |
$319.80 |
$8.23
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$4,745.71 |
$4,745.71 |
$4,745.71 |
$465.34
|
|
Dextran 40 infusion
|
$173.97 |
$173.97 |
$173.97 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$78.83 |
$78.83 |
$78.83 |
$37.50
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.67 |
$78.67 |
$78.67 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$79.76 |
$79.76 |
$79.76 |
$48.56
|
|
Dextrose 5 % IV bolus
|
$78.86 |
$78.86 |
$78.86 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$414.00 |
$414.00 |
$414.00 |
$110.50
|
|
Diabetes (HbA1c) Test
|
$191.40 |
$191.40 |
$191.40 |
$70.00
|
|
Diagnostic digital breast tomosynthesis bil
|
$53.40 |
$53.40 |
$53.40 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$53.40 |
$53.40 |
$53.40 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$378.00 |
$378.00 |
$378.00 |
$381.60
|
|
Diagnostic Mammogram (one breast)
|
$276.60 |
$276.60 |
$276.60 |
$276.60
|
|
Dialysis circuit perm vascular embolization 36909
|
$9,915.60 |
$9,915.60 |
$9,915.60 |
$9,395.77
|
|
Dialysis one evaluation
|
$1,119.60 |
$1,119.60 |
$1,119.60 |
$920.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$55.52 |
$55.52 |
$55.52 |
$58.24
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$80.83 |
$80.83 |
$80.83 |
$42.12
|
|
Diffusing capacity
|
$343.80 |
$343.80 |
$343.80 |
$336.80
|
|
Digital analysis of eeg
|
$661.80 |
$661.80 |
$661.80 |
$649.63
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$191.62 |
$191.62 |
$191.62 |
$29.85
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,815.78 |
$6,815.78 |
$6,815.78 |
$6,815.78
|
|
Digoxin total therapeutic drug level
|
$223.20 |
$223.20 |
$223.20 |
$92.95
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$308.90 |
$308.90 |
$308.90 |
$297.86
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,001.55 |
$1,001.55 |
$1,001.55 |
$1,001.55
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$38.80 |
$38.80 |
$38.80 |
$9.29
|
|
Disability dlco
|
$376.80 |
$376.80 |
$376.80 |
$289.08
|
|
Disaccharidases
|
$306.60 |
$306.60 |
$306.60 |
$224.58
|
|
Dna antibody native/double stranded
|
$237.00 |
$237.00 |
$237.00 |
$101.40
|
|
Dna gardnerella
|
$128.40 |
$128.40 |
$128.40 |
$67.68
|
|
Dna probe chlamydia
|
$160.20 |
$160.20 |
$160.20 |
$98.40
|
|
Dna probe gc
|
$282.60 |
$282.60 |
$282.60 |
$88.67
|
|
Dna trichomonas
|
$112.20 |
$112.20 |
$112.20 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$101.04 |
$101.04 |
$101.04 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$472.96 |
$472.96 |
$472.96 |
$131.40
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$104.59 |
$104.59 |
$104.59 |
$60.21
|
|
Doppler echo complete
|
$976.20 |
$976.20 |
$976.20 |
$517.94
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,308.60 |
$1,308.60 |
$1,308.60 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$786.00 |
$786.00 |
$786.00 |
$463.20
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$17,344.68 |
$17,344.68 |
$17,344.68 |
$326.36
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,988.63 |
$1,988.63 |
$1,988.63 |
$97.83
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$99.43 |
$99.43 |
$99.43 |
$715.22
|
|
Drainage of kidney lesion
|
$1,903.80 |
$1,903.80 |
$1,903.80 |
$1,578.89
|
|
Drain cath image guided visceral pq
|
$3,505.80 |
$3,505.80 |
$3,505.80 |
$2,999.34
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$468.00 |
$468.00 |
$468.00 |
$387.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$349.20 |
$349.20 |
$349.20 |
$353.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$468.00 |
$468.00 |
$468.00 |
$515.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$6,026.40 |
$6,026.40 |
$6,026.40 |
$5,715.36
|
|
Droperidol 2.5 mg/ml injection solution
