|
Device ablt adv novasure
|
$18,900.00 |
$18,900.00 |
$18,900.00 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$8,000.00 |
$8,000.00 |
$8,000.00 |
$4,200.00
|
|
Device intraute mirena
|
$1,447.36 |
$1,447.36 |
$1,447.36 |
$2,125.00
|
|
Device tiss remov myosure reach
|
$7,845.15 |
$7,845.15 |
$7,845.15 |
$2,541.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$144.00 |
$144.00 |
$144.00 |
$227.15
|
|
Dexamethasone 4 mg tablet
|
$47.72 |
$47.72 |
$47.72 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$86.54 |
$86.54 |
$86.54 |
$21.17
|
|
Dexamethasone intra implant
|
$2,565.05 |
$2,565.05 |
$2,565.05 |
$2,538.20
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,297.86 |
$1,297.86 |
$1,297.86 |
$858.00
|
|
Dextran 40 infusion
|
$98.50 |
$98.50 |
$98.50 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$64.00 |
$64.00 |
$64.00 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$64.50 |
$64.50 |
$64.50 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$122.62 |
$122.62 |
$122.62 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$90.50 |
$90.50 |
$90.50 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$112.00 |
$112.00 |
$112.00 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$57.50 |
$57.50 |
$57.50 |
$79.20
|
|
Diagnostic digital breast tomosynthesis bil
|
$39.50 |
$39.50 |
$39.50 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$39.50 |
$39.50 |
$39.50 |
$75.93
|
|
Diagnostic Mammogram (both breasts)
|
$223.00 |
$223.00 |
$223.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$187.00 |
$187.00 |
$187.00 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$115.15 |
$115.15 |
$115.15 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$93.45 |
$93.45 |
$93.45 |
$74.76
|
|
Dicyclomine injection
|
$61.76 |
$61.76 |
$61.76 |
$153.29
|
|
Diffusing capacity
|
$332.00 |
$332.00 |
$332.00 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$659.84 |
$659.84 |
$659.84 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,163.82 |
$11,163.82 |
$11,163.82 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$117.50 |
$117.50 |
$117.50 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$583.71 |
$583.71 |
$583.71 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$334.76 |
$334.76 |
$334.76 |
$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
|
$1,210.50 |
$1,210.50 |
$1,210.50 |
$282.40
|
|
Disaccharidases
|
$178.00 |
$178.00 |
$178.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$43.50 |
$43.50 |
$43.50 |
$97.50
|
|
Dna gardnerella
|
$109.50 |
$109.50 |
$109.50 |
$62.50
|
|
Dna trichomonas
|
$83.50 |
$83.50 |
$83.50 |
$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
|
$509.00 |
$509.00 |
$509.00 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$866.00 |
$866.00 |
$866.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$574.00 |
$574.00 |
$574.00 |
$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 absc/cyst/hmtma/vestibule mouth smpl
|
$186.50 |
$186.50 |
$186.50 |
$800.00
|
|
Drainage external ear simple 69000
|
$182.00 |
$182.00 |
$182.00 |
$789.60
|
|
Drainage of kidney lesion
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$1,506.00
|
|
Drain blood from under nail 11740
|
$69.50 |
$69.50 |
$69.50 |
$170.50
|
|
Drain cath image guided visceral pq
|
$3,588.00 |
$3,588.00 |
$3,588.00 |
$2,850.35
|
|
Drain finger abscess;simple 26010
|
$392.50 |
$392.50 |
$392.50 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$879.00 |
$879.00 |
$879.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$369.50 |
$369.50 |
$369.50 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$977.50 |
$977.50 |
$977.50 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$16,171.18 |
$16,171.18 |
$16,171.18 |
$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
|
$16,014.15 |
$16,014.15 |
$16,014.15 |
$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
|
$78.00 |
$78.00 |
$78.00 |
$96.75
|
|
Drug assay vedolizumab
|
$149.50 |
$149.50 |
$149.50 |
$152.79
|
|
Drug assay voriconazole
|
$70.50 |
$70.50 |
$70.50 |
$96.75
|
|
Drug test def 15-21 classes
|
$442.50 |
$442.50 |
$442.50 |
$263.25
|
|
Drug test def 1-7 classes
|
$147.50 |
$147.50 |
$147.50 |
$250.52
|
|
Drug test def 22+ classes
|
$590.00 |
$590.00 |
$590.00 |
$423.00
|
|
Drug test def 8-14 classes
|
$295.00 |
$295.00 |
$295.00 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$114.00 |
$114.00 |
$114.00 |
$278.85
|
|
Drvvt confirm - quest
|
$40.00 |
$40.00 |
$40.00 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$261.50 |
$261.50 |
$261.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,985.50 |
$1,985.50 |
$1,985.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$914.50 |
$914.50 |
$914.50 |
$887.25
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$8,148.82 |
$8,148.82 |
$8,148.82 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$28,477.76 |
$28,477.76 |
$28,477.76 |
$7,973.90
|
|
Ear irrigation 69209
|
$38.00 |
$38.00 |
$38.00 |
$149.76
|
|
Ecallantide injection
|
$41,575.76 |
$41,575.76 |
$41,575.76 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$195.00 |
$195.00 |
$195.00 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$157.00 |
$157.00 |
$157.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$756.50 |
$756.50 |
$756.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$832.00 |
$832.00 |
$832.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$417.00 |
$417.00 |
$417.00 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$411.50 |
$411.50 |
$411.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$530.00 |
$530.00 |
$530.00 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$561.00 |
$561.00 |
$561.00 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$358.00 |
$358.00 |
$358.00 |
$362.50
|
|
Echo exam of fetal heart
|
$378.00 |
$378.00 |
$378.00 |
$939.00
|
|
Echo exam of fetal heart
|
$378.00 |
$378.00 |
$378.00 |
$431.41
|
|
Echo exam uterus 76831-
|
$455.50 |
$455.50 |
$455.50 |
$523.71
|
|
Echo guide for amniocentesis
|
$610.50 |
$610.50 |
$610.50 |
$456.30
|
|
Echo guide for artery repair
|
$636.00 |
$636.00 |
$636.00 |
$664.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,345.50 |
$1,345.50 |
$1,345.50 |
$1,849.50
|
|
Echo transesophageal
|
$961.50 |
$961.50 |
$961.50 |
$1,087.90
|
|
Echo transthoracic
|
$925.00 |
$925.00 |
$925.00 |
$1,361.75
|
|
Echo transthoracic
|
$684.50 |
$684.50 |
$684.50 |
$953.10
|
|
Eculizumab injection
|
$16,330.48 |
$16,330.48 |
$16,330.48 |
$17,032.68
|
|
Eeg 41-60 minutes 95812-26
|
$828.00 |
$828.00 |
$828.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$1,000.42
|