|
$40.32 |
$40.32 |
$40.32 |
$32.82
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
$1,459.20
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$755.40 |
$755.40 |
$755.40 |
$57.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$2,425.20 |
$2,425.20 |
$2,425.20 |
$983.03
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$19,358.40 |
$19,358.40 |
$19,358.40 |
$12,735.45
|
|
Drug admin & hemodynmic meas
|
$304.80 |
$304.80 |
$304.80 |
$612.15
|
|
Drug assay caffeine
|
$279.60 |
$279.60 |
$279.60 |
$89.17
|
|
Drug of abuse screen urine
|
$274.80 |
$274.80 |
$274.80 |
$58.50
|
|
Drug test def 1-7 classes
|
$346.20 |
$346.20 |
$346.20 |
$316.80
|
|
Drug test def 8-14 classes
|
$346.20 |
$346.20 |
$346.20 |
$249.10
|
|
Drug test prsmv instrmnt
|
$274.80 |
$274.80 |
$274.80 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$274.80 |
$274.80 |
$274.80 |
$278.85
|
|
Drvvt confirm - quest
|
$139.20 |
$139.20 |
$139.20 |
$108.55
|
|
Ductogram sgl duct
|
$481.80 |
$481.80 |
$481.80 |
$346.42
|
|
Duplex scan bilateral study 93985
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$600.60 |
$600.60 |
$600.60 |
$357.60
|
|
Dup scan/hemodialysis access 93990
|
$924.60 |
$924.60 |
$924.60 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$852.57
|
|
Dxa bone density axl vrt fx
|
$466.80 |
$466.80 |
$466.80 |
$365.14
|
|
Ear irrigation 69209
|
$161.40 |
$161.40 |
$161.40 |
$152.50
|
|
Ecg 12 lead tracing only
|
$306.00 |
$306.00 |
$306.00 |
$222.30
|
|
Ecg external < 48 hours recording
|
$919.20 |
$919.20 |
$919.20 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,009.20 |
$1,009.20 |
$1,009.20 |
$541.73
|
|
Ecg external > 48 hours up to 7 days recording
|
$429.60 |
$429.60 |
$429.60 |
$180.00
|
|
Ecg external >7 days up to 15 days recording
|
$861.60 |
$861.60 |
$861.60 |
$213.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$777.00 |
$777.00 |
$777.00 |
$450.40
|
|
Echocardiography transthoracic 2d followup/limited
|
$881.40 |
$881.40 |
$881.40 |
$720.60
|
|
Echocardiograpy doppler follow up/limited study
|
$549.00 |
$549.00 |
$549.00 |
$348.80
|
|
Echo exam uterus 76831-
|
$325.80 |
$325.80 |
$325.80 |
$497.93
|
|
Echo guide for amniocentesis
|
$257.40 |
$257.40 |
$257.40 |
$355.17
|
|
Echo guide for artery repair
|
$324.60 |
$324.60 |
$324.60 |
$687.35
|
|
Echo tee probe placement image acquisition interpretation & report
|
$2,496.60 |
$2,496.60 |
$2,496.60 |
$1,946.10
|
|
Echo transthoracic
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$1,361.75
|
|
Echo transthoracic
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$765.00
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,048.20 |
$1,048.20 |
$1,048.20 |
$997.40
|
|
Eeg 41-60 minutes 95812-26
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$798.60 |
$798.60 |
$798.60 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,001.40 |
$1,001.40 |
$1,001.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$1,072.93
|
|
Eeg without vid 2-12 hr unmntr
|
$628.20 |
$628.20 |
$628.20 |
$602.40
|
|
Eeg without vid ea 12-26hr cont
|
$3,555.00 |
$3,555.00 |
$3,555.00 |
$1,584.70
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,206.60 |
$1,206.60 |
$1,206.60 |
$1,502.40
|
|
Egfr gene com variants
|
$385.20 |
$385.20 |
$385.20 |
$619.04
|
|
Electrical stimulation/unattended 97014
|
$72.00 |
$72.00 |
$72.00 |
$79.20
|
|
Electroconvulsive therapy 90870
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$1,052.70
|
|
Electrolyte panel
|
$182.40 |
$182.40 |
$182.40 |
$68.56
|
|
Electron microscopy diagnostic
|
$1,632.00 |
$1,632.00 |
$1,632.00 |
$1,107.84
|
|
Elotuzumab 300 mg intravenous solution
|
$12.05 |
$12.05 |
$12.05 |
$7,188.13
|
|
Embolization s&i
|
$575.40 |
$575.40 |
$575.40 |
$2,869.75
|